
TY  - JOUR
A1  - Macdonald, John 
A1  - Smith, Janine 
T1  - Evidence-based health care and community nursing:issues and challenges
JF  - Australian Health Review
JO  - Aust. Health Review
Y1  - 2001
VL  - 24
IS  - 3
SP  - 133
EP  - 140
KW  - 
UR  - https://doi.org/10.1071/AH010133 
N2  - This paper examines the implications of the movement towards evidence-based health care for community-based,primary health care nursing in Australia. While both aim to improve health status, we argue that they are antitheticalin many respects. Community nurse practitioners draw upon primary health care principles and adopt a holistic,preventive, empowering approach to working with and in communities. By contrast, evidence-based approaches utilisesystematic reviews of primarily quantitative research to inform decisions about health at three levels: public health, thehealth care system, and individual patients. In response to this challenge, community nurses must reiterate theirphilosophies and practice models. Moreover, it is imperative to produce verifiable evidence of the effectiveness of theirapproach while mounting a thorough critique of the evidence-based movement. 
ER  -

