Skip to main content Accessibility help
×
Hostname: page-component-cc8bf7c57-ksm4s Total loading time: 0 Render date: 2024-12-10T22:28:23.629Z Has data issue: false hasContentIssue false

Part 4 - Science and values-based practice

Published online by Cambridge University Press:  05 June 2012

K. W. M. Fulford
Affiliation:
University of Warwick
Ed Peile
Affiliation:
University of Warwick
Get access

Summary

Introduction to Part 4

Values-based practice, as we have emphasized, is very much a partner to evidence-based practice as a support tool for clinical decision-making. The stories in earlier chapters all illustrate the close connections between values and evidence in clinical care and related areas of training and research.

So close indeed is the relationship between them that values and evidence may each in different ways sometimes come to mask or eclipse the other, with adverse consequences for practice. The three chapters in this part of the book illustrate three distinct ways in which this may happen and the importance of maintaining a balanced approach that keeps both values and evidence always equally in view:

  1. • In Chapter 10, the Two-feet Principle underlines the point made in Chapter 1 that in medicine all decisions are both values and evidence driven. All decisions, then, in the terms of this principle stand on the two feet, respectively, of values and of evidence. In practice, however, where a decision is strongly evidence-based, important values may get overlooked – we may become, as this chapter will show, “values blinded by the evidence.”

  2. This is what happened to Dr. Jane Hilary, the GP in this chapter, in her management of a middle-aged man, Jim Burns, with essential hypertension. So focused was Dr. Hilary on the evidence guiding her management that she failed to recognize the crucial impact of her own and Jim Burns' values.

Type
Chapter
Information
Essential Values-Based Practice
Clinical Stories Linking Science with People
, pp. 131 - 132
Publisher: Cambridge University Press
Print publication year: 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×