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Related Concept Videos

The Scientific Method in Nursing Process01:18

The Scientific Method in Nursing Process

The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
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Theoretical Foundations of Nursing Practice

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The Evidence for Evolution

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Humanistic Psychology01:24

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

The postmodernist war on evidence-based practice.

Sam Porter1, Peter O'Halloran

  • 1Nursing and Midwifery Research Unit, School of Nursing and Midwifery, Queen's University Belfast, Northern Ireland. s.porter@qub.ac.uk

International Journal of Nursing Studies
|January 2, 2009
PubMed
Summary
This summary is machine-generated.

Evidence-based practice (EBP) in healthcare is essential but insufficient. Postmodernist critiques highlight EBP

Related Experiment Videos

Last Updated: Jun 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Healthcare knowledge systems
  • Philosophy of science in medicine
  • Nursing practice and research

Background:

  • The paper addresses the conflict between evidence-based practice (EBP) advocates and postmodernist critics in healthcare.
  • It analyzes the arguments concerning the sources of knowledge informing healthcare and nursing practice.
  • The study acknowledges the stylistic elements of postmodernist discourse that can obscure substantive arguments.

Purpose of the Study:

  • To critically examine the philosophical debate between evidence-based practice and postmodernism in healthcare.
  • To evaluate the validity of postmodernist critiques regarding the hierarchical and exclusive nature of EBP.
  • To determine the implications of these critiques for healthcare knowledge and practice.

Main Methods:

  • Literature review and critical analysis of postmodernist arguments concerning evidence-based practice.
  • Examination of five key postmodernist charges against the evidence-based practice movement.
  • Philosophical discussion of knowledge hierarchies and their impact on healthcare.

Main Results:

  • The critique that 'best evidence' implies a hierarchical and exclusive knowledge approach is persuasive.
  • Postmodernist arguments that EBP's hierarchy damages healthcare by excluding diverse evidence forms hold merit.
  • The claim that EBP marginalizes clinical knowledge and individual experiences is also supported.

Conclusions:

  • Evidence-based practice is a necessary, yet incomplete, component of healthcare knowledge.
  • While postmodernist critiques identify valid concerns, their conclusion of a 'fascist order' is rejected.
  • A balanced approach is needed, integrating research evidence with other forms of knowledge for comprehensive care.