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Evidence-based practice.

Lois Goding¹, Keith Edwards

¹Faculty of Health Studies, Buckinghamshire Chilterns University College, Buckinghamshire, UK.

Nurse Researcher

|August 2, 2002

Summary

Evidence-based practice (EBP) in healthcare requires careful consideration of research evidence. This article examines philosophical assumptions and argues for interpretative approaches in nursing due to complex human behavior.

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Area of Science:

Philosophy of Science
Healthcare Research Methodologies
Nursing Theory

Background:

Evidence-based practice (EBP) is widely adopted in nursing, midwifery, and health visiting.
The philosophical underpinnings and nature of evidence used in EBP are often overlooked.

Purpose of the Study:

To explore the philosophical assumptions influencing evidence-based practice.
To critically examine the relationship between research methodologies and EBP in healthcare.

Main Methods:

Philosophical analysis of research paradigms (positivism, constructivism, postmodernism).
Discussion of methodological implications for healthcare research.

Main Results:

Identifies dichotomies between different research philosophies.
Highlights the limitations of reductionist approaches in understanding complex human behavior in nursing.

Conclusions:

Nursing requires a holistic, interpretative approach to understand perceptions and complex human behavior.
Critical appraisal of evidence and methodologies is crucial for effective EBP.

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