Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2003-11-19
pubmed:abstractText
Despite concerns that the rise of evidence-based practice threatens to transform nursing practice into a performative exercise disciplined by scientific knowledge, others have found that scientific knowledge is by no means the preeminent source of knowledge within the dynamic settings of health-care. We argue that the contexts within which evidence-based innovations are implemented are as influential in the outcomes as the individual practitioners who attempt these changes. A focused ethnography was done in follow-up to an earlier trial that evaluated the effectiveness of a marketing strategy to encourage the adoption of evidence-based intrapartum nursing practice. Bourdieu's (1990, 1991) concepts of habitus, capital and social field were used in our refinement of the analysis of the ethnographic findings. Nursing leadership, interprofessional struggle with physicians, the characteristics of the community and the physical environment were prominent issues at all of the sites. Detailed descriptions of the sociohistorical context and of the experiences at two sites are presented to illustrate the complexities encountered when implementing innovations.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1320-7881
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
218-28
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:14622368-Adaptation, Psychological, pubmed-meshheading:14622368-Anthropology, Cultural, pubmed-meshheading:14622368-Attitude of Health Personnel, pubmed-meshheading:14622368-Benchmarking, pubmed-meshheading:14622368-Diffusion of Innovation, pubmed-meshheading:14622368-Evidence-Based Medicine, pubmed-meshheading:14622368-Follow-Up Studies, pubmed-meshheading:14622368-Humans, pubmed-meshheading:14622368-Marketing of Health Services, pubmed-meshheading:14622368-Maternal-Child Nursing, pubmed-meshheading:14622368-Models, Nursing, pubmed-meshheading:14622368-Nursing Methodology Research, pubmed-meshheading:14622368-Nursing Staff, Hospital, pubmed-meshheading:14622368-Ontario, pubmed-meshheading:14622368-Organizational Innovation, pubmed-meshheading:14622368-Physician-Nurse Relations, pubmed-meshheading:14622368-Practice Guidelines as Topic, pubmed-meshheading:14622368-Workload
pubmed:year
2003
pubmed:articleTitle
Implementing evidence-based nursing practice: a tale of two intrapartum nursing units.
pubmed:affiliation
Faculty of Nursing, University of Toronto, 50 St. George Street, Toronto, Ontario, Canada. jan.angus@utoronto.ca
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't