Search results

1 – 10 of over 10000
Article
Publication date: 25 May 2012

Howard E. Williams

The purpose of this paper is to review the Braidwood Commission's two reports on the use of TASER conducted energy weapons in Canada and the death of Robert Dziekanski to…

1341

Abstract

Purpose

The purpose of this paper is to review the Braidwood Commission's two reports on the use of TASER conducted energy weapons in Canada and the death of Robert Dziekanski to determine whether the Commission's conclusions and subsequent recommendations constitute sound evidence‐based public policy.

Design/methodology/approach

This study analyzes Commissioner Braidwood's eight findings from the first report regarding the medical implications of the use of TASER devices by comparing those findings to the body of scientific, medical, and technical literature on the physiological effects of TASER technology. Additionally, this study reviews the potential ramifications of the Commissioner's recommendations regarding the use of TASER devices in both reports.

Findings

Evidence from the existing literature does not support the Commission's findings regarding the medical risks of the use of TASER technology. Recommendations to restrict the use of TASER devices are unlikely to reduce arrest‐related deaths, but they are likely to result in increased injuries to officers and suspects. Other recommendations, including training standards, testing requirements, reporting requirements, medical assistance, and research and review, are consistent with other reviews on the use of TASER technology and are necessary and appropriate to restore public confidence in police use‐of‐force.

Originality/value

The Braidwood Commission recommendations have had an immediate impact on the policies of several police agencies in Canada, including the Royal Canadian Mounted Police, but this study is the first critically to review whether those recommendations constitute formulation of sound evidence‐based public policy.

Details

Policing: An International Journal of Police Strategies & Management, vol. 35 no. 2
Type: Research Article
ISSN: 1363-951X

Keywords

Article
Publication date: 25 July 2019

Luciana Pereira de Vasconcelos, Luiza de Oliveira Rodrigues and Moacyr Roberto Cuce Nobre

Good medical practice, evidence-based medicine (EBM) and clinical practice guidelines (CPG) have been recurring subjects in the scientific literature. EBM advocates argue that…

Abstract

Purpose

Good medical practice, evidence-based medicine (EBM) and clinical practice guidelines (CPG) have been recurring subjects in the scientific literature. EBM advocates argue that good medical practice should be guided by evidence-based CPG. On the other hand, critical authors of EBM methodology argue that various interests undermine the quality of evidence and reliability of CPG recommendations. The purpose of this paper is to evaluate patient related outcomes of CPG implementation, in light of EBM critics.

Design/methodology/approach

The authors opted for a rapid literature review.

Findings

There are few studies evaluating the effectiveness of CPG in patient-related outcomes. The systematic reviews found are not conclusive, although they suggest a positive impact of CPGs in relevant outcomes.

Research limitations/implications

This work was not a systematic review of literature, which is its main limitation. On the other hand, arguments from EBM and CPG critics were considered, and thus it can enlighten health institutions to recognize the caveats and to establish policies toward care improvement.

Originality/value

The paper is the first of its kind to discuss, based on the published literature, next steps toward better health practice, while acknowledging the caveats of this process.

Details

International Journal of Health Governance, vol. 24 no. 3
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 20 January 2012

Manfred Pferzinger, Magdalena Thöni, Magdalena Huber and Iris Verena Pferzinger

Until today a central register for medical guidelines has not been established in Austria. Hence, the study at hand aims to identify important success factors for medical…

464

Abstract

Purpose

Until today a central register for medical guidelines has not been established in Austria. Hence, the study at hand aims to identify important success factors for medical guidelines in Austria in order to fully support the future activities of organisations developing these guidelines.

Design/methodology/approach

Using a specially‐developed questionnaire, 137 potential Austrian guideline developers were asked about the anticipated benefits of a common guideline register and a standardised method for guideline development by means of a complete inventory count for Austria.

Findings

Approximately 73 per cent of Austrian guideline developers know of existing online guideline registers. Nearly 77 per cent know neither of an instrument to evaluate the guidelines in a methodical way, nor of the Council of Europe's recommendation. Around 63 per cent expect an improvement in the quality of the guidelines by implementing a standardised method.

Research limitations/implications

The present study provides the results of the first complete inventory count of guideline developers in Austria and can be used as an orientation for future activities.

Practical implications

The realisation of the success factors would increase the quality of national guidelines and would boost the implementation of best practices such as evidence‐based‐medicine into the Austrian health care system.

