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Area of Science:

  • Healthcare practice
  • Clinical research methodology
  • Medical ethics

Background:

  • Evidence-based practice (EBP) is a cornerstone of modern healthcare.
  • The author has extensively published on EBP, adopting varied perspectives over time.
  • A critical examination of EBP's practical application is warranted.

Purpose of the Study:

  • To define the author's current understanding of evidence in practice.
  • To investigate the role of pragmatism as a driving force in EBP.
  • To explore how pragmatism might influence the consideration of bias within EBP.

Main Methods:

  • Conceptual analysis of pragmatism, EBP, and bias.
  • Review of the author's previous writings on EBP.
  • Philosophical inquiry into the practical application of research findings.

Main Results:

  • Pragmatism is identified as a central element in the EBP process.
  • Pragmatic considerations may lead to the minimization or "whitewashing" of bias.
  • This approach aims to enhance the immediate utility of findings for clinicians.

Conclusions:

  • The integration of pragmatism in EBP requires careful consideration of its impact on bias.
  • Balancing the practical applicability of evidence with methodological rigor is crucial.
  • Further discussion is needed on managing bias within pragmatic EBP frameworks.