Clinical thinking in psychiatry.

Abstract:

:I discuss the lack of precision in the term 'clinical reasoning' and its relationship to evidence-based medicine and critical thinking. I examine critical thinking skills, their underemphasis in medical education and successful attempts to remediate them. Evidence-based medicine (and evidence-based psychiatry) offer much but are hampered by the ubiquity and flaws of meta-analysis. I explore views of evidence-based medicine among psychiatry residents, as well as capacity for critical thinking in residents before and after a course in philosophy. I discuss decision making by experienced doctors and suggest possible futures of this issue.

journal_name

J Eval Clin Pract

authors

Wells LA

doi

10.1111/jep.12324

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

514-7

issue

3

eissn

1356-1294

issn

1365-2753

journal_volume

21

pub_type

杂志文章
  • Interpretation of tests of heterogeneity and bias in meta-analysis.

    abstract::Statistical tests of heterogeneity and bias, in particular publication bias, are very popular in meta-analyses. These tests use statistical approaches whose limitations are often not recognized. Moreover, it is often implied with inappropriate confidence that these tests can provide reliable answers to questions that ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2008.00986.x

    authors: Ioannidis JP

    更新日期:2008-10-01 00:00:00

  • Selective prevention of cardiometabolic diseases in general practice: attitudes and working methods of male and female general practitioners before and after the introduction of the Prevention Consultation guideline in the Netherlands.

    abstract:RATIONALE, AIMS AND OBJECTIVES:In 2011 the module cardiometabolic risk of the Prevention Consultation guideline was introduced in the Netherlands in order to prevent cardiometabolic diseases. We aimed to compare attitudes and working methods of Dutch general practitioners (GPs) towards selective prevention of cardiomet...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12179

    authors: Vos HM,Van Delft DH,De Kleijn MJ,Nielen MM,Schellevis FG,Lagro-Janssen AL

    更新日期:2014-08-01 00:00:00

  • Variability of intravenous medication preparation in Australian and New Zealand intensive care units.

    abstract:RATIONALE, AIM AND OBJECTIVE:In Australia and New Zealand, there are no established standards for the final presentations of prepared intravenous medications in Intensive Care Units (ICUs). Variability has the potential to contribute to deficiencies in safety, efficiency and cost effectiveness. This study aimed to exam...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12574

    authors: Levkovich BJ,Bui T,Bovell A,Watterson J,Egan A,Poole SG,Dooley MJ

    更新日期:2016-12-01 00:00:00

  • Webs of causation in violent relationships.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Predictors of intimate partner violence (IPV) include husband, wife and relational characteristics. However, we know little about the proximal, day-to-day triggering of abusive events. The purpose of the study was to analyse the daily temporal relationships among environmental, relational...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jep.12259

    authors: Katerndahl D,Burge S,Ferrer R,Becho J,Wood R

    更新日期:2014-10-01 00:00:00

  • Appraisal of guidelines for androgenetic alopecia using the Appraisal of Guidelines for Research and Evaluation II instrument.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The purpose of this study is to systematically evaluate the quality of methodological guidelines for androgenetic alopecia (AGA) using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument by searching and analysing the available worldwide guidelines. This could pr...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12474

    authors: Huang M,Zhou X

    更新日期:2015-12-01 00:00:00

  • Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.

    abstract:OBJECTIVE:The study aims to identify key enablers fostering clinical risk management (CRM) in hospitals to guide health care in this vital area of patient safety. METHOD:A cross-sectional survey was conducted at the national level in 324 Swiss hospitals in 2007-2008 to assess the relationship between key elements and ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2012.01836.x

    authors: Briner M,Manser T,Kessler O

    更新日期:2013-04-01 00:00:00

  • On the causal structure of information bias and confounding bias in randomized trials.

    abstract::Randomized trials are undoubtedly different from observational studies, but authors sometimes propose differences between these designs that do not exist. In this article we examine two claims about randomized trials: first, a recent claim that the causal structure of exposure measurement (information) bias in a rando...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01347.x

    authors: Shahar E,Shahar DJ

    更新日期:2009-12-01 00:00:00

  • Hawthorne effects and research into professional practice.

    abstract::The Hawthorne studies in the 1930s demonstrated how difficult it is to understand workplace behaviour, and this includes professional performance. Studies of interventions to improve professional performance, such as audit, can provide useful information for those considering using such methods, but cannot replace jud...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.2001.00280.x

    authors: Holden JD

    更新日期:2001-02-01 00:00:00

  • Assessment of quality performance measures in patients with acute coronary syndromes: Data from the Portuguese Registry of Acute Coronary Syndromes (ProACS), a nationwide registry.

    abstract:RATIONAL, AIMS, AND OBJECTIVES:Registries are a powerful tool to assess specific performance measurements and quality of care in acute coronary syndromes (ACSs). In Portugal, ProACS is a nationwide registry of ACS that has been active for the past 15 years, and our objective was to assess specific quality indicators fo...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jep.12881

    authors: Timóteo AT,Mimoso J,ProACS Investigators.

