Evidence-informed practice: from individual to context

Journal of Nursing Management
Jo Rycroft-Malone

Abstract

This commentary considers the shift in evidence-informed practice away from the individual practitioner to an acknowledgement that context is also important. The view of practitioner as 'rational agent' capable of searching, appraising and translating research evidence into individual practice has dominated the literature. However, a growing body of research leads us to question whether evidence use is indeed an individual activity. Key research studies were purposively selected to build the case for the arguments made. Apart from attitude, there is little to indicate that any potential individual determinants influence research use. Views of what constitutes evidence for evidence-based practice have become more inclusive and sophisticated. Evidence tends to be contextually bound and individually interpreted and particularized within that context. As such, evidence use is beginning to be recognized more widely as a contingent process, which varies across setting and time. A number of contextual factors have been found to be potentially influential including culture and leadership. CONCLUSION(S) AND IMPLICATIONS FOR NURSING MANAGEMENT: It cannot be assumed that evidence-based resources such as clinical guidelines will be accepte...Continue Reading

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