The CNHC Code of Conduct, Ethics and Performance describes the standards of conduct, ethics and performance expected of all complementary health practitioners on the CNHC Register.
February focuses on Evidence Based Practice. We explain what it is and what it means for you as a practitioner.
Evidence Based Practice
The introduction to the CNHC Code (at page 4) states:
“All Registrants are personally accountable for their actions and must be able to explain and justify their decisions when asked to do so. All Registrants have a duty to protect the health and wellbeing of their clients. To do this they must engage in ‘Evidence Based Practice’.”
As a CNHC Registrant it is important to be clear about how and why you offer a particular treatment to your clients. For example, when you take an initial case history, how do you then decide what type of treatment should follow? It is important that you can explain why you made your decisions if asked to do so.
The name given to this decision-making process is Evidence Based Medicine. It means you base your decisions on the three following steps:
- Best available research evidence
- Clinical expertise
- Patient values.
Best available research evidence
You need to ensure that the treatments offered are in line with the best available evidence. ‘Best’ does not necessarily mean it has to be a largescale research trial. It could be based on patient or client evaluations, articles in membership or academic journals, books by experts in your field or small studies. Of course, it could also be based on research trials if they exist.
Clinical expertise means your own experience and expertise of working with similar conditions or types of presentation and any reflections or good practice you are aware of. What is important here is that you record your findings with each client so that you can demonstrate the effect of a particular approach if asked.
This means that what you offer needs to be in line with what is most important to your patient or client, and with their particular case history. What would they like to achieve? Perhaps to feel more relaxed or to feel some relief from a particular muscle tension.
In using this approach you ensure you have a clear rationale for the treatments and care you provide.
Have you read the CNHC Code?
We strongly recommend that you familiarise yourself with our Code of Conduct, Ethics and Performance. All Registrant are sent a copy and you can also find it here.