title: Implications of holding ideas of evidence-based practice in nursing.
abstract: The author of this paper examines emerging implications of holding ideas about evidence and evidence-based practice. Evidence has a very specific role in the delivery of safe clinical care, but it is creating a serious problematic for the practice of nursing. It is proposed that: evidence-based practice be re-situated or reconstructed as a collective and organizational responsibility and not the responsibility of individual nurses in practice; nurses re-focus on articulating a more ethical foundation for praxis, one that emerges from nursing philosophy and one that is co-constituted with persons/families/groups; and nurse leaders and educators establish teaching-learning and practice environments that enable a peer-to-peer process of critical review and curious inquiry of available evidence in the contexts of shared work.
authors.affiliation: York-University Health Network Nursing Academy, Toronto, Canada.
authors.forename: Gail J
authors.initials: GJ
authors.lastname: Mitchell
mesh_terms: D004506:Education, Nursing; D004993:Ethics, Nursing; D055318:Evidence-Based Nursing; D006801:Humans; D007857:Leadership; D007858:Learning; D009726:Nurses