Toward a transdisciplinary model of evidence-based practice.
Toward a transdisciplinary model of evidence-based practice.
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DOI：
10.1111/j.1468-0009.2009.00561.x
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发表时间：
2009-06
期刊：
影响因子：
--
通讯作者：
Whitlock EP
中科院分区：
文献类型：
--
作者：
Satterfield JM;Spring B;Brownson RC;Mullen EJ;Newhouse RP;Walker BB;Whitlock EP
本文介绍了循证医学实践（EBP）的历史背景和当前发展，护理，心理学，社会工作和公共卫生，以及循证医学的开创性的“三圈”模型的演变，突出EBP的内容，过程和跨学科的哲学的变化。通过比较和对比不同卫生学科的EBP模型，确定了EBP的核心问题和挑战。然后提出了一个统一的、跨学科的EBP模型，它吸取了各个学科的长处，弥补了各个学科的不足。跨学科的共同挑战包括（1）“证据”应如何定义和相对加权;（2）患者和/或其他背景因素应如何以及何时进入临床决策过程;（3）“专家”的定义和作用;以及（4）在选择循证实践时应考虑哪些其他变量，如年龄，社会阶层，社区资源和当地专业知识。一个统一的、跨学科的EBP模型将通过重新定义每个模型圈的内容、澄清从业者的专业知识和能力、强调共同决策以及增加环境和组织背景来解决历史上的缺陷。对学术界，实践和政策的影响也进行了讨论。
This article describes the historical context and current developments in evidence-based practice (EBP) for medicine, nursing, psychology, social work, and public health, as well as the evolution of the seminal “three circles” model of evidence-based medicine, highlighting changes in EBP content, processes, and philosophies across disciplines. The core issues and challenges in EBP are identified by comparing and contrasting EBP models across various health disciplines. Then a unified, transdisciplinary EBP model is presented, drawing on the strengths and compensating for the weaknesses of each discipline. Common challenges across disciplines include (1) how “evidence” should be defined and comparatively weighted; (2) how and when the patient’s and/or other contextual factors should enter the clinical decision-making process; (3) the definition and role of the “expert”; and (4) what other variables should be considered when selecting an evidence-based practice, such as age, social class, community resources, and local expertise. A unified, transdisciplinary EBP model would address historical shortcomings by redefining the contents of each model circle, clarifying the practitioner’s expertise and competencies, emphasizing shared decision making, and adding both environmental and organizational contexts. Implications for academia, practice, and policy also are discussed.
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DOI：
10.1016/j.injury.2006.01.034
发表时间：
2006-04-01
影响因子：
2.5
作者：
Bhandari, M;Giannoudis, PV
通讯作者：
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DOI：
10.1606/1044-3894.1214
发表时间：
1999-07-01
期刊：
FAMILIES IN SOCIETY-THE JOURNAL OF CONTEMPORARY HUMAN SERVICES
影响因子：
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作者：
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通讯作者：
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DOI：
10.1001/jama.1992.03490170092032
发表时间：
1992-11-04
影响因子：
120.7
作者：
GUYATT, G
通讯作者：
GUYATT, G
DOI：
10.1111/j.1467-842x.1999.tb01291.x
发表时间：
1999-08-01
影响因子：
3.5
作者：
Glasziou, P;Longbottom, H
通讯作者：
Longbottom, H
影响因子：
120.7
作者：
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