Verified Document

Evidence-Based Practice In The Past Thesis

Just as Weed lists the various levels of evidence, The American Psychological Association (APA) went a step further by establishing a task force to judge good evidence for a range of psychological disorders. According to Rosen and Proctor (2003), as taken from the APA, the most basic criterion used by this task force is that well established and empirically validated data requires a design that involves two or more rigorous studies that support the proposed intervention.

History of EBP

Newly gained interest in EBP makes it appear as a fairly new phenomenon to the social work and social services field. In fact, EBP was derived from medicine in general. Some in fact argue that the application of a standard that is derived as a tool for something such as a drug trial may not be a reasonable fit for social work, as the outcomes and answers are rarely as discrete as say, the drug removed the pain, or lowered blood pressure, or the trial surgical procedure healed faster and had less risk of failure than an older procedure. Relapse is far less common in such discrete issues than it is in fields associated with the human mind driven to action or inaction, based on thoughts and feelings.

Rosen (2003) states that EBP has been advocated in a number of human services professions, first in medicine, and more recently in psychiatry, clinical psychiatry and now social work. Early scholars in the field of social work education such as Edith Abbott, Sophonisba Breckinridge, Porter Lee, and Gordon Hamilton have long advocated for research based on practice (Shoemaker, 1998). Conversely, the implied assumption is that such research would then be used to improve practice at a later date, or even in the present research group. Yet, it is also clear that for the most part the rigors of science and data set searches were not likely at the forefront of their minds. As early as the late 1800's, social welfare advocates Anna Dawes and Mary Richmond, began moving toward an organized method of training new social workers, when they did so they also implied that there was a way to train, that involved experience and application, again a simplified support for EBP, in its most rigorous form, and mostly a simple goal of attaining professionalism through at least some standardization of practice. In this quest schools were where applied philanthropy was taught (Shoemaker, 1998). Yet, it is likely that in these classrooms and clinical settings a great deal of "you will get a feel for it," was espoused by these "applied philanthropists."

Bridging health and human services with scientific research inquiry, emerged as a trend toward the end of the 20th century and spread world wide within the 21st century throughout major universities, treatment facilities and medical and mental health centers throughout the world (Roberts and Yeager, 2004). In today's world of technology, the research industry plays a major role in the perceptions that consumers have for products being advertised and delivered and accountability is the key to consumer driven thought. This holds true for the field of social work and supports the emergence of EBP and its importance to the field of social work and other community service fields. Yet, it also makes sense that such a system as EBP, as it applies to social work would emerge in a climate of "accountability" as in the development of a culture that sees only "raw" data as a real gage of success and/or failure of a system, individual or organization. This is certainly not to say the EBP is essentially in error, as this would be another invalid certainty, as it is clear that evidence and knowledge must be utilized to the best degree possible when developing client interventions and that to do so requires rigor, it is also fair to say that many practitioners would like to see a bit of converse flexibility.

Per Yunong and Fengzhi (2009), observe that many scholars in the field of social work utilize the five steps of EBP originally formulated by a seminal work by Satchell et al. In 2000. The five steps include; 1 Converting one's need for information into an answerable question. 2. Searching for the best evidence to answer that question. 3. Critically evaluating the evidence. 4. Integrating the critical expertise and with the patient's unique biology, values, and circumstances, and finally 5 Evaluating one's own effectiveness and efficiency in undertaking the previous steps and to strive for self-improvement. The core of these principles, themselves certainly do not seem to denote judgment,...

Al, 2008). Yet, you could also argue that any paradigm that invokes inquiry would be of greater assistance to the practitioner than none. In short, using EBP can be viewed as a learning what treatments and techniques work based on research, while integrating client views into determining what will work best for them. Thoughout this work have been hints at the various contentions of both advocates and opponents of evidence-based practice. The following section will further stress this trend as it applies to education and application.
Multiple Perspectives on EBP

EBP has several potential benefits to social work. First, social work has been obsessed with professional status for almost its entire existence and advocating and applying a system that stands up to scientific rigors would aide in the quest for professionalism and professionalization of the field. (Bellamy et. Al, 2008). In other words the emphasis of research and strict evidence in EBP social work could potentially enhance the credibility of the social work profession. Second, it has been argued that social workers seldom use research evidence in practice, which many find a disheartening reality of the field (Rosen, 2003). The emphasis of research evidence in EBP social work could promote the integration of research evidence into social work practice, helping even the most ardent opponent see how even reading a single well documented research article might give them insight and promote thinking about solutions for clients. The fear is that if practitioners fail to consider the effectiveness of their interventions, then it is possible that clients will leave agencies without getting adequate and helpful treatment for their concerns and when they do this the profession is degraded.

