School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia.
School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia.
J Evid Based Dent Pract. 2019 Mar;19(1):79-85. doi: 10.1016/j.jebdp.2018.11.002. Epub 2018 Dec 8.
Evidence-based practice (EBP) provides an approach to oral health care that incorporates a structured process of systematically reviewing and critically appraising scientific evidence to answer specific clinical questions. The need to integrate EBP concepts into the undergraduate oral health curriculum is evident as the profession transitions into using research evidence to make informed clinical decisions. The didactic component provides an overview of the theory, and the application component offers opportunities to incorporate valid scientific evidence into clinical practice. The objective of this study was to evaluate undergraduate oral health students' perspectives on integrating EBP into clinical practice in the Bachelor of Oral Health program at the University of Sydney (BOH Sydney).
A structured questionnaire with a five-point Likert scale was designed to align with the course-specific outcomes. It focused on knowledge and understanding of EBP, the process of accessing evidence, students' confidence in critical appraisal skills, and clinical application. Sixty-two (97%) undergraduate oral health students from 2-year cohorts participated in the survey.
All students agreed that EBP influenced their clinical decision. Over 90% of students agreed that EBP should be an integral part of clinical practice. Eighty percent of students reported they were confident in EBP application. There is a significant positive correlation between teaching EBP in clinical practice and students' perceived confidence in the EBP process.
Clinical educators are instrumental in providing guidance and support to oral health students' learning of EBP. The evaluation supported integrating EBP into clinical practice but revealed some issues with implementation in this study.
循证实践(EBP)为口腔保健提供了一种方法,它结合了系统地审查和批判性评估科学证据以回答特定临床问题的结构化过程。将 EBP 概念整合到本科口腔健康课程中是必要的,因为该专业正在过渡到使用研究证据来做出明智的临床决策。理论的理论部分提供了概述,应用部分则提供了将有效科学证据纳入临床实践的机会。本研究的目的是评估悉尼大学(BOH Sydney)本科口腔健康学生对将 EBP 整合到临床实践中的看法。
设计了一份带有五点李克特量表的结构化问卷,以与课程特定的结果保持一致。它侧重于对 EBP 的知识和理解、获取证据的过程、学生对批判性评价技能的信心以及临床应用。来自 2 年制队列的 62 名(97%)本科口腔健康学生参与了调查。
所有学生都认为 EBP 影响了他们的临床决策。超过 90%的学生认为 EBP 应该成为临床实践的一个组成部分。80%的学生报告说他们对 EBP 的应用有信心。在临床实践中教授 EBP 与学生对 EBP 过程的感知信心之间存在显著正相关。
临床教育者在为口腔健康学生学习 EBP 提供指导和支持方面发挥着重要作用。评估支持将 EBP 整合到临床实践中,但在本研究中发现了一些实施方面的问题。