Evidence Based Practice

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??? ???????? ?? ????? ?????? ???? The knowledge
spectrum (Osmond, 2001, 2005)
????? ??????? 53-2, ???????? ??????? Evidence
Based Practice
???? ????? Intuition, Expertise Tacit
knowledge Practice wisdom
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The Paradigm War (Lishman , 2000)
Evidence Based Practice
Practice wisdom
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The Paradigm War (Lishman , 2000)
Evidence Based Practice
Practice wisdom
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Evidence Based Practice
(a) converting information needs into answerable
questions (b) tracking down with maximum
efficiency the best evidence with which to answer
these questions, (c) critically appraising that
evidence for its validity and usefulness, (d)
deciding whether research findings (if any) apply
to a particular client, (e) involving clients as
informed participants and considering theirvalues
and expectations, (f ) taking action based on the
best evidence, and (g) evaluating the outcome
(Gambrill, 2001)
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Evidence Based Practice

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Evidence Based Practice

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• Flexner, A. (1915) Is social work a profession?
  Proceedings of the National Conference of
  Charities and Corrections
• Gambrill, E. (2001) today, as during the
  birth of the profession, there is no evidence
  that social workers possess unique knowledge
  and skills that produce better results compared
  to nonprofessionals

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The international Campbell Collaboration (C2) is
a non-profit organization that aims to help
people make well-informed decisions about the
effects of interventions in the social,
behavioral and educational arenas
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Implications for practice There is nothing in
this review to detract from the general consensus
that cognitive-behavioural approaches, merit
consideration as a treatment of choice for
sexually abused children who are experiencing
adverse consequences of that abuse. The results
of the review do, however, suggest that the
evidence is more equivocal than some reviewers
would suggest, including those who have
themselves conducted trials.
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the core social work literature contains
little rigorous research from either a
quantitative or qualitative point of view
Fraser, 1991 Professionals are expected to
offer treatments that reduce recidivism in
learning disabled sex offenders. At the present
time they cannot base their choice of
intervention on randomised controlled trial
evidence Campbell Collaboration review.
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• 'Why don't social workers read?'
• Jesse F. Steiner,1923 in Journal of Social Forces
• Several recent national reports have noted with
  alarm that there is a 20-year gap between
  knowledge generated from our best clinical
  research and the utilization of that knowledge in
  our health and mental health care sectors
• Brekke et al, 2007 in Research on SW Practice

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Translational Research

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• Practice-based research (???? ??????
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The Paradigm War (Lishman , 2000)
Evidence Based Practice
Practice wisdom ???? ?????
a disciplined improvisation
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• ????? ???????? ?? ???? ????? tacit knowledge -
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• ?????? ???????? (reflection in/on action)

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