Dear Susan,
I tend to agree. Having recently organised an International Symposium on
Evidence Based Occupational Therapy at which there were therapists from a
number of different countries present. There was strong debate about what
constitutes evidence and how an EBP definition applies to the therapies.
Clearly there are different models of practice that challenge the way EBP is
implemented.
It seems that there is a question about what constitutes 'evidence'. I agree
with Clare that the client's perspectives and experiential evidence are
essential, yet I understand these are acknowledged already as part of the
EBP definition and thus do not need to be seen as other 'types' of evidence,
rather part of the existing process. Perhaps more emphasis on understanding
the process of integrating patients perspectives and the way in which
clinical experience is utilised in the EBP process may help clarify this.
Understanding clinical reasoning may further help see how the various
aspects (evidence, client's perspectives & clinical experience) are
integrated.
Sally Bennett
Department of Occupational Therapy
University of Queensland
St Lucia 4072
(07) 3365 2652
[log in to unmask]
----Original Message-----
From: Evidence based health (EBH) is the integration of individual
knowledge [mailto:[log in to unmask]]On Behalf Of
[log in to unmask]
Sent: Wednesday, 1 May 2002 23:41
To: [log in to unmask]
Subject: Re: How do various specialities view EBM?
This is an interesting discussion how different professions view EBP. I'm
not sure the definition of evidence is actually different, nor is the
practice of EBP. If the definition of EBP is "the conscientious, explicit
and judicious use of current best evidence in making decisions about the
care of individual patients" (Sackett et al) then then EBP involves the use
of evidence, clinical expertise and patient preferences in making decisions.
OT and PT, as well as many others, are attempting to utilize these three
sources of information in clinical decision making. I believe other
professions strive for the same goals. The inclusion of evidence doesn't
preclude the use of other sources of information.
Therefore, I do not believe that other professions are developing their own
definitions of EBP, rather trying to develop a useful way of using evidence
in daily practice. The implementation of EBP probably varies, due to
accessibiltiy of information and types of information needed by different
professions, but not the definition of EBP.
Susan Scherer, MA, PT
Assistant Professor
Department of Rehabilitation Medicine
UCHSC
4200 E. Ninth Ave C-244
Denver, CO 80262
(303) 372-9137 Phone
> -----Original Message-----
> From: Jennie Lou [mailto:[log in to unmask]]
> Sent: Wednesday, May 01, 2002 4:56 AM
> To: [log in to unmask]
> Subject: Re: How do various specialities view EBM?
>
>
> I agree with Clare that other professions are developing their unique
> definitions of EBP due the nature of their practices. For example,
> qualitative evidence is being viewed much more heavily in occupational
> therapy evidence based practice because of client centered practice
> guideline in OT.
>
> *****
> Jennie Lou, M.D., M.Sc., OTR
> Associate Professor of Public Health and Occupational Therapy
> College of Osteopathic Medicine
> Nova Southeastern University
> 3200 S. University Dr.
> Ft. Lauderdale, FL 33328
> *****
>
> ----- Original Message -----
> From: "M.C. TAYLOR" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, May 01, 2002 4:22 AM
> Subject: Re: How do various specialities view EBM?
>
>
> > Kate
> >
> > the other intersting thing is that the various professional
> groups are
> > all developing slightly different definitions of EBP, and
> the nursing
> > and OT definitions tend to draw on a wider definition of
> 'evidence' to
> > include experiential evidence and the client/patient perspective
> >
> > clare
> >
> > Kate O'Donnell wrote:
> > >
> > > Dear Aron
> > >
> > > Badri has supplied you with an excellent list of
> references (thanks
> Badri).
> > > I would add in several more:
> > >
> > > Curtin M, Jaramazovic E. Occupational therapists' views
> and perceptions
> of
> > > evidence-based practice. Br J Occup Ther 2001; 64(5): 214-222.
> > >
> > > Jacobson LD, Edwards AGK, Granier SK, Butler CC.
> Evidence-based medicine
> > > and general practice. British Journal of General Practice
> 1997;47:449-52.
> > > McColl A, Smith H, White P, Field J. General
> practitioners' perceptions
> of
> > > the route to evidence based medicine: a questionnaire survey. BMJ
> > > 1998;316:361-5.
> > > Tomlin Z, Humphrey C, Rogers S. General practitioners'
> perceptions of
> > > effective health care. BMJ 1999;318:1532-5.
> > > Greenhalgh T,.Douglas HR. Experiences of general practitioners and
> practice
> > > nurses of training courses in evidence-based health care:
> a qualitative
> > > study. British Journal of General Practice 1999;49:536-40.
> > > Allery LA, Owen PA, Robling MR. Why general practitioners and
> consultants
> > > change their clinical practice: a critical incident study. BMJ
> > > 1997;314:870-4.
> > >
> > > As someone who is involved in trying to promote
> multi-professional EBP
> > > education, I think it is vitally important that we recognise and
> > > acknowledge these differing views and perceptions of
> evidence. On our
> > > extended national course in Scotland for primary care
> professionals, we
> > > spend a lot of time on the first day getting
> participants, in small
> groups,
> > > to discuss where they are coming from and the type(s) of
> evidence that
> they
> > > regard as important. (This incorporates evidence in its
> widest sense -
> not
> > > just published research.) This allows the participants
> time to reflect
> and
> > > value the viewpoints of other professional groups
> However, I find it
> much
> > > harder to recreate that in single stand-alone workshops.
> What is the
> > > experience of others?
> > >
> > > Regards
> > >
> > > Kate.
> > >
> > > Dr Kate O'Donnell.
> > > Lecturer in Primary Care R&D.
> > > Tel: 0141 211 3378/1668.
> > > Email: [log in to unmask]
> >
> >
>
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