This final Afterword brings together (at least) five characters. Firstly, there is Ben, a young man who has had a 'mental breakdown'. Secondly, there is Theo, a psychiatric nurse who is working with Ben and who reflects on their relationship. Thirdly, there is F, who does (at least) two things: she discusses the theory of reflective practice and she reflects on Theo's reflections as if she was Theo. Fourthly, there is R, who occasionally comments and theorises on F's reflections. And finally, there is the chorus, a series of voices telling a series of stories. These characters ask (but do not answer) a number of questions, largely concerned with truth and the nature of practice. Thus, if practice is seen as a text, then to what extent and in what sense can it be said to be true? And if reflection is a story that I tell to myself, then is it nothing but a branch of fiction? And if it is...? And finally, of course, we come to the question of endings... Notes 1 Derrida, J. Afterword: toward an ethic of discussion. In G. Graff (ed) Limited Inc, Evanston, Illinois: Northwestern University Press, 1988, p.146 2 Derrida, J. But, beyond... (Open letter to Anne McClintock and Rob Nixon), Critical Inquiry, 1986, 13, 1, 155-70, p.167, his emphases 3 Derrida, J. (1967) Of Grammatology, Baltimore: The Johns Hopkins University Press, 1974, p.94 Derrida, But, beyond..., op. cit., p.167 5 Lechte, J. Fifty Key Contemporary Thinkers, London: Routledge, 1994, p.106 6 Russell, B. The Problems of Philosophy, Oxford: Oxford University Press, 1973, p.40 7 Blomfield, R. & Hardy, S. Evidence-based nursing practice. In S. Reynolds & L. Trinder (eds), Evidence-Based Practice: A Critical Approach, Oxford: Blackwell Science, 2000 8 Derrida, J. (1972) Dissemination, London: The Athlone Press, 1981, p.111 9 All three statements are taken from DiCenso, A., Cullum, N. & Ciliska, D. Implementing evidence-based nursing: some misconceptions, Evidence-Based Nursing, 1, 2, 38-40, 1998 10 Ibid.,p.29

1970 ◽  
Vol 21 (1) ◽  
pp. 81-85
Author(s):  
II Akpabio ◽  
EU Duke

Evidence-Based Nursing (EBN) permits the highest quality of care in meeting the multifaceted needs of clients using the best available evidence from research findings, expert ideas from specialists in the various health care sectors and feedback from clients. However, in many instances, various challenges need to be addressed to enhance utilization of the best available evidence in nursing practice. This paper focused on ways of identifying the acceptable evidence and where they could be found; methods of implementing EBN; and appropriate measures of supporting EBN practice. For improved practice, it is recommended that nursing education should increasingly focus on development of skills for critical thinking and reflective practice as well as promotion of mentorship among nurse educators and nurse clinicians in regards to implementation of available and acceptable evidence.KEYWORDS: Evidence-based-care; Nursing; Practice.


2010 ◽  
Vol 33 (3) ◽  
pp. 443-456 ◽  
Author(s):  
Simmy Randhawa ◽  
Renee' Roberts-Turner ◽  
Karen Woronick ◽  
Jennifer DuVal

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