Thorne Sally, Sawatzky Richard
School of Nursing, University of British Columbia, Vancouver (Dr Thorne); and School of Nursing, Trinity Western University (Dr Sawatzky), Langley, British Columbia, Canada.
ANS Adv Nurs Sci. 2014 Jan-Mar;37(1):5-18. doi: 10.1097/ANS.0000000000000011.
Proliferation of demands for accountability and health care quality places nurses under constant pressure to ensure professional practice is evidence-based. The corresponding emphasis on knowledge that pertains to general populations challenges nursing's traditional focus on the uniqueness of each individual patient. Considering how nurses engage with professional systematic thinking processes, we reflect on ways competing agendas in the evidence-based practice environment compromise the professional vision aspired to by an earlier era of nursing model and framework builders. Exploring the scientific thinking underpinning practice evidence, we contemplate implications for applying general knowledge to particular practice, reconsidering options for conceptualizing nursing praxis.
对问责制和医疗质量的要求不断增加，这使得护士始终面临压力，要确保专业实践基于证据。对适用于普通人群的知识的相应强调，挑战了护理传统上对每个患者独特性的关注。考虑到护士如何参与专业的系统思维过程，我们反思在循证实践环境中相互竞争的议程如何损害了早期护理模式和框架构建者所追求的专业愿景。通过探索实践证据背后的科学思维，我们思考将一般知识应用于特定实践的意义，重新考虑护理实践概念化的选项。
