The Institute of Medicine identifies evidence-based practice (EBP) as a core competence for all 21st century health professionals (Greiner & Knebel, 2003). Psychology is a relative newcomer to the evidence-based movement, having just adopted EBP as policy in 2005 (www2.apa.org/practice/ebpstatement.pdf). Evidence-based practice is both a conceptual model and a process for basing clinical decision-making on the integration of research, client characteristics, and resource considerations. We describe the evolution of models of EBP across the health disciplines and discuss how the concepts and methods of EBP apply in clinical psychology. Psychologists’ roles in relation to EBP are as creators, synthesizers, and consumers of evidence. We consider implications of EBP’s adoption for clinical psychology training, and describe learning resources that support clinical psychologists in mastering EBP.
Airlift crews were exposed to extended work periods, reduced sleep periods, night work, and circadian dysrhythmia caused by shift work and time-zone crossings during Operations Desert Shield and Desert Storm. This research reveals the extent to which severe subjective fatigue was experienced by the crews during Operation Desert Storm. In addition, through the evaluation of long-term and short-term work and sleep histories, this research shows that recent sleep and flight histories are correlated with high fatigue levels. Furthermore, we found a tendency for fatigue to correspond with pilot error. We recommend that the training of personnel involved in long-duration operations include fatigue management strategies and, further, that work policies and environments be designed to take into account the importance of regular and restorative sleep when unusual duty hours are required.
The Institute of Medicine identifies evidence-based practice (EBP) as a core competence for all 21st century health professionals (Greiner & Knebel, 2003). Psychology is a relative newcomer to the evidence-based movement, having just adopted EBP as policy in 2005 (www2.apa.org/practice/ebpstatement.pdf). Evidence-based practice is both a conceptual model and a process for basing clinical decision-making on the integration of research, client characteristics, and resource considerations. We describe the evolution of models of EBP across the health disciplines and discuss how the concepts and methods of EBP apply in clinical psychology. Psychologists’ roles in relation to EBP are as creators, synthesizers, and consumers of evidence. We consider implications of EBP’s adoption for clinical psychology training, and describe learning resources that support clinical psychologists in mastering EBP.
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