The evidence based practice article really seems to be talking about finding a trustworthy, relevant document. Given that they are discussing medical information trustworthiness seems to be the most important factor, followed by relevance. In my opinion, relevance is the most difficult part to define. Relevance seems to be something that affects one person at one instance in time - i.e., this document is relevant to me today, but it might not be relevant to me tomorrow nor relevant to you today. As an evidence based practitioner, the role of the professional is to provide the most current, up to date information. It is the role of the information professional to find this information and label it trustworthy or not and relevant or not.
It also seems that finding relevant EBP articles is challenging because the user (searcher, professional, etc.) should attempt to find evidence based research that is basically identical to the situation they are researching. While EBP seems like a good thing for people to implement, the most challenging aspect of the job appears to be this issue of finding research relevant to your population.
From the information on training users, it seems like they should take research methods! Learning how to justify what type of research (qualitative or quantitative) is appropriate to your user's situation is critical in finding EBP information. For information professionals, the goal is here is to tell users exactly what they need to know without causing information overload. What I gathered from this document is to give the users the facts - i.e., 'quantitative research methods are appropriate in this situation' or 'you should be looking at qualitative research to find EBP articles relevant to your situation'.
When it comes to developing my tour, the EBP information has shown be how critical it is to find relevant documents. Right now, my tour interests seem to revolve around Chatman's work - I want to learn more about the information poor. In the spirit of EBP, I will start with her research before developing my own tour. By using the research of those that have come before us, we can use their knowledge and improve our own research. EBP research on the information poor (like Chatman's article on the retirees) can support the design of my tour as well as the methods used to gather data. So as not to stay on one track, I will look outside of Chatman's research in what I call spider web form - I will start with her list of references and find other relevant articles, look through their references, etc., until I have found a balanced view and a significant amount of data on the information poor.
I read Christine Barry's article on alternative medicine. In it, she discusses the general medical profession's opinion of alternative medicine and I have first hand experience that proves her presumptions are correct. My fiancée is homeopathic and occasionally he has to have X-rays or other tests done with a Western MD because his homeopath is several hours away. The doctors here (and by here I mean Western doctors) tend to look down on homeopathy and not see it as a true way to recover from illness - in my opinion a lot of them seem to want to give EVERYONE an antibiotic. This amuses me because Mark is healthier than most people I know and he stays that way by taking care of himself (mind, body, and soul) through homeopathy. Barry discussed the difficulties in testing the effectiveness of homeopathy - these are issues that hadn't occurred to me before. Testing an outcast version of treatment in an already biased system seems to be impossible. This is unfortunate for homeopathy as a practice, as it makes it difficult for Western doctors to take it as seriously as they should. Finding a homeopathic remedy is like finding a relevant document - the results are based on individual needs.
From what I've read about EBP in theory, it was developed to keep practitioners up to date. In the healthcare industry, this is critical. With so many diseases untreatable, it is important to be able to find out what doctors are doing to treat them. Finding alternatives to traditional medicine should be a part of EBP but because of its setup is often difficult to incorporate. To this extent, if more homeopaths or alternative medicine practitioners were to get published in medical journals perhaps their practices would become more popular and accepted in the medical community.