Originality/value

The study shows for the first time the necessity of support in order to improve the quality of Austrian guidelines from the point of view of potential developers.

Details

Clinical Governance: An International Journal, vol. 17 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

Open Access
Article
Publication date: 23 August 2021

Luís Irgang, Magnus Holmén, Fábio Gama and Petra Svedberg

Facilitation activities support implementation of evidence-based interventions within healthcare organizations. Few studies have attempted to understand how facilitation…

Abstract

Purpose

Facilitation activities support implementation of evidence-based interventions within healthcare organizations. Few studies have attempted to understand how facilitation activities are performed to promote the uptake of evidence-based interventions in hospitals from resource-poor countries during crises such as pandemics. This paper aims to explore facilitation activities by infection prevention and control (IPC) professionals in 16 hospitals from 9 states in Brazil during the COVID-19 pandemic.

Design/methodology/approach

Primary and secondary data were collected between March and December 2020. Semi-structured interviews were conducted with 21 IPC professionals in Brazilian hospitals during the COVID-19 pandemic. Public and internal documents were used for data triangulation. The data were analyzed through thematic analysis technique.

Findings

Building on the change response theory, this study explores the facilitation activities from the cognitive, behavioral and affective aspects. The facilitation activities are grouped in three overarching dimensions: (1) creating and sustaining legitimacy to continuous and rapid changes, (2) fostering capabilities for continuous changes and (3) accelerating individual commitment.

Practical implications

During crises such as pandemics, facilitation activities by IPC professionals need to embrace all the cognitive, behavioral and affective aspects to stimulate positive attitudes of frontline workers toward continuous and urgent changes.

Originality/value

This study provides unique and timely empirical evidence on the facilitation activities that support the implementation of evidence-based interventions by IPC professionals during crises in hospitals in a resource-poor country.

Details

Journal of Health Organization and Management, vol. 35 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 13 November 2009

Robin A. Paynter

The purpose of this paper is to outline increased use of evidence‐based research strategies in the applied social sciences.

2410

Abstract

Purpose

The purpose of this paper is to outline increased use of evidence‐based research strategies in the applied social sciences.

Design/methodology/approach

The paper documents an ideal procedure for researchers to follow. It also provides resources from which to find evidence.

Findings

Evidence‐based practice is emerging as an influential field within academic and professional applied social science fields; as such, reference librarians across various library types should become familiar with the search strategies and tools their users need in order to be successful evidence‐based practice researchers

Originality/value

The Campbell Collaboration's motto, “What helps? What harms? Based on what evidence?” neatly sums up the field of evidence‐based practice research

Details

Reference Services Review, vol. 37 no. 4
Type: Research Article
ISSN: 0090-7324

Keywords

Article
Publication date: 26 April 2013

Thomas Lange

The purpose of this paper is to provide an introduction to the new journal, its inspirations, scope and ambitions.

2074

Abstract

Purpose

The purpose of this paper is to provide an introduction to the new journal, its inspirations, scope and ambitions.

Design/methodology/approach

The paper reviews selected strands of the literature on evidence‐based scholarship and discusses some of the observations and remedial recommendations made in the literature to bring research, policy and practice closer together.

Findings

Drawing on these observations and recommendations, the paper highlights the roles our authors and their published works can play when contributing to an evidence‐based HR research agenda. Building on these insights, the paper arrives at the journal's editorial vision and encourages the production of scholarly empirical research articles that have a high impact on the HR field as a whole. Embracing the richness of contributions from multiple disciplines and supporting a thematic diversity in the international HR arena, the paper introduces and explains the core principles EBHRM strives to encourage and promote: empirical robustness, analytical rigour and practical significance.

Originality/value

In the spirit of these arguments, the paper makes the case for taking on the challenge of moving scholarship, policy and practice closer together and introduces the first contributions.

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…

11969

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: 9 July 2021

Michael Preston-Shoot

The purpose of this paper is to update the core data set of self-neglect safeguarding adult reviews (SARs) and accompanying thematic analysis. It also explores whether lessons are…

1090

Abstract

Purpose

The purpose of this paper is to update the core data set of self-neglect safeguarding adult reviews (SARs) and accompanying thematic analysis. It also explores whether lessons are being learned from the findings and recommendations of an increasing number of reviews on self-neglect cases.

