ABSTRACT
Mediated by organisational demands and constraints, mindlines were iteratively negotiated with a variety of key actors, often through a range of informal interactions in fluid ‘communities of practice’, resulting in socially constructed ‘knowledge in practice’. In 2011, we refined our definition of mindlines tointernalised, reinforced and often tacit guidelines that are informed by clinicians’ training, by their own and each other’s experience, by their interactions with their role sets, by their reading, by the way they have learnt to handle the conflicting demands, by their understanding of local circumstances and systems, and by a host of other sources. Working to help nurses and other clinicians make better use of research, AlM had consistently found that they used a very wide range of other evidence and that this was not always the ‘Bad Thing’ that the purist Evidence-Based Medicine movement of the time declared it to be. The chapter also presents an overview of the key concepts discussed in this book.
