Knowledge for Nursing Practice: Beyond Evidence Alone
| Autor: | Peggy L. Chinn, Leslie H. Nicoll, Marlaine C. Smith |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Nursing literature
Evidence-based practice 030504 nursing business.industry General Medicine Public relations 03 medical and health sciences Critical appraisal Scholarship Knowledge 0302 clinical medicine Nursing Theory Evidence-Based Practice Nursing theory Humans 030212 general & internal medicine Situational ethics 0305 other medical science Psychology Empirical evidence business Discipline |
| Zdroj: | Research and Theory for Nursing Practice. 35:7-23 |
| ISSN: | 1945-7286 1541-6577 |
| DOI: | 10.1891/rtnp-d-20-00095 |
| Popis: | ObjectiveFor the past 30 years there has been a growing emphasis on evidence as the primary or exclusive basis for nursing practice.MethodsCritical examination of literature related to evidence-based practice from the 1990s to the present.ResultsThis review of the nursing literature from the 1990s to the present reveals that in the midst of the movement to promote evidence-based practice as the gold standard, there have been persistent expressions of concern. These concerns are (a) lack of alignment of evidence-based practice with nursing's disciplinary perspective; (b) wrongful privileging of empirical knowledge over other sources of knowledge; (c) underappreciation of the complexity of practice and practice wisdom;(d) possibilities of evidence-based practice thwarting innovation and creativity;(e) vulnerabilities of empirical evidence to be flawed, inconsistent, and influenced by competing interests; (f) situational realities that limit access to and critical appraisal of evidence that access to and critical appraisal of evidence is not feasible or practical; and (g) lack of relationship of evidence-based practice to theory.ConclusionsWe call for a recalibrated practice epistemology that promotes a greater appreciation for the myriad sources of knowledge for nursing practice, and offer recommendations for international change in education, literature, scholarship, and public media. |
| Databáze: | OpenAIRE |
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