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Pragmatism in Evidence-Based Practice - Not to the Extreme, Please
1Retired Assistant Professor, Purdue University Northwest.
Nursing Science Quarterly
|December 26, 2022
Summary
Pragmatism in evidence-based practice (EBP) may overlook bias to ensure clinical usefulness. This analysis explores the interplay between pragmatism, EBP, and bias in healthcare.
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.
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