Design/methodology/approach

Further published reviews are added to the core data set, mainly drawn from the websites of safeguarding adults boards (SABs). Thematic analysis is updated using the domains used previously. The domains and the thematic analysis are grounded in the evidence-based model of good practice, reported in this journal previously.

Findings

Familiar findings emerge from the thematic analysis and reinforce the evidence-base of good practice with individuals who self-neglect and for policies and procedures with which to support those practitioners working with such cases. Multiple exclusion homelessness and alcohol misuse are prominent. Some SABs are having to return to further cases of self-neglect to review, inviting scrutiny of what is (not) being learned from earlier findings and recommendations.

Research limitations/implications

The national database of reviews commissioned by SABs remains incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. National Health Service Digital annual data sets do not enable the identification of reviews by types of abuse and neglect. However, the first national analysis of SARs has found self-neglect to be the most prominent type of abuse and/or neglect reviewed. Drawing together the findings builds on what is known about the components of effective practice, and effective policy and organisational arrangements for practice.

Practical implications

Answering the question “why” remains a significant challenge for SARs. The findings confirm the relevance of the evidence-base for effective practice but SARs are limited in their analysis of what enables and what obstructs the components of best practice. Greater explicit use of research and other published SARs might assist with answering the “why” question. Greater scrutiny is needed of the impact of the national legal, policy and financial context within which adult safeguarding is situated.

Originality/value

The paper extends the thematic analysis of available reviews that focus on study with adults who self-neglect, further reinforcing the evidence base for practice. Propositions are explored, concerned with whether learning is being maximised from the process of case review.

Details

The Journal of Adult Protection, vol. 23 no. 4
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 11 September 2017

Andrea Knittel, Angeline Ti, Sarah Schear and Megan Comfort

The purpose of this paper is to describe standards for evidence-based reproductive healthcare for incarcerated women.

Abstract

Purpose

The purpose of this paper is to describe standards for evidence-based reproductive healthcare for incarcerated women.

Design/methodology/approach

The literature on reproductive healthcare in the US criminal justice system and recommendations from professional organizations were reviewed and critical areas of concern were identified. Within these areas, studies and expert opinion were synthesized and policy recommendations were formulated through an iterative process of group discussion and document revision. This brief specifically addresses women’s incarceration in the USA, but the recommendations are grounded in a human rights framework with global relevance.

Findings

Women who are incarcerated have health needs that are distinct from those of men, and there is a clear need for gender-responsive reproductive healthcare within the criminal justice system. This brief identifies five core domains of reproductive healthcare: routine screening, menstruation-related concerns, prenatal and postpartum care, contraception and abortion, and sexually transmitted infections. The recommendations emphasize the continuity between the criminal justice system and the community, as well as the dignity and self-determination of incarcerated women.

Originality/value

This brief provides a unique synthesis of the available evidence with concrete recommendations for improving the reproductive healthcare for incarcerated women.

Details

International Journal of Prisoner Health, vol. 13 no. 3/4
Type: Research Article
ISSN: 1744-9200

Keywords

Book part
Publication date: 6 July 2011

Sebastian Desmidt and Anita A. Prinzie

The increasing complexity and dynamicity of their environment compels health care managers to search relentlessly for effective management instruments. One strategic tool that…

Abstract

The increasing complexity and dynamicity of their environment compels health care managers to search relentlessly for effective management instruments. One strategic tool that both academics and practitioners have deemed critical to the success of any health care organization is the development of a meaningful mission statement. However, despite the seemingly omnipresence of the concept, studies indicate that creating an effective mission statement seems to be extremely difficult, if not downright frustrating for a lot of health care managers. This inability to create an effective mission statement roots for the greater part in the fact that the previous literature has provided little practical guidance on how health care administrators should formulate and deploy mission statements. Given the increasing pressure on health care organizations to develop an effective mission statement, this chapter (1) provides a detailed analysis of the mission statement concept based on a thorough literature analysis and (b) offers empirically based recommendations on how to successfully formulate and implement a mission statement within a health care organization based on a systematic analysis of relevant empirical research. These analyses and the derived evidence-based recommendations will help health care managers to revive their mission statement and make it more than a piece of paper.

Details

Organization Development in Healthcare: Conversations on Research and Strategies
Type: Book
ISBN: 978-0-85724-709-4

Keywords

1 – 10 of over 10000