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Compose a 2000 words essay on Nursing Practice Master. Needs to be plagiarism free!Download file to see previous pages... The paradx is that there seems t be very little evidence t supprt the ntin tha
Compose a 2000 words essay on Nursing Practice Master. Needs to be plagiarism free!
Download file to see previous pages...The paradx is that there seems t be very little evidence t supprt the ntin that the term is a slid enugh cnstruct fr scientific r practical purpses. In fact the cncept itself hlds within it the seeds f its wn destructin. In the same way that a persn speaking abut elcutin r lecturing abut gd teaching can betray the very principles they are extlling by their behaviur, current advcates f evidence-based practice (EBP) seem t betray the whle ratinale fr EBP by having n scientific cnstruct t supprt its emergence. thers have cmmented n similar scenaris in health care. 'The emphasis n enlarging the EBM 'textbk' als runs the risk f re-creating the intense enthusiasm fllwed by the sad disenchantment that ccurred abut 25 years ag when the 'Prblem riented Medical Recrd' was intrduced (Feinstein &. Hrwitz 1997). The same culd be said f previus vgues the 'Nursing Prcess', 'Primary Nursing' and in mre recent times the 'the Reflective Practitiner'. This is a paradx that has resunding implicatins fr evidence-based nursing nt just because it limits its utility, but because there may be inherent ntlgical issues which preserve certain superficiality in the prcess f prmting better nursing practice.
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An epistemlgical perspective
'Epistemlgy, r the thery f knwledge, is cncerned with hw we knw what we knw, what justifies us in believing what we d, and what standards f evidence we shuld use in seeking truths abut the wrld and human experience' (Audi 1998, p. 1).
The current persuasive pwer f EBP appears t be based n a belief that it is a viable cnstruct. Belief has been described as a 'dispsitinal mental prperty in that it tends t be accepting' (Audi 1998, p. 276). Audi argues that thinking as an ccurrent mental prperty aims t change that which is knwn. A basic tenet f this paper is that there is mre belief assciated with the cncept f EBP than actual thught based n scientific evidence. In what ways can the belief in EBP be said t be a justified Accrding t ne philsphical view the epistemic status r justificatin fr believing in a cncept such as EBP is a functin f three different things (Chishlm 1989):
* The bject f a belief may be self-presenting. In such a case, the belief may be called a basic apprehensin.
* Sme beliefs have a kind f prima facie prbability. If I accept a prpsitin and if the prpsitin is nt discnfirmed by my ttal evidence, then it is that prpsitin which is pssible t me.
* A belief may derive its epistemic status frm the way in which it lgically cncurs with the ther things ne believes.
It is cnsidered that EBP, as a cncept, is nt a self-evident cnstruct, s (a) is nt the case. The prpsitin that EBP is a viable cncept is generally accepted n face value, and (b) seems t be the cmmn basis f belief in the cncept. What is f cnsiderable cncern here is hw des EBP lgically cncur with ther beliefs r knwledge that we have. This analysis therefre will be guided by the fllwing questins.
