Читать книгу Practitioner's Guide to Using Research for Evidence-Informed Practice - Allen Rubin - Страница 31

 Although the term evidence-informed practice (EIP) is new, its underlying ideas are quite old.

 One of the most important factors influencing service effectiveness is the quality of the practitioner-client relationship.

 EIP is a process for making practice decisions in which practitioners integrate the best research evidence available with their practice expertise and with client attributes, values, preferences, and circumstances.

 Some misconstrue EIP in an overly simplistic cookbook fashion that seems to disregard practitioner expertise and practitioner understanding of client values and preferences.

 Replacing the term evidence-based practice with the term evidence-informed (EIP) practice implies that opposing EIP essentially means opposing practice informed by scientific evidence.

 EIP is more than a static list of approved interventions that should be provided by practitioners regardless of whether client characteristics and preferences contraindicate an approved practice.

 An EIP question is formulated by a practitioner and pertains to knowledge needed to guide practice.

 Not all EIP questions imply the need to assess intervention effectiveness. Some pertain to macro levels of practice, including concerns about social policy and social justice.

 Six common types of EIP questions that a practitioner might ask are:What factors best predict desirable or undesirable outcomes?What can I learn about clients, service delivery, and targets of intervention from the experiences of others?What assessment tool should be used?Which intervention, program, or policy has the best effects?What are the costs of interventions, policies, and tools?What are the potential harmful effects of interventions, policies, and tools?

 Unlike authority-Informed practice that relies on testimonials from esteemed practitioner authorities, EIP requires critical thinking.

 Critical thinking involves the ability to spot unfounded beliefs and assumptions and to inquire about the logic and evidence supporting them.

 Developing an EIP outlook is not just about science; it is about being more client centered, more compassionate, and more ethical.

 Some scholars criticize EIP by citing the argument that the choice of intervention is irrelevant because some studies have found that all interventions are equally effective if the practitioner providing them has good relationship skills. Proponents of the EIP process recognize the necessity of good relationship skills and other common factors that improve intervention outcomes broadly.

 Practitioners can face challenges implementing EIP given the limits of existing research evidence.