Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this 'ask' is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence. From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen. Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.

Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this 'ask' is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence. From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen. Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.

This work explores the interplay of complexity and values in nurse education from a variety of vantages. Contributors, who come from a range of international and disciplinary backgrounds, critically engage important and problematic topics that are under-investigated elsewhere. Taking an innovative approach each chapter is followed by one or more responses and, on occasion, a reply to responses. This novel dialogic feature of the work tests, animates, and enriches the arguments being presented. Thought-provoking, challenging and occasionally rumbustious in tone, this volume has something to say to both nurse educators (who may find cherished practices questioned) and students. Given the breadth and nature of subjects covered, the book will also appeal to anyone concerned about and interested in nursing's professional development/trajectory.

A Hospice in Change: Applied Social Realist Theory reports upon a study into aspects of the ways in which structural and organisational developments, professional cultures and 'bedside' or patient focused clinical practice interact within a single UK institution. While the findings of this study are time and context specific, the events and social processes being described may nonetheless resonate closely with the experience of healthcare practitioners at other hospices both within and without the UK. The work examines themes and ideas that hospice and palliative care practitioners, as well as those involved or interested more broadly in 'end of life issues', may find relevant. It is argued that differential morphogenesis can be identified between structures (social and cultural) and agents (individual and group) at an independent healthcare charity in southern England. A Hospice in Change connects theory and philosophy with concrete research practice to provide a worked example of Margaret Archer's realist social theory.

Philosophy offers a means of unpacking and grappling with important questions and issues relevant to nursing practice, research, scholarship, and education. By engaging in these discussions, this Handbook provides a gateway to new understandings of nursing. The Handbook, which is split loosely into seven sections, begins with a foundational chapter exploring philosophy’s relationship to and with nursing and nursing theory. Subsequent sections thereafter examine a wide range of philosophic issues relevant to nursing knowledge and activity. Philosophy and nursing, philosophy and science, nursing theory. Nursing’s ethical dimension is described. Philosophic questions concerning patient care are investigated. Socio-contextual and political concerns relevant to nursing are unpacked. Contributors tackle difficult questions confronting nursing. Difficulties around speech, courage, and race/otherness are discussed. Philosophic questions pertaining to scholarship, research, and technology are addressed. International in scope, this volume provides a vital reference for all those interested in thinking about nursing, whether students, practitioners, researchers, or educators.

A Hospice in Change: Applied Social Realist Theory reports upon a study into aspects of the ways in which structural and organisational developments, professional cultures and 'bedside' or patient focused clinical practice interact within a single UK institution. While the findings of this study are time and context specific, the events and social processes being described may nonetheless resonate closely with the experience of healthcare practitioners at other hospices both within and without the UK. The work examines themes and ideas that hospice and palliative care practitioners, as well as those involved or interested more broadly in 'end of life issues', may find relevant. It is argued that differential morphogenesis can be identified between structures (social and cultural) and agents (individual and group) at an independent healthcare charity in southern England. A Hospice in Change connects theory and philosophy with concrete research practice to provide a worked example of Margaret Archer's realist social theory.

Literature reviews are undertaken by students, researchers, clinicians and educationalists - that is, almost all nurses. Despite much excellent work, exploring the assumptions and practices that constitute searching for and reviewing literature has merit, and prompting those who undertake these activities to think critically about what it is that they are doing should be encouraged. Widely adopted approaches to structuring reviews (the "standard model") can detrimentally limit the scope or range of literature that is accessed and appraised. It is further proposed that a lack of professional ambition or confidence invests aspects of the way some nurses engage with the sources that are available to them. Across the book, parochialism is challenged. The crucial roles that values and judgement play in reviews are highlighted. It is argued that humanities and arts texts deserve, potentially, a bigger or more assured place in reviews undertaken by nurses. Difficulties in appraising quantitative and qualitative research reports are identified, and benefits linked with taking a contemplative line through the review process are considered. This book contributes to debates around evidence-based practice and literature reviews more generally. It will appeal to anyone with an interest in professional issues, research, and the philosophy and sociology of nursing.

Despite noteworthy exceptions, nursing's literature largely disregards the ways in which social and sociological theory permeates, guides and shapes research, education, and practice. Likewise, social theory's ability to position nursing within wider structures of healthcare and educational provision is similarly and puzzlingly downplayed. The questions nurses ask and the problems they face cannot however, adequately be addressed without engaging with social and sociological theory and, to progress this engagement, contributors to this book explore how social theories are used by and might apply to nursing and nursing practice. The book draws on a wide range of perspectives - philosophical, theoretical, empirical and political - to offer a robust and wide-ranging critique and analysis. Social Theory and Nursing is essential reading for nursing researchers, academics and educators, as well as scholars and researchers in medical sociology, medicine and allied health.