F.A. Davis Company

The first text to provide comprehensive coverage of the three areas integral to evidence-based practice—clinical expertise, understanding patient values and circumstances, and analyzing evidence from the literature! This integration is the heart of the optimal practitioner-patient relationship and the path to the very best patient care.

Step by step, the authors show you how theory and practice come together with respect for patient values and circumstances to produce the best patient outcomes. A wealth of clinical examples and case scenarios make every concept clear.

• Emphasizes clinical reasoning, with a focus on the Guide to Physical Therapist Practice and its patient care management model of examination, decision-making, and intervention to illustrate the connections to other aspects of EBP.
• Provides an application of decision sciences to understanding the common mistakes made in clinical decision making.
• Discusses the role of the interview as the primary source of information about the patient, including values and circumstances.
• Stresses the importance of communication as the primary means of learning about and affecting change in patient values as they influence their healthcare choices.
• Considers issues related to access to the healthcare system, including financing and levels of care as they affect patient choice.
• Offers in-depth coverage on how to find, analyze, and use evidence from the literature for the student, novice, and advanced clinician.
• Extends this analysis to the many forms of synthesized literature that are especially useful in clinical practice.
• Presents clinical examples, bibliographic references, and contributors from many disciplines, including physical therapy, medicine, library science, and decision sciences.
• Includes appropriate models of patient care management, including disablement models, as well as models for clinical decision-making such as the Hypothesis Oriented Algorithm for Clinicians (HOAC) model, and models of expertise, patient communication, and literature analysis.
• Features a wealth of clinical examples and case scenarios that illustrate how to apply theory to practice.
• Addresses typical clinical reasoning strategies used by clinicians, as well as an overview of biases and errors that can negatively affect reasoning outcomes.

1. Opening Words
2. Clinical Judgment
   1. The Language of Practice
   2. How Physical Therapists Make Clinical Decisions
   3. Mistakes and Errors:  When Clinical Decisions Go Wrong
   4. Biases in Clinical Reasoning: “Most of My Patients are Helped by this Treatment”
   5. Clinical Decision Making Tools
3. Understanding and Respecting Patient Values and Circumstances
   6. Bridging the Differences of Diversity: Communicating in the Borderlands
   7. Communicating With Patients
   8. The Patient Interview
   9. Learning About Patients’ Perspectives: Qualitative Research
   10. The Health Care System and Patient Circumstances
4. Analyzing Evidence From The Literature
   11. Asking Clinical Questions
   12. Finding The Evidence
   13. Elements of Good Research Practice
   14. The Individual Study as a Source of evidence
   15. Synopses of Studies
   16. Syntheses of Studies through Systematic Reviews and Meta-analyses
   17. Summaries and Systems
5. Evidence Based Practice: Does it Work in Practice
   18. Translating Evidence into Practice
   19. Documentation as Evidence
   20. Quality Improvement in Action
6. Closing Words