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Updated: Jul 4, 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

The Generativity of Variability for Evidence-Based Practice.

Miriam Bender1

  • 1Sue & Bill Gross School of Nursing, University of California, Irvine, Irvine, California, USA.

Nursing Philosophy : an International Journal for Healthcare Professionals
|July 2, 2026
PubMed
Summary
This summary is machine-generated.

Evidence-based practice (EBP) aims to standardize care, but persistent variability reveals how healthcare is constructed. Variability is integral to developing and transforming evidence-based arrangements in clinical practice.

Keywords:
Callonevidence‐based practiceframing and overflowingnursingvariability

Related Experiment Videos

Last Updated: Jul 4, 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 studies
  • Sociology of science and technology
  • Nursing research

Background:

  • Evidence-based practice (EBP) is a dominant paradigm in clinical care, emphasizing evidence production and implementation.
  • Despite standardization efforts, significant variability persists in healthcare delivery, patient outcomes, and clinical decision-making.
  • Nursing scholarship has critiqued EBP's epistemological stance, viewing variability as a challenge to standardization.

Purpose of the Study:

  • To re-examine evidence-based practice (EBP) by using variability as a central concept.
  • To explore how healthcare is constructed as an evidentiary domain through the lens of variability.
  • To analyze the interplay between evidence and practice in the context of persistent clinical variability.

Main Methods:

  • Conceptual analysis drawing on Michel Callon's theories of framing and overflowing.
  • Examining evidence-based practice (EBP) as an ongoing process of making clinical practice calculable, comparable, and actionable.
  • Analyzing how variability is actively involved in the creation and transformation of evidentiary arrangements.

Main Results:

  • Variability is not merely an opposition to evidence but is integral to the processes of developing and enacting evidentiary arrangements.
  • Evidence and practice are not pre-existing entities but are continuously co-produced through framing and overflowing.
  • Healthcare is presented as a dynamic, continually forming domain shaped by ongoing interactions with evidentiary arrangements and clinical practices.

Conclusions:

  • Understanding variability is crucial for comprehending the construction of healthcare as an evidentiary domain.
  • Evidence-based practice (EBP) is an ongoing accomplishment, not a fixed state, shaped by the dynamic interplay of evidence and practice.
  • Further inquiry is needed into nursing's role in navigating and participating in these continually evolving healthcare processes.