Please use this identifier to cite or link to this item:
http://hdl.handle.net/1893/1795
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Paley, John | - |
dc.date.accessioned | 2017-09-21T01:19:07Z | - |
dc.date.issued | 2006-06 | - |
dc.identifier.uri | http://hdl.handle.net/1893/1795 | - |
dc.description.abstract | This 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.iso | en | - |
dc.publisher | Blackwell Publishing | - |
dc.relation | Paley J (2006) Evidence and expertise, Nursing Inquiry, 13 (2), pp. 82-93. | - |
dc.rights | The 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.subject | decision-making | en_UK |
dc.subject | evidence-based practice | en_UK |
dc.subject | expertise | en_UK |
dc.subject | judgement | en_UK |
dc.subject | research | en_UK |
dc.subject.lcsh | Nursing Philosophy | - |
dc.subject.lcsh | Nursing Research | - |
dc.subject.lcsh | Qualitative research | - |
dc.subject.lcsh | Clinical competence | - |
dc.title | Evidence and expertise | en_UK |
dc.type | Journal Article | en_UK |
dc.rights.embargodate | 2076-06-30T00:00:00Z | - |
dc.rights.embargoreason | The 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.doi | http://dx.doi.org/10.1111/j.1440-1800.2006.00307.x | - |
dc.identifier.pmid | 16700751 | - |
dc.citation.jtitle | Nursing Inquiry | - |
dc.citation.issn | 1320-7881 | - |
dc.citation.volume | 13 | - |
dc.citation.issue | 2 | - |
dc.citation.spage | 82 | - |
dc.citation.epage | 93 | - |
dc.citation.publicationstatus | Published | - |
dc.citation.peerreviewed | Refereed | - |
dc.type.status | Publisher version (final published refereed version) | - |
dc.author.email | jhp1@stir.ac.uk | - |
dc.citation.date | 15/05/2006 | - |
dc.contributor.affiliation | HS Health - Stirling | - |
dc.rights.embargoterms | 2076-06-30 | - |
dc.rights.embargoliftdate | 2076-06-30 | - |
dc.identifier.isi | 000241353300002 | - |
Appears in Collections: | Faculty of Health Sciences and Sport Journal Articles |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Paley - Evidence and expertise.pdf | 120 kB | Adobe PDF | Under Embargo until 2076-06-30 Request a copy |
This item is protected by original copyright |
Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.