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The deconstructing angel: nursing, reflection and evidence-based practice.

Gary Rolfe1

  • 1School of Health Science, University of Wales, Swansea, UK. g.rolfe@swan.ac.uk

Nursing Inquiry
|May 17, 2005
PubMed
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This study applies philosophical deconstruction to critique nursing theory and evidence-based practice (EBP). It reveals EBP

Area of Science:

  • Nursing Theory
  • Philosophy of Science
  • Critical Theory

Background:

  • Deconstruction, originating in philosophy, offers a method for critiquing dominant paradigms.
  • Nursing theory and practice can benefit from deconstructive approaches to challenge established norms.
  • Evidence-based practice (EBP) is a dominant paradigm in contemporary nursing.

Purpose of the Study:

  • To explore Jacques Derrida's deconstruction as a tool for analyzing nursing theory and practice.
  • To demonstrate the application of deconstruction by critiquing evidence-based practice (EBP).
  • To examine critiques of reflective practice and redirect them toward EBP.

Main Methods:

  • Philosophical deconstruction applied to nursing discourse.
  • Analysis of critiques leveled against reflective practice.

Related Experiment Videos

  • Application of deconstructive critique to the meta-narrative of evidence-based practice (EBP).

    • Main Results:

    • Deconstruction provides a valuable framework for challenging nursing's dominant paradigms.
    • Critiques typically directed at reflective practice can be effectively applied back to EBP.
    • Evidence-based practice (EBP) exhibits vulnerabilities, including lack of empirical evidence and potential for factual distortion.

    Conclusions:

    • Deconstruction is a relevant and potent strategy for critiquing nursing theory and evidence-based practice.
    • Evidence-based practice (EBP) is susceptible to the same criticisms it often directs at other nursing approaches.
    • Further deconstructive analysis is warranted to understand the complexities of nursing knowledge and practice.