    更新日期:2018-04-01 00:00:00

  • From MARS to MAGIC: The remarkable journey through time and space of the Grading of Recommendations Assessment, Development and Evaluation initiative.

    abstract::For over 30 years, "evidence-based" clinical guidelines remained entrenched in an oversimplified, design-based, framework for rating the strength of evidence supporting clinical recommendations. The approach frequently equated the rating of evidence with that of the recommendations themselves. "Grading Recommendations...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13019

    authors: Wyer PC

    更新日期:2018-10-01 00:00:00

  • Shared decision making: A dual-layer model to tackling multimorbidity in primary care.

    abstract::It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and ne...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13163

    authors: Ng CJ,Lee YK,Abdullah A,Abu Bakar AI,Tun Firzara AM,Tiew HW

    更新日期:2019-12-01 00:00:00

  • Therapist self-disclosure and the problem of shared-decision making.

    abstract::Therapist self-disclosure is one of the most controversial topics in the history of psychotherapy. The controversies reflect some basic discussions regarding the nature of psychotherapy practice. In psychotherapy practice, a particular concern is the interaction between the psychotherapist and the patient. The expert-...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13289

    authors: Berg H,Bjornestad J,Våpenstad EV,Davidson L,Binder PE

    更新日期:2020-04-01 00:00:00

  • Frequent emergency department visitors are frequent primary care visitors and report unmet primary care needs.

    abstract::A small percentage of emergency department (ED) visitors account for a disproportionate portion of ED visits. Little is known about their relationships with their primary care providers (PCPs). This study compares frequent and infrequent ED visitors' primary care utilization and perceptions of primary care access, con...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12672

    authors: Cunningham A,Mautner D,Ku B,Scott K,LaNoue M

    更新日期:2017-06-01 00:00:00

  • Appropriateness of colonoscopy in a digestive endoscopy unit: a prospective study using ASGE guidelines.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Appropriate indications for colonoscopy (C) are essential for a rational use of resources. The aim of this study is to evaluate the appropriateness of indication for C according to the American Society for Gastrointestinal Endoscopy (ASGE) guidelines and to evaluate whether appropriate us...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2008.00950.x

    authors: Suriani R,Rizzetto M,Mazzucco D,Grosso S,Gastaldi P,Marino M,Sanseverinati S,Venturini I,Borghi A,Zeneroli ML

    更新日期:2009-02-01 00:00:00

  • Evaluation of drug therapy and risk factors in diabetic hypertensives: a study of the quality of care provided in diabetic clinics in Bahrain.

    abstract:OBJECTIVE:To evaluate control of blood pressure (BP) and diabetes and the associated risk factors in diabetic hypertensives treated by diabetic clinic primary care physicians. METHODS:A retrospective analysis of the medical records of diabetic hypertensives from six primary care diabetic clinics in Bahrain. RESULTS:T...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2753.2005.00511.x

    authors: Al Khaja KA,P Sequeira R,Damanhori AH

    更新日期:2005-04-01 00:00:00

  • Prescribing pattern of antihypertensive drugs by family physicians and general practitioners in the primary care setting in Bahrain.

    abstract::The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.2002.00370.x

    authors: Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

    更新日期:2002-11-01 00:00:00

  • Opinions and potential solutions regarding dissemination bias from funding agencies of biomedical research in Europe.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Several studies have found that about half of research results from clinical trials are never published. Until now, there has been little information on the views that funding agencies of biomedical research in Europe have regarding this issue and its possible solutions. METHODS:An elec...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12692

    authors: Pardo-Hernandez H,Urrútia G,Meerpohl JJ,Marušić A,Wager E,Bonfill X,OPEN Project Consortium.

    更新日期:2018-02-01 00:00:00

  • Adolescent Drug Abuse Diagnosis (ADAD) vs. Health of Nation Outcome Scale for Children and Adolescents (HoNOSCA) in clinical outcome measurement.

    abstract:BACKGROUND:The Adolescent Drug Abuse Diagnosis (ADAD) and Health of Nation Outcome Scales for Children and Adolescents (HoNOSCA) are both measures of outcome for adolescent mental health services. AIMS:To compare the ADAD with HoNOSCA; to examine their clinical usefulness. METHODS:Comparison of the ADAD and HoNOSCA o...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00654.x

    authors: Holzer L,Tchemadjeu IK,Plancherel B,Bolognini M,Rossier V,Chinet L,Halfon O

    更新日期:2006-10-01 00:00:00

  • Using the Internet to teach melanoma management guidelines to primary care physicians.

    abstract::The aim of this study was to determine whether a brief Internet-based education programme could improve physicians' abilities to manage pigmented skin lesions. A pre-test-post-test assessment was used of subjects' knowledge of skin cancer, confidence in their management abilities and actual ability to recommend approp...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.1999.00194.x

    authors: Harris JM Jr,Salasche SJ,Harris RB

    更新日期:1999-05-01 00:00:00

  • Quality of care for individuals with osteoarthritis: a longitudinal study.

