EBM: evidence to practice and practice to evidence

Area of Science:

• Medical research
• Health sciences
• Physical therapy

Background:

• Academicians face challenges in communicating research with clinicians.
• Difficulties include obtaining subjects and gaining compliance for research studies.
• Hierarchical structures in research can impede knowledge advancement.

Purpose of the Study:

• To explore new perspectives on communication barriers between academicians and clinicians.
• To examine how the hierarchical model of power in research obstructs new knowledge areas.
• To understand how clinicians create resistance within the research community.

Main Methods:

• Utilized Foucault's perspectives on power circulation within organizational discourse.
• Employed a framework based on postmodern theoretical concepts.
• Examined patterns of discourse, subjectivity, resistance, and power/knowledge in physical therapy.

Main Results:

• Hierarchical discourse in medical knowledge fosters opposition between researchers, clinicians, and patients.
• Perceptions of dominance create barriers to collaboration.
• Building connections and alleviating dominance fosters cohesion within medical communities.

Conclusions:

• Redefining evidence-based medicine (EBM) as a circular integration is proposed.
• This redefinition includes best research evidence, clinical expertise, and patient values.
• Facilitating two-way flow between evidence and practice is crucial.