...Evidence-based management (EBMgt or EBM) is an emerging movement to explicitly use the current, best evidence in management decision-making. Its roots are in evidence-based medicine, a quality movement to apply the scientific method to medical practice. Evidence-based management entails managerial decisions and organizational practices informed by the best available scientific evidence. Like its counterparts in medicine (e.g., Sackett, et al., 2000) and education (e.g., Thomas & Pring, 2004), the judgments EBMgt entails also consider the circumstances and ethical concerns managerial decisions involve. In contrast to medicine and education, however, EBMgt today is only hypothetical. Contemporary managers and management educators make limited use of the vast behavioral science evidence base relevant to effective management practice (Walshe & Rundall, 1999; Rousseau, 2005, 2006; Pfeffer & Sutton, 2001). An important part of EBMgt is educating current and future managers in evidence-based practices. The EBMgt website maintained at Stanford University provides a repository of syllabi, cases, and tools that can inform the teaching of evidence-based management. Efforts to promote EBMgt face greater challenges than have other evidence-based initiatives. Unlike, medicine, nursing, education, and law enforcement, "Management" is not a profession. There are no established legal or cultural requirements regarding education or knowledge for an individual to become a manager...
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...Evidence-based management is the translation of principles based on best evidence into organizational practice. Evidence-based management is about bringing rationality to the decision- making processes. One can improve their decision making on evidence-based management and business analytics a number of ways. First, by seeing yourself and the company as outsiders see you. Many managers are disrupted by optimism and look at their talents and their own views for success. When we as managers see ourselves as others do it can help us act on better evidence. Having a blunt friend sharing with us the way they see us will help us as a manager be successful in decision making. Second, as a manager recognizing that the best company is the one where...
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...Evidence-based Management (EBMgt oder EBM) ist eine neue Bewegung zu explizit die aktuelle, beste Beweis in Managemententscheidungen. Seine Wurzeln sind in der evidenzbasierten Medizin, eine Qualität, die Bewegung, die wissenschaftliche Methode, um die medizinische Praxis anzuwenden. Evidence-based Management bringt unternehmerische Entscheidungen und organisatorischen Praktiken, die von den besten verfügbaren wissenschaftlichen Erkenntnissen informiert. Wie seine Kollegen in der Medizin (zB Sackett et al., 2000) und Bildung (zB Thomas & Pring, 2004), die Urteile EBMgt bringt auch prüfen, die Umstände und die ethischen Bedenken unternehmerische Entscheidungen einbeziehen. Im Gegensatz zur Medizin und Bildung ist jedoch EBMgt heute nur hypothetisch. Zeitgenössische Manager und Management Erzieher beschränkten Gebrauch von der überwiegenden Verhaltenswissenschaft Evidenzbasis relevant für eine wirksame Verwaltung der Praxis (Walshe & Rundall, 1999; Rousseau, 2005, 2006; Pfeffer & Sutton, 2001). Ein wichtiger Teil der EBMgt erzieht aktuelle und zukünftige Führungskräfte in der evidenzbasierten Praxis. Die EBMgt Website der Stanford University erhalten eine Sammlung von Lehrplänen, Fällen und Tools, die die Lehre der evidenzbasierten Management informieren können. Bemühungen zur Förderung EBMgt stehen vor größeren Herausforderungen als andere fundierte Initiativen. Im Gegensatz zu, Medizin, Krankenpflege, Bildung und Strafverfolgung, ist "Management" kein Beruf. Es gibt keine festgelegten...
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...decision makers in discovering and interpreting evidence related decisions. These developmental tools are to promote the use of evidence-based management within a health care setting. The informed decision toolbox was created to help merge the gap between evidence based research and decision making within an organization (Crump & Spurgeon, n.d.). These tools consist of six steps that will guide managers and decision makers in constructing well informed decisions. The steps are composed of; framing the question behind the decision, finding sources of information, assessing the accuracy of information, assessing the applicability of the information, assessing the actionability of the information and determining if the information is adequate are used by managers to consider if the decision they are making is well informed (Young, 2002). Framing Questions and Locating Sources By framing the question behind the decision, a manager must first identify what the decision is and then determine what information must be obtained in order to make a well informed decision. To properly make a well informed decision, a manager must frame a question that will properly translate what research must be conducted to begin research. The questions will be used as a foundation to set the interested outcomes, discover the population it will affect, and the settings and time frames in which it will take place. This method allows management to make necessary considerations on how the objective...
