{"id":8471,"date":"2024-01-18T02:00:29","date_gmt":"2024-01-18T02:00:29","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/defining-the-evidence-based-practice-decision-making-model-fr\/"},"modified":"2024-05-07T10:09:35","modified_gmt":"2024-05-07T10:09:35","slug":"defining-the-evidence-based-practice-decision-making-model-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/defining-the-evidence-based-practice-decision-making-model-fr\/","title":{"rendered":"D\u00e9finir le mod\u00e8le de prise de d\u00e9cisions dans le cadre d&rsquo;une pratique fond\u00e9e sur des donn\u00e9es probantes"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dactrice originale<\/b> &#8211; <a title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\">Wanda van Niekerk<\/a><\/p>\n<p><b>Principales collaboratrices <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Angeliki Chorti\" href=\"\/User:Angeliki_Chorti\"><bdi>Angeliki Chorti <\/bdi><\/a> et<a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Revised_Model_of_Evidence_Based_Practice\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Mod\u00e8le modifi\u00e9 de la pratique fond\u00e9e sur des donn\u00e9es probantes <\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Evidence_Based_Practice_Steps\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">\u00c9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#5_A's_of_Evidence_Base_Practice\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Les \u00ab 5 A \u00bb de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Common_Terminologies\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Terminologie couramment utilis\u00e9e<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Evidence_Based_Practice_Applications\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Applications de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Challenges_of_Evidence_Based_Practice\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">D\u00e9fis de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Advantages_of_Evidence_Based_Practice\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Avantages de la <b>pratique fond\u00e9e sur des donn\u00e9es probantes<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Evidence_Based_Practice_(EBP)\" rel=\"nofollow\">pratique fond\u00e9e sur des donn\u00e9es probantes (PFDP)<\/a> a \u00e9t\u00e9 introduite pour la premi\u00e8re fois au d\u00e9but des ann\u00e9es 1990 sous le nom de m\u00e9decine fond\u00e9e sur des donn\u00e9es probantes (MDP).<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> Ce \u00ab nouveau paradigme \u00bb a d&rsquo;abord \u00e9t\u00e9 appliqu\u00e9 \u00e0 la pratique de la m\u00e9decine clinique. Le but \u00e9tait de d\u00e9velopper et de faire \u00e9voluer un processus transparent et rationnel de prise de d\u00e9cisions cliniques qui ne reposait pas exclusivement sur l&rsquo;intuition et l&rsquo;expertise clinique individuelle, et qui pouvait \u00eatre enseign\u00e9, perfectionn\u00e9 et appliqu\u00e9 par tous les cliniciens.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Depuis, divers mod\u00e8les et structures ont \u00e9t\u00e9 propos\u00e9s dans le domaine de la sant\u00e9 et s&rsquo;appliquent \u00e0 d&rsquo;autres disciplines que la m\u00e9decine.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<h2><span id=\"Revised_Model_of_Evidence_Based_Practice\" class=\"mw-headline\">Mod\u00e8le modifi\u00e9 de la pratique fond\u00e9e sur des donn\u00e9es probantes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Revised Model of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=2\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Revised Model of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Pour en savoir plus sur les premiers mod\u00e8les de pratique fond\u00e9e sur des donn\u00e9es probantes de Sackett et al.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> et Haynes et al.