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Published on: February 16, 2011
Representing voices from the life-world in evidence-based practice
1Department of Communicative Disorders, University of Rhode Island, Kingston, RI 02881, USA. dana@uri.edu
Summary
Evidence-based practice (EBP) models often silence client voices. Elevating personal experience narratives as a valid unit of analysis enhances the ecological validity of evidence in practice.
Area of Science:
- Speech and Language Pathology
- Evidence-Based Practice Research
- Qualitative Research Methodologies
Background:
- Current evidence-based practice (EBP) models often marginalize client perspectives.
- Client reflections on life-world experiences are frequently excluded from EBP.
Purpose of the Study:
- To examine how client voices are silenced in EBP models.
- To argue for the elevation of personal experience narratives as a valid unit of analysis in EBP.
- To enhance the ecological validity of evidence by incorporating client perspectives.
Main Methods:
- Analysis of professional discourse on evidence in EBP.
- Comparison of professional conceptualizations with client personal experience narratives.
- Qualitative analysis of discourse and ethnographic concepts.
Main Results:
- EBP hierarchies, rooted in logical positivism, privilege objective, external variables.
- Exclusion of subjective, phenomenological information silences client voices and compromises understanding of evidence.
- Reformulating EBP to include subjective client voices, such as personal experience narratives, is necessary.
Conclusions:
- Understanding communication disorders requires analyzing both objective phenomena and client interpretations.
- Personal experience narratives offer a qualitative unit for understanding experienced outcomes.
- Integrating qualitative methodologies like discourse analysis is crucial for a comprehensive understanding of EBP effectiveness.
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