Department of Educational and Counselling Psychology, Faculty of Education, McGill University, Montreal, QC, Canada.
Adv Health Sci Educ Theory Pract. 2011 May;16(2):253-76. doi: 10.1007/s10459-010-9251-6. Epub 2010 Oct 5.
Health care professionals are expected to use a systematic approach based on evidence, professional reasoning and client preferences in order to improve client outcomes. In other words, they are expected to work within an evidence-based practice (EBP) context. This expectation has had an impact on occupational therapy academic programs' mandates to prepare entry-level clinicians who demonstrate competence in the knowledge, skills and behaviors for the practice of evidence-based occupational therapy. If the EBP approach is to be entrenched in the day to day practice of future clinicians, a pedagogically sound approach would be to incorporate EBP in every aspect of the curriculum. This, however, would require a comprehensive understanding of EBP: its basis, the principles that underpin it and its effectiveness in promoting core professional competencies. The existing literature does not elucidate these details nor does it shed light on how requisite competencies for EBP are acquired in professional education in general and in occupational therapy education in particular. Drawing from educational psychology and EBP in the health professions, this paper provides a critical review of the evidence that supports EBP and the effectiveness of EBP teaching and assessment interventions in professional heath sciences programs and offers suggestions for the design of EBP instruction, grounding recommendations in educational theory for the health professions.
医疗保健专业人员预计将采用基于证据、专业推理和客户偏好的系统方法,以改善客户的结果。换句话说,他们预计将在循证实践(EBP)的背景下工作。这种期望对职业治疗学术课程的要求产生了影响,即培养出在循证职业治疗实践中表现出知识、技能和行为能力的入门级临床医生。如果要将 EBP 方法根深蒂固于未来临床医生的日常实践中,那么从教学法角度来看,一个合理的方法是将 EBP 融入课程的各个方面。然而,这需要对 EBP 有一个全面的了解:它的基础、支撑它的原则以及它在促进核心专业能力方面的有效性。现有文献没有阐明这些细节,也没有说明在一般专业教育和职业治疗教育中,如何获得 EBP 的必要能力。本文借鉴教育心理学和健康专业的 EBP,对支持 EBP 的证据以及 EBP 教学和评估干预在专业健康科学课程中的有效性进行了批判性回顾,并为 EBP 教学的设计提供了建议,为健康专业的教育理论提供了建议。