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KMID : 1002720160140030157
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Journal of Korean Proprioceptive Neuromuscular Facilitation Association
2016 Volume.14 No. 3 p.157 ~ p.176
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Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making-
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Lee Moon-Kyu
Lim Jae-Heon
Kim Tae-Yoon
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Abstract
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Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy.
Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP.
Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability.
Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.
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KEYWORD
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Evidence-based practice, Clinical reasoning, Clinical decision making
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