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...payers, and others have joined the chorus of agents demanding greater performance accountability. Management decisions are now both more visible and more consequential. / http://content.healthaffairs.org/content/24/1/151.full Evolution of the use of evidence. For centuries, medical practice has been based mostly on clinical experience and judgment. Several recent developments have increased the promise and imperative of evidence-based decision making: tremendous growth in biomedical science and innovation; development of the evaluative clinical sciences; advances in communication and IT; and growing recognition that evidence-based decision making provides a framework for addressing health care policy challenges. emerging health information technology (HIT) revolution makes it possible to push evidence to the point of care and to identify where (and why) practice and evidence diverge. Fourth, reliable evidence can address the dual imperatives of controlling costs and improving quality. //////// http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/11NOV2007/0711HHN_Outbox&domain=HHNMAG Evidence-based management in health care organizations is as crucial as evidence-based medicine: the latter improves the quality of care and the former improves the quality of management decision-making. Instances of overuse, underuse and misuse of management tactics and strategies receive far less attention and are much more difficult to document than their...
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...appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
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...Researching Team Building There are many things may arise in the workplace that can cause conflict between employees and negatively affect the production or quality of work. In this paper I will give a summary of an article called becoming an evidence based HR practitioner. This article is relevant to this paper because it gives background on how to address issues in the workplace, using evidence based solutions. Also, I have chosen to focus on team building exercises and how they affect employees in the workplace. I will include evidence to support my argument whether or not this is a useful technique. Becoming an Evidence-Based HR Practitioner Becoming an evidenced based HR practitioner was a very insightful article to read. The article described EBHR as a decision making process that combines critical thinking and scientific evidence along with business information. It also informs the reader how to get started as an EBHR practitioner. The key aspect to EBHR is to actively manage professional decisions. This involves making decisions using practices supported by high research. The article also includes step by step set of approaches to becoming an evidence based HR practitioner. It offers guidance for evidence- based practice the article underscores the connection between effective practice and organizational research. Team Building and Employee Relationships The question I decided to focus on was “Do team building exercises improve relationships...
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...Promoting Evidence-Based Education: The Role of Practitioners Round table presented at the British Educational Research Association Conference, Cardiff University, 7-10 September 2000 Robert Coe, Carol Fitz-Gibbon and Peter Tymms Curriculum, Evaluation and Management Centre, Durham University Mountjoy Research Centre 4, Stockton Road, Durham DH1 3UZ Tel: 0191 374 4504; Fax: 0191 374 1900; Email: r.j.coe@dur.ac.uk http://www.cem.dur.ac.uk/ebeuk Abstract A number of recent initiatives from Durham University’s Curriculum, Evaluation and Management Centre have sought to involve teachers in creating, accessing and applying evidence about what works in their practice. The ‘gold-standard’ of evidence in this context is taken to be multiple replications of small scale, randomised controlled trials of feasible interventions in real-life settings. The aims, form and progress of these initiatives will be reported, and a number of questions will be raised: What do we mean by ‘Evidence-Based Education’? How can it best be promoted? What kinds of research can teachers do? How good can it be? Can it genuinely contribute to knowledge? Is it a distraction or enhancement of teachers’ core role? How do traditional models of Action Research fit with this approach? Is there an existing body of knowledge that can inform practice? How can teachers gain access to it? Under what conditions might such knowledge have an impact on practice? ...
