Developing evidence-based practice and practice-based evidence.
Have a bias toward action – let’s see something happen now. You can break that big plan into small steps and take the first step right away.
Developing and implementing good quality evidence is essential for the delivery of safe, effective, efficient and patient-centred occupational therapy practice. Yet, if we are honest, practicing in an evidence-based manner, and developing the evidence-base for practice, can be highly challenging.
Evidence can seem elusive. Research may be lacking in your area of practice. Organisational priorities and culture may promote the continuation of things the way they have always been done. Sometimes we can get caught up in the search for “gold standard” evidence for our work: that is research of an intervention’s effectiveness that has been supported by randomised controlled trials or even better meta-analyses of several high quality studies. When we don’t find it, perhaps we assume that there is no evidence to support our practice and little we can do to generate it. And time, knowledge, and confidence can all seem like valid barriers that stop us from developing our own practice-based evidence. This chat starts from a different position.
Developments in health and social care demand that services benefit the people who receive them. There has never been a more pressing need, or more appropriate time, to undertake evidence-based practice and to develop practice-based evidence. It’s time, therefore, to take a fresh and optimistic look at what we can each do to implement and develop research in practice.
Some questions for our first research chat:
1. What opportunities do you see to implement research in your practice?
2. Evidence-based practice is the integration of evidence, clinical judgement and patient preferences – How do you manage/balance this?
3. What skills/knowledge do you need to develop to increase your ability to conduct evidence-based practice?
4. Is there anything in your work place that you can capitalise on to help you develop/deliver evidence based practice?
5. How can we build on service innovations to develop high quality evidence for practice?
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