In which aspects does practice-based evidence differ from evidence-based practice? (select all that apply)
a. PBE incorporates patient choices in decision-making.
b. EBP determines best practices using best evidence like results from RCTs.
c. PBE includes family involvement.
d. PBE is prospective, while EBP is retrospective.
e. PBE attempts to capture the complexity and variability of actual clinical care.
ANS: B, D, E
EBP refers to identifying the evidence for clinical practice and conducting practice according to the best evidence. PBE is an innovative prospective research design that uses data gathered from current practice to identify what care processes work in the real world. PBE study designs attempt to capture the complexity presented by patient and treatment differences, offering a naturalistic view of treatment by examining what actually happens in the care process, not altering or standardizing the treatment regimen to evaluate efficacy of a particular intervention, as one does in an RCT or other types of experimental designs. EBP is about using evidence to guide practice. PBE is about obtaining evidence from practice.
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