Liberating clinical effectiveness: A model for consideration

Allyson Lipp
Faculty of Health, Sport and Medicine, University of Glamorgan, Pontypridd, Wales, United Kingdom

PP: 070 - 080

Abstract

This paper explores Habermas' knowledge constitutive interests as a basis for clinical effectiveness. Clinical effectiveness and evidence based practice are clarified and Habermas interpretation of critical theory is introduced as an instrument which could arguably fulfil the needs of both concepts.

The knowledge constitutive interests have the capacity to encompass science and evidence based practice via technical knowledge, the practical interests via interpretive knowledge and the freedom to change practice via emancipatory knowledge. This gives an opportunity for technical science and interpretive knowledge to facilitate the liberation of nurses via clinical effectiveness. The paper culminates in the presentation of a visual model to articulate this proposal.

| More

Keywords

clinical effectiveness; Habermas; emancipation


View references

References

Adams, C. (2000) Clinical Effectiveness a Practical Guide for the Community Nurse, Community Practitioners' & Health Visitors' Association, London.

Appleton, C. (1993) Journal of Advanced Nursing, 18, 892-899.

Bandolier (2002) Bandolier Extra Evidence Based Health Care, 1-7.

Bernstein, R. J. (Ed.) (1985) Habermas and Modernity, Basil Blackwell Inc., Oxford.

Berragan, L. (1998) Journal of Clinical Nursing, 7, 209-217.

Boud, D., Keogh, R. and Walker, D. (1985) Reflection: Turning Experience into Learning, Kogan Page, London.

Byrne, M. (2001) AORN Journal, 73, 968-970.

Carr, W. and Kemmis, S. (1986) Becoming Critical: Education, Knowledge and Action Research, the Falmer Press, London.

Cox, C. L. and Reyes-Hughes, A. (2001) Clinical Effectiveness in Practice, Palgrave, Basingstoke.

Dawes, M., Davies, P., Gray, A., Mant, J., Seers, K. and Snowball, R. (1999) Evidence-Based Practice: a Primer for Health Care Professionals, Churchill Livingstone, London.

Dawson, J. (2001) Clinical Effectiveness in Nursing Practice, Whurr Publishers, London.

Fay, B. (1987) Critical Social Science, Basil Blackwell Ltd, Oxford.

Fish, D. and Coles, C. (1998) Developing Professional Judgement in Health Care, Butterworth Heinemann, Oxford.

Freire, M. A. and Macedo, D. (2001) The Paulo Freire Reader, Continuum International Publishing Group, New York.

Freire, P. and Shor, I. (1987) A Pedagogy for Liberation, Macmillan Education Ltd, Basingstoke.

Fulton, Y. (1997) Journal of Advanced Nursing, 26, 529-536.

Geuss, R. (1981) The Idea of Critical Theory: Habermas and the Frankfurt School, Cambridge University Press, New York.

Ghaye, T., Gillespie, D. and Lillyman, S. (2000) Empowerment Through Reflection, Mark Allen Publishing Group, Wiltshire.

Gray, J. M. (1997) Evidence-Based Health Care: How to Make Health Policy and Management Decisions, Churchill Livingstone, London.

Green, J. and Britten, N. (1998) British Medical Journal, 316, 1230-2.

Greenhalgh, T. (1999) British Medical Journal, 318, 323-325.

Habermas, J. (1972) Knowledge and Human Interests, Blackwell Publishers Ltd, Oxford.

Held, D. (1980) Introduction to Critical Theory: Horkheimer to Habermas, Blackwell Publishers, London.

Hicks, C. (1998) Nurse Researcher, 6, 19-32.

Higgs, J. and Jones, M. (2000) Clinical Reasoning in the Health Professions, Butterworth-Heinemann, Oxford.

Jennings, B. M. and Loan, L. A. (2001) Journal of Nursing Scholarship, 33, 121-127.

Johns, C. and Freshwater, D. (Eds.) (1998) Transforming Nursing Through Reflective Practice, Blackwell Science, Oxford.

Kendall, S. (1997) Journal of Interprofessional Care, 11, 23-33.

Kim, H. S. (1999) Journal of Advanced Nursing, 29, 1205-12.

