Ch. 2 Evidence-Based Practice
Why is evaluation and feedback of client's progress in an intervention important?
because studies supporting the effectiveness of interventions typically do not find that the tested interventions are guaranteed to work with every client or situation.
You should use your practice expertise, your knowledge of the client, client feedback, and your cultural competence in making a judgment call while determining what?
An appropriate intervention
A disadvantage of this search method is that it is time consuming, to read and appraise studies that you research
Bottom- up searches
You search literature looking for any and all sources that provide evidence pertaining to the practice question you formulated, then read and critically appraise the quality of evidence in each source, judge whether it is applicable to your unique practice decision, and ultimately choose a course of action based on what you deem to be the best applicable evidence available is using what search method?
Bottom-up search
is a type of systematic review that pools the statistical results across studies to particular interventions and generates conclusions about which interventions have the strongest impacts on treatment outcome.
meta-analysis
some arguments based on EBP are
methodological or philosophical grounds
This conflates with EBP process with evidence based interventions
misconceptions of EBP
The acronym CIAO for forming an evidence based question stands for what?
Client characteristics, Intervention being considered, Alternative intervention, Outcome
-Think for themselves. -consider whether beliefs or assertions of knowledge are based on sound evidence and logic. Formulate appropriate questions and then gather and appraise evidence as a basis for making decisions
Critical thinker
They will think open-mindedly, recognizing and questioning unstated assumptions that underline beliefs and assertions and be willing to test their own beliefs or conclusions and then alter them on the basis of new experiences and evidence. This describes a ?
Critical thinker
Rather than accepting everything others with more experience and authority tell them about practice, they question things, recognize unfounded beliefs and assumptions, think for themselves about the logic and evidence underpinning what others may convey as practice wisdom. These practitioners require the use of what?
Critical thinking
Step three of the EBP process is?
Critically appraise the relevant studies you find
Step 4 of EBP process is ?
Determining which EBP intervention is most appropriate for your client
"Will non-directive play therapy be effective in reducing the trauma symptoms of sexually abused Native Alaskan girls aged 8 or less?" is an example of a ?
EBP question
Step 6 of EBP process is?
Evaluation and Feedback
Encourages practitioners to integrate scientific evidence with their practice expertise and knowledge of the idiosyncratic circumstances bearing on specific practice decisions.
Evidence based practice process
Is a process in which practitioners consider the best scientific evidence available pertinent to a particular practice decision as an important part of their decision making
Evidence-based practice
Practice model that is based on the scientific method and scientific evidence
Evidence-based practice
True/False. If an intervention has been effective it is safe to assume it will work for a particular client.
False
When critiquing research quality practitioners should NOT rely on?
only one or a few sources
integrative model of evidence-based practice includes...
practitioners expertise, best research evidence, and client attributes
conducting open-ended and in depth interviews with homeless people or hanging out with them and observing and subjectively experiencing the phenomenon of homelessness is an example of?
qualitative research
tends to have different priorities than experiments, and puts more value on subjectively probing for deeper meanings than on trying to logically rule out alternative plausible explanations for treatment outcomes.
qualitative studies
Why is it important to critique research quality?
relying on "experts" who may input their biases and have missing relevant studies in their search
After considerations of the client are made while using evidence based practice the final step of the process is to use __________ to evaluate whether the evidence-based actions taken result in the appropriate outcomes that you seek.
research methods
When critiquing research quality practitioners should find and appraise?
sources and look for possible disagreements among them
For any evidence based intervention to be effective it must be provided in the context of a?
strong therapeutic alliance
Will report comprehensive searches for unpublished as well as published studies that address a particular research question.
systematic review
Misconceptions of EBP include
the belief that it denigrates professional expertise and ignore clients values and preferences. Is a cost-cutting tool. Evidence is in short supply, the therapeutic alliance will be hindered.
Deeming that the choice of intervention to be irrelevant, arguing that all interventions are equally effective when they are provided by practitioners with good relationship skills is an argument known as?
the dodo verdict
A disadvantage of this search method is the fallibility of the experts who have conducted the reviews, appraised the evidence, and derived practice guidelines from them. Requires relying on those experts.
top-down searches
The advantage of this search method is that it is time consuming and feasible
top-down searches
true or false. The aim of evidence-based practice is to find the most effective interventions, not to find the cheapest.
true
What is the first step of EBP?
Formulate a question to answer practice needs
When critiquing research quality practitioners should ascertain whether the authors are?
vested in the particular approach recommended (biased)
instead of starting from scratch to find and appraise all of the relevant studies yourself, you would rely on the results of evidence-based searches that others have done. Such as systematic reviews, meta-analyses, or books. This is using which search method?
Top-down search
True or False. Interventions supported by the best evidence are not necessarily effective with every client or situation.
True
True or False. reliance on authority is inconsistent with the scientific method.
True
True or false. EBP questions may be open-ended regarding interventions or may specify one or more interventions in advance.
True
True or false. In applying the scientific method to practice decisions, evidence based practice is unlike "authority based practice"
True
True/False. In the evidence based practice process, one key step is the considering of the values and expectations of clients and involving them as informed participants in the decision making process.
True
True/False. When social workers utilize research discriminatory.... for better research
True
Practitioner and treatment characteristics that have been supported by rigorous research as having a key influence on outcome include what common factors?
accurate empathy, warmth, positive regard, cultivating hope, adapting treatment to the client's stage of change
Step 5 of EBP process is?
Apply the EBP intervention
What is/are true about evidence-based practice?
Real-world obstacles often prevent implementing it thoroughly in everyday social-work practice.
The second step of EBP is?
Search for the evidence
Being an evidence-based praticioner implies engaging in_______. It means recognizing the need to search for and appraise new evidence as an ongoing, lifelong, part of ones practice.
career-long learning
When researching you should examine the ...
cochran and camble recources
Rather than just conform blindly to tradition or authority, they will take into account the best scientific evidence available in deciding how to intervene at micro- or macrolevels of practice. This requires the use of...
critical thinking
A way to make the EBP process more feasible among practitioners in an agency is?
divide the tasks
is primarily a compassionate, client-centered approach to practice.
evidence based practice
Practitioners make practice decisions in light of the best research evidence available
evidence based practice process
When critiquing research quality practitioners should examine the?
evidentiary standards used in appraisals of studies
An online research of evidence
feasibility
