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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with a...
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Related Experiment Videos

Evidence-based policymaking: a critique.

Trisha Greenhalgh1, Jill Russell

  • 1Research Department of Primary Care and Population Health, University College London, Highgate Hill, London, United Kingdom. p.greenhalgh@pcps.ucl.ac.uk

Perspectives in Biology and Medicine
|April 28, 2009
PubMed
Summary

Evidence-based policymaking faces challenges due to its narrow focus. Incorporating sociolinguistic tools can improve policy deliberation by acknowledging diverse values and contexts.

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Area of Science:

  • Social Sciences
  • Policy Studies
  • Research Methodology

Background:

  • The concept of evidence-based policymaking (EBP) is widely accepted but faces significant critiques.
  • Existing EBP frameworks often stem from a positivist, empiricist worldview, similar to evidence-based medicine (EBM).
  • This approach struggles to account for the complexities inherent in the policymaking process.

Purpose of the Study:

  • To critically analyze the concept and practice of evidence-based policymaking.
  • To explore the limitations of positivist approaches in understanding policy.
  • To propose alternative frameworks for a more nuanced understanding of policymaking.

Main Methods:

  • Literature review and theoretical analysis drawing from social research paradigms (positivist, interpretivist, critical).
  • Examination of the philosophical underpinnings of evidence-based medicine (EBM) and its application to policy.
  • Exploration of sociolinguistic tools, specifically argumentation theory, for policy analysis.

Main Results:

  • A narrowly defined evidence-based approach to policymaking is insufficient.
  • Policymaking is a complex, context-dependent, and value-laden negotiation process.
  • Sociolinguistic tools offer a richer understanding of policy dynamics.

Conclusions:

  • The positivist EBM model is inadequate for understanding the realities of policymaking.
  • Policymaking involves negotiation among individuals and interest groups with competing values.
  • Sociolinguistic tools, like argumentation theory, can enhance policy deliberation and improve outcomes by increasing awareness of values.