Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this ‘ask’ is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence.
From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen.
Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.
Table of Contents
1. Introduction Martin Lipscomb 2. Making Evidence-based Practice Happen in 'Real World' Contexts: The Importance of Collaborative Partnerships Davina Banner, Fred Janke and Kathryn King-Shier 3. Intra- and Inter-professional Working: Pitfalls and Potential Margaret Miers 4. EBP as Taught and Experienced: Education, Practice and Context Elizabeth Rosser, D Neal, J Reeve, J Valentine and R Grey 5. Critical Considerations in Evidence-based Interprofessional Practice Melody Carter 6. Evidence and Practical Knowledge Mark Risjord 7. Evidence-based Nursing and the Generalizability of Research Results Robyn Bluhm 8. Evidence-based Practice and Practice-based Evidence Gary Rolfe 9. Non-research Evidence: What We Overlook (but Shouldn't) Bernie Garrett 10. Evidence and the Qualitative Research Analogous Structure John Paley 11. The Status and Use Value of Qualitative Research Findings: New Ways to Make Sense of Qualitative Work Sally Thorne 12. Research Appraisal and Individual Responsibility: A Critique Martin Lipscomb 13. Ethics and Evidence-based Practice Peter Allmark 14. Ethical Competence and Evidence-based Practice Derek Sellman 15. Rounding on the Smokers: The Myth of Evidence-based (Nursing) Policy Paul Snelling
Martin Lipscomb Ph.D. RN is a senior lecturer at the University of the West of England and Secretary to the International Philosophy of Nursing Society.
'Life in the modern world is ruled and shaped by evidence. This book examines exactly what we mean by evidence. It is an engaging read for researchers and practitioners willing to grapple with what often are the grey areas surrounding the implementation of the most up-to-date clinical evidence and to consider innovative ways of achieving best practice. It makes a valuable contribution to the emerging literature taking a critical approach to EBP.'- Dr Catherine O'Neill, Nursing Times