scholarly journals Why Only Efficiency, and Not Efficacy, Matters in Psychotherapy Practice

2021 ◽  
Vol 12 ◽  
Author(s):  
Henrik Berg
Keyword(s):  
Evidence Based Practice ◽  
Clinical Care ◽  
Quality Parameters ◽  
The Other ◽  
Evidence Based ◽  
Relevant Parameter ◽  
Proper Understanding ◽  
Psychotherapy Practice

Evidence-based practice in psychology consists of two quality parameters. One of these quality parameters is efficacy and the other is efficiency. In this article, it is argued that the only relevant parameter for determining quality in clinical care is efficiency. Moreover, emphasising efficacy in psychotherapy practice is symptomatic of a scientocentric ideal in evidence-based practice in psychology. The proper understanding and use of scientific findings entail leaving this scientocentric ideal. In addition, it is crucial that efficiency is related to the ethical aims that constitutes psychotherapy practice.

scholarly journals French psychiatry

2006 ◽  
Vol 3 (1) ◽  
pp. 14-16 ◽  
Author(s):  
Michel Botbol
Keyword(s):  
Evidence Based Practice ◽  
The Other ◽  
Evidence Based ◽  
Anglo Saxon ◽  
Profound Change ◽  
Policy Makers ◽  
New Model ◽  
The Common ◽  
The One ◽  
Common Profile

French psychiatry is currently facing a period of profound change, as many of what were considered its most specific characteristics and traditions have been called into question. It is therefore difficult to draw a profile of French psychiatry, because it has to take into account a radical splitting between, on the one hand, what is still the common profile of most French psychiatrists and, on the other, the new model imposed by stakeholders and policy makers who want French psychiatry to take on a more Anglo-Saxon profile, with evidence-based practice coming to the fore, for instance.

scholarly journals COVID-19: Military Nurses Leading Innovation Through Research, Clinical Care, Education, and Collaboration

2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 1-3
Author(s):  
Heather C King ◽  
Laura A Talbot
Keyword(s):  
Clinical Practice ◽  
Evidence Based Practice ◽  
Clinical Care ◽  
Armed Forces ◽  
Evidence Based ◽  
Leadership Roles ◽  
Military Nurses ◽  
Care Education ◽  
Military Nursing ◽  
Practice Projects

ABSTRACT Military nurses have been placed in the forefront of clinical and leadership roles during the COVID-19 pandemic. Serving in critical roles, military nurses have spearheaded innovations in clinical practice, conducted research, and implemented evidence-based practice projects that have advanced the capabilities of the Armed Forces Nurse Corps. This collection captures and highlights many of these military nursing contributions combating the COVID-19 pandemic.

scholarly journals Evidence-based practice education for healthcare professions: an expert view

2018 ◽  
Vol 24 (3) ◽  
pp. 103-108 ◽  
Author(s):  
Elaine Lehane ◽  
Patricia Leahy-Warren ◽  
Cliona O’Riordan ◽  
Eileen Savage ◽  
Jonathan Drennan ◽  
...  
Keyword(s):  
Professional Education ◽  
Evidence Based Practice ◽  
Clinical Care ◽  
Evidence Based ◽  
Pragmatic Approach ◽  
Healthcare Professions ◽  
Effective Development ◽  
The Uk ◽  
Further Development ◽  
Healthcare Professional Education

Internationally, evidence-based practice (EBP) is recognised as a foundational element of healthcare professional education. Achieving competency in this area is a complex undertaking that is reflected in disparities between ‘best EBP’ and actual clinical care. The effective development and implementation of professional education to facilitate EBP remains a major and immediate challenge. To ascertain nuanced perspectives on the provision of EBP education internationally, interviews were conducted with five EBP education experts from the UK, Canada, Australia and New Zealand. Definitive advice was provided in relation to (1) EBP curriculum considerations, (2) teaching EBP and (3) stakeholder engagement in EBP education. While a considerable amount of EBP activity throughout health profession education is apparent, effectively embedding EBP throughout curricula requires further development, with a ‘real-world’ pragmatic approach that engenders dialogue and engagement with all stakeholders required.

