Questions about certainty and uncertainty in clinical practice.
Purpose: This article offers a critical response to Kamhi's (2011) essay regarding the need to balance certainty and uncertainty in evidence-based practice (EBP). Method: Points of concordance and discordance (counterpoints) between Kamhi's essay and the author's frames of reference were considered....
| Publicado en: | Language, Speech & Hearing Services in Schools Vol. 42; no. 1; pp. 81 - 88 |
|---|---|
| Autor principal: | |
| Formato: | commentary tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Jan2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104971840&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104971840 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01611461 LSH jtl: Language, Speech & Hearing Services in Schools issn: 01611461 maglogo: N pubinfo: dt: Jan2011 vid: 42 iid: 1 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 104971840 56660025 10.1044/0161-1461(2010/09-0046) NLM20601528 104971840 ppf: 81 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Questions about certainty and uncertainty in clinical practice. aug: au: Nelson NW affil: Western Michigan University, Kalamazoo. sug: subj: Uncertainty Decision Making, Clinical Speech-Language Pathologists Professional Practice, Evidence-Based Systems Theory Self-Efficacy Research Question Critical Thinking Validity Diffusion of Innovation Models, Theoretical Utilization Student Performance Appraisal ab: Purpose: This article offers a critical response to Kamhi's (2011) essay regarding the need to balance certainty and uncertainty in evidence-based practice (EBP). Method: Points of concordance and discordance (counterpoints) between Kamhi's essay and the author's frames of reference were considered. Results: In agreement with Kamhi, a major role is outlined for clinicians to use questions strategically (i.e., acting on uncertainty) to prioritize intervention targets and select approaches that best fit the context and stakeholders' values for purposes of planning, accomplishing, and evaluating change. The first counterpoint emphasizes a need for larger roles for theoretical frameworks involving systems theory and collaborative, contextualized approaches to assessment and intervention. The second notes opportunities for self-correction by using outcome data from relevant contexts outside of treatment sessions. Conclusion: Clinicians should capitalize on Kamhi's ideas by working with other key stakeholders to make points of certainty and uncertainty explicit. By generating insightful questions that can guide the process of EBP and gathering evidence from broader outcomes, clinicians can gain external validation for the approach taken or for the need to consider alternatives. pubtype: Academic Journal doctype: commentary tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|