TY - JOUR
T1 - Moving beyond Traditional Understandings of Evidence-Based Practice
T2 - A Total Evidence and Knowledge Approach (TEKA) to Treatment Evaluation and Clinical Decision Making in Speech-Language Pathology
AU - McCurtin, Arlene
AU - Murphy, Carol Anne
AU - Roddam, Hazel
N1 - Publisher Copyright:
© 2019 by Thieme Medical Publishers, Inc.
PY - 2019
Y1 - 2019
N2 - Evidence-based practice (EBP) is a well-established framework for supporting clinical decision making in the discipline of speech-language pathology. The benefits of using evidence to inform clinical practice are acknowledged by clinicians and researchers alike. Even so, after over two decades of EBP advocacy, much clinical uncertainty remains and models supporting the evaluation of interventions require review and reconsideration. The EBP model, while promoting positive principles, can be argued to be conceptually flawed because it suffers from a lack of attention to and explicit valuing of other forms of knowledge crucial to the formation of realistic and judiciously informed decisions. We propose that the evaluation of interventions would be better supported by an explicit knowledge management approach reflecting a range of evidence and knowledge. One worked example is presented to demonstrate what using such an approach can produce in terms of intervention information.
AB - Evidence-based practice (EBP) is a well-established framework for supporting clinical decision making in the discipline of speech-language pathology. The benefits of using evidence to inform clinical practice are acknowledged by clinicians and researchers alike. Even so, after over two decades of EBP advocacy, much clinical uncertainty remains and models supporting the evaluation of interventions require review and reconsideration. The EBP model, while promoting positive principles, can be argued to be conceptually flawed because it suffers from a lack of attention to and explicit valuing of other forms of knowledge crucial to the formation of realistic and judiciously informed decisions. We propose that the evaluation of interventions would be better supported by an explicit knowledge management approach reflecting a range of evidence and knowledge. One worked example is presented to demonstrate what using such an approach can produce in terms of intervention information.
KW - clinical decision making
KW - critical thinking
KW - evidence
KW - evidence-based practice
KW - intervention evaluation
KW - knowledge
UR - http://www.scopus.com/inward/record.url?scp=85072791180&partnerID=8YFLogxK
U2 - 10.1055/s-0039-1694996
DO - 10.1055/s-0039-1694996
M3 - Article
C2 - 31426104
AN - SCOPUS:85072791180
SN - 0734-0478
VL - 40
SP - 370
EP - 393
JO - Seminars in Speech and Language
JF - Seminars in Speech and Language
IS - 5
ER -