Читать книгу Practitioner's Guide to Using Research for Evidence-Informed Practice - Allen Rubin - Страница 43

When an intervention is considered to be more effective than alternative interventions, it simply means that it has the best evidence indicating that it has the best likelihood of being effective. That is a far cry from implying that it will be effective with every case or even most cases or in all practice situations. Furthermore, we may know of important differences between our clients or practice context and the clients or contexts that comprised the studies supplying the best evidence. Perhaps we are serving clients from ethnic groups that did not participate in the best studies. Perhaps our clients are younger or older than the studied clients. Perhaps we are managing an agency in which our practitioners have less experience and training in the supported intervention than was the case in the best studies. Consequently, they may not be as effective in providing the intervention. Maybe their inexperience, or perhaps their heavier caseloads, will make them completely ineffective providers of that intervention. An example from Rubin's experience illustrates the importance of practice context in Box 2.1 titled “The Importance of Practice Context: A Policy Example.” That Box also illustrates the applicability of EIP to administrative policy decisions.