Value conflicts in evidence-based practice
Repository Posting Date2020-02-14T17:47:04Z
Author(s)Grace, Jeanne T.
Author DetailsJeanne T. Grace, RN, PhD
Lead Author Sigma AffliationEpsilon Xi
Original PublisherMahidol University, Thailand
Level of EvidenceN/A
Ethical dilemmas about care arise when the persons involved in care decisions have conflicting values. Evidence-based practice clarifies the nature of some ethical concerns about care because it sets three explicit values for clinical decision-making: effectiveness of care, efficiency of care, and incorporation of patient values. Defining effectiveness involves establishing relative values for outcomes and determining whose values must be considered. Defining efficiency involves establishing relative values for resources used and determining whose resources must be included. Incorporation of patient values involves balancing those values against the values of other members of society or the strength of the evidence supporting a clinical recommendation. An evidence-based practice perspective that focuses on identifying conflicting values about outcomes, resources, and patient input into decision-making may be helpful in defining, discussing and resolving ethical care dilemmas.
Date of Publication2010-04
Citation of Original PublicationGrace, J. T. (2010) Value Conflicts in Evidence-based Practice. Journal of Nursing Science, 28(2), 8-12.
Version of PublicationPublisher’s Version
NotesThis work appears in the Sigma Repository pursuant to a Creative Commons Attribution 4.0 International License attached to the work upon its publication in the journal acknowledged in this record. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. The Sigma Repository is sharing this article for educational purposes only. There are no changes in this article from the original posting.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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