1. Assess - A question arises during care of a patient
2. Ask - Completely articulate all parts of the question
3. Acquire -Conduct a thorough focused search and select the highest quality evidence
4. Appraise - Evaluate the evidence for validity and clinical applicability
5. Apply - Use clinical expertise to integrate applicable evidence with attention to patient values
Evidence Based Practice: Multidisciplinary Resources
EBP Databases and Content Collections:
The resources below will generally provide higher levels of evidence because experts have collected, analyzed, and reported on the evidence for you. This is called filtered information.
Higher types of evidence include Systematic Reviews, Meta-Analyses, Guidelines, Critically Appraised Topics and more.
You can also search for specific Publication Types or Article Types like Systematic Review, Meta-Analysis, Guideline, or Randomized Controlled Trial in Health Sciences Databases such as CINAHL, PubMed, or Embase.
National Guideline Clearinghouse (NGC) closed July 16, 2018, when the contract to the Agency for Healthcare Research and Quality (AHRQ) supporting it ended. A 12-month study launched in August 2018 by the AHRQ will help identify new models for disseminating and accessing evidence-based clinical practice guidelines. Updates are available from the NGC website.
Guidelines (also known as clinical practice guidelines, practice guidelines, and CPG's) are high-level evidence because a group of experts has reviewed the existing evidence on a topic, graded the evidence, and made recommendations for how to implement the evidence in a clinical setting. Guidelines can be developed on the international, national, state, and local level by health organizations, hospitals, and other groups; always check the quality and authorship to be sure a guideline is trustworthy and can be used in patient care.
Note: The National Guideline Clearinghouse is no longer being updated after July 16, 2018. Alternative guideline resources can be found in this Finding Guidelines guide.
This page offers freely accessible resources, power-point presentations and links to evidence-based practice resources:
• Introduction to Evidence-Based Practice in Occupational Therapy
• Searching for Evidence
• Critical Appraisal of Research Evidence
• Implementing Evidence in Practice
Developed by the Therapeutic Recreation program at Temple University to share Recreational Therapy student mentored research/synthesis projects that advance the use of evidence based practice (EBP), as well as EBP resources.
Official publication of the National Therapeutic Recreation Society, a branch of the National Recreation and Park Association. Peer Reviewed. Articles are "scholarly and substantive.” Occasional theme-based issues. Articles are designated as either a "Conceptual Paper" or a "Practice Perspective." Most issues include one substantive book review.
Systematic reviews and other literature related to speech pathology interventions. Evidence is graded; highest-quality evidence is listed first for each search. Includes What is EBP?, Research/Study Design Types (on FAQ page), Rating Research Quality, more. Includes information and links for the PEDro-P scale for group comparison designs (RCT's and non-RCT's).
Information and links for the PEDro-P scale for Randomised controlled trials and non-randomised controlled trials (including pseudo-randomised controlled trials) and the SCED scale for Single Participant design studies that are common in Speech-Language Pathology.
Includes Users’ Guides to the Medical Literature (3rd ed); The Rational Clinical Examination; PowerPoint slide sets for EBM instruction; interactive worksheets; critical appraisal forms; and question wizards to help formulate clinical questions.
Access: Off Campus Access is available for: UNC-Chapel Hill students, faculty, and staff; UNC Hospitals employees; UNC-Chapel Hill affiliated AHEC users.
Under Education Tab, a series of guides:
• An Approach to EBM
• Appraising the evidence on diagnostic tests, harm, prognosis, therapy, from systematic reviews.
• Appraising patient management recommendations: practice guidelines
• Appraising Qualitative Research
• Finding Current Best Evidence
• How to Use an Article about Quality Improvement
• What is the Question (includes PICO)
Set of eight critical appraisal tools are designed to be used when reading research, these include tools for Systematic Reviews, Randomised Controlled Trials, Cohort Studies, Case Control Studies, Economic Evaluations, Diagnostic Studies, Qualitative studies and Clinical Prediction Rule.
"Let Evidence Guide Every New Decision" or LEGEND Evaluation Tools and Resources from Cincinnati Children's Hospital Center for Health Systems Excellence. Includes downloadable appraisal forms for my study types (17) and domains of clinical question.