Carol Jewell Allied Health Clinical Educator

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Carol Jewell Allied Health Clinical Educator
Evidence Informed Practice in Allied Health
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EIP in Allied Health
Critical appraisal
Asking
Applying evidence
Searching
Assimilating evidence

• Evidence informed approach to undergraduate
  training
• Variable knowledge of structured approaches for
  defining questions.
• Relative to level of clinical expertise and post
  graduate qualifications

Range (undergraduate and postgraduate)
Very poor poor average
good very good
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EIP in Allied Health
Critical appraisal
Asking
Applying evidence
Searching
Assimilating evidence

• Systematic process taught at undergraduate level
• Variable levels of success
• Gaps in evidence and some evidence in obscure
  places
• Need to assimilate breadth of evidence from
  various sources

Range (undergraduate and postgraduate)
Very poor poor average
good very good
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EIP in Allied Health

Critical appraisal

Asking
Applying evidence
Searching
Assimilating evidence

• Prioritised across professional groups
• Aware of systematic approach
• Wide variation in level of experience and
  confidence
• Specific learning needs
• Very good skills developed through PG courses

Range (Undergraduate and postgraduate)
Very poor poor average
good very good
5
EIP in Allied Health
Critical appraisal
Asking
Applying evidence
Searching
Assimilating evidence

• Specific relevant evidence applied
• Difficult where broad gaps in evidence or lack of
  definitive high level evidence
• Relative to the quality of papers and level of
  research
• Need to evaluate with own patient population

Range (undergraduate and postgraduate)
Very poor poor average
good very good
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EIP in Allied Health
Critical appraisal
Asking
Applying evidence
Searching
Assimilating evidence

• Clinical standards, clinical expertise, patient
  need and evidence in the literature considered
• Gaps - need to build evidence base
• Challenges evaluating clinical practice

Range (undergraduates and postgraduate)
Very poor poor average
good very good
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Strengths

• EIP integral to all AH professional groups
• Good prerequisite skills developed through
  undergraduate courses
• High level of expertise in some areas
• Using RCT methodology to build strong evidence
  in specific areas
• Interdisciplinary approach to assimilation of
  evidence

Asking
Searching
Critical appraisal
Applying evidence
Assimilating evidence
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Opportunities for improvement

• Develop skills across grades and professional
  groups
• Target specific skills in searching, critical
  appraisal and applying evidence
• Develop skills in clinical outcome measurement
• Create clinical evidence at range of levels
  with own population

Asking
Searching
Critical appraisal
Applying evidence
Assimilating evidence
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Plan

• Disseminate high level of expertise
• Interdisciplinary education on EIP
• Mentoring for specific projects
• Systematic approach to identifying gaps and
  building evidence
• Facilitate interdisciplinary approach
• Develop knowledge of resources available
• Support PG studies

Asking
Searching
Critical appraisal
Applying evidence
Assimilating evidence
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Summary

• Diverse knowledge,skills and experience
• Graduates coming out with very good theoretical
  expertise
• Specific learning needs
• Challenges with clinical application
• A high level of expertise in some areas
• Benefits to interdisciplinary approach

Asking
Searching
Critical appraisal
Applying evidence
Assimilating evidence
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Asking
Searching
Critical appraisal
Applying evidence
Assimilating evidence
EIP in Allied Health