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Evidence-Based Practice/Evidence-Based Medicine An Overview of EBP/EBM

Evidence-Based Practice/Evidence-Based Medicine An Overview of EBP/EBM Dr. David Sackett coined the term Evidence-Based Medicine (EBM) in the 1990s and defined it as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients" and recommended that clinicians formulate a diagnosis based on evidence and research while also incorporating individual patient preferences, values, and beliefs (Sackett et al., 1996). https://youtu.be/Ij8bPX8IINg evolved from Evidence-Based Medicine. Historically, EBM was largely concerned with physicians and the "treatment" part of medicine. Other healthcare professions later adopted EBM under the title Evidence-Based Practice (Mackey & Bassendowski, 2017). Evidence-Based Practice is a more multidisciplinary approach that includes nurses, clinicians, nurse practitioners, physician's assistants, physical and occupational therapists, and other health professionals, and it covers many aspects of health such as etiology, prevention, diagnosis, treatment, and more (What is the difference, 2017). Some feel that Florence Nightengale's work in military hospitals during and after the Crimean War is where Evidence-Based Practice originated. However, the majority of the literature connects the origins of proof-Based Medicine to Archie Cochrane's promotion of randomized clinical trials as proof of effectiveness in the 1970s (Aravind & Chung, 2010). Cochrane wrote the book Effectiveness and Efficiency (1972) about medical biases and inconsistencies. He argued that medical interventions were not founded on reliable evidence. Prior to it, much of the patient care decision-making was focused on individual physician assessment and choice (Mackey & Bassendowski, 2017). Cochrane critiqued the lack of credible data supporting many frequently accepted healthcare therapies at the time, believing that doctors should use techniques with the most confirmed evidence of benefit (Shah & Chung, 2009; Mackey & Bassendowski, 2017). He believed that randomized controlled trials (RCTs) were the most reliable form of evidence, and his promotion of RCTs laid the groundwork for the Evidence-Based Medicine movement (Shah & Chung, 2009; Mackey & Bassendowski, 2017; Aravind & Chung, 2009). EBM aided in the creation of systematic reviews and meta-analyses, research methodologies in which researchers find several studies on a topic, choose the best ones, then critically examine them to summarize the best available evidence (Masic et al., 2008).


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