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Veterinary Nursing: Evidence based practice

Evidence based practice

Evidence based Practice

“…involves the conscientious use of current best evidence in making decisions about patient care…”   Evidence-based practice in nursing & healthcare: a guide to best practice (2005)

  ‘Evidence-based decisions combine clinical expertise, the most relevant and best available scientific evidence, patient circumstances and owners’ values. This is what we mean by Evidence-based Veterinary Medicine (EBVM).’  RCVS (2017) ‘What is EBVM?’ https://knowledge.rcvs.org.uk/evidence-based-veterinary-medicine/what-is-ebvm/

Doing Evidence Based Practice

Flow chart for evidence based practice

Books on Evidence Based Practice

Centre for Evidence-based Veterinary Medicine

Centre for Evidence-based Veterinary Medicine

Information about on-going projects and useful resources for the veterinary profession to promote the use of Evidence-based Veterinary Medicine principles.

VetSRev is a freely accessible online database of citations for systematic reviews of relevance to veterinary medicine and science.

Evidence-based Veterinary Medicine Association (EBVMA)

Evidence-based Veterinary Medicine Association

The Evidence-based Veterinary Medicine Association (EBVMA) provides information on the training and practice of evidence-based veterinary medicine

Centre for Evidence-Based Veterinary Medicine University of Oxford

Study designs

This short article gives a brief guide to the different study types and a comparison of the advantages and disadvantages.
https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs

Research methods books

PICO & PEO

PICO and Qualitative Questions

A qualitative PICO question focuses on in-depth perspectives and experiences.  It does not try to solve a problem by analyzing numbers, but rather to enrich understanding through words.  Therefore, the emphasis in qualitative PICO questions is on fully representing the information gathered, rather than primarily emphasizing ways the information can be broken down and expressed through measurable units (though measurability can also play an important role). 

A strength of a qualitative PICO question is that it can investigate what patient satisfaction looks like, for example, instead of only reporting that 25% of patients who took a survey reported that they are satisfied. 

When working with qualitative questions, an alternative to using PICO in searching for sources is the SPIDER search tool.  SPIDER is an acronym that breaks down like this:

S=Sample

P=Phenomena of Interest

D=Design

E=Evaluation

R=Research type

Methley, A.M., Campbell, S., Chew-Graham, C. et al. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviewsBMC Health Serv Res 14, 579 (2014). https://doi.org/10.1186/s12913-014-0579-0

RCVS knowledge

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