Principles of person centred counselling

NSW Speech Pathology Evidence Based Practice NetworkCritically Appraised Topic (CAT)1. CLINICAL BOTTOM LINE: 2. Clinical [PICO] Question [patient/problem, intervention, (comparison), outcome]:3. SearchTerms/Systems:Criteria for including an article: 4. Quantity of the evidence based: Number of papers identified: _____________ Number of suitable papers actually capped: ________5. Overall level of the evidence base:(number of studies according to each NHMRC level)I ______II ________ III-1 _________ III-2 __________ III-3___________ IV ___________6. Nature the evidence base:(number of feasibility, efficacy and effectiveness studies)Feasibility ______ Efficacy ________ Effectiveness _________ 7. Overallfindings from the evidence-base are:compellingsuggestive equivocalComments... NSW Speech Pathology EBP NetworkCAT byBaker, E.(2012). Based on Worrall & Bennett (2001), Dollaghan (2007) and NHMRC (2009). PLEASE NOTE THE DATE WHENTHIS CAT WAS COMPLETED, BECAUSETHE CLINICAL BOTTOMLINE MAY HAVE CHANGED IN LIGHT OF MORE RECENT RESEARCH.
Appraised By: Clinical Group:Date: 8. Results: (including comment on the quality of the studies across the evidence based –which may include a summary of SpeechBITE ratings, comments on limitations in participant numbers and /or design)10. Applicationto practice(when change has been indicated):In light of the summarycomments from individual CAPSabout relevance of the research to practice, check which of the following applies: Change is needed, and it is possible–briefly statewhat needs to change, and, how change could be implementedandevaluated. Change is needed, butit is not possible–dot point ideasto address barriers, or, statewhy change isnot possible, and, when the issue will be re-considered. NOTE: This final box could be completed by clinical group, or, individual member within group depending on differences in workplace settings /procedures / policies. (If being completed by individuals, the uploaded version can remain blank when the CAT is uploaded to the website.) 9. Recommendations:Is evidencefrom current clinical practice the same as clinical bottomline? Yes(the CAT is now complete) No UndecidedUndecided because: more research evidence needed.more evidence on clinical practice is neededIf clinical practice is not the sameas the bottomline, and the research evidence is compelling(or suggestive, if the issue is important and/or addressing an issue with limited if any research) change is not needed to current clinical practice, because evidencefrom clinical practice showsthat current practice is more effective /efficientthat evidence-based recommendations. (CAT now complete)Change is needed to current clinical practice(then, complete box # 10).NSW Speech Pathology EBP NetworkCAT byBaker, E.(2012). Based on Worrall & Bennett (2001), Dollaghan (2007) and NHMRC (2009). PLEASE NOTE THE DATE WHENTHIS CAT WAS COMPLETED, BECAUSETHE CLINICAL BOTTOMLINE MAY HAVE CHANGED IN LIGHT OF MORE RECENT RESEARCH.