Saturday, November 12, 2011

positivism and evidence based practice

first posted on Janshs blog Feb 2009

One of my fellow students posed the question: what is Evidence Based Practice and is it the same as positivism?

I have been wrestling with this thought for a couple of days now.

Positivists take the view that knowledge is developed by applying methods from the natural sciences – that is, that it is based on behaviour that is observable rather than on values or reasons. This means that it is based on experimental evidence or (at least) on quantitative analysis.

E891 Educational Enquiry: Study Guide prepared by Martyn Hammersley, pages 18-21:-
EBP movement began in medicine (EBM), using, for example randomized controlled trials (RCTs) which are intended to be easily replicated in other circumstances. However, even in medicine, the EBM approach may well be tempered with experiential evidence. This might also involve observation and interviewing.

So it might be appropriate to say that EBM/EBP may use evidence from a wide variety of quantitative and qualitative data but it must be valid and reliable. For EBP to affect practice, it is likely that generalisability will also be sought, although some (Schofield, 2007, Dellinger and Leech, 2007, Ely et al., 1999) might view this as being less of a necessity, provided that thick descriptions (Geertz, 1973) are used so that the reader can determine the degree of fit with her/his own context.

So I do not think that postivism and EBP equate totally, since there is an opportunity for EBP to draw on qualitative methods.

Dellinger, A. B. and leech, N. L. (2007) ‘Toward a Unified Validation Framework in Mixed Methods Research’ in Journal of Mixed Methods Research, Vol. 1, No. 4, 309-332
Ely, M., Vinz, R., Downing, M. and Anzul, M. (1999) ‘On Writing Qualitative Research: Living by Words’. London: Falmer Press
Geertz, C. (1973) The Interpretation of Cultures. New York: Basicflooks
Hammersley, M. (2007) E891 Study Guide for Open University
Schofield, J. (2007) ‘Increasing the generalizability of qualitative research’ in Hammersley, M. (ed.) Educational research and evidence-based practice. London: Sage

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