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> , veuillez consulter : <a title=\"Introduction and Overview of Evidence Based Practice\" href=\"\/Introduction_and_Overview_of_Evidence_Based_Practice\">Introduction et aper\u00e7u de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/a><\/p>\n<p>En 2009, Satterfield et al. <sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> ont poursuivi le d\u00e9veloppement du mod\u00e8le de <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Evidence_Based_Practice_(EBP)\" rel=\"nofollow\">pratique fond\u00e9e sur des donn\u00e9es probantes<\/a> et lui ont donn\u00e9 une dimension <b>transdisciplinaire<\/b> en y ajoutant la contribution de chaque discipline \u00e0 la r\u00e9solution des probl\u00e8mes et \u00e0 la r\u00e9alisation de progr\u00e8s. L&rsquo;objectif \u00e9tait de proposer un langage commun \u00e0 travers les diff\u00e9rentes disciplines. Ce mod\u00e8le comporte un nouveau cadre externe qui consid\u00e8re les <b>contextes environnemental et organisationnel<\/b>. <sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Les trois piliers internes de ce mod\u00e8le sont : <sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li><b>les meilleures donn\u00e9es de recherche disponibles;<\/b><\/li>\n<li><b>les caract\u00e9ristiques, l&rsquo;\u00e9tat, les besoins, les valeurs et les pr\u00e9f\u00e9rences du client ou de la population;<\/b><\/li>\n<li><b>les ressources, y compris l&rsquo;expertise du praticien.<\/b><\/li>\n<\/ul>\n<p>La <b>prise de d\u00e9cision clinique<\/b> est au c\u0153ur de ce mod\u00e8le fond\u00e9 sur des donn\u00e9es probantes. <sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<p>Si vous souhaitez en savoir plus sur le mod\u00e8le de Satterfield et al., <sup id=\"cite_ref-:0_2-5\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> veuillez consulter : <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2698591\/\" rel=\"nofollow\">Toward a Transdisciplinary Model of Evidence-Based Practice (un article, en anglais original).<\/a> La figure 5 de cet article pr\u00e9sente un sch\u00e9ma du mod\u00e8le.<\/p>\n<h2><span id=\"Evidence_Based_Practice_Steps\" class=\"mw-headline\">\u00c9tapes de la pratique fond\u00e9e sur les donn\u00e9es probantes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Evidence Based Practice Steps\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Evidence Based Practice Steps\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Bien que ces \u00e9tapes soient num\u00e9rot\u00e9es chronologiquement, la s\u00e9quence n&rsquo;est pas toujours la m\u00eame. Il peut souvent \u00eatre n\u00e9cessaire de revenir quelques \u00e9tapes en arri\u00e8re avant d&rsquo;aller de l&rsquo;avant \u00e0 nouveau. Il est important de garder cela \u00e0 l&rsquo;esprit lors de l&rsquo;application du mod\u00e8le de pratique fond\u00e9e sur des donn\u00e9es probantes dans votre milieu de travail.<\/p>\n<ul>\n<li><b>\u00c9tape 1 <\/b>: Identification des besoins du patient pour formuler une question clinique<\/li>\n<li><b>\u00c9tape 2<\/b>: Localisation des sources d&rsquo;informations<\/li>\n<li><b>\u00c9tape 3<\/b>: \u00c9valuation de la qualit\u00e9 des sources d&rsquo;informations<\/li>\n<li><b>\u00c9tape 4<\/b>: Discussion des options avec le patient<\/li>\n<li><b>\u00c9tape 5<\/b>: \u00c9laboration du plan de traitement<\/li>\n<li><b>\u00c9tape 6<\/b>: Mise en \u0153uvre du plan de traitement<\/li>\n<li><b>\u00c9tape 7<\/b>: \u00c9valuation de l&rsquo;efficacit\u00e9 du plan de traitement et du processus de pratique fond\u00e9e sur des donn\u00e9es probantes<\/li>\n<\/ul>\n<\/div>\n<p>&#8211;<\/p>\n<h3><span id=\"5_A's_of_Evidence_Base_Practice\" class=\"mw-headline\">Les \u00ab 5 A \u00bb de la pratique fond\u00e9e sur les donn\u00e9es probantes<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: 5 A's of Evidence Base Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: 5 A's of Evidence