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These findings are concerning as they seem in contrast to reported improvements in Confidence and Terminology; that is, participants were not practising their EBP skills but reported greater Confidence in their EBP skills and their understanding of EBP-related Terminology.
The GDL Editor provides a certain level of terminology integration by harnessing the built-in terminology service.
These changes coincided with improvements in controlled medical terminologies (CMT) [ 4], and standards for data storage, representation & exchange.
In the first year in the workforce there was a general decline in practice and the value placed on EBP but improvements in understanding of common terminology.
The findings suggested overall improvements in the understanding of the terminology used in EBP in the first and second years after graduation with a medium effect size after two years of working compared to graduation.
We highlight key difficulties encountered in using DBS, discuss the heterogeneity in terminology and methodology used, and suggest improvements in these areas (Box 1). Figure 1 depicts the process of study selection for inclusion in the review.
In the group of participants assessed at the end of their second year in the workforce, there were improvements in confidence and understanding of EBP terminology with little evidence of changes in EBP-related practice.
Thus, a switch in terminology.
That shift in terminology was telling.
The change in terminology has large implications.
This causes problems in terminology mapping, semantic harmonization and terminology integration.
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