Governing nursing conduct: The rise of evidence based practice

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Title Governing nursing conduct: The rise of evidence based practice
Author Winch, Sarah; Creedy, Debra; Chaboyer, Wendy
Journal Name Nursing Inquiry
Editor Judith Paker
Year Published 2002
Place of publication Melbourne
Publisher Blackwell Science
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 information that may enable governments to target and instruct nurses regarding their work in the interest of preserving the health of the population as a whole. Political governance of the nursing population becomes possible through centralised discursive mechanisms, such as evidence-based reviews that present nursing practice as an intelligible field whose elements are connected in a more or less systematic manner. The identity of the evidence-based nurse requires the modern nurse to develop new skills and attitudes. Evidence-based nursing is an emerging technology of government that judges nursing research and knowledge and has the capacity to direct nursing practice at both the political and personal level. Since 1994 a plethora of Foucauldian governmentality studies have emerged in Australia across a range of topics, although very few have been concerned with or even touched upon nursing practice. Our purpose with this discussion is to present a beginning analysis that provides a space for critical reflection upon the implementation of the evidence-based practice principles into nursing using Foucault's concept of governmentality. We argue that certain processes involved in evidence-based nursing have the ability to govern the practice of nursing through broader political, economic and personal means. This represents a new capacity for the system of social control and regulation of nursing practice that is an unintended consequence of the evidence-based practice movement.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.blackwell-synergy.com/doi/full/10.1046/j.1440-1800.2002.00148.x
Alternative URI http://www.blackwell-synergy.com/links/doi/10.1046%2Fj.1440-1800.2002.00148.x
Copyright Statement Copyright 2002 Blackwell Publishing. The definitive version is available at [www.blackwell-synergy.com.]
Volume 9
Issue Number 3
Page from 156
Page to 161
ISSN 1320-7881
Date Accessioned 2003-03-31
Language en_AU
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Other
Subject Nursing
URI http://hdl.handle.net/10072/6938
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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