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验证临床推理:视角问题,但究竟是谁的视角?

Validating clinical reasoning: a question of perspective, but whose perspective?

作者信息

Downing A M, Hunter D G

机构信息

School of Allied Health Professions, Faculty of Health & Social Care, University of the West of England, Bristol, UK.

出版信息

Man Ther. 2003 May;8(2):117-9. doi: 10.1016/s1356-689x(02)00077-2.

Abstract

This paper explores the notion of validity from different perspectives and addresses its integration with clinical reasoning. Whilst valuing the evidence-based practice (EBP) perspective in our quest for validation of practice, the authors posit that other perspectives may provide added value through their potential for offering validity in differing circumstances. The reality of the EBP aspiration is discussed and nuances within the evolved term 'research-enhanced practice' are shared. Validity theory applied through different perspectives may, it is argued help to get to grips with the balancing act of validating manual therapy practice.

摘要

本文从不同角度探讨了有效性的概念,并论述了其与临床推理的整合。在我们寻求实践验证的过程中,虽然重视循证实践(EBP)的视角,但作者认为其他视角可能因其在不同情况下提供有效性的潜力而具有附加价值。文中讨论了循证实践抱负的现实情况,并分享了“研究强化实践”这一发展术语中的细微差别。有人认为,通过不同视角应用有效性理论可能有助于把握手动疗法实践验证中的平衡行为。

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