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Keywords:

  • caring;
  • evidence-based medicine;
  • evidence-based practice;
  • hermeneutic evidence;
  • pluralism

• 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.