With new advancements in technology, the invention of and the wide spread usage of the internet, research studies and findings are more readily available and easier to access than in the past, though again the ability, time and learning curve for such research must be considered. There are many researchers who are passionate about the effectiveness and the need for EBP in the social services and medical fields. For example; Roberts and Yeager have produced a document: Evidence-Based Practice Manual: Research and Outcome Measures in the Health and Human Services; (2004) that offers evidence-based knowledge so that graduate students and practitioners in the medical and human services professions can have the latest research and evaluation guidelines and evidence-based protocols in a comprehensive manual. Such a document, though exceedingly helpful may need to be the type of document that gains annual status, i.e. producing a yearly digest with new and emerging EBP evidence scholarship. Other scholars and textbook authors in the social work field have begun to add EBP to educational materials in relatively comprehensive manner. (Grinell & Unrau 2008)

Indeed many practitioners are excited about EBP and devoted advocates for continuing research and even teaching courses pertaining to EBP to college students; however, as has been pointed out not all practitioners are in favor of EBP. Social work educators must include thoughtful discussion of multiple aspects of evidence-based practice in the curriculum, including both the opportunities evidence-based practices hold for social work as well as the potential limitations. This is needed in order to ensure that students do not oversimplify the process of identifying and using evidence- based practices, and to ensure that students remain vigilant to potential evidence-based practice misuses and inappropriate practices under the guise of evidence-based practice (Bellamy et. Al, 2008). Yet, probably most importantly EBP must be adequately and appropriately defined in some sort of standardized manner.

Teaching clinical skills is of course an important element in existing social work education and if social workers are to develop expertise in the EBP process, gaining skills in assessing evidence must not crowd out the acquisition of these more traditionally emphasized -- but still…

Sources used in this document:
References

Bhattacharyya, Suman, B., Dr. (2008). Evidence-Based Medicine and Outcomes

Analysis- An Evaluation. The Indian Association of Medical Informatics.

Retrieved on April, 28, 2009 from http://www.iami.org.in/journal1/ebmedicine.asp

Bellamy, J., Bledsoe, S., Mullen, E., Lin F., Manuel, J., (2008). Agency-University partnership for evidence-based practice in social work. Journal of Social Work Education, Fall 2008, 44 (3).
http://www.socialworkers.org/research/naswResearch/0108EvidenceBased/defaut.asp
Schwartz, C. Managing evidence-based knowledge: the need for reliable, relevant and readable resources: Evidence-Based Practice (EBP) in Social Work. Retrieved on April 28, 2009 from http://www.usd.edu/med/socialwork/cschwartz/EvidenceBasedPractice.pdf
and Support. Can be found online at: http://www.alcoholanswers.org/alcohol-education/what-is-evidence-based.cfm.
Cite this Document:
Copy Bibliography Citation

Related Documents

Evidence-Based Practice EBP Is the Term That
Words: 895 Length: 3 Document Type: Essay

Evidence-based practice (EBP) is the term that refers to the need for nursing to be based on research that has been conducted in the most thorough scientific manner, consistently tested, rigorously proved, and only then published by peer-refereed academic journals. Evidence-based nursing is popular in nursing since it joins science with practice and bases nursing on a more critical scientific basis. It puts the nurse, so to speak, in the driver's

Evidence-Based Practice Faith MS, Van
Words: 3576 Length: 11 Document Type: Essay

The study involved giving adolescents a questionnaire to determine if they perceived their weight and appearance with accuracy; most females overestimated their weight and most males underestimated their weights. However, this was just 35% of the participants. The bulk of the participants (65%) were able to assess their body weight accurately. On the other hand, the results of the study indicate the need for interventions to help develop health

Evidence-Based Practice and Case Analysis
Words: 1167 Length: 4 Document Type: Term Paper

Such measures (such as testing prior to licensure examination) according to the authors might provide benchmarking allowing "early remediation to improve pass rates" and would help promote the success of licensing among nursing students. document all components of the research process including identifying their sample size, collecting aggregate data from tests administered previously, using questionnaires mailed to schools participating in the exam in the past and defining students and probability

Evidence-Based Practice Protocol: Domestic Violence
Words: 8700 Length: 30 Document Type: Research Paper

. Even when the child in a home where DV occurs is not physically harmed, most of the time, these children know about the violence. As a result, they may experience emotional and behavior problems (The Domestic Violence…, N.d.). A victim of DV needs to be reminded: She is not alone. She is not at fault. Help is available. In The physician's guide to domestic violence, P.R. Salber and E. Taliaferro (N.d.). about stress

Evidence Based Practice Approach
Words: 739 Length: 2 Document Type: Research Paper

Polit and Beck (2008) Evidence-Based Practice is "broadly defined as the use of the best clinical evidence in making patient care decisions, and such evidence typically comes from research conducted by nurses and other health care professionals" (3). There are several facts we must note about Evidence-Based Practice here. The first fact is that it is intended to improve patient care. The evidence is supposed to improve the decisions

Evidence Based Practice Articles Synthesis Summary
Words: 1567 Length: 5 Document Type: Essay

Synthesis/Summary of Evidence Based Practice Articles Introduction A life-long disease, diabetes tends to affect the way an individual’s body handles blood glucose. In essence, type 2 diabetes happens to be the most prevalent kind of diabetes. It is important to note that various research studies have been undertaken in the past in an attempt to not only figure out the risk factors of diabetes, but also assess the best approaches towards the

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now