Chabon Shelly, Morris John, Lemoncello Rik
Department of Speech & Hearing Sciences, Portland State University, Portland, Oregon 97207, USA.
Semin Speech Lang. 2011 Nov;32(4):298-308. doi: 10.1055/s-0031-1292755. Epub 2011 Dec 5.
Infusing evidence-based practice (EBP) into the clinical setting implies that professionals use evidence that is relevant and credible, maintain their pursuit of best current knowledge, respect their clients' preferences and values, and keep these clients and their families appropriately informed about their treatment options. Thus, rational and judicious EBP must be guided by speech-language pathologists' or audiologists' ethical principles of beneficence, non-maleficence, justice, and autonomy. In this article, we will affirm the centrality of ethical reasoning in EBP by describing what it means to be a professional as reflected in our Code of Ethics, reviewing the principles of ethics that underlie clinical decision making, and demonstrating how an ethical framework can and should provide the context in which EBP is conducted.
将循证实践（EBP）融入临床环境意味着专业人员使用相关且可靠的证据，持续追求当前最佳知识，尊重客户的偏好和价值观，并让这些客户及其家属充分了解其治疗选择。因此，合理且审慎的循证实践必须以言语语言病理学家或听力学家的善行、不伤害、公正和自主的伦理原则为指导。在本文中，我们将通过描述《伦理守则》所反映的专业人员的含义、回顾临床决策所依据的伦理原则以及展示伦理框架如何且应该为循证实践提供开展的背景，来肯定伦理推理在循证实践中的核心地位。
