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Evidence-Based Practice / Unit 4   EBP 0500 worked example, 60 to 90 seconds

Critically Appraising a Body of Evidence

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The idea

The technique: run rapid critical appraisal to identify the keepers, table them so they can be seen as a body of evidence, extract the patterns across them into a synthesis, weigh number, magnitude and consistency, and close with a recommendation — asking of each study whether it is valid, reliable and applicable here.

In practice

Fifteen studies retrieved. Nine kept. Tabled by design and level, highest first. Patterns extracted: agreement on the main outcome, disagreement on one subgroup, corroboration from two lower-level studies. Certainty appraised by asking what each claim rests on. Recommendation written, with the subgroup disagreement stated in it.

Where people slip

The recommendation is the deliverable. Appraisal that stops at the synthesis has done the difficult part and withheld the useful part.

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