Base Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les \u00e9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes sont \u00e9galement connues sous le nom \u00ab 5 A\u2019s \u00bb, en anglais. Ces termes et les \u00e9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes sont d\u00e9crits en d\u00e9tail dans le tableau 1. Veuillez noter que certains textes utilisent des terminologies diff\u00e9rentes (c&rsquo;est pourquoi vous retrouverez parfois plus d&rsquo;un terme pour chaque A). <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup>:<\/p>\n<ul>\n<li>\u00ab Ask \u00bb ou \u00ab Anamn\u00e8se et \u00e9valuation \u00bb<\/li>\n<li>\u00ab Acquire\/Access \u00bb ou \u00ab Acquisition\/Acc\u00e8s \u00bb<\/li>\n<li>\u00ab Appraise \u00bb ou \u00ab Appr\u00e9ciation \u00bb<\/li>\n<li>\u00ab Apply \u00bb ou \u00ab Application \u00bb<\/li>\n<li>\u00ab Assess\/Audit \u00bb ou \u00ab Analyse \u00bb<\/li>\n<\/ul>\n<table class=\"wikitable\">\n<caption>Tableau 1. Les \u00e9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/caption>\n<tbody>\n<tr>\n<th>\u00c9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/th>\n<th>Description des \u00e9tapes<\/th>\n<th>Quel \u00ab A \u00bb ?<\/th>\n<\/tr>\n<tr>\n<td>Identification des besoins du patient pour formuler une question clinique<\/td>\n<td>\n<ul>\n<li>\u00c9valuation approfondie &#8211; entretien avec le patient, anamn\u00e8se, \u00e9valuation physique tout en tenant compte des besoins, des valeurs, du contexte, des pr\u00e9f\u00e9rences et des croyances du patient.<\/li>\n<li>Ces informations sont utilis\u00e9es pour formuler la question clinique \u00e0 laquelle on r\u00e9pondra gr\u00e2ce au processus de prise de d\u00e9cision clinique.<\/li>\n<\/ul>\n<\/td>\n<td>\u00ab Ask \u00bb ou \u00ab Anamn\u00e8se et \u00e9valuation \u00bb<\/td>\n<\/tr>\n<tr>\n<td>Localisation des sources d&rsquo;information<\/td>\n<td>\n<ul>\n<li>\u00c9laboration d&rsquo;une strat\u00e9gie de recherche, choix des bases de donn\u00e9es et du type de sources d&rsquo;information \u00e0 utiliser<\/li>\n<\/ul>\n<\/td>\n<td>\u00ab Acquire\/Access \u00bb ou \u00ab Acquisition\/Acc\u00e8s \u00bb<\/td>\n<\/tr>\n<tr>\n<td>\u00c9valuation de la qualit\u00e9 des sources d&rsquo;information<\/td>\n<td>\n<ul>\n<li>Listes de v\u00e9rification cliniques<\/li>\n<li>\u00c9valuations de la qualit\u00e9 m\u00e9thodologique<\/li>\n<\/ul>\n<\/td>\n<td>\u00ab Appraise \u00bb ou \u00ab Appr\u00e9ciation \u00bb<\/td>\n<\/tr>\n<tr>\n<td>Discussion des options avec le patient<\/td>\n<td rowspan=\"3\">\n<ul>\n<li>Discussion ouverte favorisant les \u00e9changes avec le patient<\/li>\n<li>Ces trois \u00e9tapes sont \u00e9troitement li\u00e9es et l&rsquo;on peut parfois avoir \u00e0 monter et descendre entre celles-ci.<\/li>\n<\/ul>\n<\/td>\n<td rowspan=\"3\">\u00ab Apply \u00bb ou \u00ab Application \u00bb<\/td>\n<\/tr>\n<tr>\n<td>\u00c9laboration du plan de traitement<\/td>\n<\/tr>\n<tr>\n<td>Mise en \u0153uvre du plan de traitement<\/td>\n<\/tr>\n<tr>\n<td>\u00c9valuer l&rsquo;efficacit\u00e9 du plan de traitement et du processus de pratique fond\u00e9e sur des donn\u00e9es probantes<\/td>\n<td>\n<ul>\n<li>\u00c9valuation<\/li>\n<li>Modification<\/li>\n<li>R\u00e9flexion<\/li>\n<\/ul>\n<\/td>\n<td>\u00ab Assess\/Audit \u00bb ou \u00ab Analyse \u00bb<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Common_Terminologies\" class=\"mw-headline\">Terminologie fr\u00e9quemment utilis\u00e9e<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Common Terminologies\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Common Terminologies\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le tableau 2 comprend une liste de termes fr\u00e9quemment utilis\u00e9s dans la pratique fond\u00e9e sur des donn\u00e9es probantes.