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Article
Publication date: 1 October 2004

Alistair Hewison

The rise of evidence‐based medicine and more recently evidence‐based policy reflect the increasing importance of evidence as a basis for the organisation and delivery of health…

2320

Abstract

The rise of evidence‐based medicine and more recently evidence‐based policy reflect the increasing importance of evidence as a basis for the organisation and delivery of health care. Evidence‐based practice is central to the “modernisation” of health care in current UK policy. The latest manifestation of this process is the emergence of evidence‐based management in health care. This paper examines the development of evidence‐based approaches in health care and questions the appropriateness of such an approach to management. The problems inherent in applying the principles of EBP to management are explored and alternative apporoach based on the notion of craft is suggesteed as more practical and realistic.

Details

Journal of Health Organization and Management, vol. 18 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 31 December 2009

Nick Midgley

Ambiguities in the term ‘evidence‐based practice’ (EBP) are often used to hide some of the tensions within the idea itself. This article seeks to clarify what EBP means and how…

Abstract

Ambiguities in the term ‘evidence‐based practice’ (EBP) are often used to hide some of the tensions within the idea itself. This article seeks to clarify what EBP means and how evidence and knowledge can contribute to the development of children's services. It acknowledges the ‘implementation gap’ between evidence‐based practice and evidence‐based practitioners, and discusses two contrasting perspectives on the problem and its solution. For ‘disseminators’ the primary issue is better translation of findings into practice, illustrated here by the work of the National Institute of Health and Clinical Excellence (NICE). ‘Revisionists’ look beyond obstacles and drivers to implementation and instead advocate looking again at the relationship between research and practice and propose a number of radical proposals for how this relationship can be re‐envisioned.

Details

Journal of Children's Services, vol. 4 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 31 December 2009

Nancy Cartwright, Andrew Goldfinch and Jeremy Howick

This article critically analyses the concept of evidence in evidence‐based policy, arguing that there is a key problem: there is no existing practicable theory of evidence, one…

Abstract

This article critically analyses the concept of evidence in evidence‐based policy, arguing that there is a key problem: there is no existing practicable theory of evidence, one which is philosophically‐grounded and yet applicable for evidence‐based policy. The article critically considers both philosophical accounts of evidence and practical treatments of evidence in evidence‐based policy. It argues that both fail in different ways to provide a theory of evidence that is adequate for evidence‐based policy. The article contributes to the debate about how evidence can and should be used to reduce contingency in science and in policy based on science.

Details

Journal of Children's Services, vol. 4 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 25 May 2012

Vishwanath V. Baba and Farimah HakemZadeh

The purpose of this paper is to integrate existing body of knowledge on evidence‐based management, develop a theory of evidence, and propose a model of evidence‐based decision…

11583

Abstract

Purpose

The purpose of this paper is to integrate existing body of knowledge on evidence‐based management, develop a theory of evidence, and propose a model of evidence‐based decision making.

Design/methodology/approach

Following a literature review, the paper takes a conceptual approach toward developing a theory of evidence and a process model of decision making. Formal research propositions amplify both theory and model.

Findings

The paper suggests that decision making is at the heart of management practice. It underscores the importance of both research and experiential evidence for making professionally sound managerial decisions. It argues that the strength of evidence is a function of its rigor and relevance manifested by methodological fit, relevance to the context, transparency of its findings, replicability of the evidence, and the degree of consensus within the decision community. A multi‐stage mixed level model of evidence‐based decision making is proposed with suggestions for future research.

Practical implications

An explicit, formal, and systematic collaboration at the global level among the producers of evidence and its users akin to the Cochrane Collaboration will ensure sound evidence, contribute to decision quality, and enable professionalization of management practice.

Originality/value

The unique value contribution of this paper comes from a critical review of the evidence‐based management literature, the articulation of a formal theory of evidence, and the development of a model for decision making driven by the theory of evidence.

