Ecological Validity of Evidence-Based Practice in the Philippines
RUNNING HEAD: Ecological Validity of EBP in the Philippines
Ecological Validity of Evidence-Based Practice in the Philippines Maria Carmela L. Domocmat
Ecological Validity of EBP in the Philippines
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Introduction Evidence-based practice (EBP) has been observed in developed countries since the 90’s. Two decades had past and it is barely being established in the Philippine health care system. The purpose of this paper is to define EBP or evidence-based nursing (EBN) and explore its ecological validity in a developing country such as the Philippines.
Evidence-based Practice Defined The most popular definition of evidence-based practice is provided by Sackett, Rosenberg, Muir Gray, Haynes, and Richardson (1996). They describe EBP as the “conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients”. On the other hand, Muir Gray (1997) simply defines it “doing the right things right”. He emphasizes efficiency, quality care, and beneficence. The American Psychological Association (2006, p. 4) describe EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences." Additionally, Melnyk and Overholt (2010, p. 90) describes evidence-based practice in the context of nursing as “a paradigm and life-long problem solving approach to clinical decisionmaking that involves the conscientious use of the best available evidence …with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and system.” Finally, Borromeo (2012) states that evidence-based practice is a “science-to-service model of engagement of critical thinking to apply research-based evidence and practice-based evidence within the context of patient values to deliver quality, costsensitive care.
Ecological Validity of EBP in the Philippines
3
Among the definitions mentioned above,
Ecological Validity of Evidence-Based Practice in the Philippines Maria Carmela L. Domocmat
Ecological Validity of EBP in the Philippines
2
Introduction Evidence-based practice (EBP) has been observed in developed countries since the 90’s. Two decades had past and it is barely being established in the Philippine health care system. The purpose of this paper is to define EBP or evidence-based nursing (EBN) and explore its ecological validity in a developing country such as the Philippines.
Evidence-based Practice Defined The most popular definition of evidence-based practice is provided by Sackett, Rosenberg, Muir Gray, Haynes, and Richardson (1996). They describe EBP as the “conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients”. On the other hand, Muir Gray (1997) simply defines it “doing the right things right”. He emphasizes efficiency, quality care, and beneficence. The American Psychological Association (2006, p. 4) describe EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences." Additionally, Melnyk and Overholt (2010, p. 90) describes evidence-based practice in the context of nursing as “a paradigm and life-long problem solving approach to clinical decisionmaking that involves the conscientious use of the best available evidence …with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and system.” Finally, Borromeo (2012) states that evidence-based practice is a “science-to-service model of engagement of critical thinking to apply research-based evidence and practice-based evidence within the context of patient values to deliver quality, costsensitive care.
Ecological Validity of EBP in the Philippines
3
Among the definitions mentioned above,