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International Journal of Health Professions

The journal of Verein zur Förderung der Wissenschaft in den Gesundheitsberufen

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2296-990X
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Decision-Making and Sources of Evidence in Occupational Therapy and Other Health Professions. Evidence-Informed Practice / Entscheidungsfindung und Evidenzquellen in der Ergotherapie und weiteren Gesundheitsberufen. Evidenzinformierte Praxis

George S. Tomlin
  • University of Puget Sound, School of Occupational Therapy, 1500 N. Warner St., Tacoma, WA 98416, UNITED STATES
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Deborah Dougherty
  • University of Wisconsin-La Crosse, Health Professions Department/OT, 1725 State Street, La Crosse, WI 54601, UNITED STATES
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2014-12-30 | DOI: https://doi.org/10.2478/ijhp-2014-0001

Abstract

Contemporary conditions require health professionals both to employ published evidence in their individual practices and as a profession to produce valid evidence of their outcome effectiveness. Heretofore, these two processes of evidence-based practice have often been confounded as one. This theoretical paper separates the two processes into «Evidence-Supported Practice» and «Evidence-Informed Practice.» Each requires a different approach to evidence accumulation and use. Nonetheless, the two processes can and should be interlinked. For external (research) evidence, the research pyramid model values equally the internal and external validity of studies, as both are important for the implementation of external evidence. Furthermore, external evidence must be combined with internal evidence (data generated in the course of interaction with a client) in the decision-making of practitioners. Examples from recent research on occupational therapy practice and literature from several other health professions are cited for illustration. This paper formulates a more comprehensive model for evidence-based practice. From this model follow specific recommendations for practitioners, researchers, and educators in the health professions.

Abstract

Von den Gesundheitsberufen wird einerseits verlangt, dass jeder einzelne Praktiker wissenschaftsbasiert arbeitet, d.h. publizierte Evidenz in der Praxis anwendet (Evidence Based Practice, EBP). Andererseits müssen sie als Profession valide Evidenz der Ergebnisse ihres professionellen Handelns produzieren. Diese zwei Dimensionen von EBP werden in der Diskussion oft nicht auseinander gehalten, was zu Verwirrung führt. Dieser theoretische Beitrag differenziert diese beiden Prozesse als “Evidence- Supported Practice” und “Evidence-Informed Practice” und zeigt, wie sie wieder zusammengeführt werden können. Zur Bewertung der externen und internen Validität von externer Evidenz wird die Forschungspyramide verwendet. In der Alltagspraxis müssen externe und interne Evidenzarten verwendet werden. Um den Begriff der internen Evidenz zu erklären, werden Beispiele aus der Ergotherapie und aus der Literatur anderer Gesundheitsberufe herangezogen. Empfehlungen für eine umfassende Strategie Evidenz-Basierter Praxis, adressiert an Praktiker, Forscher, und Lehrer werden formuliert.

Keywords: evidence-based practice; professional decision-making; evidence sources; evidence evaluation; evidence translation

Keywords : Evidenz-basierte Praxis; professionelle Entscheidungsfindung; Evidenz Quellen; Evidenz Bewertung; Evidenz Anwendung

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About the article

Received: 2014-04-15

Accepted: 2014-08-27

Published Online: 2014-12-30

Published in Print: 2014-12-01


Citation Information: International Journal of Health Professions, Volume 1, Issue 1, Pages 13–19, ISSN (Online) 2296-990X, DOI: https://doi.org/10.2478/ijhp-2014-0001.

Export Citation

© 2015 George S. Tomlin et al., published by De Gruyter Open. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License. BY-NC-ND 4.0

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