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dc.contributor.authorPaley, John-
dc.description.abstractThis paper evaluates attempts to defend established concepts of expertise and clinical judgement against the incursions of evidence-based practice. Two related arguments are considered. The first suggests that standard accounts of evidence-based practice imply an overly narrow view of 'evidence', and that a more inclusive concept, incorporating 'patterns of knowing' not recognised by the familiar evidence hierarchies, should be adopted. The second suggests that statistical generalisations cannot be applied non-problematically to individual patients in specific contexts, and points out that this is why we need clinical judgement. In evaluating the first argument, I propose a criterion for what counts as evidence. It is a minimalist criterion but the 'patterns of knowing', referred to in the literature, still fail to meet it. In evaluating the second argument, I will outline the powerful empirical reasons we have for thinking that decisions based on research evidence are usually better than decisions based on clinical judgement; and show that current efforts to rehabilitate clinical judgement seriously underestimate the strength of these reasons. By way of conclusion, I will sketch the ways in which the concept of expertise will have to be modified if we accept evidence-based practice as a template for health-care.en_UK
dc.publisherBlackwell Publishing-
dc.relationPaley J (2006) Evidence and expertise, Nursing Inquiry, 13 (2), pp. 82-93.-
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.-
dc.subjectevidence-based practiceen_UK
dc.subject.lcshNursing Philosophy-
dc.subject.lcshNursing Research-
dc.subject.lcshQualitative research-
dc.subject.lcshClinical competence-
dc.titleEvidence and expertiseen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreasonThe publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.-
dc.citation.jtitleNursing Inquiry-
dc.type.statusPublisher version (final published refereed version)-
dc.contributor.affiliationHS Health - Stirling-
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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