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Evidence-Based Practice / Unit 6   EBP 0813 worked example, 60 to 90 seconds

Appraising a Quantitative Study

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The idea

The technique: identify the design and its level for this question type, then ask the three questions in order — are the results valid, what are the results, will they help these patients — checking at each stage the biases that design is exposed to, and separating statistical from clinical significance before deciding whether the study is limited enough to discount.

In practice

A review of trials. Design identified, Level I for an intervention question. Validity: eligibility prespecified, method reproducible, search across several databases, included studies assessed for risk of bias. Results: effect size with its interval. Applicability: population comparable, setting able to deliver it. Statistical significance noted; clinical significance judged separately. Kept, with its restriction recorded.

Where people slip

A study is discounted for being unusable, never for being imperfect. Every study here is imperfect.

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