    abstract:OBJECTIVES:The objectives of this paper were to investigate quality of care for individuals with osteoarthritis (OA) and to determine if those most in need had the outcome of a total joint replacement (TJR). Key quality indicators were involvement in treatment decisions, appropriate information provision and outcomes o...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01616.x

    authors: McHugh GA,Campbell M,Luker KA

    更新日期:2012-06-01 00:00:00

  • The utilization of knowledge of and interest in research and development among primary care staff by means of strategic communication - a staff cohort study.

    abstract:OBJECTIVE:The obvious gap between evidence and practice in health care is unfavourable for patient care and requires the promotion of a scientific attitude among health care professionals. The aim of the present study was to determine the utilization of knowledge of and interest in research and development among primar...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01672.x

    authors: Morténius H,Marklund B,Palm L,Fridlund B,Baigi A

    更新日期:2012-08-01 00:00:00

  • Which risk-adjustment index performs better in predicting 30-day mortality? A systematic review and meta-analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Individual comparisons of the performance of risk-adjustment indices have been widely conducted. Few reviews have been conducted to summarize the performance of different risk-adjustment indices. A 30-day mortality rate is widely used to evaluate the quality of care in hospitals by federa...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jep.12307

    authors: Yang M,Mehta HB,Bali V,Gupta P,Wang X,Johnson ML,Aparasu RR

    更新日期:2015-04-01 00:00:00

  • Evaluation of a national quality use of medicines service in Australia: an evolving model.

    abstract:RATIONALE:To describe the first phase of a global evaluation framework for the National Prescribing Service (NPS), with a focus on services for health professionals, and in particular highlight the lessons learnt from evaluation around the establishment and implementation of this national program. METHODS:The agreed e...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00620.x

    authors: Beilby J,Wutzke SE,Bowman J,Mackson JM,Weekes LM

    更新日期:2006-04-01 00:00:00

  • Keeping vulnerable elderly patients free from pressure ulcer is associated with high caregiver burden in informal caregivers.

    abstract:RATIONALE AND OBJECTIVES:The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. METHODS:This cross-sectional study enrolled 137 patients aged > or...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01171.x

    authors: Yamamoto Y,Hayashino Y,Higashi T,Matsui M,Yamazaki S,Takegami M,Miyachi Y,Fukuhara S

    更新日期:2010-06-01 00:00:00

  • Computer programs to estimate overoptimism in measures of discrimination for predicting the risk of cardiovascular diseases.

    abstract:BACKGROUND:Development of chronic disease risk prediction models has become a growing area of research in recent years. The internal validity of such models is sometimes lower than estimated from the development sample. Overfitting or overoptimism of the developed model and/or differences between the samples are likely...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2012.01834.x

    authors: Mannan HR,McNeil JJ

    更新日期:2013-04-01 00:00:00

  • Characteristics and residence of First Nations patients and their use of health care services in Saskatchewan, Canada: informing First Nations and Métis health services.

    abstract:RATIONALE:In Canada, Aboriginal people, particularly First Nations experience significant health disparities and a lower health status compared with the non-Aboriginal population. AIMS AND OBJECTIVES:The purpose of this study was to examine the demographic and clinical characteristics of First Nations patients admitte...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12601

    authors: Lafond G,Haver CR,McLeod V,Clarke S,Horsburgh B,McLeod KM

    更新日期:2017-04-01 00:00:00

  • Has evidence-based medicine ever been modern? A Latour-inspired understanding of a changing EBM.

    abstract::Evidence-based health care (EBHC), previously evidence-based medicine (EBM), is considered by many to have modernized health care and brought it from an authority-based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals o...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12752

    authors: Wieringa S,Engebretsen E,Heggen K,Greenhalgh T

    更新日期:2017-10-01 00:00:00

  • Tailoring quality improvement interventions to identified barriers: a multiple case analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The prevailing view on implementation interventions to improve the organization and management of health care is that the interventions should be tailored to potential barriers. Ideally, possible barriers are analysed before the quality improvement interventions are developed to influence...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2006.00660.x

    authors: Bosch M,van der Weijden T,Wensing M,Grol R

    更新日期:2007-04-01 00:00:00

  • How to contextualize training on guideline-uptake for your setting.

    abstract::One knowledge translation method, of putting evidence into practice, is the use of clinical practice guidelines (CPG). The purpose of this brief report is to describe an 8-step process of "how to" contextualize a training programme to increase CPG-uptake for a targeted audience in a clearly defined setting. This proce...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13476

    authors: Stander J,Grimmer K,Brink Y

    更新日期:2020-09-14 00:00:00

  • Research results have expiration dates: ensuring timely systematic reviews.

    abstract::Time and timeliness are key issues in appraising and ensuring the clinical relevance of systematic reviews. Time considerations entering the systematic review process include the history of the clinical problem, disease, or treatment that is the target of the review, and the history of the research conducted to addres...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00729.x

    authors: Barroso J,Sandelowski M,Voils CI

    更新日期:2006-08-01 00:00:00