Kitson, A., Harvey, G. and McCormack, B. (1998) Quality in Health Care, 7, 149-158.

Kuokkonen, L. and Leino-Kilpi, H. (2000) Journal of Advanced Nursing, 31, 235-241.

Lechte, J. (1994) Fifty Key Contemporary Thinkers from Structuralism to Post-Modernity, Routledge, London.

Lines, K. (2001) Australian and New Zealand Journal of Mental Health Nursing, 10, 167-175.

Lipp, A. (2002a) Journal of Clinical Excellence, 4, 217-223.

McCarthy, T. (1978) The Critical Theory of Jurgen Habermas, Hutchinson and Co., London.

McKenna, H. M. J. C. P. (2000) Nursing Standard, 14, 39-42.

Mezirow, J. (1981) Adult Education, 32, 3-25.

Mitchell, G. (1999) Nursing Science Quarterly, 12, 30-35.

Mulhall, A. (1998) Evidence-Based Nursing, 1, 4-6.

Napier-Skillings, L. (Ed.) (1992) in Janice L Thompson David G Allen Lorraine Rodrigues-Fisher, Critique, Resistance and Action: Working Papers on the Politics of Nursing, National League for Nursing, New York.

NHS Executive (1996a) Promoting Clinical Effectiveness: a Framework for Action in and Through the NHS, Department of Health, Leeds.

NMC (2002) Nursing and Midwifery Council, London.

Outhwaite, W. (1994) Habermas: a Critical Introduction, Blackwell Publishers, Oxford.

Peplau, H. (1988) Nursing Science Quarterly, 1, 8-15.

Rolfe, G. (1999) Nurse Education Today, 19, 433-442.

Rolfe, G., Freshwater, D. and Jasper, L. (2001) Critical Reflection for Nursing and the Helping Professions, Palgrave, Basingstoke.

Sackett, D., Rosenberg, W., Gray, J. M., Haynes, R. B. and Richards, W. S. (1996) British Medical Journal, 312, 71-72.

Sackett, D., Straus, S., Richardson, W. S., Rosenberg, W. and Haynes, R. B. (2000) How to Practice and Teach Evidence-Based Medicine, Chuchill Livingstone, London.

Sadala, M. and Adorno, R. (2002) Journal of Advanced Nursing, 37, 282-293.

Taylor, B. (1998) In Transforming Nursing Through Reflective Practice (Eds, Johns, C. and Freshwater, D.) Blackwell Science, Oxford, pp. 134-150.

Taylor, B. (2000) Reflective Practice a Guide for Nurses and Midwives, Open University Press, Buckingham.

Taylor, B. (2001a) International Journal of Nursing Practice, 7, 406-413.

Taylor, B. (2001b) Contemporary Nurse, 11, 187-194.

Theunissen, M. (1999) In Habermas: a Critical Reader(Ed, Dews, P.) Blackwell Publishers, Oxford.

Upton, D. (1999) Journal of Advanced Nursing, 29, 549-555.

Wallace, M., Shorten, A. and Russell, K. (1997) International Journal of Nursing Practice, 3, 147-152.

Wilson-Thomas, L. (1995) Journal of Advanced Nursing, 21, 568-575.

Winyard, G. (Ed.) (1995) Improving Clinical Effectiveness: a Co-ordinated Approach, Earlybrave, London.



RSS Facebook Twitter

Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Advances in Contemporary Health Care for Vulnerable Populations
Volume 42/1
Summary


Advances in Contemporary Community & Family Health Care (3rd edn)
Volume 41/1
Summary | Contents


Advances in Contemporary Complex Health Care: Nursing Interventions
Volume 40/2
Summary | Contents


Advances in Contemporary Community and Family Health Care (2nd edn)
Volume 40/1
Summary | Contents


Advances in Contemporary Nurse Education (2nd edn)
Volume 38/1-2
Summary | Contents


Advances in Contemporary Indigenous Health Care (2nd edn)
Volume 37/1
Summary | Contents


Advances in Contemporary Nursing: Workforce and Workplaces
Volume 36/1-2
Summary | Contents


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (2nd edn)
Volume 34/2
Summary | Contents


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


crossref.org - The citation linking backbone



Website by Arrowsmith Websites. Website Design Sunshine Coast, Australia.