Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1795
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dc.contributor.authorPaley, John-
dc.date.accessioned2017-09-21T01:19:07Z-
dc.date.issued2006-06-
dc.identifier.urihttp://hdl.handle.net/1893/1795-
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.language.isoen-
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.subjectdecision-makingen_UK
dc.subjectevidence-based practiceen_UK
dc.subjectexpertiseen_UK
dc.subjectjudgementen_UK
dc.subjectresearchen_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.embargodate2076-06-30T00:00:00Z-
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.identifier.doihttp://dx.doi.org/10.1111/j.1440-1800.2006.00307.x-
dc.identifier.pmid16700751-
dc.citation.jtitleNursing Inquiry-
dc.citation.issn1320-7881-
dc.citation.volume13-
dc.citation.issue2-
dc.citation.spage82-
dc.citation.epage93-
dc.citation.publicationstatusPublished-
dc.citation.peerreviewedRefereed-
dc.type.statusPublisher version (final published refereed version)-
dc.author.emailjhp1@stir.ac.uk-
dc.citation.date15/05/2006-
dc.contributor.affiliationHS Health - Stirling-
dc.rights.embargoterms2076-06-30-
dc.rights.embargoliftdate2076-06-30-
dc.identifier.isi000241353300002-
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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