HTHSCI 3C04 Lecture Notes - Lecture 1: Unit, External Validity, Internal Validity
11 Apr 2018
School
Department
Course
Professor
Document Summary
Unit 1: introduction to evidence-based practice and eidm. Empiric knowing: fundamental pattern of knowing focused on the use of sensory experience for creation of mediated knowledge expressions; expressed as knowledge by theories and formal descriptions and integrated in practice as scientific competence. Integrated expressions of knowing in practice (theories, models, facts, validation, confirmation) = scientific competence. Evidence-based practice: the integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making. Barriers to ebp: time constraints, limited access to the literature, lack of education in information seeking and critical appraisal, professional ideology that emphasizes practical rather than intellectual knowledge, work environment that does not encourage information seeking. It takes ~15 years to get research into recommended policy or practice. 30-40% of patients do not get treatments of proven effectiveness. 20-30% of patients receive acute care that is not needed or potentially harmful. Lack of education in information seeking and critical appraisal.
