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Is evidence-based practice justified?-A philosophical critique.

Henrik Berg1

  • 1Institutt for Klinisk psykologi, Universitetet i Bergen, Bergen, Norway.

Journal of Evaluation in Clinical Practice
|July 16, 2024
PubMed
Summary

Evidence-based practice (EBP) lacks a solid philosophical foundation. This analysis reveals EBP

Area of Science:

  • Philosophy of Science
  • Healthcare Epistemology
  • Evidence-Based Practice (EBP)

Background:

  • Evidence-based practice (EBP) is a cornerstone of modern healthcare and other fields.
  • However, EBP has been criticized for its insufficient philosophical rigor.
  • This study addresses the need for a robust epistemological examination of EBP.

Purpose of the Study:

  • To critically analyze the underlying epistemology of evidence-based practice.
  • To identify and evaluate the implicit philosophical assumptions within EBP.
  • To propose a revised epistemological framework for EBP.

Main Methods:

  • The study employs a rigorous conceptual analysis.
  • It first elucidates the implicit epistemology guiding current EBP.
Keywords:
causationepistemologyevidence‐based medicineprogress

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  • Subsequently, it critically evaluates the tenability of this implicit basis.

    • Main Results:

    • The analysis demonstrates that evidence-based practice currently lacks an explicit epistemological foundation.
    • The implicit epistemological underpinnings of EBP were found to be philosophically untenable.
    • This highlights a significant gap between EBP and established philosophical principles.

    Conclusions:

    • A fundamental re-evaluation of the epistemological basis for evidence-based practice is urgently required.
    • Current EBP approaches are misaligned with contemporary advancements in the philosophy of science.
    • Strengthening the philosophical grounding of EBP is crucial for its future validity and application.