Definitions and Philosophy of EBP

1
Definitions and Philosophy of EBP

• Critical to emphasize all aspects of the process
  (intersection ofclient preferences and values,
  practitioner expertise, best evidence, and
  clinical characteristics and circumstance.
• The word evidence seems to overshadow the other
  elements of the process.
• Evidence INFORMED Practice may be more useful
  language
• Need congruence of definition within a
  school/department/program

2
Definitions and Philosophy of EBP

• Important to emphasize values of the model 
• Humility,
• critical thinking vs. right answer,
• shared decision-making,
• client empowerment,
• self-determination,
• importance of alleviation of distress,
• doing no harm,
• not being ineffective,
• cultural competence
• Social justice,
• social change,
• the importance of life-long learning,
• acknowledgement of ignorance,
• using acknowledged ignorance to fuel new
  research,
• transitional nature of evidence and
• the evolution of knowledge.
• Scientific attitudes

3
Buy-In for EBP

• Honor and acknowledge resistance and concerns
• Acknowledge complexity
• Be clear about definitions of EBP
• Identify or create forums for discussing EBP
• Bring in EBP gurus to cheerlead/motivate/inspire

4
Buy-In for EBP

• Offer colleagues assistance to support EBP
  (lectures, syllabi)
• Apply appropriate pressureno play no pay
• Utilize a team approach (faculty, adjuncts,
  students, field instructors)

5
Buy-In for EBP

• Be truly collaborative inclusive
• Dont just emphasize research
• Embrace practice expertise as a part of knowledge
  developmentfeedback loop between
  practice-research-practice
• Clarify support each persons role in the
  process of implementing EBP
• Be honest/transparent about successes/failures
• Develop plans with communitymutual ownership

6
Structural Issues

• Need to develop mechanisms for collaboration and
  information sharing across schools of social
  worktrack innovations
• Listserv
• Virtual faculty
• Forums
• CSWE/SSWR/NASW
• Retreats

7
Structural Issues

• Urgently need to provide CSWE with input for EPAS
• They need to be guided by evidence in the
  development of curriculum standards policies
• Engage Social Work organizations more fully
• CSWE/SSWR/NASW/GADE/BPD/CEU boards
• Revitalizing profession leadership roundtable

8
Structural Issues

• Develop Infrastructure to support EBP
  collaborative work
• Will need to be incremental
• Institutional Rewards for collaborative community
  work
• Access to library and database resources
• Tech support
• Release time
• Money
• Strategic hiring/firing of faculty

9
Structural Issues

• Develop Infrastructure to support EBP
  collaborative work
• Develop measures to evaluate our curriculum
  changes
• Publish findings about our processes
• Training for faculty/adjunct/field on
• specific EBPs
• teaching EBP process (verb)
• teaching EBPs (noun)
• evaluating/judging quality
• teaching problem based learning
• developing/deepening/teaching critical analysis

10
Curriculum Ideas

• Teaching
• Be transparent
• Admit ignorance
• Discuss limitations
• Use evidence on teaching/education
• Promote deep learning
• Develop active learners rather than passive
  learners
• Instill belief in life long learning and advocacy
  for best practice
• Customize student learning to individual
  need/experience
• Utilize team course development team teaching

11
Curriculum Ideas

• BSW/MSW Foundations
• Teach EBP process values behind EBP
• Develop a mind-set that appreciates the value of
  EBP
• Deepen research skills/knowledge
• Use integrative seminar to demonstrate
  incorporation of evidence into practice.
• Develop tolerance for ambiguity self confidence
  to move forward in spite of ambiguity
• Develop an understanding of the scope and
  complexity of practice

12
Curriculum Ideas

• MSWs Advanced
• Exposure to EBPs in practice courses
• Skill development for EBP evaluation in practice
  across levelsmicro to macro
• Deeper content on implications of clinical
  context client preferences in EBP process
• PhDs
• Have doc students develop EBP syllabi for BSW/MSW
  courses as teaching skill development

13
Curriculum Ideas

• Miscellaneous Courses
• Use foundations courses for teaching EBP process
  advanced courses for EBPs
• Revamp research methods to emphasize
  appraisal/critique of evidence and evaluation of
  practice.