Implementing evidence-based nursing practice: a tale of two intrapartum nursing units.
Implementing evidence-based nursing practice: a tale of two intrapartum nursing units.
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DOI：
10.1046/j.1440-1800.2003.00193.x
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发表时间：
2003-12-01
期刊：
影响因子：
2.3
通讯作者：
O'Brien-Pallas, Linda
中科院分区：
文献类型：
--
作者：
Angus, Jan;Hodnett, Ellen;O'Brien-Pallas, Linda
尽管人们担心循证实践的兴起可能会将护理实践转变为受科学知识约束的表演性练习，但其他人发现，在动态的卫生保健环境中，科学知识绝不是主要的知识来源。我们认为，实施循证创新的背景与尝试这些变化的个体从业者一样，对结果具有同样的影响。一项有重点的人种志研究是在早期试验的基础上进行的，该试验评估了鼓励采用循证产中护理实践的营销策略的有效性。Bourdieu(1990,1991)的习性、资本和社会领域的概念被用于我们对人种学发现的分析的改进。护理领导、与医生的职业斗争、社区特征和物理环境是所有地点的突出问题。详细描述了社会历史背景和在两个地点的经验，以说明在实施创新时遇到的复杂性。
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.