scholarly journals Building Cultures and Environments That Facilitate Clinician Behavior Change to Evidence-based Practice: What Works?

2014 ◽  
Vol 11 (2) ◽  
pp. 79-80 ◽  
Author(s):  
Bernadette Mazurek Melnyk
Evaluation ◽  
2018 ◽  
Vol 24 (2) ◽  
pp. 185-201 ◽  
Author(s):  
Sebastian Lemire ◽  
Christina A. Christie

The push for evidence-based practice is persistent in the public sector—what counts is what works. One central premise for evidence-based practice is the existence of an evidence base; that is, an accumulated and generalizable body of knowledge. Informed by a recent systematic review, we examine the promises and pitfalls of meta-analysis (the statistical workhorse of systematic reviews) as the primary blueprint for cumulative knowledge building in evaluation. This analysis suggests that the statistical assumptions underlying the meta-analytic framework raise issues that, at least in regards to producing generalizable knowledge, may cut even deeper than is suggested by common criticisms. Advancing beyond meta-analysis, we consider alternative approaches for knowledge building and reflect on the implications of these for individual evaluations.


Politik ◽  
1970 ◽  
Vol 20 (2) ◽  
Author(s):  
Niels Borch Rasmussen

The idea of what works in evidence based practice is one of the driving forces behind the Danish school reform 2014. However, so far there is little empirical knowledge as to how the logic of “what works” is exercised in the Danish school system. To address this concern, the article investigates empirically, how “what works” is practiced as a steering logic in a public school management in a Danish municipality. In a case study, I show how school teachers are organized in a new team structure, with the purpose of supporting the use of an evidence based teaching concept, inspired by Hattie´s Visible Learning. The use of evidence based knowledge entails that that teachers no longer have the same degree of autonomy in the school organization. In a new team structure, teachers are to prepare teaching material collectively, observe and supervise colleagues. The school management legitimizes the organizational change of the schools in the municipality with the basic narrative of evidence based practice: that knowledge about what works, should inform teaching practices. By exploring the specificities of how evidence based practice operates as a steering logic, the case study contributes to a better understanding of how evidence based practice changes the teacher profession in Danish public schools. 


Author(s):  
Margaret Pack

This chapter explores social workers' application of practice evidence in their everyday work in team and agency contexts. Practice evidence concerns the practitioner seeking the best available knowledge, accessed, adapted, and applied to guide practice with clients. How social workers decide which sources to draw from and which are appropriate sources of evidence for practice is based on many considerations. These include the social worker's values and ethics for practice, legislative and policy requirements, professional standards of practice, and the range of theories applied to any case or situation encountered in practice. Practice wisdom, or the experience gained in the repetition of seeing the same kind of client presentations across time, produces a further source which is drawn upon within the social worker's repertoire of knowledge. In this sense, there are multiple knowledge frameworks within which social workers operate, balancing contradictory and competing discourses about “what works” in any practice situation.


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