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Evidence-based practice, despite its ?gold-standard? status, is faltering because too much effort has gone into creating an idealised model of how clinicians ought to use the best evidence, and little into understanding why they so often don?t. Practice-based Evidence for Healthcare is a groundbreaking attempt to redress that imbalance. Examining how clinicians actually develop and use clinical knowledge day-to-day, the authors conclude that practitioners use ?mindlines?? internalised, collectively reinforced, tacit guidelines that serve as their knowledge-in-practice-in-context. Gabbay and le May draw on a wide range of disciplines to explore how clinicians' mindlines are continually formed and transformed by their interactions with collegues and patients. Their conclusions and recommendations challenge the evidence-based practice movement to rethink its assumptions and will be of value to all practitioners, health service managers, policymakers, researchers, educators and students involved in the promotion of evidence-based practice.
Evidence-based practice --- WB 102 Clinical medicine --- Evidence-Based Practice --- Clinical Medicine --- Methods --- Guideline adherence --- Health Knowledge, Attitudes, Practice
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