"Insufficient" but still "necessary"? EBPM's dangerous leap of faith: commentary on Porter and O'Halloran (2009).

نویسندگان

  • Dave Holmes
  • Stuart J Murray
  • Amélie Perron
چکیده

In the opening lines of ‘The postmodernist war on evidence-based practice’ (Porter andO’Halloran, 2009), the authors erect a false binary between health care practice ‘informed by research’ and ‘those who argue that there should be no restrictions on the sources of knowledge used by practitioners’. This, the authors submit, is the distinction between the evidence-based approach and the postmodern approach. But nothing could be further from the truth. First, according to this characterisation, the relatively narrow understanding of ‘‘research’’ promulgated by the evidence-based practice movement is set up as the only type of research that can count as research. This is empirically false and dangerously misguided. Second, the authors understand postmodern approaches as epistemologically vacuous and as ‘‘anything-goes’’. This view is also wrong. It is unsurprising, then, that the paper’s summary of our critical work on evidence-based practice movement (EBPM) is at times misguided, decontextualised. Fine; but let us focus instead on the epistemic stakes, the claims of the paper itself. The paper fails to provide a substantive reflection regarding the limits of EBPM in clinical practice. These limits are acknowledged by the authors, but are not met with solutions or alternatives that would address them. While what the authors contend is not incorrect, it does not contribute anything new to the ongoing debate about the hegemony of EBPM in clinical and research settings. For instance, it is not enough to claim that EBPM is

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Almizan Commentary on the Verses of Infaq with a Stimulating Approach

One of the most important socio-economic teachings of the Qur'an is the emphasis on charity and helping the deprived as the practical pillars of faith and the important effects on the well-being of the individual and society. The Quran verses in the field are abundant and may be examined in many ways. As viewed by psychologists, motivation is needed for any action. The present study examines th...

متن کامل

Necessary but Not Sufficient…; Comment on “Knowledge Mobilization in Healthcare Organizations: A View From the Resource-Based View of the Firm”

The challenge of mobilizing knowledge to improve patient care, population health and ensure effective use of resources is an enduring one in healthcare systems across the world. This commentary reflects on an earlier paper by Ferlie and colleagues that proposes the resource-based view (RBV) of the firm as a useful theoretical lens through which to study knowledge mobilization in healthcare. Spe...

متن کامل

Policy Capacity for Health Reform: Necessary but Insufficient; Comment on “Health Reform Requires Policy Capacity”

Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acut...

متن کامل

A Leap of Faith: The Role of Trust in Higher Education Teaching

The importance of trust to ‘good’ teaching in higher education is comparatively neglected compared to work focused on the use of techniques to develop active learning and reflective processes. This paper applies concepts from the management and marketing literature to identify why students entering higher education must do so largely on the basis of trust or a ‘leap of faith’. It als...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • International journal of nursing studies

دوره 46 5  شماره 

صفحات  -

تاریخ انتشار 2009