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Aug 23, 2021 · This article considers why and how evidence-based practice has become distorted in practice, and what to do about it. We present qualitative data from an action research project in policing to highlight tensions between the rhetoric and reality of evidence-based practice, and the ways in which evidence-based practice’s seductive catchphrase ...
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- Descriptive Dimensions of "Evidence-Based"
- Normative Dimensions of "Evidence-Based"
- Evidence and Consensus
- What An Evidence-Based Ethics Should Be
- The Limits of An Evidence-Based Ethics in Practice
In Sackett's definition, EBM is described in a more general version as follows: "Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the medical care of individual patients. The practice of EBM means integrating individual clinical expertise with the best available external cli...
Legitimation of action
The EB concept includes the normative dimension of the legitimation of action. Whenever empirical information plays a role in decision-making (be it medical, ethical, or health policy decisions), according to the EB concept the information should be given preference that fits or best fits the criteria of evidence (see above). Empirical information that reaches the highest EB status should be trusted more in action-oriented decisions than empirical information that does not satisfy the criteri...
Quality assessment
The decision as to what should be considered evidence is based on the quality of the underlying studies, i.e. their reliability and validity. Only the empirical information supported by a context-sensitive study of appropriate quality is to be considered evidence. But who can or should decide, using which criteria, whether the quality standards have been met or not? In actual medical practice and in empirical ethics we will have to continually lower the bar, since the perfect study without an...
In the following the descriptive and normative dimensions of the EB concept will serve as a framework for a critical analysis of the associated challenges in general and for an evidence-based ethics in particular. It is important to keep in mind that the basic idea underlying the EB concept deserves our strong endorsement from an ethical perspectiv...
In order to analyze the particularities of an evidence-based ethics, the following will begin by outlining a conception of the relation between normative and empirically descriptive statements. The relation between norms and facts has become an occasion of controversial debate in the past years, with the notable key terms including the "empirical t...
Having presented a rational and non-trivial reading of evidence-based ethics as a theoretical conception, this paper is now particularly concerned to identify the limits of evidence-based ethics in practice and the risks that go along with it. Whether the idealized conception of an evidence-based ethics presented in the previous section can be real...
- Daniel Strech
- daniel.strech@uni-tuebingen.de
- 2008
By examining the norms and implications of evidence-based practice in medicine, I aim to demonstrate that an evidence-based approach is incompatible with bioethics' normative mandate and therefore evidence-based ethics should not be pursued.
Oct 6, 2020 · “Evidence-based healthcare will always, by definition, apply standardized care models based on the response of cohorts to treatment; when these models fail to capture minority responses of individuals, personalized medicine and PCC are ways for us to help nuance the models and identify and properly respond to individual exceptions.” 59
- Sven Ove Hansson, Barbro Fröding
- 2020
Aug 23, 2021 · We present qualitative data from an action research project in policing to highlight tensions between the rhetoric and reality of evidence-based practice, and the ways in which evidence-based practice’s seductive catchphrase ‘what works’ is being understood and applied.
- Leah Tomkins, Alexandra Bristow
- 2021
There cannot be better emphasis on evidence based ethical research practices than implementing these amendments not just in words, but also in its spirit. If one follows the DOH guidelines, there cannot be a conflict between ethics and research practices.
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It can be difficult to tell when disagreements about the appropriateness of medical interventions result from different, but reasonable, interpretations of the evidence and when they result from unreasonable dismissal of legitimate evidence.