<\/p>\n<table class=\"wikitable\">\n<caption>Tableau 2. Terminologie courante li\u00e9e \u00e0 la pratique fond\u00e9e sur des donn\u00e9es probantes<\/caption>\n<tbody>\n<tr>\n<th>Terme<\/th>\n<th>D\u00e9finition<\/th>\n<\/tr>\n<tr>\n<td>Traitements soutenus empiriquement (\u00ab empirically supported treatments \u00bb)<\/td>\n<td>\u00ab traitements ou interventions dont l&rsquo;efficacit\u00e9 est d\u00e9montr\u00e9e par un type sp\u00e9cifique de recherche \u00bb pour un trouble, une affection ou une population sp\u00e9cifique <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Meilleures pratiques (\u00ab best practice \u00bb)<\/td>\n<td>\u00ab strat\u00e9gies, approches ou activit\u00e9s dont l&rsquo;efficacit\u00e9, l&rsquo;efficience, la durabilit\u00e9 et\/ou le caract\u00e8re transf\u00e9rable ont \u00e9t\u00e9 d\u00e9montr\u00e9s (par la recherche et l&rsquo;\u00e9valuation) et qui m\u00e8nent de mani\u00e8re fiable \u00e0 un r\u00e9sultat souhait\u00e9 \u00bb <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/td>\n<\/tr>\n<tr>\n<td>Pratique fond\u00e9e sur la recherche (\u00ab research-informed practice\u00bb)<\/td>\n<td>prise de d\u00e9cision au moyen de \u00ab l&rsquo;utilisation consciencieuse, pr\u00e9cise et judicieuse des meilleures donn\u00e9es disponibles provenant de sources multiples afin d&rsquo;augmenter la probabilit\u00e9 d&rsquo;un r\u00e9sultat favorable \u00bb.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Les pr\u00e9f\u00e9rences et les valeurs du patient, le contexte et l&rsquo;expertise clinique ne sont pas pris en compte.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Evidence_Based_Practice_Applications\" class=\"mw-headline\">Applications de la pratique fond\u00e9e sur les donn\u00e9es probantes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Evidence Based Practice Applications\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Evidence Based Practice Applications\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il existe diff\u00e9rentes fa\u00e7ons d&rsquo;appliquer le mod\u00e8le de pratique fond\u00e9e sur des donn\u00e9es probantes dans les \u00e9tablissements de soins de sant\u00e9. Le tableau 3 pr\u00e9sente quelques exemples de questions cliniques que l&rsquo;on peut se poser.<\/p>\n<table class=\"wikitable\">\n<caption>Tableau 3. Exemples de questions cliniques utilis\u00e9es dans l&rsquo;application de la pratique fond\u00e9e sur des donn\u00e9es probantes<\/caption>\n<tbody>\n<tr>\n<th>Question<\/th>\n<th>Qu&rsquo;est-ce que cela permet de d\u00e9terminer ?<\/th>\n<\/tr>\n<tr>\n<td>Est-ce que c&rsquo;est un probl\u00e8me fr\u00e9quemment rencontr\u00e9 ?<\/td>\n<td>Incidence ou pr\u00e9valence<\/td>\n<\/tr>\n<tr>\n<td>Est-ce que le test diagnostique ou le test de contr\u00f4le est pr\u00e9cis ?<\/td>\n<td>Diagnostic<\/td>\n<\/tr>\n<tr>\n<td>Que se passera-t-il si le patient n&rsquo;a pas de traitement ?<\/td>\n<td>Pronostic<\/td>\n<\/tr>\n<tr>\n<td>Est-ce que cette intervention est utile ?<\/td>\n<td>Avantages du traitement<\/td>\n<\/tr>\n<tr>\n<td>Quels sont les effets secondaires les plus courants ? ou Quels sont les effets secondaires rares du traitement en question ?<\/td>\n<td>Effets n\u00e9fastes du traitement<\/td>\n<\/tr>\n<tr>\n<td>Est-ce que ce test peut aider \u00e0 la d\u00e9tection pr\u00e9coce d&rsquo;une maladie sp\u00e9cifique ?<\/td>\n<td>Proc\u00e9dure de d\u00e9pistage<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Vous pouvez t\u00e9l\u00e9charger les documents suivants de l&rsquo;<a class=\"external text\" href=\"https:\/\/www.cebm.ox.ac.uk\/\" rel=\"nofollow\">Oxford Centre for Evidence Based Medicine<\/a>. Ces documents sont tr\u00e8s utiles pour la mise en \u0153uvre de pratiques fond\u00e9es sur des donn\u00e9es probantes.