Teaching critical appraisal skills in health care settings (Review)

Health Care Research Unit South Academic Block, Southampton General Hospital, Tremona Road, Southampton, Hampshire, UK, SO16 6YD.
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 02/2001; 3(3):CD001270. DOI: 10.1002/14651858.CD001270
Source: PubMed


Critical appraisal involves interpreting information in a systematic and objective manner. This review looked at whether teaching critical appraisal skills to health professionals led to changes in the process of care, patient outcomes or health professionals' knowledge/awareness. The review found that teaching critical appraisal skills to health professionals improved their knowledge of these skills. However there was a lack of good quality evidence as to whether teaching critical appraisal skills led to changes in the process of care or to changes in patient outcomes.

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    • "There was unclear or weak evidence for the effects of tailored interventions that addressed barriers to change [10], teaching critical appraisal skills [11] and printed educational materials compared to other interventions [12]. Educational outreach visits (EOVs) [13] and audit and feedback [14] resulted in small to moderate behaviour changes with those that included EOVs being slightly more effective than audit and feedback alone [13]. "
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    ABSTRACT: Despite efforts to identify effective interventions to implement evidence-based practice (EBP), uncertainty remains. Few existing studies involve occupational therapists or resource-constrained contexts. This study aimed to determine whether an interactive educational intervention (IE) was more effective than a didactic educational intervention (DE) in improving EBP knowledge, attitudes and behaviour at 12 weeks.
    Trials 06/2014; 15(1):216. DOI:10.1186/1745-6215-15-216 · 1.73 Impact Factor
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    • "For instance, a comprehensive review of extant literature suggests that most methods to help clinicians and practitioners to adopt evidence-based practices have the capacity to effect change – however, robust evidence of their effectiveness (and methods of action) is lacking [45]. Although the evidence for effective methods remains inconclusive, it does not suggest that particular methods be discontinued [52]. Rather, there are ‘no “magic bullets” for improving the quality of health care’ [53], p. 1423. "
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    BMC Health Services Research 11/2013; 13(1):490. DOI:10.1186/1472-6963-13-490 · 1.71 Impact Factor
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    • "A Cochrane review of the research evaluating the effect of teaching critical thinking skills to healthcare professionals already caring for patients found a remarkable 25% improvement in clinical accuracy.8 However, the Cochrane review also said there were too few properly designed and conducted studies to be confident in the size of the improvement or its actual clinical significance. "
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    09/2012; 1(4):8-13. DOI:10.7453/gahmj.2012.1.4.002
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