EBP “ is based on the best available evidence of the effectiveness of particular programs, services, “ and interventions.
NASW Code of Ethics. GrowthCSWE Curriculum Standards.Legislation mandating greater Factorsprofessional accountability.Managed Health Care.Consumer advocacy movement.Outcome-based funding.Malpractice lawsuits.
AdoptionPhilosophical + epistemological Barriersdifferences about knowledge claims.Problems applying research-basedgeneralizations to individual clients +circumstances.Inconclusive or contradictory researchliterature.Lack of guidance or tools to facilitateimplementation or adoption of EBP.
AdoptionBarriers View that complex + contextual social work practice will be reduced to narrowly defined “treatments” + “problems.” Concern about the de-emphasis of the practitioner as expert with privileged knowledge. Belief that EBP stifles innovation.
constructiveEvidence comes in many forms.EBP is compatible with empowermentapproaches to practice.EBP is not an exclusive guidance system.The research literature includes innovativeprograms + services.Bench-trench research partnerships that honorreal-world practice challenges are increasing.Readily accessible implementation tools exist.
1. Be motivated to apply EBP.2. Phrase your information need as an answerable question.3. Track down the best available evidence. Start4. Critically evaluate the evidence conducting you find.5. Integrate it with your clinical EBP expertise and client’s circumstances.6. Assess the intervention’s outcomes.
orinother words question search evaluate apply + assess
Think of an answerable question. “A question that’s based on your information needs, in terms of a population, issue, intervention, sett -ing, or type of evidence and on specific aspects of your client’s “ problem or condition.
questions like:What has been shown to help… …stop crack cocaine abuse. What community-based interventions reduce… …student absenteeism. What psychosocial treatments work … …to reduce the risk of teenage pregnancy.What group therapies improve… …prenatal care adherence.
Locate and retrieverelevant information.Clarify your conceptsand facilitate yoursearch by developinga comprehensive list searchof search terms.Use a variety ofinformation sources.
Engage in collaborative decision making withclients.Consider unique values, needs, + culturalcharacteristics of the client and adapt EBPaccordingly.Develop a plan to assess the impact + outcome ofthe intervention. apply + assess
Time. ChallengesTraining in search and evaluation.Controversy regarding the hierarchy ofevidence.Shortage of relevant evidence.Need for access to electronic resources.Social Workers may become “evidence users”rather than independent evaluators, replacingone authority with another.