Evidence-based practice: a retrograde step? The importance of pluralism in evidence generation for the practice of health care.
The origin of evidence-based medicine is explored and its connection to evidence-based practice examined. Widespread acceptance of the dominant scientific paradigm supporting evidence-based practice is challenged. Knowledge classifications and their relevance for nursing practice are considered, with the need for a critical balance to be pursued. Recommendations are made, regarding the future of evidence for practice, and a brief example of emerging evidence concerning values of professional caring is offered in redressing the balance.
Clarke
J B
JB
School of Nursing and Midwifery, University of Southampton, South Block General Hospital, UK.
D018864:Cultural Diversity; D004645:Empathy; D019317:Evidence-Based Medicine / Q000592:standards*; D006801:Humans; D015399:Nursing Research / Q000379:methods / Q000592:standards*; D010348:Patient Care Team / Q000458:organization & administration*; D015203:Reproducibility of Results; D012107:Research Design / Q000592:standards*; D013222:State Medicine / Q000592:standards; D006113:United Kingdom