Advanced

Significance of scientific evidence in organizing care processes

Hasson, Henna LU ; Blomberg, Staffan LU ; Dunér, Anna and Sarvimäki, Anneli (2016) In Journal of Health Organisation & Management 30(4). p.597-612
Abstract

Purpose – The purpose of this paper is to analyze how staff and managers in health and social care organizations use scientific evidence when making decisions about the organization of care practices. Design/methodology/approach – Document analysis and repeated interviews (2008-2010) with staff (n=39) and managers (n=26) in health and social care organizations. The respondents were involved in a randomized controlled study about testing a continuum of care model for older people. Findings – Scientific evidence had no practical function in the social care organization, while it was a prioritized source of information in the health care organization. This meant that the decision making regarding care practices was different in these... (More)

Purpose – The purpose of this paper is to analyze how staff and managers in health and social care organizations use scientific evidence when making decisions about the organization of care practices. Design/methodology/approach – Document analysis and repeated interviews (2008-2010) with staff (n=39) and managers (n=26) in health and social care organizations. The respondents were involved in a randomized controlled study about testing a continuum of care model for older people. Findings – Scientific evidence had no practical function in the social care organization, while it was a prioritized source of information in the health care organization. This meant that the decision making regarding care practices was different in these organizations. Social care tended to rely on ad hoc practice-based information and political decisions when organizing care, while health care to some extent also relied in an unreflected manner on the scientific knowledge. Originality/value – The study illustrates several difficulties that might occur when managers and staff try to consider scientific evidence when making complicated decisions about care practices.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Change management, Change process, Elderly care, Evidence-based practice
in
Journal of Health Organisation & Management
volume
30
issue
4
pages
16 pages
publisher
Emerald Group Publishing Limited
external identifiers
  • Scopus:84975046622
ISSN
1477-7266
DOI
10.1108/JHOM-12-2013-0271
language
English
LU publication?
yes
id
50c3460a-52ff-424c-ad00-c9481fc04bc6
date added to LUP
2016-07-11 12:17:14
date last changed
2016-09-20 03:07:31
@misc{50c3460a-52ff-424c-ad00-c9481fc04bc6,
  abstract     = {<p>Purpose – The purpose of this paper is to analyze how staff and managers in health and social care organizations use scientific evidence when making decisions about the organization of care practices. Design/methodology/approach – Document analysis and repeated interviews (2008-2010) with staff (n=39) and managers (n=26) in health and social care organizations. The respondents were involved in a randomized controlled study about testing a continuum of care model for older people. Findings – Scientific evidence had no practical function in the social care organization, while it was a prioritized source of information in the health care organization. This meant that the decision making regarding care practices was different in these organizations. Social care tended to rely on ad hoc practice-based information and political decisions when organizing care, while health care to some extent also relied in an unreflected manner on the scientific knowledge. Originality/value – The study illustrates several difficulties that might occur when managers and staff try to consider scientific evidence when making complicated decisions about care practices.</p>},
  author       = {Hasson, Henna and Blomberg, Staffan and Dunér, Anna and Sarvimäki, Anneli},
  issn         = {1477-7266},
  keyword      = {Change management,Change process,Elderly care,Evidence-based practice},
  language     = {eng},
  month        = {06},
  number       = {4},
  pages        = {597--612},
  publisher    = {ARRAY(0x8f8d200)},
  series       = {Journal of Health Organisation & Management},
  title        = {Significance of scientific evidence in organizing care processes},
  url          = {http://dx.doi.org/10.1108/JHOM-12-2013-0271},
  volume       = {30},
  year         = {2016},
}