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speech pathology how do you incorporate evidence based practice into treatment

by Anabelle Fadel Published 3 years ago Updated 2 years ago
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In order to meet HCPC standards of proficiency, Speech and Language Therapists are expected ‘to engage in evidence-based practice, evaluate practice systematically and participate in audit procedures as well as evaluate research and other evidence to inform their own practice’ (HCPC Standards of Proficiency, 2014).

Full Answer

What are the steps in evidence based practice?

Nov 21, 2016 · A study, published in the American Journal of Speech-Language Pathology, discusses a framework for improved EBP for SLPs called the Rehabilitation Treatment Taxonomy (RTT). At the core of RTT are three elements of treatment theory: Targets – the specific functional outcomes that will change as a result of treatment.

What are the three main components of evidence based practice?

Speech-language pathologists are increasingly required to demonstrate that their practice is based on evidence. While the concept of evidence-based practice has strengths, there have been some weaknesses in its application in speech-language pathology. Nevertheless, since current health care demands compliance, the profession must consider the opportunities and threats …

What are the characteristics of evidence based practice?

To be entered on speechBITE, it has to be of relevance to a speech pathologist’s practice or future practice, it has to be a paper within the scope of speech pathology practice, so it has to be about communication and/or swallowing and people who are at risk of having problems. It has to have empirical data in it.

What are evidence based practice guidelines?

Dec 18, 2014 · Evidence Based Practice in Speech and Language Therapy: A Scientific Approach to Clinical Practice. In order to meet HCPC standards of proficiency, Speech and Language Therapists are expected ‘to engage in evidence-based practice, evaluate practice systematically and participate in audit procedures as well as evaluate research and other evidence to inform …

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What is evidence-based practice in SLP?

The American Speech-Language-Hearing Association (ASHA) states evidence-based practice is “the integration of research evidence with practitioner expertise and client preferences and values into the process of making clinical decisions.” These are skills that students may begin learning as speech pathology master's ...

What are the steps in implementing evidence-based practice?

The EBP process has five basic steps: (1) formulating the clinical question, (2) searching efficiently for the best available evidence, (3) critically analyzing evidence for its validity and usefulness, (4) integrating the appraisal with personal clinical expertise and clients' preferences, and (5) evaluating one's ...Jan 1, 2010

What is EBP in speech language?

Evidence-based practice (EBP) is the integration of. Clinical expertise/expert opinion. The knowledge, judgment, and critical reasoning acquired through your training and professional experiences.

What are the 5 steps of evidence-based practice?

In this article, I have explained the five essential steps for practising EBM, which are: formulating answerable clinical questions; searching for evidence; making a critical appraisal; assessing the applicability of the evidence; and evaluating performance.

What are the 4 steps of evidence-based practice?

Step 4: Make Your Clinical Decision
  • Evidence-Based Practice.
  • Step 1: Frame Your Clinical Question.
  • Step 2: Gather Evidence.
  • Step 3: Assess the Evidence.
  • Step 4: Make Your Clinical Decision.

What are the 4 components of evidence-based practice?

Advocates for evidence-based medicine (EBM), the parent discipline of EBP, state that EBP has three, and possibly four, components: best research evidence, clinical expertise, and patient preferences and wants. Person-centered physicians also advocate for the person of the practitioner as a fourth component.

How do you research evidence-based practice?

The EBP process has seven critical steps:
  1. Cultivate a spirit of inquiry.
  2. Ask a burning clinical question.
  3. Collect the most relevant and best evidence.
  4. Critically appraise the evidence.
  5. Integrate evidence with clinical expertise, patient preferences, and values in making a practice decision or change.
Jun 11, 2014

How is evidence-based practice used in healthcare?

Evidence-based practice is the “integration of best research evidence with clinical expertise and patient values.” It means that when health professionals make a treatment decision with their patient, they base it on their clinical expertise, the preferences of the patient, and the best available evidence.Nov 7, 2013

What are the three components of evidence-based practice EBP in communication disorders?

Use ASHA's DECIDE framework to integrate the three components of evidence-based practice – external and internal evidence, clinical expertise, and client perspectives – into a clinical decision.

What is the most important step in evidence-based practice?

Generate clinical question

Generating clinical questions, the first step of EBM, is the most difficult and the most important step. Turning a specific question raised into an answerable question is the essential technique in EBM [10].
Sep 8, 2016

What are evidence-based practice requirements?

videnced-based practice (EBP) is applying or translating research findings in our daily patient care practices and clinical decision-making. EBP also involves integrating the best available evidence with clinical knowledge and expertise, while considering patients' unique needs and personal preferences.Feb 26, 2021

What is an example of evidence-based practice?

Through evidence-based practice, nurses have improved the care they deliver to patients. Key examples of evidence-based practice in nursing include: Giving oxygen to patients with COPD: Drawing on evidence to understand how to properly give oxygen to patients with chronic obstructive pulmonary disease (COPD).

What are some of the considerations in developing an evidence database?

It’s really just about the quick access. Because there are databases around like Medline, PsychINFO, Ovid, Scopus, there are a lot of these big databases available.

What are some of the common methodological weaknesses you encounter in the rating process?

That’s the challenge: When you think that a paper is a randomized controlled trial, so it must be gold standard. But what we’ve found a huge range.

How can rating tools help researchers?

I think what the PEDro rating system has done — it’s certainly done it in the field of physiotherapy — once researchers become aware of what we’re looking for in a well-designed study, they start designing well-designed studies. The PEDro scores have increased on the physiotherapy database, they’ve been around much longer, they launched in 1999.

