Making the Case for Evidence-Based Design in Healthcare: A Descriptive Case Study of Organizational Decision Making

2010 ◽  
Vol 4 (1) ◽  
pp. 56-88 ◽  
Author(s):  
Lorie K. Shoemaker ◽  
Abby Swanson Kazley ◽  
Andrea White
2014 ◽  
Vol 116 (3) ◽  
pp. 1-27 ◽  
Author(s):  
Charles A. Peck ◽  
Morva A. Mcdonald

Background/Context Contemporary state and national policy rhetoric reflects increased press for “evidence-based” decision making within programs of teacher education, including admonitions that programs develop a “culture of evidence” in making decisions regarding policy and practice. Recent case study reports suggest that evidence-based decision making in teacher education involves far more than access to data—including a complex interplay of motivational, technical, and organizational factors. Purpose In this paper we use a framework derived from Cultural Historical Activity Theory to describe changes in organizational practice within two teacher education programs as they began to use new sources of outcome data to make decisions about program design, curriculum and instruction. Research Design We use a retrospective case study approach, drawing on interviews, observations and documents collected in two university programs undergoing evidence-based renewal. Conclusions We argue for the value of a CHAT perspective as a tool for clarifying linkages between the highly abstract and rhetorically charged concept of a “culture of evidence” and concrete organizational practices in teacher education. We conclude that the meaning of a “culture of evidence” depends in large measure on the motivations underlying its development.


2002 ◽  
Vol 15 (1) ◽  
pp. 37-39
Author(s):  
Wendy Young ◽  
Tim Young ◽  
George Rewa ◽  
Peter Coyte ◽  

2019 ◽  
Vol 67 (4) ◽  
pp. 208-233
Author(s):  
Albert Martin ◽  
Thorsten Jochims

Zusammenfassung Der vorliegende Beitrag beschäftigt sich mit der Entscheidung von mittelständischen Unternehmen, zusätz­liche Mitarbeiter einzustellen und mit der Frage, unter welchen Bedingungen die Ausweitung der Geschäftstätigkeit eine solche Entscheidung veranlasst. Das diesbezügliche Entscheidungsverhalten ist bislang wenig erforscht. Im Vordergrund der Untersuchung steht die Frage, wie sich in den überschaubaren und wenig formalen Verhältnissen, die typisch für mittelständische Unternehmen sind, Entscheidungsfindung und Entscheidungsumsetzung zueinander verhalten, ob sie sich überhaupt klar voneinander abheben, welche Rückkopplungsbeziehungen existieren und welcher Handlungslogik sie folgen. Als theoretische Grundlage dient ein handlungstheoretischer Ansatz, der den kollektiven Charakter der Beschäftigungsentscheidung herausstellt. Die empirische Untersuchung bedient sich der Fallstudienmethode und befasst sich mit der Rekonstruktion von Entscheidungsprozessen in elf mittelständischen Unternehmen. Abstract The present article deals with the decisions of medium-sized companies to hire additional employees and with the question under which conditions the expansion of business activities leads to such a decision. In particular, this paper discusses the relationship between making and executing employment decisions. To analyze this relationship we present a theoretical approach which accentuates the collective character of the organizational decision making process. The empirical study uses the case study method. It undertakes the reconstruction of the employment decisions in eleven companies.


1981 ◽  
Vol 48 (1) ◽  
pp. 279-284 ◽  
Author(s):  
Linda S. Henderson ◽  
William E. Jurma

The decision-making interaction of a health maintenance organization's staff and a telephone company's sales consultants was analyzed. Audiotapes of two 1-hr. meetings required for a consensus decision regarding upgrading of the organization's communications system were transcribed. Discussants' speaking turns were classified by raters into one of the following content categories, Information Giving, Requests for Information, Opinion Giving, Requests for Opinion, Communication Facilitators, Communication Inhibitors, and Metadiscussional Statements. Results demonstrated the existence of patterns with regard to both the frequency of particular types of statement (distributional structure) and the ordering of types of statement (sequential structure). Patterning varied between the two meetings.


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