Abstract
In this paper, we assess realistic evaluation’s articulation with evidence-based practice (EBP) from the perspective of critical realism.
We argue that the adoption by realistic evaluation of a realist causal ontology means that it is better placed to explain complex
healthcare interventions than the traditional method used by EBP, the randomized controlled trial (RCT). However, we
do not conclude from this that the use of RCTs is without merit, arguing that it is possible to use both methods in combination
under the rubric of realist theory. More negatively, we contend that the rejection of critical theory and utopianism by realistic
evaluation in favour of the pragmatism of piecemeal social engineering means that it is vulnerable to accusations that it promotes
technocratic interpretations of human problems. We conclude that, insofar as realistic evaluation adheres to the ontology
of critical realism, it provides a sound contribution to EBP, but insofar as it rejects the critical turn of Bhaskar’s realism, it replicates
the technocratic tendencies inherent in EBP.
Original language | English |
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Pages (from-to) | 18-28 |
Number of pages | 11 |
Journal | Nursing Inquiry |
Volume | 19(1) |
Issue number | 1 |
Publication status | Published - Mar 2012 |
Bibliographical note
Impact Factor 1.03, Q2, Nursing, Cited x10ASJC Scopus subject areas
- Nursing(all)