<\/p>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/www.cebm.ox.ac.uk\/files\/levels-of-evidence\/cebm-levels-of-evidence-2-1.pdf\" rel=\"nofollow\">The levels of evidence<\/a> (un document PDF sur les niveaux de preuves, en anglais original) <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.cebm.ox.ac.uk\/files\/levels-of-evidence\/cebm-levels-of-evidence-introduction-2-1.pdf\" rel=\"nofollow\">Introductory document<\/a> (un document PDF d&rsquo;introduction sur la m\u00e9decine bas\u00e9e sur des donn\u00e9es probantes, en anglais original) <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.cebm.ox.ac.uk\/files\/levels-of-evidence\/cebm-levels-of-evidence-background-document-2-1.pdf\" rel=\"nofollow\">Background document<\/a> (un document PDF de de mise en contexte sur la m\u00e9decine bas\u00e9e sur des donn\u00e9es probantes, en anglais original) <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Challenges_of_Evidence_Based_Practice\" class=\"mw-headline\">D\u00e9fis de la pratique fond\u00e9e sur les donn\u00e9es probantes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Challenges of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Challenges of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Manque de temps pour rechercher et appliquer les meilleures donn\u00e9es disponibles \u2013 souvent en raison du grand nombre de patients \u00e0 suivre. <sup id=\"cite_ref-:1_14-0\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<li>Manque de recherche de qualit\u00e9 ou recherche insuffisante pour toutes les affections et tous les sc\u00e9narios <sup id=\"cite_ref-:2_15-0\" class=\"reference\"><a href=\"#cite_note-:2-15\">(15)<\/a><\/sup><\/li>\n<li>Difficult\u00e9 \u00e0 trouver les bonnes sources d&rsquo;information parmi les nombreuses autres sources d&rsquo;information <sup id=\"cite_ref-:2_15-1\" class=\"reference\"><a href=\"#cite_note-:2-15\">(15)<\/a><\/sup><\/li>\n<li>Difficutl\u00e9 d&rsquo;acc\u00e8s aux ressources <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>Manque de soutien administratif <sup id=\"cite_ref-:1_14-1\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<li>Manque de comp\u00e9tences en mati\u00e8re d&rsquo;analyse critique <sup id=\"cite_ref-:1_14-2\" class=\"reference\"><a href=\"#cite_note-:1-14\">(14)<\/a><\/sup><\/li>\n<li>Manque de mod\u00e8les (par exemple, des coll\u00e8gues) qui appliquent r\u00e9guli\u00e8rement la pratique fond\u00e9e sur des donn\u00e9es probantes, ou organisations qui n&rsquo;encouragent pas une culture de la pratique fond\u00e9e sur des donn\u00e9es probantes <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Advantages_of_Evidence_Based_Practice\" class=\"mw-headline\">Avantages de la pratique fond\u00e9e sur les donn\u00e9es probantes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Advantages of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Advantages of Evidence Based Practice\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Il s&rsquo;agit du moyen le plus s\u00fbr et le plus objectif de d\u00e9terminer et de maintenir de fa\u00e7on constante des normes \u00e9lev\u00e9es de qualit\u00e9 et de s\u00e9curit\u00e9 dans la pratique m\u00e9dicale. <sup id=\"cite_ref-:3_7-1\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li>Cette pratique peut contribuer \u00e0 acc\u00e9l\u00e9rer le processus de transmission des r\u00e9sultats de la recherche clinique \u00e0 la pratique.<\/li>\n<li>Elle pourrait potentiellement r\u00e9duire les co\u00fbts des soins de sant\u00e9 de mani\u00e8re significative. <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18) <\/a><\/sup><sup id=\"cite_ref-:4_19-0\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/li>\n<li>Elle peut am\u00e9liorer les r\u00e9sultats pour les patients. <sup id=\"cite_ref-:4_19-1\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/li>\n<li>Elle accro\u00eet le sentiment de comp\u00e9tence et la satisfaction du prestataire de soins de sant\u00e9 dans son travail. <sup id=\"cite_ref-:3_7-2\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li>Elle r\u00e9pond aux attentes d&rsquo;un public inform\u00e9. <sup id=\"cite_ref-:3_7-3\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup> <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Defining_the_Evidence-Based_Practice_Decision-Making_Model&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Evidence-Based Medicine Working Group. <a class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1404801\/\" rel=\"nofollow\">Evidence-based medicine. A new approach to teaching the practice of medicine.