As long as data quality in randomized multicenter trials is not validated, one could argue that the foundations of evidence-based medicine are somewhat uncertain.
It is clear, however, that this study in itself cannot offer an authoritative evidence-based alternative to such assumptions.
Factors which act as barriers to practice nurses using the evidence, or which facilitate evidence-based practice, were also explored.
Emphasis is placed on evidence-based practice and in each chapter future service developments are discussed and the potential for further investigation is highlighted.
By describing action research studies in their rich contextual detail, attempts to implement scienti cally derived, evidence-based practice can be explored.
Their shared aim of bridging the gap between research and practice is very timely in light of the moves towards evidence-based practice and policy-relevant research.
Indeed, many would assert that managers cannot do more to implement evidence-based health policy without the cooperation of doctors.
Another implication is that both public and private sectors should emphasize evidence-based assessments and the development of cost-effectiveness as an operational, too.
