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Related Experiment Videos

Evidence and expertise.

John Paley1

  • 1Department of Nursing and Midwifery, University of Stirling, Stirling, UK. j.h.paley@stir.ac.uk

Nursing Inquiry
|May 17, 2006
PubMed
Summary
This summary is machine-generated.

This study examines how evidence-based practice (EBP) challenges traditional clinical judgment. It argues that alternative

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Area of Science:

  • Medical Ethics
  • Health Services Research
  • Philosophy of Medicine

Background:

  • Traditional concepts of clinical expertise and judgment face challenges from evidence-based practice (EBP).
  • Debates exist regarding the definition of 'evidence' within EBP and the applicability of statistical findings to individual patient care.
  • The role and validity of clinical judgment in contemporary healthcare are under scrutiny.

Purpose of the Study:

  • To evaluate arguments defending traditional expertise against EBP.
  • To critically assess proposed broader definitions of evidence and the necessity of clinical judgment.
  • To determine how expertise concepts must adapt to an EBP framework.

Main Methods:

  • Analysis of arguments concerning the scope of 'evidence' in EBP.

Related Experiment Videos

  • Evaluation of the 'patterns of knowing' concept against a proposed minimalist evidence criterion.
  • Review of empirical data supporting research evidence over clinical judgment.
  • Assessment of arguments for the necessity of clinical judgment in patient care.

    • Main Results:

    • Proposed minimalist criterion for evidence is not met by alternative 'patterns of knowing'.
    • Empirical evidence strongly favors research-based decisions over those relying solely on clinical judgment.
    • Current attempts to re-establish clinical judgment underestimate the strength of evidence supporting EBP.

    Conclusions:

    • The concept of clinical expertise requires significant modification to align with EBP.
    • EBP provides a superior template for healthcare decision-making compared to traditional clinical judgment alone.
    • A redefinition of expertise is necessary to integrate research evidence effectively into practice.