By James W. Drisko
Evidence-Based perform in medical Social paintings introduces the most important principles of evidence-based scientific social paintings perform and their considerate software. It intends to notify practitioners and to handle the demanding situations and wishes confronted in genuine global perform. This ebook lays out the numerous strengths of the EBP version, but in addition bargains views on its obstacles and demanding situations. An appreciative yet severe standpoint is on the market all through. useful concerns (agency helps, entry to analyze assets, assist in appraising learn) are addressed - and a few functional suggestions provided. moral matters in assessment/diagnosis, operating with various households to make remedy judgements, and providing advanced remedies requiring particular ability units also are included.
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Additional resources for Evidence-Based Practice in Clinical Social Work
1998). These guidelines addressed acute use of just three medications. Applying the results of large scale, population based, research can improve service outcomes in important ways. In 2002, large-scale epidemiological research established that the harms of estrogen replacement therapy for postmenopausal women were much more severe than first believed (Women’s Health Initiative 2002). These harms were not apparent until a largescale research project aggregated individual experiences. Routine treatment practices were quickly changed in ways that saved women’s lives and reduced overall harm.
It is also important to note that the policy level focus on EBP emphasizes research results but does not address individual client needs and circumstances, nor does it address client values and choices. It also omits attention to the pivotal role of clinical expertise and first-hand clinical assessment. The policy and administrative perspective on EBP appears to be based on a very different understanding of EBP than is the practice decision-making model of the McMaster Group. Population-based research results are widely applied to critique the individualized actions of clinical practitioners.
The EBM/EBP hierarchy of evidence and research designs has many merits. It is one valuable way to enhance practice decision making and, in the aggregate, to make the best use of limited health care resources. Still, critical thinking is required to ensure that the assumptions embedded in the EBM/EBP model are fully understood and recognized. As a social movement, EBM and EBP advocate for the use of specific techniques and specific kinds of evidence. These merits have strong supporters as well as some cogent critiques.
Evidence-Based Practice in Clinical Social Work by James W. Drisko