Embm History

Before logical thought was regularly applied to functions of the human body, people made sense of daily misfortunes by attributing them to the moods and wills of the gods. In the minds of the Greek, afflictions were the result of disobedience and to live in good health was a blessing that only divine intervention could provide (History of Medicine 1). Asclepius, the Greek god of medicine and healing, was often the one called upon in times of need. Asclepian temples were constructed in Greece and in the surrounding areas, and these sites of worship also became the centers of healing; Ill Grecians undertook lengthy pilgrimages to the temples in hopes that the God’s supposed restorative powers could ameliorate their tribulations (Greek Medicine 1). An orator at that time, Aeschines reported his encounter with godly healing by praising Asclepius: “No longer counting upon mortal skill, I placed all my hope in divinity. I came, Asclepius, into your sacred wood and I was cured in three of a wound I had in my head for a year” (Palatine Anthology 13). When cures were not left up to the divine, the rituals to rid a body of disease were primitive and mainly consisted of attempts to expel demons (Longrigg 14-16). Although the idea that sickness and religion are intertwined is

The bio-medical model of ill health has been at the forefront of western medicine since the end of the eighteenth century and grew stronger with the progress in modern science. This model underpinned the medical training of doctors. Traditionally medicine had relied on folk remedies passed down from generations and ill health was surrounded in superstition and religious lore with sin and evil spirits as the culprit and root of ill health. The emergence of scientific thinking questioned the traditional religious view of the world and is linked to the progress in medical practice and the rise of the biomedical model. Social and historical events and circumstances were an important factor in its development as explanations about disease

Making decisions about the care of patients is important in every health profession. According to the journal of Academy of Medical Sciences of Bosnia and Herzegovina, “Evidence Based Medicine integrates clinical experience and patient values with the best available research information.” It increases the use of clinical research in clinical decision making. The practice of EBM is important for learning information about a patient’s diagnosis, prognosis, or any other health care issues. Evidence based medicine and the scientific method are related in certain ways. There are four different levels of evidence, known as systematic review, randomized controlled trials, cohort studies, and case reports.

2.3 Describe what is meant by evidence-based practice and give examples of how this has influenced

During Ancient times, cure and prevention of illness and disease were not very well developed – people would blame their ill health on Gods, witches, demons or other supernatural causes. They had many theories, such as God punishing them for their sins.

Sackett, D. Richardson, W. Rosenberg, W. et al (2000). Evidence based medicine; how to practice and teach EBM. London: Churchill

Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,

a. The current thought about evidenced based practice is that it can be useful if the evidence is good and been proven to work. Just like any other new thing in the medical field it has many criticisms but they have been debunked on the basis of underlying misinformation or misunderstandings. One of the problems with evidence based practice is human judgement, when picking out which evidence to use it can be influenced by a decision maker 's biases and political interests. Another problem with evidenced based practice is that some of the EBP out there does not meet the requirements of scientific evidence.

Evidenced-based practice (EBP) originated in Canada from a new form of medical school which was launched during the 1970s at an institution called McMaster University (Hoffmann, Bennett, & Del Mar, 2010). This new medical program was uncommon in a variety of its methods. The primary variation was the abbreviated three year medical program which is very brief in comparison to other medical school framework (Hoffmann, Bennett, & Del Mar, 2010). Instructors conceded that the ideal concept of teaching medical students everything they would possibly need to know in regards to practicing medicine with in this program was an unattainable undertaking (Hoffmann, Bennett, & Del Mar, 2010). In response to this epiphany, instructors at this institution transformed their educational approach and focused on instruction that would provide students with the skills and tools they would need to effectively locate health information while practicing as healthcare professionals (Hoffmann, Bennett, & Del Mar, 2010). This scientific approach to healthcare is now known as evidence-based practice (Hoffmann, Bennett, & Del Mar, 2010). In the past, healthcare practitioners made decisions for patients based on personal and professional experience, hearsay, and lack of scientific evidence (White, 2004). An evidence-based practice links the

Evidence based medicine is a type of medical practice which involves decision making based on the evidence from the research, patient values, clinical experience to provide better quality healthcare services without any errors.

It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.

As early as 5000 B.C. there would be attempts to cure the mentally ill. It was believed that an evil spirit would possess the body of an individual by drilling

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

Evidence based practices are important to explore for various diseases so that their efficacy level can be determined and medical staff can be trained accordingly. Particularly speaking in the context of chronic diseases, evidence based practices are to be evaluated with the joint efforts of multiple healthcare institutions so that it can bring benefits to the overall healthcare industry.