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Bridging our mandates: evidence-based practice (EBP) and patient-centered care (PCC) 1
Published on October 31, 2017 33 min
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- Dr. Sharon Millard
- The Michael Palin Centre, UK
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- Prof. Soo-Eun Chang
- University of Michigan, USA
Hi, my name is Nan Bernstein Ratner. I'm here to discuss the topic of bridging our mandates, evidence-based practice, and patient-centered care. I happened to work at the University of Maryland. And, if you have any questions after this, you can reach me at the e-mail that I've listed below.
I'm going to start first by explaining the purpose of this talk. First, what I want to do is fully flesh out what evidence-based practice is and what it means for practicing speech-language pathologist or NSLT. And then, I want to introduce a second notion, patient-centered care and how that can lead to differences in how you might treat a particular patient, and then finally, I'm going to talk a little bit about practice-based evidence, which is how to gather site specific information to do better evidence-based practice. But first, I'll start by reviewing the principles of evidence-based practice. I think everybody thinks they understand it. It's a very common test question, but I thought it would be useful to take a moment to review its principles before going on.
So, the principles of evidence-based practice in a very oversimplified way is usually characterized by the overlapping circles that you see. The first is often considered one of the most important steps that people don't take the time to do, unfortunately, in practice and that is to find the best research evidence for what they should do with a particular patient, as opposed to simply using what they learned in school or what they see their colleagues doing. That is often positioned not so much as an equal part of evidence-based practice, but rather a primary important component of evidence-based practice. Unfortunately, the other two circles often get a little bit less attention. One is clinical expertise and that really is not just about how to be a good clinician in the sense that you know how to administer a particular intervention, but also whether or not you understand when it's time to adapt an intervention, when it's time to pick a different intervention for a particular client, and so on. And I'm going to come back to this because clinical expertise sometimes gets short shrift in this process, and it often has very important ramifications for how we treat our patients. And the last part is patient values. Patient values are often not seen as terribly important by many people working in speech language pathology because we don't normally have an array of options that patients know about in order to pick a particular treatment. But, I'll also talk about patient values as we move forward because sometimes there are things that we will suggest that patients do or we may urge patients to be more patient about progress in therapy when, in fact, they're telling us something very important that we have to listen to.