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Evidence Based Veterinary Medicine and the Veterinary Nurse EBVMA 2015
1
Outlook?
The Practice?
HUMAN NURSING MODELS
- on-site application of EBVM for improved outcomes
- A team effort of EBVM application involves the whole practice and spares the DVM's time
- Certification?
- EBM IS MORE READILY INCORPORATED BY NURSES WITH MORE CREDENTIALS AND EDUCATION
- MAGNET, A CERTIFICATION FOR HOSPITALS, REQUIRES EBM APPLICATION
- HANDS-ON TRAINING (VIRTUAL OR FACE-TO-FACE) HAS LONGER LASTING IMPACT
- JOURNAL CLUBS ARE EFFECTIVE STRATEGIES IN INCORPORATING EBM
Based on one key Principle:
The practice has to be willing
to change!
The DJ........
Nursing Initiatives in Veterinary Medicine
Why Veterinary Nurses Should Practice EBVM:
- To better inform their practices
- To assist the Veterinarian in finding evidence to inform their decisions
- To stay current and "own" their areas of interest
The Evidence-Based Practice
For EBVM to work, it needs to be instituted
and reinforced by everyone!
SELF-DIRECTED EBVM BY THE
NURSING GUIDELINES
COMMITTEE CHAIRED
BY KENICHIRO YAGI
AND DAVID LISS
Results:
-better care.
-less cost.
-higher job satisfaction
An Example:
Will take requests!
Training Technicians and Nurses
on Finding the Evidence
VetSRev
Best Bets for Vets
PubMed
http://webapps.nottingham.ac.uk/refbase/
http://www.ncbi.nlm.nih.gov/pubmed
https://bestbetsforvets.org/
The Quality Search
The first search
The easiest bottomline search
Google Scholar
https://scholar.google.com/
VetMed Resource
http://www.cabi.org/vetmedresource/
The catch-all search
The comprehensive search
Reason 1,999,453 to join EBVMA
LOE2RMAS108
How it works:
A PROPOSAL:
LOE
Article Prioritization
by binomial designation
of Level of Evidence (LOE) and Relative Modified Arlt Score (RMAS) of quality:
A system to reduce time investment in veterinarian clinical evidence-based decision-making and train technicans or nurses in EBVM and its application:
LOE1RMAS290
LOE4RMAS50
LOE5RMAS495
LOE4RMAS30
The Point?
Relative Modified Arlt Score
(RMAS)
1. The technician or nurse
develops an understanding of
EBVP by active learning
2. The veterinarian has a great deal of time spared by having relevant articles found and organized in order of highest LOE and quality to lowest.
3. Allows for quick or in depth assessment
A checklist for quality that has a score that can
be compared to other
articles on the same LOE
LOE3RMAS120