The role of clinicians in osteopathic research

Published:October 03, 2014DOI:https://doi.org/10.1016/j.ijosm.2014.10.006
      Evidence-based practice has been defined by Sackett et al.
      • Sackett D.L.
      • Rosenberg W.M.
      • Gray J.A.
      • Haynes R.B.
      • Richardson W.S.
      Evidence based medicine: what it is and what it isn't.
      as the integration of the following three components into the decision-making process for patient care: clinical expertise, patient values, and the best research evidence. When using this process, the evidence does not make the decision, but its integration with the two other components during clinical decisions enhances the opportunity for optimal clinical outcomes. The best available evidence is usually found in clinically relevant research studies that were conducted using sound methodology. Thus, clinical practice may be influenced by the diversity of suitable methodological approaches and unequal levels of access to evidence.
      • Rushton A.B.
      • Fawkes C.A.
      • Carnes D.
      • Moore A.P.
      A modified Delphi consensus study to identify UK osteopathic profession research priorities.
      Further, different health professions have varying capacities to produce the evidence on which their practice can be based. Thirteen prioritized recommendations were proposed to overcome the challenges limiting the production of osteopathic research in the United States.
      • Degenhardt B.F.
      • Standley P.R.
      2013–2022 strategic plan for research: a role for everyone in promoting research in the osteopathic medical profession.
      In the United Kingdom, a modified Delphi consensus approach was used to assess the views of osteopaths and osteopathic patients about research priorities for the osteopathic profession, and 20 research priorities were proposed. Both sets of recommendations proposed roles for clinicians in practice
      • Rushton A.B.
      • Fawkes C.A.
      • Carnes D.
      • Moore A.P.
      A modified Delphi consensus study to identify UK osteopathic profession research priorities.
      • Degenhardt B.F.
      • Standley P.R.
      2013–2022 strategic plan for research: a role for everyone in promoting research in the osteopathic medical profession.
      that go beyond their training to be critical evidence consumers in order to produce effective clinical decision-making. There is an opportunity for clinicians to take a more active role in determining the evidence needed to improve current practice.
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