Evidence, Virulence, and the Disappearance of Nursing Knowledge: A Critique of the Evidence‐Based Dogma
- 8 September 2006
- journal article
- review article
- Published by Wiley in Worldviews on Evidence-Based Nursing
- Vol. 3 (3), 95-102
- https://doi.org/10.1111/j.1741-6787.2006.00058.x
Abstract
Within the domain of health care, the new discourse of evidence-based practice has appeared and gained momentum, giving rise to a plethora of correlates such as specialized scientific journals and best practice guidelines. Following the crowd, nursing has jumped onto this trend's bandwagon. Although some scholars and clinicians have tried to expand these notions, few have considered a deconstructive approach to do so. Drawing on the works of continental postmodern thinkers such as Baudrillard, Deleuze & Guattari, and Foucault, this paper critically examines the rise of the evidence-based nursing (EBN) movement in order to deconstruct the "taken-for-granted" assumption that EBN is in and of itself the favored path to the sound development of nursing knowledge. We argue against the hierarchical differentiation of varied research approaches so as to allow diverse methodologies to guide research and ultimately practice. The status quo is challenged, where research agendas are currently dominated by one paradigm of knowledge development; that of post-positivism in which randomized control trials are portrayed as superior evidence. There is a hazard in excluding many other venues to build nursing knowledge and in oversimplifying the complexity of clinical nursing practice. Furthermore, we argue that this preferred path of knowledge development contradicts nursing academics' efforts to distance itself from the medical model of health care provision and research.Keywords
This publication has 16 references indexed in Scilit:
- Outcome reporting bias in randomized trials funded by the Canadian Institutes of Health ResearchCMAJ : Canadian Medical Association Journal, 2004
- Rhizomatic thought in nursing: an alternative path for the development of the disciplineNursing Philosophy, 2004
- What counts as evidence in evidence‐based practice?Journal of Advanced Nursing, 2004
- What Is Nursing Science?Nursing Science Quarterly, 2002
- What is Nursing Science?Nursing Science Quarterly, 2002
- From iron gaze to nursing care: mental health nursing in the era of panopticismJournal of Psychiatric and Mental Health Nursing, 2001
- From iron gaze to nursing care: mental health nursing in the era of panopticismJournal of Psychiatric and Mental Health Nursing, 2001
- Problems in the “Evidence” of “Evidence-Based Medicine”The American Journal of Medicine, 1997
- Photographic disastersContinuum, 1993
- Fundamental Patterns of Knowing in NursingAdvances in Nursing Science, 1978