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Clinical guidelines and the translation of texts into care: overcoming professional conflicts concerning evidence-based practice.

Davenport, Elisabeth (2000) Clinical guidelines and the translation of texts into care: overcoming professional conflicts concerning evidence-based practice. Journal of Documentation, 56 (5). pp. 505-519. ISSN 0022-0418

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    Abstract/Description

    The difficulties of basing healthcare on literary warrant have been explained in different ways: busy practitioners have no time to read extensively, physical access is difficult, and adequate surrogates for texts like indexes, abstracts, systematic reviews are partial in their coverage. The author suggests that a deeper problem of domain conflict must be addressed. This paper reviews problems identified in previous research on evidence-based nursing practice, which indicates that there are conflicts between medical and nursing domains. EBM (evidence-based medicine, or “text”) poses challenges for nurses (proponents of “caritas”). An additional surrogate for the medical corpus, the clinical guideline, is discussed. When based on inclusive consultation, this may prove to be a hospitable epistemological bridge for groups whose domains are in conflict. Drawing on “social studies of science” literature, the author explores the provenance and status of the clinical guideline as a “translation artefact” or bridging mechanism, and presents a “snapshot” case study of the Scottish Intercollegiate Guidelines Network in 1998. She suggests that the clinical guideline is a powerful documentary genre, which links several strands of information science: information retrieval, literary warrant and the politics of classification.

    Item Type: Article
    Print ISSN: 0022-0418
    Electronic ISSN: 1758-7379
    Uncontrolled Keywords: documentation; health care; problem solving;
    University Divisions/Research Centres: Faculty of Engineering, Computing and Creative Industries > School of Computing
    Dewey Decimal Subjects: 000 Computer science, information & general works > 020 Library & information sciences
    Library of Congress Subjects: Z Bibliography. Library Science. Information Resources > Z665 Library Science. Information Science
    Item ID: 3111
    Depositing User: Computing Research
    Date Deposited: 22 Sep 2010 12:52
    Last Modified: 13 Sep 2013 15:36
    URI: http://researchrepository.napier.ac.uk/id/eprint/3111

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