<\/a> JAMA. 1992 Nov 4;268(17):2420-5. <\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup><sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup><sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup><sup><a href=\"#cite_ref-:0_2-3\">2.3<\/a><\/sup><sup><a href=\"#cite_ref-:0_2-4\">2.4<\/a><\/sup><sup><a href=\"#cite_ref-:0_2-5\">2.5<\/a><\/sup><\/span> <span class=\"reference-text\">Satterfield J, Spring B, Brownson R, Mullen E, Newhouse R, Walker B, Whitlock E. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2698591\/\" rel=\"nofollow\">Toward a Transdisciplinary Model of Evidence-Based Practice.<\/a> Milbank Q. 2009 Jun; 87(2): 368\u2013390. <\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Dusin J, Melanson A, Mische-Lawson L. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10230988\/\" rel=\"nofollow\">Evidence-based practice models and frameworks in the healthcare setting: a scoping review.<\/a> BMJ Open. 2023; 13(5): e071188. <\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2349778\/pdf\/bmj00524-0009.pdf\" rel=\"nofollow\">Evidence based medicine: what it is and what it isn&rsquo;t.<\/a> Bmj. 1996 Jan 13;312(7023):71-2.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Haynes RB, Devereaux PJ, Guyatt GH. <a class=\"external text\" href=\"https:\/\/ebm.bmj.com\/content\/7\/2\/36.full\" rel=\"nofollow\">Clinical expertise in the era of evidence-based medicine and patient choice.<\/a> BMJ Evidence-Based Medicine. 2002 Mar 1;7(2):36-8.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Brettle A. Implementing evidence-based practice: a guide for radiographers. Radiography. 2020 Oct 1;26:S37-41.<\/span><\/li>\n<li id=\"cite_note-:3-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_7-0\">7.0<\/a><\/sup><sup><a href=\"#cite_ref-:3_7-1\">7.1<\/a><\/sup><sup><a href=\"#cite_ref-:3_7-2\">7.2<\/a><\/sup><sup><a href=\"#cite_ref-:3_7-3\">7.3<\/a><\/sup><\/span> <span class=\"reference-text\">Hoffmann T, Bennett S, Del Mar C. Evidence-based practice across the health professions. Elsevier Health Sciences; 2023 Sep 27.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Drisko JW, Friedman A. Let\u2019s clearly distinguish evidence-based practice and empirically supported treatments. Smith College Studies in Social Work. 2019 Oct 2;89(3-4):264-81.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Fauci AJ, D\u2019Angelo D, Coclite D, Napoletano A, Gianola S, Ferrara C, Di Nitto M, Gensini G. Exploring the definition and methodology of \u201cbest practice\u201d in the health care literature: a scoping review protocol. JBI Evidence Synthesis. 2023 Oct 1;21(10):2134-41.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Barends E, Rousseau DM, Briner RB. Evidence-Based Management, The Basic Principles. In Search of Evidence. 2011 Sep 3.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">OCEBM Levels of Evidence Working Group*. \u201cThe Oxford Levels of Evidence 2\u201d. Oxford Centre for Evidence-Based Medicine. <a class=\"external free\" href=\"https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-evidence\" rel=\"nofollow\">https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-evidence<\/a><i>* OCEBM Levels of Evidence Working Group = Jeremy Howick, Iain Chalmers (James Lind Library), Paul Glasziou, Trish Greenhalgh, Carl Heneghan, Alessandro Liberati, Ivan Moschetti, Bob Phillips, Hazel Thornton, Olive Goddard and Mary Hodgkinson<\/i><\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\"><i>Jeremy Howick, Iain Chalmers, Paul Glasziou, Trish Greenhalgh, Carl Heneghan, Alessandro Liberati, Ivan Moschetti, Bob