Evidence‐based practice. A philosophical and political analysis: some matters for consideration by professional practitioners

Colyer, H.; Kamath, P.

doi:10.1046/j.1365-2648.1999.00878.x

Cited by 78 publications

(50 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, many of the constituent components of this paradigm have been criticized, including the philosophical and political assumptions underpinning EBP (e.g. Colyer & Kamath, 1999), the randomized controlled trial (e.g. Marshall, 2002), the limitations to the paradigm (e.g.…”

mentioning

confidence: 99%

Practice‐based evidence: benchmarking NHS primary care counselling services at national and local levels

Evans

Connell

Barkham

et al. 2003

Clin Psychology and Psychoth

View full text Add to dashboard Cite

There are a number of problems for evidence-based practice (EBP) including limited generalizability of efficacy research results, the consequent lack of confidence in the relevance of such research, and the conceptual distance of most practitioners from the research process. The result is that EBP, although sound in principle, often fails to achieve its aim of improving practice. Practice-based evidence (PBE) provides a complementary bridge for the gap between research and practice to offset some of these problems, promoting collaboration between mental health services and academic institutions. This paper presents the initial results of such a collaboration via three phases: (1) the development of a referential database for primary care counselling services, (2) 'practitioner-friendly' feedback on grouped data to services, and (3) the combination of the two to build an evidence base for work with ethnic minorities-an area in which research trials are not well adapted to provide much evidence. Clin. Psychol. Psychother. 10, 374-388 (2003) evidence. However, many of the constituent components of this paradigm have been criticized, including the philosophical and political assumptions underpinning EBP (e.g. Colyer & Kamath, 1999), the randomized controlled trial (e.g. Marshall, 2002), the limitations to the paradigm (e.g. Trinder, 2000) and user concerns (e.g. Faulkner & Thomas, 2002). One specific constraint is that strict study inclusion criteria restrict the data available for analysis and thus limit the conclusions which can be drawn and constrain the generalizability of findings. While there is considerable evidence supporting the efficacy of the psychological therapies (e.g. Lambert & Ogles, 2003;Roth and Fonagy, 1996), there is still relatively little evidence for specific age groups, ethnic minorities, or large service areas, such as primary care. Data sufficient for precise estimation of effects for small subpopulations requires the availability of much larger datasets than those which will accumulate through prioritized RCTs and traditional research-driven studies. Benchmarking Primary Care Counselling via Practice-Based EvidenceAnother more general problem for the 'pure' EBP paradigm is that practitioners need skills and confidence to use the model. In the psychological therapies, the considerable real challenges to the generalizability of RCT evidence give many practitioners serious doubts about, and poor confidence in, the applicability of EBP evidence to their own practice. A more prosaic problem is that unfamiliarity with quantitative data per se and with the measures reported, distances some practitioners from the paradigm. Critical appraisal and EBP trainings, while vital, can give practitioners skills but no data to address their local issues.A complementary paradigm to EBP which addresses many of these concerns is that of practice-based evidence (PBE: Barkham & MellorClark, 2000;Margison et al., 2000). This paradigm uses an evidence-base derived from routine practice settings rather than from...

show abstract

mentioning

confidence: 99%

Practice‐based evidence: benchmarking NHS primary care counselling services at national and local levels

Evans

Connell

Barkham

et al. 2003

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

“…Elle permet à leur désir incessant de quantification de prendre prise sur des pratiques qui se revendiquaient jusqu'alors comme plus ou moins insaisissables au regard gestionnaire, puisqu'en partie affaire d'art, d'autonomie professionnelle et de jugement clinique. Il résulte de cette convergence entre la frange la plus positiviste du domaine médical et le domaine de la gestion un contexte Evidence Based (Colyer et Kamath, 1999), des politiques Evidence Based (Mullen, 2002), ainsi qu'une gestion Evidence Based (Kieran et Rundall, 2001) fondée sur la Cost-effectiveness evidence (Niessen, et al, 2001). Au total, émerge un paradigme Evidence Based (Gill et al, 1996) qui tend à s'imposer, pour certains, de façon totalitaire (Holmes et al, 2006).…”

Section: La Perspective Evidence Based Practice Et La Conduite Des Pounclassified

Management des conduites professionnelles par les résultats probants de la recherche. Une analyse critique

Couturier

Gagnon

Carrier

2009

crimino

View full text Add to dashboard Cite

Résumé En provenance d’un monde médical en butte à une croissance exponentielle des savoirs nécessaires au jugement clinique, la perspective des pratiques fondées sur les résultats probants, mieux connue sous le label Evidence Based Practice, se présente comme une solution pour rationaliser les pratiques professionnelles dans le secteur de la santé et des services sociaux. Cette perspective comporte cependant quelques limites découlant notamment d’une série de réductionnismes méthodologiques qu’il est nécessaire d’élucider pour bien identifier ce qu’elle peut apporter. Ces réductionnismes seront par la suite analysés au regard de l’inscription plus ou moins volontaire de la perspective Evidence Based Practice dans une nouvelle philosophie de gestion des services publics.

show abstract

“…Il résulte de cette synergie entre le monde médical et le monde gestionnaire un contexte evidence-based (Colyer et Kamath, 1999), des politiques evidence-based (Klein, 2000), ainsi qu'un evidence-based management (Walshe et Rundall, 2001) fondé d'abord et avant tout sur la recherche de l'efficience budgé-taire, la « cost-effectiveness evidence » (Niessen, Grisjseels et Rutten, 2001) dans le langage de la perspective. Au total, émergerait un paradigme evidence-based (Gill et Dowell, 1996) posant au groupe professionnel des travailleurs sociaux des questions de fond sur le rapport épistémologique aux savoirs qu'il souhaite et peut soutenir dans ce contexte.…”

Section: Le Champ éPistémologique Des Pratiques Guidées Par Des Donnéunclassified

Pratiques fondées sur les données probantes en travail social : un débat émergent1

Couturier

Carrier

2005

nps

View full text Add to dashboard Cite

Issue du monde biomédical, la perspective des pratiques fondées sur les données probantes (evidence-based practice) se pose de plus en plus en condition du travail en travail social. Cette perspective, d’inspiration néopositiviste, questionne la scientificité de la discipline. Le présent texte présente les contours du débat, notamment en ce qui concerne sa dimension épistémologique.Coming from the biomedical field, the Evidence Based Practice standpoint becomes a work condition for social work. As a neopositivist theory, this standpoint asks questions about the scientificity of social work. This article presents the area of the debate, especially about its epistemological aspect

show abstract

Evidence‐based practice. A philosophical and political analysis: some matters for consideration by professional practitioners

Cited by 78 publications

References 8 publications

Practice‐based evidence: benchmarking NHS primary care counselling services at national and local levels

Practice‐based evidence: benchmarking NHS primary care counselling services at national and local levels

Management des conduites professionnelles par les résultats probants de la recherche. Une analyse critique

Pratiques fondées sur les données probantes en travail social : un débat émergent1

Contact Info

Product

Resources

About