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Best practice: what it is and what it is not
International Journal of Nursing Practice
|January 14, 2000
Summary
This study critiques "best practice" in healthcare, arguing it reinforces outdated modernist ideas that limit care providers and patient outcomes. It proposes an alternative framework for developing high-quality health services.
Area of Science:
- Healthcare Studies
- Critical Theory
- Sociology of Health
Background:
- The concept of "best practice" is widely adopted in healthcare delivery.
- This approach is often rooted in modernist principles that may not fully serve current healthcare needs.
- Existing "best practice" models can inadvertently limit the autonomy and effectiveness of healthcare professionals and the quality of patient care.
Purpose of the Study:
- To critically examine the concept of "best practice" in healthcare from a poststructuralist perspective.
- To analyze how "best practice" discourse may perpetuate modernist healthcare ideologies.
- To propose an alternative framework for developing high-quality healthcare services.
Main Methods:
- Poststructuralist critique of existing healthcare literature and concepts.
- Discourse analysis of "best practice" in health-care delivery.
- Theoretical exploration of alternative models for healthcare quality.
Main Results:
- "Best practice" frameworks often reinforce limiting modernist notions in healthcare.
- These modernist notions restrict both healthcare workers and the care provided to clients.
- The limitations imposed by "best practice" can obscure negative outcomes for patients and providers.
Conclusions:
- A poststructuralist critique reveals the limitations of "best practice" in healthcare.
- Moving beyond modernist healthcare ideals is necessary for improved patient and provider experiences.
- Developing alternative perspectives is crucial for advancing high-quality healthcare services.
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