Evidence-based Nursing in the IED: From Caring to Curing?

“We're at a watershed”: The positioning of PhD nurses in clinical practice

“…This sentiment is reflected in the international focus on evidence‐based nursing and practice in health care in general and is also evident in international nursing research literature (Stevens, ; Tod, Palfreyman, & Burke, ) where the assumption is that evidence‐based nursing will lead to better care for patients, but also as a way to gain footing as a profession (Bonell, ). There has, however, also been critical voices reflecting on the possible downsides to evidence‐based nursing, including the taken‐for‐granted usefulness of scientific knowledge for practice and the unilateral focus on positivist thinking which may exude the complexity of care (Ernst, ; McGowan, ). Furthermore, evidence‐based nursing has proven difficult to implement (Patelarou et al., ).…”

A New Professional Landscape: Entangled Institutional Logics in Two Swedish Welfare Professions

“…Hybrid professionals translate nonprofessional logics into professional logic to ensure that their professional logic remains intact and professional autonomy continues to dominate. Although EBM may decrease physician autonomy, nurses may gain autonomy by transforming themselves from carers into curers of patients (Ernst 2016). Yet, this change comes with a price, because nurses experience work intensification when expansion of their professional field happens simultaneously with increasing demands from patients as customers, based on NPM logic (Selberg 2013).…”

Quality Development in Health Care: Participation vs. Accreditation

“…EDIT has been developed in collaboration with the Danish health care regions over the last decade (Hertzum & Simonsen, 2011b). EDIT was initiated as an approach to the development and implementation of health care IT systems with a focus on the effects that using these systems should have (Simonsen & Hertzum, 2008;2016). EDIT has been developed to form an alternative strategy to quality development supporting local participatory attempts to quality improvement in sociotechnical environments: EDIT emphasizes a sustained participatory design approach to the everyday use of IT, including changes to the work organisation as well as reconfigurations of the systems, that is, a general quality development approach focusing on improving work organization and technology (Simonsen & Hertzum, 2012).…”

“…Providing proficient and expert clinicians with rules and procedures to follow leaves them somewhat frustrated. For example, a group of nurses felt that the standard procedure for patient triage did not respect their professionalism because it sidestepped their experience and clinical gaze (Ernst, 2016). In such situations, proficient and expert clinicians will often give examples of situations in which the rules and procedures are clearly invalid (Benner, 1982).…”