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.

Valuing Professional Judgement

Valuing professional judgement
JillMcCarthy, PaulineAlexander, MoyraBaldwin and JanWoodhouse

Professional practice in the caring professions involves applying knowledge and skills to effect service users' health, wellness and well-being. A cornerstone of clinical professional practice is expertise: the means by which individual practitioners make decisions, based on their professional judgement. Professional practitioners in health and social care exercise both independence and interdependence in their professional activities underpinned by their professional values, knowledge and confidence. The pressures of corporate managerial control and external influences such as the evidence-based practice movement impinge on, and constrain, professional practice. The nature of professional practice is that it requires professional expertise, clinical judgement and decision making. Values-based care in respect of professional judgement is explored by examining the nature of professional ...

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