A non-modern vision: facts and values in psychotherapy

2020 ◽  
Vol 8 (3) ◽  
pp. 385
Author(s):  
Henrik Berg
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Viable Option ◽  
Psychotherapy Practice ◽  
Regulatory Principle ◽  
Modern Vision

Evidence-based practice in psychology is the prevailing regulatory principle for psychotherapy practice. This paper criticises the notion of facts and values in evidence-based practice in psychology and related concepts. More particularly, it aims at showing that values-based practice follows a modern scheme contrasting facts and values sharply. Person-centred medicine is suggested as a more viable option. Person-centred medicine follows a non-modern scheme in which facts and values are integrated. This move, it is argued, will lead to a more humanistic conception of the patient and psychotherapy.

scholarly journals Interprofessional Evidence-Based Practice Education: Impact on Organizational Culture in Healthcare Settings

10.33496/003 ◽  
2019 ◽  
pp. 12-23
Keyword(s):  
Health Care ◽  
Interprofessional Education ◽  
Evidence Based Practice ◽  
High Reliability ◽  
Clinical Care ◽  
Evidence Based ◽  
Culture Of Safety ◽  
Healthcare Settings ◽  
Safety Research

A key strategy for improving the quality of health care is through the widespread implementation of evidence-based practice (EBP). Most importantly, EBP helps organizations achieve high reliability and a culture of safety. Research shows that EBP reduces morbidity, mortality, medical errors, and geographic variation in health care. This paper describes an interprofessional education intervention to transform clinical care and institutionalize EBP in one medical facility. Through the adoption of an intensive EBP training platform and the rapid implementation of EBP solutions to address traditional challenges, the organization is effectively accelerating its efforts to move from a health care system to a highly reliable system of health.

scholarly journals Relationship Between Clinician-Level Attributes and Implementation Outcomes From The Pathways To Comorbidity Care Training Program

2021 ◽  
Author(s):  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Andrew Baillie ◽  
Gabriela Uribe ◽  
Katie Wood ◽  
...  
Keyword(s):  
Training Program ◽  
Self Efficacy ◽  
Evidence Based Practice ◽  
Readiness To Change ◽  
The Other ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Implementation Outcomes ◽  
Gender Education ◽  
Drug And Alcohol

Abstract Background A more nuanced understanding of the interrelationships between clinician-level factors and implementation outcomes may enhance the utility of evidence-based practice implementation strategies. The Pathways to Comorbidity Care (PCC) training program [1] aimed to facilitate integrated management of comorbid drug and alcohol and mental disorders amongst drug and alcohol clinicians. We hypothesised that implementation outcomes would be associated with clinician-level: (i) demographics (gender, education, experience), (ii) attitudes (evidence-based practice, therapist manuals, counselling self-efficacy), and (iii) organisational readiness to change. Methods Twenty clinicians participated in the 9-month PCC training program. Attitudes towards evidence-based practices and psychotherapist manuals, self-efficacy, and organisational readiness to change, along with demographics, were measured at baseline. At follow-up, change in Comorbidity Practice (CoP) scores related to integrated comorbidity management were obtained using a file audit checklist and categorised into high (at least 60% increase in CoP), medium or low (a decrease of -20% or less in CoP). Clinician-level characteristics were examined across the implementation categories. Results There were no significant differences found between implementation groups on sociodemographic variables (p’s > 0.30), attitudes to evidence-based practices, attitudes to therapist manuals, and self-efficacy (p’s > 0.52). The high implementation group demonstrated significantly higher scores on leadership practices aspect of organisational readiness to change relative to the low and medium implementation group ((F(2, 16) = 3.63, p = 0.05; Cohen’s d = .31) but not on the other subscales (p’s > 0.07). Conclusions Confidence that leadership will play a positive role in the implementation process may improve effectiveness of comorbidity training programs for drug and alcohol clinicians. On the other hand, contrary to our hypothesis, counselling self-efficacy, evidence-based practice attitudes, attitudes towards therapist manuals, gender, education and experience were not distinguishing factors.

Evidence Based Practice — How to Do a Literature Search

1998 ◽  
Vol 3 (1) ◽  
pp. 21-23
Author(s):  
Christina Jerosch-Herold
Keyword(s):  
Computer Technology ◽  
Literature Search ◽  
Evidence Based Practice ◽  
The Other ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Hand Therapy

Evidence based practice has been defined as the integration of current best evidence with individual clinical expertise when making decisions about the care of individual patients (Sacket et al, 1996) The use of one without the other does not constitute evidence-based practice. As clinicians therefore it is vital not to devalue clinical expertise developed through education and practice but it is also time that a closer look is taken at the research which should underpin our practice. It is this which maybe poses the greater challenge. The distance to the nearest library, the associated computer technology which has to be mastered, the limits on time and staffing act as disincentives rather than to encourage evidence-based practice. This paper is the first of a series on getting evidence into practice by providing an introductory guide on how to search for literature using computer databases. Examples from the field of hand therapy are used to illustrate the different components involved in a search and how different strategies work.

