Thorne Sally
School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Asia Pac J Oncol Nurs. 2018 Jan-Mar;5(1):43-45. doi: 10.4103/apjon.apjon_51_17.
In an environment in which evidence-based practice is the espoused norm, nurses have understandably sought to frame the knowledge they deem relevant to practice decisions, including the findings of their qualitative studies, as a form of evidence. However, since cancer patients face a significant challenge interpreting various evidence claims, it is important to recognize that the results of our qualitative studies reflect a different form of knowledge from that which an evidence-based practice definition of evidence presumes. Thus, we need to rethink our relationship to what qualitative studies offer to the evidentiary dialog. An approach to qualitative inquiry that derives from a nursing disciplinary logic model is, therefore, presented as an alternative means by which to generate the kinds of knowledge nurses need to practice and to gain expertise in clinical wisdom. Drawing on cancer communications research as an example, a nursing angle of vision on how best to use qualitative approaches to interpret evidence and inform practice emerges.
在一个以循证实践为既定规范的环境中，护士们理所当然地试图将他们认为与实践决策相关的知识，包括定性研究的结果，构建为一种证据形式。然而，由于癌症患者在解读各种证据主张时面临重大挑战，重要的是要认识到我们定性研究的结果所反映的知识形式与循证实践对证据的定义所假定的知识形式不同。因此，我们需要重新思考我们与定性研究为证据对话所提供内容之间的关系。因此，提出一种源自护理学科逻辑模型的定性探究方法，作为生成护士实践所需知识并获得临床智慧专业技能的另一种方式。以癌症沟通研究为例，出现了一个关于如何最好地运用定性方法来解读证据并为实践提供信息的护理视角。