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...Liverpool Care Pathway (LCP) is an integrated care pathway developed in the late 1990’s (Ellershaw et al, 1997) as a means of transferring best practice in care of the dying, from the hospice environment to other sectors starting in the acute setting. Currently the LCP is a recognised tool used by clinicians in the United Kingdom as well as over twenty countries, to give appropriate care to patients who have reached the last hours or days of their lives. Described to provide comfort to the dying and also address the needs of the carers (Chapman 2009). During this assignment the author will highlight and explain how a data search was conducted, and will analyse the data retrieved, explaining and evaluating the data to build a discussion based on the chosen topic of end of life care, with a focus on the Liverpool Care Pathway. The author will conclude by producing recommendations for practice. Although described above that the Liverpool Care Pathway is an appropriate tool for providing adequate care for patients, it can also be seen as a controversial pathway, being described as a ‘tick box’ approach rather than a humanistic approach (Chapman 2010). It has been referred to by the UK’s Daily Telegraph as ‘sentenced to death on the National Health Service’ (Devlin 2009). The author has a keen interest in palliative care, after researching is interested in enhancing knowledge surrounding the LCP as there are many ethical debates surrounding the pathway despite being endorsed by the...
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...Implications of Evidence Based Practice-Research Patricia Davis Immaculata University The Importance and Implications of Evidence Based Practice-Research Evidence based practice is a way of providing health care that is guided by incorporating current knowledge and clinical expertise. This research and resource information corrects clinical problems, application of quality interventions, and evaluates the outcomes for further improvements in the future. Evidence based practice is an approach that improves the impact of nursing, psychology and social work. It gives research the cause and effect that gives validity to the information. The purpose of evidence based practice is ensuring that patients receive the best quality care and keep nurses, nursing care, and knowledge up to date. The American Nurses Association (ANA) recognizes the importance of evidence based practice (EBP), and that it incorporates the registered nurse to integrate, participate in the formulation, and contribute to the knowledge of research to improve healthcare outcomes (ANA, 2010). Evidence based research results in favorable patient outcomes across various geographic locations. The impetus for evidence-based practice comes from decisions of efficacy, and healthcare facility pressures for cost containment. Evidence practice stresses changes in the education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. The evidence based practice...
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...due to lack of evidence for a clear benefit. As for acupuncture, there are actually a lot more well-designed studies done on this field when compared to Chinese herbs, mostly because Europe and the West have become very interested over the last couple decades and are funding better clinical trials. The evidence trail is building, which is great for everyone. So, what works, and what doesn’t? The New York Times has a very readable article (http://well.blogs.nytimes.com/2010/08/23/studying-acupuncture-one-needle-prick-at-a-time/?hpw) which covers this issue. The gist of the article discusses the most recent, well-designed studies on back pains and other disorders; the studies usually show no difference between acupuncture and placebo (usually a “sham” needle that doesn’t penetrate the skin). In other words, the best studies lately are usually showing that most of the perceived effect from acupuncture is simply a placebo effect. These recent findings are by no means surprising, as most of the best studies have been reporting similar conclusions for many years. The best collection of acupuncture research is from the Cochrane Review Group, which performs the world’s most rigorous reviews of all treatments, including alternative medicines. They have an outstanding collection of the best literature on acupuncture (http://www.thecochranelibrary.com/details/collection/691705/Acupuncture-ancient-tradition-meets-modern-science.html) which details the best evidence regarding a number...
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...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...
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...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
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...RUNNING HEAD: CHANGE USING EVIDENCE BASED RESEARCH Change Using Evidence Based Research Glenda Doctor Western Governor’s University Procedure, basis for practice, rationale and explanation The procedure for the use of povidone-iodine for surgical cite antisepsis is: skin preparation for surgery includes the use of sterile drapes to drape the patient and square off surgical area with sterile towels to absorb excess solution. The incision site is where the prep begins and proceeds outward from that point. Iodine soap or scrub, wet the skin with sterile water the iodine scrub will be added to the point of lather, the site is to be scrubbed for 5 minutes. Excess solution is to be blotted with sterile towels or sterile gauze. When iodine paint is used the iodine paint will be applied and allowed to dry before first incision. This practice of surgical skin preparation has been a standard for many years. At this facility povidone-iodine is used predominantly however a few surgeons do use chlorhexidine, it has typically been surgeon choice for skin preparation. Studies have shown that Chlorhexidine-alcohol is a superior product to povidone-iodine to reduce skin colonization and reduce surgical site infection, (Darouiche, Wall, Itani, Otterson, Webb, Carrick, & ... Berger, 2010). No specific use for either product was found in the policy and procedures for the hospital on the hospital web site. There were no available protocols involving the products that...
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...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
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