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Related Experiment Videos

Why evidence-based practice now?: a polemic.

Kim Walker1

  • 1St Vincent's Private Hospital, 406 Victoria Street, Darlinghurst, New South Wales 2010, Australia. Kwalker@stvincents.com.au

Nursing Inquiry
|August 28, 2003
PubMed
Summary
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Evidence-based practice (EBP) in healthcare is shaped by four "regimes of truth": positivism, empiricism, pragmatism, and economic rationalism. Understanding these influences clarifies EBP

Area of Science:

  • Healthcare policy
  • Philosophy of science
  • Sociology of health

Background:

  • Evidence-based practice (EBP) has expanded significantly beyond medicine to nursing and allied health disciplines.
  • The rise of EBP is a notable trend in contemporary healthcare over the past decade.

Purpose of the Study:

  • To analyze the influence of specific philosophical and economic frameworks on the development and adoption of EBP.
  • To explore how EBP's politicization and professionalization are linked to underlying "regimes of truth".

Main Methods:

  • A critical exegesis examining the philosophical underpinnings of EBP.
  • Analysis of the interplay between "regimes of truth" (positivism, empiricism, pragmatism, economic rationalism) and EBP's construction.
  • Exploration of how these rationalities shape EBP's methods, objectives, and market dynamics.

Related Experiment Videos

Main Results:

  • EBP's growth and characteristics are significantly influenced by positivism, empiricism, pragmatism, and economic rationalism.
  • The politicization and professionalization of EBP are deeply intertwined with these underlying "regimes of truth".
  • These rationalities construct EBP's methods and goals, influencing knowledge and power dynamics in healthcare.

Conclusions:

  • The controversy surrounding EBP stems from its inherent connection to specific "regimes of truth".
  • Understanding these philosophical influences is crucial for deconstructing the knowledge and power dynamics associated with EBP.
  • The adoption and promotion of EBP are shaped by market forces and professional interests, influenced by these rationalities.