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Qualitative Health Research
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Sources of Practice Knowledge Among Nurses

Carole A. Estabrooks

University of Alberta, Edmonton, Canada

William Rutakumwa

Department of Rural Economy, University of Alberta, Edmonton, Canada

Katherine A. O’Leary

University of Alberta, Cross Cancer Agency, Edmonton, Canada

Joanne Profetto-McGrath

University of Alberta, Edmonton, Canada

Margaret Milner

University of Alberta, Edmonton, Canada

Merry Jo Levers

Faculty of Nursing, University of Alberta, Edmonton, Canada

Shannon Scott-Findlay

Faculty of Nursing, University of Alberta, Edmonton, Canada

Several studies have been published listing sources of practice knowledge used by nurses. However, the authors located no studies that asked clinicians to describe comprehensively and categorize the kinds of knowledge needed to practice or in which the researchers attempted to understand how clinicians privilege various knowledge sources. In this article, the authors report findings from two large ethnographic case studies in which sources of practice knowledge was a subsidiary theme. They draw on data from individual and card sort interviews, as well as participant observations, to identify nurses’ sources of practice knowledge. Their findings demonstrate that nurses categorize their sources of practice knowledge into four broad groupings: social interactions, experiential knowledge, documents, and a priori knowledge. The insights gained add new understanding about sources of knowledge used by nurses and challenge the disproportionate weight that proponents of the evidence-based movement ascribe to research knowledge.

Key Words: sources of knowledge • research utilization • case study • ethnography • ethnoscience

Qualitative Health Research, Vol. 15, No. 4, 460-476 (2005)
DOI: 10.1177/1049732304273702


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