可以认为，EBM过于强调循序渐进的算法[7]。这可能会阻碍初级临床医生的临床专业知识的发展，因为他们的方法可能变得太像机器，导致缺乏对病人的需求和价值观的照顾。这可能会导致病人和护理团队之间的利益冲突，病人的整体满意度和工作效率的下降，这对那些患有急性疾病的人来说可能是致命的。此外，EBM可能不是那些患有多病或共病[7]的患者的最佳选择。这是因为使用临床证据来控制一种疾病可能会导致另一种疾病的恶化，甚至直接导致另一种疾病。这也意味着，由于可用的文章较少，很难找到与患者病例相关的特定疾病的文章，即使找到了，文章的相关应用可能会对患者产生不同于证据预测的影响。在这种情况下，EBM可能被证明对患者的整体健康危害大于益处。此外，可以认为，有太多的证据提供了实践EBM[7]。这可能导致临床医生在制定行动计划时考虑了太多的证据，导致不必要的时间消耗，因此效率低下。这可能导致进一步的问题，因为最小的延误可能被证明是致命的治疗严重不适的病人。
加拿大护理作业代写 循序渐进的算法
It can be argued that EBM places too much emphasis on following a step-by-step algorithm [7]. This could hamper the development of the clinical expertise of junior clinicians as they may become too machinelike in their approach, resulting in a lack of care towards the patient’s needs and values. This may lead to conflicts of interest between the patient and the care team, overall patient satisfaction and a decrease in working efficiency, which could prove fatal in those with acute illness.Furthermore EBM may not be the best option for those suffering from multimoribidities or comorbidities [7]. This is due to the fact that using clinical evidence to control one disease may lead to the worsening of, or even directly cause another disease. This also means that it is more difficult to find articles regarding the specific morbidities pertaining to the patient’s case due to fewer available articles, and even when found, the relevant application of the article may affect the patient differently than what was predicted by the evidence. In this case EBM may prove more detrimental to the overall wellbeing of the patient than beneficial.Additionally it can be argued that there is too large a volume of evidence offered when practicing EBM [7]. This may result in the consideration of too much evidence by clinicians when coming up with a plan of action, leading to unnecessary time consumption and therefore inefficiency. This may lead to further issues as the smallest of delays could prove fatal when treating acutely unwell patients.
