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evidence-based care and the case for intuition and tacit knowledge in clinical assessment and decision making in mental health nursing practice an empirical contribution to the debate精品
Journal of Psychiatric and Mental Health Nursing, 2001, 8, 299–305
Evidence-based care and the case for intuition and tacit
knowledge in clinical assessment and decision making in mental
health nursing practice: an empirical contribution to the debate
I. WELSH bed (hons) rgn onc rnt dipn (london) C. M. LYONS phd msc dpsn rmn rnt
Liverpool John Moores University, School of Health and Human Sciences, 79 Tithebarn St, Liverpool L2 2ER,
UK
Correspondence: WELSH I. LYONS C.M. (2001) Journal of Psychiatric and Mental Health Nursing
I. Welsh 8, 299–305
Liverpool John Moores Evidence-based care and the case for intuition and tacit knowledge in clinical
University assessment and decision making in mental health nursing practice: an empirical
School of Health and Human contribution to the debate
Sciences
79 Tithebarn St
This paper provides empirical evidence that challenges the view that methods of clinical
Liverpool L2 2ER
assessment and decision making should not rely solely on logical positivist approaches.
UK
Whilst the National Health Service (NHS) Executive currently takes a hard positivist line
on what constitutes evidence-based practice, data reveal that it is not always appropriate
to disregard the tacit knowledge and intuition of experienced practitioners when making
assessment decisions in mental health nursing practice. Data support the case for a holis-
tic approach which may draw on intuition and tacit knowledge, as well as traditional
approaches, to meet the requirements of clients with complex
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