As psychologists, we are not degreed Witch Doctors.
Although there are segments of the population that think we are.
‘Clinical Expertise’ – By: Geoffrey M. Reed:
The main thrust of Reed’s position paper is a discussion concerning ‘Evidence Based Practice’ (EBP), viewed by those in the psychology field as a three legged stool, consisting of the integration of: ‘Clinical Expertise’; ‘Patient Values’; and ‘Best Research Evidence’. All of which are incorporated into the decision making process for patient care.
A profound point the author brings up is the concept of ‘A Public Problem Idea’. Which is an idea describing a public problem and a means of trying to solve it by a particular response. Because of the soaring costs of health care, the ‘Public Problem Idea’ is finding ways of reducing these escalating costs. There are those who see the problem as ‘Uninformed Medical Practices’, and the suggestion (Solution?) is to rely to a great degree on EBPs to bring a uniform solution to each form – In our case the mental health field, a diagnosis based upon EBP findings for each psychological illness. Medicare and HMOs love this as EBPs are based on empirical research – Leading to a scientific conclusion of a ‘One size fits all’ cost cutter.
What is troubling to Reed, and to me, is the technique of using EBPs is the easy way out, especially prescribing medications as a first resort. Both he and I believe that the clinician should treat each patient as a unique
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
Write a three- to four-page article review in which you discuss methodological issues unique to psychological research and analyze basic applied psychological research relevant to the treatment of mental disorders. In your paper, you will discuss
Define evidence based practice and discuss the possible facilitators and barriers for Sam to utilise the best research evidence in clinical practice.
The editorials by Melnyk (2016) both highlight barriers to evidence-based practice (EBP), expertise and skills of the clinicians, the lack of contact of guides, lack of resources, and misunderstandings of the time to take part in EBP. Focusing on the first editorial, “An Urgent Call to Action
In today 's society, there is a great deal of research and practice about evidence based practice. Most of this is highly sought upon in the field of psychology, where evidence and decision making is key to accomplishing new ideas of treatments for people who retain psychiatric problems. The meaning of evidence-based practice in psychology is that it involves making very educated and supported decisions based on punctilious, unambiguous, and astute evidence (Rousseau & Gunia, 2016). With evidence-based practice, it assists in raising and deriving the issue of what evidence really is, the strength of the evidence, and how practitioners can improve the quality of their evidence (Rousseau & Gunia, 2016). Evidence is a major factor because it may either enhance or hinder the practitioner 's ability to make decisions and construct their practices on patients (Rousseau & Gunia, 2016). Evidence-based practice began in the 1980 's with the goal to combine the practices of scientific evidence with physician education and clinical practice. The issue with this was that medical schools did not have the ability to teach their own specific approaches to clinical problems (Rousseau & Gunia, 2016). As an effect to this cause, three main issues quickly arose about the effectiveness and quality of evidence-based practice. First, since other fields were advancing growth in
Evidence based practice and practice based evidence are a big part of a treatment process. These two can provide appropriate treatment that is needed to make advances in health care practices. Having enough evidence helps people determine whether to do something or not. To provide the best possible treatment for each patient you have to take information and see what will work best for each of your patients. Some will work and some will not work. Methodological issues can arise with in any type of research and some are more controversial than others. In the article “Practice Based Evidence: Back to the Future” (2011) the point of view was that research comes from evidence and that
Evidence-based practice is an approach in the decision making of using the best evidence about the care of a patient.it is an integration of clinical expertise, patient values and the available evidence from ongoing research .taking into consideration internal and external influences, it promotes critical thinking in the application of the evidence in patient care. The impact of EBP has been echoed in the optimal health care, quality of life and clinical outcomes (Mabbott, 2011). Application of EBP in the plan of care has resulted in benefits such as reduced costs, decreased variation in care and nurse satisfaction. The EBP movement is one component essential aimed at transforming the current knowledge into a plan of care decisions to improve
This essay will be a critical review on the study conducted by Majid et al (2011). The article which is titled ‘Adopting evidence-based practice in clinical decision making:
I believe that the clinical decision making process associated with the actions to be taken in Jack and Jacqueline’s care were quite similar between the Canadian and the Rwandan perspectives. This is because both perspectives took on a holistic view of Jack and Jacqueline’s situation and thereby worked to develop goals that would not only address Jack’s physical health, but also the emotional and mental health of Jack, Jacqueline, and even Charles. These holistic based goals included, but were not limited to the utilization of various community supports to foster Jack’s cognitive development as well as the formation and implementation of diverse coping strategies for Jacqueline and Charles to use during times of stress.
The rational decision-making model describes a series of steps that decision makers should consider if their goal is to maximize the quality of their outcome. In other words, if you want to make sure that you make the best choice, going through the formal steps of the rational decision-making model may make sense. The following are the steps taken to come to a rational decision: 1. Identify the problem, 2. Establish decision criteria, 3. Weigh decision criteria, 4. Generate alternatives, 5. Evaluate the alternative, 6. Choose the best alternative, 7. Implement the decision, 8. Evaluate the decision.
Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.
Evidence Based Practice can be defined in several ways. The most popular definition is a process that combines the most up to date research with the expertise of the practitioner as well as the values, characteristics, cultures, and preferences of the client (Parrish, 2011). The most crucial part of the definition is the aspect that this practice is a process broken up into five steps. First, like in any situation, is to identify there is complication in question that needs clarification. Once an
Backing psychology with scientific studies also benefits psychology itself. P. C. Kendall (1998) asks what would happen if this was not the case. “To what category would the professional practice of clinical psychology be assigned: to philosophy, psychic reader, advisor?” Patients who need psychological treatment want to go to a psychologist who they know will help them. In fact, to stay relevant in the modern health care climate, “evidence-based clinical practice will become essential” (Sanderson 2003). Empirically supported treatments provide a higher standard of care for patients.
Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results
I agree with you, Patricia. Even though most researchers focus on the statistically significant results, the goal of the clinical researchers should be to have clinically relevant findings. The statistically significant data do not reflect the clinical picture in many situations. In a clinical perspective, the effect of treatment has a major role in the clinical decision-making (Page, 2014). Any new clinical intervention aims at bringing about a positive impact in people (Leung, 2001). Even though the evidence with clinical significance may lack the statistical backing, it indicates the effect of the treatment. Therefore, the clinicians should appropriately use such data along with their judgment in the clinical decision-making.