• J Eval Clin Pract · Aug 2024

    Is evidence-based practice justified?-A philosophical critique.

    • Henrik Berg.
    • Institutt for Klinisk psykologi, Universitetet i Bergen, Bergen, Norway.
    • J Eval Clin Pract. 2024 Aug 1; 30 (5): 855859855-859.

    BackgroundEvidence-based practice is the principle governing a range of healthcare practices and beyond. However, it has suffered from a lack of philosophical rigour. This paper sets out to analyse the epistemological basis of evidence-based practice.MethodThe paper uses a conceptual analysis. First, it describes the implicit epistemology at work in evidence-based practice. Second, it evaluates the implicit epistemological basis.ResultsThe analysis indicates that evidence-based practice lacks an explicit epistemological basis. It shows, moreover, that the implicit epistemological basis is untenable.ConclusionThere is a need to re-think the epistemological basis for evidence-based practice. Evidence-based practice is out of touch with developments within philosophy of science.© 2024 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.

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