Module 1: Lesson 2 History and Definition
Evidence Based Birth®
Rebecca Dekker
4.3 • 1.1K Ratings
🗓️ 12 December 2017
⏱️ 8 minutes
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| 0:00.0 | Okay, so in this video, we're going to dive deeper into the concept of evidence-based care. |
| 0:06.0 | And by the end of this video, you'll be able to describe the definition and the history of evidence-based care. |
| 0:12.0 | You'll also be able to discuss why evidence by itself is not enough. |
| 0:17.0 | So let's start off by talking about the definition and the history. |
| 0:26.2 | So evidence-based care is really about solving clinical problems. |
| 0:32.2 | And it's considered a complete shift away from the traditional practice of medicine. |
| 0:37.3 | The traditional way of practicing medicine, there was a focus on intuition, a prior experience |
| 0:39.5 | driving your actions, and pathophysiologic rationale. In contrast to that way, evidence-based |
| 0:46.2 | medicine says that you should be aware of the evidence on which your practice is based, |
| 0:51.8 | understand the soundness of the evidence and its generalizability. |
| 0:56.5 | So the whole concept of evidence-based medicine says that intuition, unsystematic clinical |
| 1:01.4 | experiences, and pathophysiology are insufficient grounds for making clinical decision-making. |
| 1:07.6 | Now, it doesn't mean we get rid of that. |
| 1:09.5 | We're not throwing the baby out with the bath water, but with evidence-based practice, you're also supposed to incorporate research into |
| 1:16.9 | your practice. So I'm curious if anyone knows where evidence-based medicine was born. |
| 1:23.2 | Just take a guess. It actually came out of Canada, and these are two of the physicians, Dr. Sackett and Dr. |
| 1:31.5 | Yuya, I'll talk about in the next slide, who were part of the movement among Canadian |
| 1:36.9 | physicians to implement evidence-based medicine. |
| 1:40.8 | However, it does go back farther than that. |
| 1:42.9 | In the 1850s, Florence Nightingale, a nurse, made hospital sanitary reforms based on data. |
| 1:50.0 | She used research to prove that unsanitary conditions caused disease and death. |
| 1:57.0 | In the 1960s, epidemiologic pioneers in McGill University in Canada publicly recognized that |
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