2002
DOI: 10.1046/j.1440-1800.2002.00148.x
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Governing nursing conduct: the rise of evidence‐based practice

Abstract: Drawing on the Foucauldian concept of 'governmentality' to analyse the evidence-based movement in nursing, we argue that it is possible to identify the governance of nursing practice and hence nurses across two distinct axes; that of the political (governance through political and economic means) and the personal (governance of the self through the cultivation of the practices required by nurses to put evidence into practice). The evaluation of nursing work through evidence-based reviews provides detailed info… Show more

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Cited by 55 publications
(52 citation statements)
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“…In 1993, the Cochrane Collaboration, serving as an international research review board, was founded to provide clinicians with a resource aimed at increasing clinician–patient interaction time by facilitating clinicians’ access to valid research 2 . The Cochrane database was established to provide this resource, and it comprises a collection of articles that have been selected according to specific criteria 7 . For example, one of the requirements of the Cochrane database is that acceptable research must be based on the RCT design; all other research, which constitutes 98% of the literature, is deemed scientifically imperfect 6 …”
Section: Evidence‐based Health Sciences: Definition and Deconstructionmentioning
confidence: 99%
“…In 1993, the Cochrane Collaboration, serving as an international research review board, was founded to provide clinicians with a resource aimed at increasing clinician–patient interaction time by facilitating clinicians’ access to valid research 2 . The Cochrane database was established to provide this resource, and it comprises a collection of articles that have been selected according to specific criteria 7 . For example, one of the requirements of the Cochrane database is that acceptable research must be based on the RCT design; all other research, which constitutes 98% of the literature, is deemed scientifically imperfect 6 …”
Section: Evidence‐based Health Sciences: Definition and Deconstructionmentioning
confidence: 99%
“…In this regard it is worth noting differences in the criticisms of the systematic review methodology with respect to the area of practice concerned. Whereas in nursing and educational fields, the criticisms are concerned with issues of professional power (Clegg 2005;MacLure 2004) and the limited scope (Winch et al 2002) of systematic reviews, criticism in the medical field, at least where scope is concerned, is often from a positivist view claiming that the Cochrane definitions are not precise enough (Fahy and Tracy 2007).…”
Section: Methodological Issues and Implicationsmentioning
confidence: 99%
“…That is, they are directed at the level of the population, they constitute individuals and groups as "problems" and domains of governance needing the assistance of health promotion "experts," they are systematic, calculated and directed at defined ends, they emerge from the state but are also articulated by associated independent institutions and agencies. (Lupton, 1995, p. 49) Moreover, elements of a governmentality approach have been applied to a number of arenas of health and human welfare, including obesity and the use of the body mass index (Evans & Colls, 2009), HIV/AIDS education (Schee & Baez, 2009), learning disabilities (Gilbert, Cochrane, & Greenwell, 2005), nursing (Clinton & Hazelton, 2002;Holmes & Gastaldo, 2002;Winch, Creedy, & Chaboyer, 2002), hormone replacement therapy (Harding, 1998), mental health and psychiatry (McCallum, 1998;Tyler, 1998), and eating disorders (Eckermann, 1998).…”
Section: Neoliberal Governmentality and Public Healthmentioning
confidence: 99%