Engaging firmly in the debate, this book calls into question the dominance of evidence-based practice and sets out an alternative vision of care which places holism, professional judgment, intuition, and client choice at its center. Bringing together writers from a range of health and social care backgrounds, the book describes the rise of evidence-based practice and explores major criticisms of the approach. It argues that evidence should be seen as part of a broader vision of practice which places equal value on a holistic vision of the needs of patients and clients, professional knowledge and intuition, and seeing patients and clients as partners in their care. Case studies are used throughout the book to help readers link the concepts to practice.
Chapter 1: The Emergence of Evidence-Based Practice
The Emergence of Evidence-Based Practice
Evidence-based practice (EBP) is currently the dominant model of health care intervention in the United Kingdom. As it values measurement and quantification, it has gained this status in a relatively short space of time, helped by a number of political, managerial and philosophical drivers emerging in separate arenas. EBP is not, however, new and has been the driving force within the quantitative science paradigm throughout its historical development and could be viewed as the bulwark in its battle with the developments of social conflict theory and the popularity of qualitative research methodologies within the social sciences.
The adoption by the medical profession of EBP and its subsequent support by the Cochrane Collaboration (a not-for-profit ...