John Gabbay, Andrée Le May

Practice-based Evidence for Healthcare

Clinical Mindlines

• Gebundenes Buch

Produktbeschreibung

Challenges the evidence-based practice movement to re-think its assumptions. This book examines afresh how clinicians use knowledge. Examining how clinicians actually develop and use clinical knowledge day-to-day, it states that they use 'mindlines' - internalised, collectively reinforced, tacit guidelines.

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Despite its 'gold-standard' status, the EBP movement is faltering because, while much effort has gone into developing an idealised model of the way clinicians ought to use best evidence, there is less understanding of why they often don't. This book examines how clinicians do actually develop and use clinical knowledge.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 276
• Erscheinungstermin: 17. November 2010
• Englisch
• Abmessung: 234mm x 156mm x 18mm
• Gewicht: 590g
• ISBN-13: 9780415486682
• ISBN-10: 0415486688
• Artikelnr.: 31301743

Autorenporträt

John Gabbay is Emeritus Professor at the Wessex Institute for Health Research and Development, University of Southampton, UK. Andrée le May is Professor of Nursing at the University of Southampton, UK.

Inhaltsangabe

1. Introduction: evidence in practice
2. From formal knowledge guided complexity
3.Clinical thinking and knowledge in practice
4. Growing mindlines: laying the foundations
5. Growing mindlines: cultivating contextual adroitness
6. The place of storytelling in knowledge sharing
7. A community of clinical practice?
8. Co-constructing collective mindlines
9. Co-constructing clinical reality
10
Conclusions and implications

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1. Introduction: evidence in practice; 2. From formal knowledge guided complexity; 3.Clinical thinking and knowledge in practice; 4. Growing mindlines: laying the foundations; 5. Growing mindlines: cultivating contextual adroitness; 6. The place of storytelling in knowledge sharing; 7. A community of clinical practice?; 8. Co-constructing collective mindlines; 9. Co-constructing clinical reality; 10; Conclusions and implications

Rezensionen

'This book is one of the most important publications about clinical practice in general and evidence based medicine in particular to appear in the last 20 years. Those who consider themselves to be working at the 'cutting edge' in these fields should make time to read it.' - Trisha Greenhalgh, University College London, UK

'This amazing book, which will revolutionize the way we think about clinical practice as well as the way we teach practitioners, should push the whole field forward by a quantum leap. Practice-based Evidence will come as a big relief to thinking practitioners who have felt oppressed by the evidence-based practice movement, and should be on the 'must read' list for anyone involved with meeting continuing competency requirements in both nursing and medicine.' - Lesley Degner, University of Manitoba, Canada

'This is a fascinating analysis that rings true with my own clinical experience. It will doubtless be eagerly devoured by those who study clinical decision-making but anyone concerned with clinical practice and policy, however busy, will gain by reading it. This valuable book addresses issues that are of crucial importance and from which we all need to learn.' - Joel Howell, University of Michigan, USA

'The actors who speak at the beginning of each chapter remind me of people I have met and worked with all through my career; they describe my behaviours at various stages of my life as a clinician. So, I felt very comfortable reading this book, which is filled with wisdom distilled from many disciplines and raises major issues about professional development. It will have a significant and lasting impact on how I view a number of concepts. Very few books have such a powerful influence.' - John Balla, Centre for Evidence Based Medicine, University of Oxford, UK and University of Melbourne, Australia

'This important book makes a major contribution to our understanding about the everyday problems of making sense of clinical knowledge in practice. Grounded in real world research that gives a unique insight into the real world of health professionals, John Gabbay and Andrée le May will not only inform the implementation of evidence-based practice, but also help to shape future studies of this key problem of contemporary health care, which has never been more politically contentious' - Carl May, Newcastle University, UK