Phillips, and Hazel Thornton<\/i>. \u201cThe 2011 Oxford CEBM Levels of Evidence (Introductory Document)\u201d. Oxford Centre for Evidence-Based Medicine. <a class=\"external free\" href=\"https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-evidence\" rel=\"nofollow\">https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-evidence<\/a><\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\"><i>Jeremy Howick, Iain Chalmers, Paul Glasziou, Trish Greenhalgh, Carl Heneghan, Alessandro Liberati, Ivan Moschetti, Bob Phillips, and Hazel Thornton<\/i>. \u201cExplanation of the 2011 Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence (Background Document)\u201d. Oxford Centre for Evidence-Based Medicine. <a class=\"external free\" href=\"https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-eviden\" rel=\"nofollow\">https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-eviden<\/a><\/span><\/li>\n<li id=\"cite_note-:1-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_14-0\">14.0<\/a><\/sup><sup><a href=\"#cite_ref-:1_14-1\">14.1<\/a><\/sup><sup><a href=\"#cite_ref-:1_14-2\">14.2<\/a><\/sup><\/span> <span class=\"reference-text\">Naghibi D, Mohammadzadeh S, Azami-Aghdash S. <a class=\"external text\" href=\"https:\/\/ebcj.mums.ac.ir\/article_19098.html\" rel=\"nofollow\">Barriers to evidence-based practice in health system: a systematic review.<\/a> Evidence Based Care. 2021 Jul 1;11(2):74-82.<\/span><\/li>\n<li id=\"cite_note-:2-15\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_15-0\">15.0<\/a><\/sup><sup><a href=\"#cite_ref-:2_15-1\">15.1<\/a><\/sup><\/span> <span class=\"reference-text\">Sadeghi-Bazargani H, Tabrizi JS, Azami-Aghdash S. <a class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25130323\/\" rel=\"nofollow\">Barriers to evidence-based medicine: a systematic review.<\/a> J Eval Clin Pract. 2014 Dec;20(6):793-802.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Ibikunle PO, Onwuakagba IU, Maduka EU, Okoye EC, Umunna JO. Perceived barriers to evidence\u2010based practice in stroke management among physiotherapists in a developing country. Journal of Evaluation in Clinical Practice. 2021 Apr;27(2):291-306.<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Craig, J.V. and Dowding D. Evidence-Based Practice in Nursing, Edition 4. Elsevier Health Sciences. 2020<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Drisko JW, Grady MD. Evidence-based practice in clinical social work. Springer; 2019.<\/span><\/li>\n<li id=\"cite_note-:4-19\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_19-0\">19.0<\/a><\/sup><sup><a href=\"#cite_ref-:4_19-1\">19.1<\/a><\/sup><\/span> <span class=\"reference-text\">Connor L, Dean J, McNett M, Tydings DM, Shrout A, Gorsuch PF, Hole A, Moore L, Brown R, Melnyk BM, Gallagher\u2010Ford L. Evidence\u2010based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence\u2010Based Nursing. 2023 Feb;20(1):6-15.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Herbert R, Jamtvedt G, Hagen KB, Elkins MR. Practical Evidence-Based Physiotherapy. Elsevier Health Sciences; 2022 Jul 18.<\/span><\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Wanda van Niekerk Principales collaboratrices &#8211; Wanda van Niekerk , Angeliki Chorti etJess Bell Contenu 1 Introduction 2 Mod\u00e8le modifi\u00e9 de la pratique fond\u00e9e sur des donn\u00e9es probantes 3 \u00c9tapes de la pratique fond\u00e9e sur des donn\u00e9es probantes 3.1 Les \u00ab 5 A \u00bb de la pratique fond\u00e9e sur des donn\u00e9es probantes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8471","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=8471"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8471\/revisions"}],"predecessor-version":[{"id":9614,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8471\/revisions\/9614"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=8471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}