

Evidence Based Concepts
3. Critically appraising
the evidence for its validity and usefulness (clinical applicability)
Once you have found the most current evidence, the next step in the EBDM process
is to understand what you have and its relevance to your patient and the PICO
question. One resource available to critically appraise papers consists
of a worksheet with a structured series of questions that can help you determine
the strengths and weaknesses of how a study was conducted and how useful and
applicable the evidence is to the specific patient problem or question being
asked.15 This will be discussed
more fully in a subsequent article.
4. Applying the
results of the appraisal, or evidence, in clinical practice; and
5. Evaluating the process and your performance
There are numerous ways EBDM can be incorporated into practical clinical situations.
Using the EB process, you and/or your staff can be current with practice guidelines,
statements and policies, support clinical decisions, answer patient questions,
and explore alternative treatments, procedures, or materials. With an
understanding of how to effectively use EBDM, practitioners can quickly and
conveniently stay current with scientific findings on topics that are important
to them and their patients.