Knowledge for Nursing Practice: Beyond Evidence Alone.
Res Theory Nurs Pract
; 35(1): 7-23, 2021 02 01.
Article
en En
| MEDLINE
| ID: mdl-33632920
ABSTRACT
OBJECTIVE:
For the past 30 years there has been a growing emphasis on evidence as the primary or exclusive basis for nursing practice.METHODS:
Critical examination of literature related to evidence-based practice from the 1990s to the present.RESULTS:
This 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.CONCLUSIONS:
We 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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Conocimiento
/
Práctica Clínica Basada en la Evidencia
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Res Theory Nurs Pract
Asunto de la revista:
ENFERMAGEM
Año:
2021
Tipo del documento:
Article