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Can nursing epistemology embrace p-values?
Christine H K Ou1, Wendy A Hall1, Sally E Thorne1
1School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Summary
This study critically examines the uncritical use of probability values (p-values) in nursing and health care evidence. It argues for a deeper reflection on statistical significance testing
Area of Science:
- Nursing Research
- Health Sciences
- Statistical Methodology
Background:
- Correlational probability values (p-values) are widely accepted in nursing and health care for evidence evaluation.
- Significance testing, rooted in the natural science paradigm, is uncritically adopted in evidence-based practice.
- Nursing's engagement with the controversies surrounding significance testing as evidence has been limited.
Purpose of the Study:
- To critically examine the entrenchment of p-values as the gold standard for scientific knowledge in the postpositivist paradigm.
- To explore the reasons behind the uncritical adherence to significance testing in nursing and health care.
- To advocate for a critical reflection on the limitations of p-values within nursing epistemology.
Main Methods:
- Qualitative analysis of the role of statistical significance testing in evidence-based practice.
- Examination of the historical and philosophical underpinnings of p-value usage in scientific research.
- Literature review focusing on the debate surrounding statistical evidence in health and social sciences.
Main Results:
- P-values have become an entrenched, yet uncritically accepted, mechanism for evaluating evidence in nursing and health care.
- The reliance on significance testing overlooks the complex and contextual factors inherent to nursing epistemology.
- Nursing has not sufficiently participated in the broader scientific discourse on the evidentiary value of p-values.
Conclusions:
- Nursing must critically reflect on the limitations of p-values as a measure of evidence.
- Rethinking the reliance on significance testing is crucial for advancing nursing knowledge.
- A more nuanced understanding of evidence is needed, considering nursing's unique epistemological landscape.
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