Strengthening evidence use in practice: An evidence-informed decision-making framework
This framework is a decision-making or service-delivery framework to guide practitioners who work with parents and caregivers. There is now a consensus that evidence-based practice involves the integration of three elements: best research evidence, clinical expertise and client values. This framework provides a way of understanding how the three elements of the broader understanding of evidence-informed practice can be reconciled in practice.
It is based on an extensive review of evidence-based practice and what is known about effective processes of service delivery (Moore, 2016). Evidence-based practice has often been interpreted as the use of interventions that have been proven to be efficacious according to the most rigorous standards of evidence. However, there is now a consensus that evidence-based practice involves the integration of three elements: best research evidence, clinical expertise and client values. Thus, selecting an effective intervention strategy is not simply a matter of choosing an intervention from a list of ‘proven’ strategies. Instead, one must take account of all contributing factors, including the outcome that is desired, the circumstances in which the intervention is to be implemented, and the values and preferences of those involved. The framework is described as a series of nine steps, underpinned by five common factors.