what are the 3 pillars of EBP
-research
-clinical experience
-patient preference
evidence appraisal process
- diagnosis
- prognosis
- intervention
- outcomes
research foundations
-need to get more comfortable with abiguity
-goal is to get rid of ambiguity, but we need to accept rather than ignore uncertainty
steps to dealing with ambiguity
- identify ambiguity in clinical practice
- design studies/collect data that address ambiguity
- eliminate ambiguity in clinical practice
descriptive research
no manipulation by researcher
-results need to be interpreted cautiously
experimental research
manipulation by researcher
-control or comparator usually included
-results are more definitive
descriptive vs. experimental research
-descriptive: no manipulation by researcher
-experimental: manipulation by researcher
basic research
-animal subjects
-lab
-focuses on mechanisms
clinical research
-human subjects
-clinical
-focuses on efficacy/effectiveness
basic vs. clinical research
-basic: animal subjects, lab, focuses on mechanisms
-clinical: human subjects, clinical, focuses on efficacy/effectiveness
platonic
more “certain”
-struggles with “it depends”
sophist
okay with ambiguity
-“reality” is obscured
platonic vs sophist
-platonic: more certain,
struggles with “it depends”
-sophist: okay with ambiguity, “reality” is obscured