How can evidence databases help clinicians?

What I’m keen for is for speech pathologists to think about using speechBITE almost every day. If you’ve got a clinical research question, you should be able to get an answer out of speechBITE in less than three minutes. It’s a very fast, easily accessible way of quickly getting the best evidence and being efficient about it.

Websites of Interest

speechBITE . (Speech Pathology Database for Best Interventions and Treatment Efficacy)

What is evidence based practice in speech and language therapy?

Evidence Based Practice in Speech and Language Therapy: A Scientific Approach to Clinical Practice. In order to meet HCPC standards of proficiency, Speech and Language Therapists are expected ‘to engage in evidence-based practice, evaluate practice systematically and participate in audit procedures as well as evaluate research ...

What is evidence based practice?

David Sackett; The conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient.

What is EBP in clinical research?

EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care.

What is EBP in healthcare?

EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care. Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills.

What is the gold standard for research?

Although Randomised Control Trial (RCT) is considered as the ‘gold standard’ for research evidence, methodological issues and clinical applicability should be taken into consideration for demonstrating efficacy of interventions and treatments.

What is evidence based practice?

It is the position of the American Speech-Language-Hearing Association that audiologists and speech-language pathologists incorporate the principles of evidence- based practice in clinical decision making to provide high quality clinical care. The term evidence-based practice refers to an approach in which current, ...

What is ASHA position statement?

This position statement is an official policy document of the American Speech-Language-Hearing Association (ASHA). It is the position of the American Speech-Language-Hearing Association that audiologists and speech-language pathologists incorporate the principles of evidence-based practice in clinical decision making to provide high quality ...

What is EBP in speech pathology?

The primary aim of this scoping project was to develop a clear understanding of the current state of evidence based practice (EBP) teaching and learning in Australian Speech Pathology programs. As with other health sciences, Speech Pathology programs provide vocational training for students, that is, clinical education programs where clinical decision making skills are developed with real clients. This project explored both the academic and clinical teaching and learning contexts. The literature indicates that developing clinical decision making skills presents a challenge to students and novice clinicians (Hoben, Varley & Cox, 2007). The philosophy of EBP bridges academic and clinical curricula and should form the basis of clinical decision making.

What are the gaps in EBP?

Some gaps in EBP teaching and learning were highlighted in the survey data. They related to students’ understanding and application of EBP, understanding of research methodologies, and communication and collaboration between academic staff and clinical educators.

What is action research approach?

This approach was dynamic and inclusive, emphasising self evaluation. It is an approach that lends itself to ALTC Strategic Priorities with scoping projects because it facilitates an exploration of the strengths, gaps and challenges within a discipline.

Who is David Trembath?

This case study was formulated in collaboration with David Trembath, who is a published author in the disability field and currently a faculty member at the University of Sydney in the Discipline of Speech Pathology.

What are the factors that contribute to a successful project?

Four factors can be identified as critical to this project’s success: 1) active participation by universities, their affiliates and key stakeholders, 2) Project Team engagement and participation, 3) a clear understanding of the scope of the project and 4) utilising existing resources.

EBP Catalog

Blog posts, articles, and documents that explain the “why” and “how” of EBP.

Tutorials

Interactive and video resources to help clinicians expand their understanding of EBP.

What is EBP in speech therapy?

EBP is an approach to care that gives equal weight to the best available evidence; professional and clinical expertise; and the client's values, perspectives, and circumstances ( American Speech-Language-Hearing Association, n.d.; Erickson et al., 2018 ). The principles of EBP are recognized as an important part of the delivery of speech therapy services. The external scientific evidence for SSDs has been well considered within the EBP framework; less has been done to privilege the voices of SLPs working in this area of practice (i.e., professional and clinical expertise).

What is inductive content analysis?

This is a systematic process that involves identification of categories of data, from the specific to the general, through collation of similar text ( Morse, 2008 ). Categories determine what is in the data as opposed to a theme, which is a meaningful essence running through the data ( Morse, 2008 ). For this study, analysis began with multiple readings of the transcripts by the first author. The process of inductive content analysis was conducted primarily by the first author using the software program NVivo (Version 11). Open codes were allocated to units of text in the transcripts to describe all aspects of the content ( Elo & Kyngäs, 2008 ). Generic categories were generated to classify or organize the open codes. Generic categories were then ordered into higher level, and main categories were to classify similar information at a broader level ( Elo & Kyngäs, 2008 ). Each main category was named with content-characteristic phrases. This process is shown by the following example relating to target selection. Open codes for target selection included “feelings of success for the child,” “functional targets for the child,” and “impact of target selection on child and family.” A generic category labeled “client or family-centered information” was then generated to classify these open codes. This generic category was ordered into a higher level main category labeled “commonly considered target selection factors.” While the researchers had predetermined topics for discussion within the interviews, the categories themselves were generated from the interview data using the process described.

Purpose

This study documented evidence-based practice (EBP) patterns as reported by speech-language pathologists (SLPs) employed in public schools during 2010–2011.

Method

Using an online survey, practioners reported their EBP training experiences, resources available in their workplaces, and the frequency with which they engage in specific EBP activities, as well as their resource needs and future training format preferences.

Results

A total of 2,762 SLPs in 28 states participated in the online survey, 85% of whom reported holding the Certificate of Clinical Competence in Speech-Language Pathology credential.

Conclusion

Use of ASHA online resources and engagement in EBP activities were documented to be low. However, results also revealed that school-based SLPs have high interest in additional training and resources to support scientifically based practices. Suggestions for enhancing EBP support in public schools and augmenting knowledge transfer are provided.

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