Criticism of deviance base practices
Concept & Nature Of Evidence - based Practice; 5
Investigation Scope; 6
Practice Implications & Observations; 6
In this article, an analysis over the conduct of evidence-based practice is studied as a working strategy for relevant applied knowledge in the functional fields of learning and practice. The obvious concerns consist over the reliability and validity check of the evidence - based practice over the objection of the impact of the humanitarian aspect. Instead, we suggest that Praxis-based knowledge informed by different forms of knowledge is a better option, with a greater potential to enhance the use of knowledge in working capacity and practice. Praxis based Knowledge approach is a functional participatory action research that have the potential to provide guidance on decision making, by ruling over the humanitarian prophesies of influence. The article takes its starting point from the study and the knowledge triad of methods and implementation of decision making of evidence - based practice, highlighting the concerns and doubt about efficacy. It further displays concern of perspective on a Phronetic knowledge, which is value-based, context-dependent, sensitive to power relations and grounded in practical experience before offering the ultimate suggestion that is the intervention of Praxis-based the knowledge practice and decision making for evidence - based research.
Evidence - based practice is an active topic of investigation these days because of the intense importance led to the term. It functions for the attainment of the standard criteria, in terms of evaluation and implementation. In the observation of the prevailing practices and perceptions of the term, various literary writings will be explored in this paper. The intention is to gain an overview of the implementation of evidence - based practice in the dimensions of various clinical scenarios for a critical evaluation.
The writings being explored in this review include the following five pieces of paper;
- What Drives Change? Barrier to and incentive for achieving evidence - based practice by Richard Grol and Michel Winsing.
- What’s All This about Evidence-Based Practice? The roots, the controversies and why it matters by Annie Rahman and Robert Applebaum.
- Evidence - based Policy: I. In Search of a Method by Ray Pawson.
- The concept of evidence in evidence-based practice by Tone Kvernbekk.
Concept & Nature Of Evidence - Based Practice;
The most eminent a concept that also marks the origin of the theory, interconnects the evidence - based practice model with political and historical aspects. As mentioned in the article, 'The concept of evidence in evidence - based practice' by Tone Kvernbekk, it is illustrated that the theory of evidence - based practice is primarily promoted by British and American author. It is also regarded as an epistemological branch of study with a fact examination agenda. The reference of the term evidence - based practice in the illustrated dimension is encouraged to extract empirically based conclusions from the evidence to optimistic scientific support. The purpose is to highlight and eliminate misleading contents of policies and structure that are being used for the development of the field of study. Likewise, the same concept is marked in the article “what’s all this about evidence - based practice, the roots, the controversies, and why it matters by Annie Rahman and Robert Applebaum. This article throws light over the subject by interconnecting the theory with a practice. It refers to the context of Crimean war, in the 1850’s in which the evidence - based practice term was used first time. That is, when Florence Night angel explored and elaborated the connection between sanitary conditions in the hospitals and rising death rates among the soldiers.
The purpose of this paper is to review and analyse the considerations over the guidelines and implementation of the term from diverse perceptions. In this regard, the validity of the concept and dimensions of scope are ought to be investigated to support the critical study with a solid ground. The theory of evidence - based practice is also explored in the light of the observations of technicians and practitioners, in which the awareness and education of the consumer are left behind for consideration. Meanwhile, place to influence that is the emotional tilt over a factor considered for evidence are also studied as an element of possible miscalculations. In particular, the aim of this study is to provide feedback with the evaluation and support in the cultivation of a strengthened model that overcome the shortcomings of the system. It further allows the development of a system with constant quality improvement and impeding the philosophies that proffer process refinement, controlling the fallen out clinical observations / evidences. In short, the presented critique does not aim to eliminate the utility of evidence - based practice but to highlight the shortcomings with the supporting observations. The strengths of the model will also be explored for optimistic review and constructive criticism that ought to bring improvement in the method.
Practice Implications & Observations;
The most crucial and the most obvious element that is being witnessed in the study of evidence - based research is the variation of specification or requirement of different industries for the implementation and evaluation of evidence - based practices. The other most important concern in this spectrum is that of a variety of perceptions adhered by the different authorities and officials over the practices and programs, as is evident in the paradigm of attested literary papers. The theories and models studied in this reference are supplemented with the exploration of features, goals and controversies against the apprehension of adopting the evidence - based practice in multiple fields of diligence. The theories distributed according to the functioning change on individual professionals, social context and organizational and economic context. However, each model offers a range of the deterministic system according to the behaviour and environment of the industry, which display visible grounds of dissatisfaction. The approach of the presented paper allows critical analysis on the rationality of the 'epistemic processes' and other determinants that determine the decision making factor. The study makes it obvious that the implication of the evidence - based practice in the broad dimension failed to comprehend the rationality of authentic criteria of objective evidence because of humanitarian aspects.
