Why would someone that discounts informing their practice with research evidence would be persuaded by evidence about EBM to take up EBM?
-----Original Message-----
From: Andrew Jull
To: [log in to unmask]
Sent: 9/4/2003 5:46 PM
Subject: Re: evidence for evidence based practice
Dear John
I am not so sure that this is in fact the issue for Kim Walker. In
demanding
evidence for EBP, he is placing a higher standard on EBP than he places
on
other practices mentioned, such as "narrative based practices". I
believe
that this question is simply a distraction proferred by those who would
discount EBP (and I am not sure that engaging with such people is always
useful debate - in accusing others of dogma, they tend entrench
themselves
deeper with every attempt at engagement).
Of course I am not suggesting that evidence for EBP should not be
pursued,
but the core of Walker's objections are that nurses such as myself have
"uncritically" adopted a dogma derived from medical practice that has
little
relevance to clinical nursing practice - as evidenced by the fact that
advocates of EBP in Australian nursing are academics acocrding to
Walker. I
will leave that for the Ozzies to reply to.
That EBP has expanded beyond medicine for good reason (ie that it is
useful
aid in decision-making) seems to have escaped Walker, as does the key
concept that asking questions to be answered by specific research
designs
(where possible) is useful for any sort of practice profession.
Personally,
I am fascinated that teaching does not seem to have picked up on EBP
even
though it would seem to have obvious value - think of the resource
implications for answering questions about the use of computers in
classrooms, or the value of homework.
Finally, Walker seems to have completely ignored that development of
research utilization models in nursing during the 1980s and early 1990s
-
models that were trying to do something similar to EBP, albeit in a
rather
more complex way.
regards
Andrew Jull
Research Fellow
Clinical Trials Research Unit Tel: +64 9 373-7599 Ext 84744
Private Bag 92019 Fax: +64 9 373-1710
University of Auckland Email:
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-----Original Message-----
From: John Platt [mailto:[log in to unmask]]
Sent: Thursday, 4 September 2003 10:07 PM
To: [log in to unmask]
Subject: evidence for evidence based practice
Walker (2003) has written an interesting paper on evidence based
practice
in nursing.
The paper concludes with the following question,
"where's the evidence that evidence-based practice makes the difference
it
claims to make?"
The issue for this list is can we answer the question.
John Platt
Ref.
Walker, Kim (2003)
Why evidence-based practice now?: a polemic 1 .
Nursing Inquiry 10 (3), 145-155
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