Core Competencies in Evidence-Based Practice for Health Professionals (2018)

Albarqouni らは2018年に，EBPのコアコンピテンシーを発表しました (Albarqouni, et al. 2018)．この研究では、文献レビューとデルファイ調査で、EBPのコアコンピテンシーが特定されました．文献レビューでは、83のEBP educational intervention studies, 86のunique EBP competenciesが参照されています．

論文には、以下の内容が含まれています．

・コアコンピテンシーの開発プロセス
・コアコンピテンシーの一覧
   Table 2 "Final Set of EBP Core Competencies Grouped Into the Main EBP Domains" 
・コアコンピテンシーの簡単な解説
   eTable 5. The Final Set of EBP Core Competencies Grouped Into the Main EBP Domains

以下、Table 2より抜粋．

0. Introductory

0.0 Understand evidence‐based practice (EBP) defined as the integration of the best research evidence with clinical expertise and patient’s unique values and circumstances.

0.1 Recognise the rationale for EBP.
0.2 For each type of clinical question, identify the preferred order of study designs, including the pros and cons of the major study designs.

0.3 Practice the 5 steps of EBP: Ask, Acquire, Appraise and Interpret, Apply, and Evaluate.

0.4 Understand the distinction between using research to inform clinical decision making versus conducting research.

1. Ask

1.1 Explain the difference between the types of questions that cannot typically be answered by research (background questions) and those that can (foreground questions).
1.2 Identify different types of clinical questions, such as questions about treatment, diagnosis, prognosis, and aetiology.
1.3 Convert clinical questions into structured, answerable clinical questions using PICO.

2. Acquire

2.1 Outline the different major categories of sources of research information, including biomedical research databases or databases of filtered or pre‐appraised evidence or resources.
2.2 Construct and carry out an appropriate search strategy for clinical questions.
2.3 State the differences in broad topics covered by the major research databases .

2.4 Outline strategies to obtain the full text of articles and other evidence resources.

3. Appraise and Interpret

3.1 Identify key competencies relevant to the critical evaluation of the integrity, reliability, and applicability of health‐related research.
3.2 Interpret different types of measures of association and effect, including key graphical presentations
3.3 Critically appraise and interpret a systematic review.

3.4 Critically appraise and interpret a treatment study.

3.5 Critically appraise and interpret a diagnostic accuracy study.

3.6 Distinguish evidence‐based from opinion‐based clinical practice guideline.

3.7 Identify the key features of, and be able to interpret, a prognostic study.

3.8 Explain the use of harm/aetiologies study for (rare) adverse effects of interventions.

3.9 Explain the purpose and processes of a qualitative study.

4. Apply

4.1 Engage patients in the decision making process, using shared decision making, including explaining the evidence and integrating their preferences.
4.2 Outline different strategies to manage uncertainty in clinical decision making in practice.
4.3 Explain the importance of baseline risk of individual patients when estimating individual expected benefit.

5. Evaluate

5.1 Recognise potential individual‐level barriers to knowledge translation and strategies to overcome these.
5.2 Recognise the role of personal clinical audit in facilitating evidence‐based practice.

Reference.

Albarqouni L, et al. Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Network Open, 2018;1(2): e180281. 

https://doi.org/10.1001/jamanetworkopen.2018.0281

[サイト内関連記事]

[EBPのCompetencies] Core EBP Competencies and Learning Outcomes for European Nurses (2021.6)   https://ebp-research.themedia.jp/posts/18811568