Article
Publication date: 1 June 2003

Andrew Booth

Evidence‐based information practice is an important paradigm that is now emerging in mainstream information work from within healthcare information. This paper aims to provide an…

969

Abstract

Evidence‐based information practice is an important paradigm that is now emerging in mainstream information work from within healthcare information. This paper aims to provide an introduction to the concept before considering the imperative for practitioners to use insights from research within their professional practice and day‐to‐day decision making. The importance of a focused question and a systematic approach to critical appraisal are rehearsed and similarities with the domain of information systems are briefly considered. The paper concludes with state‐of‐the‐art observations from a recent conference in Canada and recommendations for further development of the paradigm. The objective is to achieve the eventual extinction of the concept through complete integration as simply another tool for reflective practice.

Details

VINE, vol. 33 no. 2
Type: Research Article
ISSN: 0305-5728

Keywords

Article
Publication date: 15 August 2023

Rowena Hill, Tabitha Oakes and Lee Wilkes

The fire sector within the United Kingdom has identified a need to further develop their systematic use of academic literature and develop mechanisms to include academic knowledge…

Abstract

Purpose

The fire sector within the United Kingdom has identified a need to further develop their systematic use of academic literature and develop mechanisms to include academic knowledge to inform evidence-based policy and practice. By increasing knowledge exchange between the fire sector and academia, the ability to horizon scan and identify future relevant phenomena of interest to the fire sector will be achieved. Consequently, the evidence base and horizon scanning will increase the specificity of techniques, approaches and practices needed to continually improve the safety of the activities completed within the firefighting occupation, and it will also provide priority areas for investment and increase firefighter safety.

Design/methodology/approach

This technical paper primarily features an initial scoping review of academic and grey literature and an operational incident data review. This was completed to provide an initial and updated review of disciplines and areas of academia that are actively engaged in research relevant to the fire and rescue service. Consequently, this method sought to identify and examine the various disciplines of academia involved in fire research. This paper then uses that outcome to suggest a model of multidisciplinarity to inform the fire sector.

Findings

As a result of the scoping review, each academic discipline was identified and an initial review developed a predetermined set of key search terms. This was established through identifying the most frequently used fire-related terms within each discipline. This allowed for a comprehensive understanding of the breadth of activity and depth of complexity of fire related research within each discipline and an indicative set of key search terms to be developed. Recommendations are formulated to suggest next steps to routinely incorporate the academic knowledge base in the learning process of the fire and rescue services in the United Kingdom.

Research limitations/implications

This paper provides an initial scoping map of academic literature and disciplines relevant to activities completed in the UK fire sector, which can be used to further develop the evidence base to inform the fire and rescue service of the United Kingdom. It also outlines possible mechanisms and a model to systematically facilitate knowledge exchange between academia and the fire sector by which knowledge exchange could further support the development of evidence-based policy and practice. The broad range of benefits of collaboration between the fire and rescue service and academia are explored.

Practical implications

This paper provides clear evidence as to why fire related research should have an increased priority status to inform the national fire and rescue services learning process and evidence for national policy and guidance development within the UK fire and rescue service. Additionally, recommendations are made to support the consideration of academic evidence in the systematic sector wide learning process.

Originality/value

Previously, the UK fire and rescue service had limited coordinated strategic engagement with academic disciplines to further develop their learning processes in order to produce an evidence base, which is cognisant of academic research to inform practice and guidance. This paper begins the narrowing of that gap by categorising academic literature relevant to fire research into clear disciplines, mapping these to an updated breadth of current activities undertaken by the fire and rescue service across the United Kingdom. The process also details a pilot of the proposed model to support knowledge exchange by producing an academically evidence-based submission to the National Fire Chiefs Council organisational learning process.

Details

International Journal of Emergency Services, vol. 12 no. 3
Type: Research Article
ISSN: 2047-0894

Keywords

Article
Publication date: 13 March 2008

Geraldine Macdonald

This article examines the history of social work research within the UK from a perspective of evidence‐based practice, as originally advocated in the 1990s. It reviews the…

Abstract

This article examines the history of social work research within the UK from a perspective of evidence‐based practice, as originally advocated in the 1990s. It reviews the progress made to date in relation to the use of experimental studies in the field of children and families, and the reasons why this remains limited. It sets this in the broader context of evidence‐based practice and the education and training of qualifying and post‐qualifying social workers, including postgraduate training.

