1. The hierarchy of evidence in advanced wound care: The social organization of limitations in knowledge.
- Author
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Waters, Nicola and Rankin, Janet M.
- Subjects
CHRONIC wounds & injuries ,CLINICAL medicine ,DECISION making ,HEALTH facility administration ,HEALTH services administrators ,INTELLECT ,INTERVIEWING ,LABOR productivity ,EVALUATION of medical care ,NURSES ,PARTICIPANT observation ,POLICY sciences ,RESEARCH funding ,SOCIAL case work ,WOUND healing ,TRAUMATOLOGY diagnosis ,WOUND care ,ETHNOLOGY research ,EVIDENCE-based medicine ,SOCIAL services case management ,PATIENT-centered care ,PSYCHOLOGICAL factors ,THERAPEUTICS - Abstract
In this article, we discuss how we used institutional ethnography (Institutional ethnography as practice, Rowman & Littlefield, Lanham, MD and 2006) to map out powerful ruling relations that organize nurses' wound care work. In recent years, the growing number of people living with wounds that heal slowly or not at all has presented substantial challenges for those managing the demands on Canada's publicly insured health‐care system. In efforts to address this burden, Canadian health‐care administrators and policy‐makers rely on scientific evidence about how wounds heal and what treatments are most effective. Advanced wound care exemplifies the growing authorization of particular forms of evidence that change the ways in which nurses come to know about and conduct their work. The focus of this paper's nursing inquiry is a critique of registered nurses' wound work as it arises within the established uptake of scientific evidence. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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