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Evidence-based practice: a retrograde step? The importance of pluralism in evidence generation for the practice of health care

Authors

  • JANICE B. CLARKE BSc, PGCEA, RGN

    1. Lecturer, School of Nursing and Midwifery, University of Southampton, South Block General Hospital, Tremona Road, Southampton SO16 6YD, UK
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Janice B.Clarke 25 Riverside Gardens, Romsey SO51 8HN, UK

Abstract

• 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.

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