Decision making and the use of evidence based practice: Is the three-legged stool balanced?
Decision making and the use of evidence based practice: Is the three-legged stool balanced?
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决策和基于证据的实践的使用：三足凳是否平衡？
DOI：
10.1037/pri0000063
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Stirman,ShannonWiltsey
中科院分区：
文献类型：
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作者：
Stewart,RebeccaE;Chambless,DianneL;Stirman,ShannonWiltsey
本文介绍了25心理学家在独立的做法，重点是决策与选定的病人访谈的定性分析结果。我们将继续研究临床决策如何与Spring（2007）提出的循证实践（EBP）原则相一致。临床医生报告说，诊断印象通常是通过非结构化的评估，而不是经过验证的工具，制定和治疗选择是基于治疗师的治疗与客户特征的匹配的看法。治疗师认为CBT适合解决症状，但认为他们需要脱离CBT策略来解决根本问题。尽管如此，他们经常根据症状来定义治疗的成功和失败。总体而言，临床医生很少提到利用研究证据进行评估或治疗选择和实践。在EBP的框架内讨论了结果。（PsycINFO数据库记录（c）2018阿帕，保留所有权利）
This article presents the results of a qualitative analysis of interviews with 25 psychologists in independent practice, with a focus on decision making with a selected patient. We endeavored to examine how clinical decision making intersected with the principles of evidence based practice (EBP) as laid out by Spring (2007). Clinicians reported that diagnostic impressions were generally formulated through unstructured assessment rather than validated instruments, and that treatment selection was based on therapists’ perceptions of a treatment’s match with client characteristics. Therapists viewed CBTs as appropriate for addressing symptoms but believed they needed to depart from CBT strategies to address underlying issues. Nonetheless, they often defined successes and failures in treatment in terms of symptoms. Overall, clinicians rarely mentioned utilization of research evidence for assessment or treatment selection and practice. Results are discussed within the framework of EBP.(PsycINFO Database Record (c) 2018 APA, all rights reserved)