Chapter 12 - Challenges to Evidence-Based Practice

Question 1

What’s wrong with evidence‐based practice when it’s done badly?

Answer 1

• Flawed studies
• Ignores patient needs
• Overvalues published evidence without considering clinical judgment.
• Poor-quality research

Question 2

What’s wrong with evidence‐based practice when it’s done well?

Answer 2

Even when done well, EBP can face issues like:
- guidelines devaluing professional expertise
- being too narrow or out of date
- logistical challenges such as access to evidence
- its cost​

Question 3

Is evidence‐based practice really possible?

Answer 3

• Achieving EBP is difficult due to the shortage of high-quality evidence and the reliance on quantitative over qualitative research.
• However, it is possible by adapting, interpreting, and engaging with the evidence and its challenges​