Details

Journal of Children's Services, vol. 3 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 9 November 2015

May-Ling Siow, Sridar Ramachandran, Ahmad Shuib and Syamsul Herman Mohammad Afandi

This study aims to assess the possibility of adapting evidence-based policies in the daily operations of tour operators in Semporna, Sabah, Malaysia. This intervention is…

Abstract

Purpose

This study aims to assess the possibility of adapting evidence-based policies in the daily operations of tour operators in Semporna, Sabah, Malaysia. This intervention is important, as on-site investigations reveal that operators are operating their businesses with little reference to the ecotourism policy guidelines.

Design/methodology/approach

This study adopted a full qualitative approach. In-depth interviews were conducted on tour operators in Semporna, while text mining was used to elicit data from the Malaysian National Ecotourism Plan. Thematic analysis was used to analyse the data from the primary sources.

Findings

Gaps were evident between best practices guidelines from the National Ecotourism Plan and the day-to-day practices of tour operators in Semporna, Sabah. This was due to the limitations of the National Ecotourism Plan and the limitations of the operators in identifying and adhering to best practices; the impracticality of best practices in site-specific scenarios; and the benefit of adapting evidence-based practices (ECP) in Semporna, Sabah.

Practical implications

The implications of this study include a plan to bring forth a non-parochial and innovative approach in rural tourism policymaking process and to advocate evidence-based intervention through the inclusion and participation of stakeholders.

Originality/value

This study contributes towards the requisite of evidence-based intervention for rural tourism policies to meet site-specific needs.

Details

Worldwide Hospitality and Tourism Themes, vol. 7 no. 5
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 14 November 2008

Marco Isetta

The evidence‐based practice (EBP) model appears to have established itself as the principal change driver and discourse for the healthcare sector. This study sets out to identify…

2465

Abstract

Purpose

The evidence‐based practice (EBP) model appears to have established itself as the principal change driver and discourse for the healthcare sector. This study sets out to identify the emergence of the term EBP in the professional literature to establish an empirical foundation for discussion. The understanding of and relevance to healthcare practitioners in a large South West London hospital are assessed and their views related to the perspective of library and information professionals to assess implications for practice.

Design/methodology/approach

An extensive literature search was carried out and the data generated used to produce a growth curve for the literature. A survey of health care professionals using e‐mail and follow‐up interviews was undertaken at the case hospital.

Findings

Between 1998 and 2004 the number of papers appearing to discuss the theme increased four‐fold. The first recorded reference was in 1991. The EBP model had strong official and political support in the field. On the user sample there is evidence of resistance to the orthodoxy.

Practical implications

The EBP model – variously adopted by several healthcare agencies – has placed information management at the centre of the care process. In spite of this, there are few definite implications for the role of library and information professionals, since the world of information and the UK NHS itself are continually in a state of flux, and the current EBP dominance may neither strengthen nor safeguard it.

Originality/value

The bibliometric study provides a baseline. The study of healthcare professionals is a case study to add to knowledge of practice.

Details

Aslib Proceedings, vol. 60 no. 6
Type: Research Article
ISSN: 0001-253X

Keywords

Article
Publication date: 1 August 2001

Jane Farmer and Rosemary Chesson

Presents models suggesting how research evidence can best be operationalised within health care commissioning. Models were derived from data gathered from surveys of Scottish…

1796

Abstract

Presents models suggesting how research evidence can best be operationalised within health care commissioning. Models were derived from data gathered from surveys of Scottish health board managers and GP fundholders regarding the use of information in commissioning from 1995 to 1997. Feedback on the models was obtained subsequently from practitioners in 1998. Two models, one for health board managers and the other for GPs, are presented. These include critical success factors in achieving evidence‐based commissioning and factors that are likely to predispose and precipitate evidence‐based practice. Given a culture demanding transparency, accountability and continuing improvement, the models provide tools for reflection, evaluation and planning. In addition, they identify a pragmatic role for managers in evidence‐based commissioning and provide a framework for audit.

Details

Journal of Management in Medicine, vol. 15 no. 4
Type: Research Article
ISSN: 0268-9235

Keywords

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