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Books > Medicine > General issues > Health systems & services
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Practice-based Evidence for Healthcare - Clinical Mindlines (Hardcover)
Loot Price: R3,896
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Practice-based Evidence for Healthcare - Clinical Mindlines (Hardcover)
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This book challenges the evidence-based practice movement to
re-think its assumptions. Firmly rooted in real practice while
drawing lucidly on a great breadth of theoretical frameworks, it
examines afresh how clinicians use knowledge. Evidence-based
practice has recently become a key part of the training of all
health professionals. Yet despite its gold-standard' status, it is
faltering because too much effort has gone into insisting on an
idealised model of how clinicians ought to use the best evidence,
while not enough has been done to understand why they so often
don't. Practice-based Evidence for Healthcare is a groundbreaking
attempt to redress that imbalance. Examining how clinicians
actually develop and use clinical knowledge day-to-day, the authors
conclude that they use mindlines' -- internalised, collectively
reinforced, tacit guidelines. Mindlines embody the composite and
flexible knowledge that clinicians need in practice. They are built
up during training and continually updated from a wide range of
formal and informal sources. Before new evidence becomes part of
practitioners' mindlines, it is transformed by their interactions
with colleagues and patients via their communities of practice and
networks of trusted colleagues. To explore how mindlines work
Gabbay and le May draw on a wide range of disciplines to analyse
their detailed observations of clinical practice in the UK and the
US. Their conclusions and provocative recommendations will be of
value to all practitioners, health service managers, policymakers,
researchers, educators and students involved in the promotion of
evidence-based practice.
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