Patient Values EBP Best Research Evidence Clinical Expertise between events constitutes potential evidence.” This definition suggests that not all evidence ought to be considered equally. A discussion regarding hierarchy of evidence is outside the scope of this article and is well-described elsewhere. 4 Because what can be considered evidence-based is often a rapidly evolving standard, evidence-based practitioners are encouraged to align their practice styles with good quality research evidence, affording them the ability to alter their stance on topics as the evidence changes, rather than anchoring their beliefs based on anecdotes and experience. Interestingly, this understanding comes from the wisdom devel-oped through experience, which certainly has a role to play in evidence-based practice. reflect patient values/preferences. In considering patient values/preferences, a strong argument can also be made, based on qual-itative research, 2 that we (clinicians) greatly influ-ence patient values on account of the narratives we disseminate during our interactions with them. A common question that often arises when dis-cussing EBP is what constitutes evidence? Guyatt et al. 3 offer the following definition: “Any empirical observation about the apparent relationship References: 1. Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: what it is and what it isn’t. BMJ (Clinical re-search ed.), 312(7023), 71–72. https://doi.org/10.1136/bmj.312.7023.71 2. Setchell, J., Costa, N., Ferreira, M. et al. Individuals’ explanations for their persis-tent or recurrent low back pain: a cross-sectional survey. BMC Musculoskelet Disord 18, 466 (2017). https://doi.org/10.1186/s12891-017-1831-7 3. Guyatt GH, Haynes RB, Jaeschke RZ, et al. Users’ Guides to the Medical Literature: XXV. Evidence-Based Medicine: Principles for Applying the Users’ Guides to Patient Care. JAMA. 2000;284(10):1290–1296. doi:10.1001/jama.284.10.1290 4. McNair, P., & Lewis, G. (2012). Levels of evidence in medicine. International journal of sports physical therapy, 7(5), 474–481. Do you want to write for Chiropractic and Naturopathic Doctor? Do you have a story to share with your fellow chiropractors and naturopaths? Whether it’s an exciting case study, overview of a new technique, or business tips and tricks (or something completely different), feel free to send an email to our Editor at [email protected] to get the details of how YOU can appear in print and online! #CanadianChiropractor www.Cndoctor.ca CC_HouseAdwritefor_May20_MLD.indd 1 September 2020 Chiropractic and Naturopathic Doctor 21 2020-04-14 10:18 AM
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