scholarly journals Editorial: Reflections on Research Impact in Primary Health Care

2007 ◽  
Vol 13 (3) ◽  
pp. 7 ◽  
Author(s):  
Rae Walker
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Management ◽  
Evidence Based Practice ◽  
Clinical Care ◽  
Health Sector ◽  
Research Impact ◽  
Care Practice ◽  
Evidence Based ◽  
Primary Health

The primary health sector has had a long-standing interest in evidence-based practice. Two decades ago the focus was on a primary health care equivalent of evidence-based medicine described by Hennen (1992, p. ix) as "self-criticism in primary care practice through research" or by Ovretveit (1998, p. 266) as "the use of best evidence in making decisions about the care of individual patients". The focus was on clinical interventions and their effects, or lack thereof. Furthermore, the aspiration to systematically use evidence in the provision of care was a central part of the quality movement in both clinical care and health service management (Ovretveit, 1992). More recently, evidence-based practice has been advancing in health services management and policy (Lin & Gibson, 2003).

scholarly journals An exploration of evidence-based practice work files for occupational therapy students during clinical placements: a descriptive cross-sectional study

2020 ◽  
Author(s):  
Susanne Johnson ◽  
Else Britt Bruset ◽  
Kari Margrete Hjelle ◽  
Malin Mongs ◽  
Unni Sveen
Keyword(s):  
Occupational Therapy ◽  
Teaching And Learning ◽  
Evidence Based Practice ◽  
Clinical Care ◽  
Clinical Placement ◽  
Evidence Based ◽  
Cross Sectional ◽  
Clinical Placements ◽  
Occupational Therapy Students ◽  
Second Year

Abstract Background: Bachelor students of occupational therapy are expected to work in accordance with evidence-based practice (EBP). The EBP work file, a learning tool in a Word document format, covering all steps in the EBP process, is an approach to teaching and learning EBP. The aim of this study was to examine the attitudes and behaviours of occupational therapy students’ in relation to applying evidence-based practice during their second-year clinical placement. We compared cohorts who received training in EBP work files with those who did not receive such training.Methods: A descriptive, cross-sectional comparative study was conducted. Five cohorts of second-year occupational therapy students took part in the study. The students answered two questionnaires, the EBP Beliefs Scale and the EBP Implementation Scale, after completing their second-year clinical placement. The analysis was based on descriptive statistics and calculation of the frequencies, percentages, mean and standard deviations of all participating students’ scores across both questionnaires. ANOVA with Bonferroni correction was conducted to analyse the differences between the mean totals of the questionnaires. Results: In this study, 126 occupational therapy students participated (response rate = 57.3%). The students reacted positively to EBP, although few were practicing EBP. The students believed that EBP resulted in the best clinical care for patients, but they lacked confidence in their own ability to apply EBP. The students in Cohort 5, who received extra instruction and assignments via the EBP work file, rated their EBP behaviour statistically lower than the students in Cohort 1, who did not receive extra training on the EBP work file. Conclusions: Additional EBP work file assignments were insufficient in terms of supporting students in the implementation of EBP during clinical placements. It is, therefore, important to facilitate the learning strategies of EBP skills and demonstrate how students can practise this competency during clinical placements. Including clinical instructors in EBP teaching and learning seems essential.

scholarly journals „Zakazuje się stosowania kar cielesnych”. I co dalej? Nowoczesne strategie eliminacji przemocy w wychowaniu

2019 ◽  
Vol 47 (4) ◽  
pp. 7-17
Author(s):  
Ewa Jarosz
Keyword(s):  
International Cooperation ◽  
Corporal Punishment ◽  
Evidence Based Practice ◽  
The Other ◽  
Evidence Based ◽  
Effective Practice ◽  
Violence Against Children ◽  
Other Hand ◽  
Practice Approach ◽  
Forms Of Violence

The paper presents the evidence based practice approach to eliminate violence against children. Here, the official ban of all forms of violence is seen as a very effective and needed means. But on the other hand, the ban is seen as a first step, because other activities are needed to eliminate corporal punishment. Today actions often come from analyses of effective practice. The paper presents main foundations of the modern strategies to stop corporal punishment, coming from the analysis of one example of such an initiative – the international cooperation that aimed at finding out effective practice in several countries in Europe where the ban has been already introduced.

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