This opinion can be well defined with the support of details from different industries. For example, from the point of view of the educational industry the property of truth, value claim, from the educational context of the theory of evidence - based practice. In this spectrum, adequacy of the strategy developed from evidence - based practice is regarded as the success of the element. In this reference, it can be pointed that 'place to' that is positive emotional reading can be a substantial misleading element that can impact decision making capability. Even though, every strategy can be successful and not every theory can be approved, there is no method to refrain emotional count on decision making. This makes it clear that models and theories cannot possibly grant evidence for authentic grounds of decision making. Likewise, the 'place to' impact cannot be encompassed with the theoretical description but with observations and readings only.
Therefore, irrespective of the implementation or evaluation of the factors of evidence - based research and practice, an element of human association and the factor of bias readings on emotional grounds can neither be gauged nor be eliminated. At the same time, the dissemination, perception and adoption of each finding irrespective of industry supplements change with additions and substitutes on emotional grounds (liking / disliking). The consideration is applicable to the entire system of evidence - based practice. The growing impact of the concern has been estimated since the beginning and incorporated in the observations, as well.
The point to raise is that the most important and essential element of evidence - based contest is that of justified criteria to determine the confirmation or disconfirmation of an objective with the provided hypothesis. The failure to cope with the element of emotional assessment is the core hindrance of human exploration that add uncertainty to the validity and reliability of the study.
The other readings that proffer the narrative approach of evidence - based practice and the relevant structure comprehends the findings retrieved from the practical implementation of results and the comparison of the outcomes of the factors. Such a narration based structure outline the safety road of experimental conduct, commenced from evidence - based practice to the users. The source of information is the most essential element of decision making in this approach. However, herein also the 'Place to' impact on predators of adoption are obvious. Hence, irrespective of the profession or the behaviour of an individual the emotional affiliation with readings can pose significant variation in reading in the narrative approach. Likewise, the numerical approach is also based on the findings of human conduct that is often afflicted with emotional variance.
The process based approach adapted by organisational management and change with evidence - based practice is another type of the practice management. In this regard, it can be elaborated that the evidence - based practice from the context of leadership studies function of the framework based on the process concepts rather than the numerical or the written approach, to depict the reasoning of the outcome. However, the concept or concern of implementation and intervention of evidence – based practice is similar that is the inquisition of credibility, usefulness and accessibility to the users.
Meanwhile, the humanitarian aspect or the 'place to' impact can also be observed on the shift of paradigms. The latter take place under the decision making capability of evidence - based practice due to the impact of individual, social, cultural and organisational traits. Hence, these contradictions of observations draw a considerable gap between practitioners and researchers, in the course of evaluation and implementation of resolutions. The bundle of constraints and the lack of absolute command over the research make it difficult to align the research cycle, parallel to the features of implementation and evaluation.
The obvious readings and critical analysis make it impossible to specify the obligations and applications of evidence - based practice over a certain standard, to be added confidently on policy based matters. Besides, it should also be considered that innovation cannot be standardized, whilst quality improvement should must be adhered for uniform development. However, certain guidelines for evaluating the evidence to gauge the findings are essential for incorporation. At this point, it should also be kept in consideration that incorporation of the strategy to eliminate the factor of emotional influence on decision making is a prime concern.
The concepts of evidence in relation to the properties of the objective under the determination for revitalization of the system needs dire focus on context dependant methods that is responding the power relations for maximum visibility of application. The suggestion for such a system is the adaptation of the Praxis-based knowledge approach. Such an application can overcome the shortcomings of the system by efficiently coping with the unnecessary influence of the humanitarian impact.
Applebaum, A. R. (2010). What’s All This about Evidence-Based Practice? The roots, the controversies and why it matters . GENERATIONS – Journal of the American Society on Aging , 6-12.
Kvernbekk., T. (2011). The concept of evidence in evidence-based practice. Educational Theory , 515 - 531.
Pawson., R. (2001). Evidence - based Policy: I. In Search of a Method . ESRC UK Centre for Evidence - based Policy and Practice: Working Paper 3 (pp. 1 - 22). London: University of London.
Sandra Nutley, I. W. (2003). From Knowing to Doing: A framework for understanding the evidence into practice agenda. Discussion paper 1, Research Unit for Research Utilisation, (pp. 1 - 7). University of St Andrews.
Winsing., R. G. (2004). What Drives Change? Barrier to and incentive for achieving evidence - based practice. MJA , 57-60.