Health care managers’ perspectives on the sources of evidence in evidence-based hospital management: A qualitative study in Iran

Janati, Ali; Hasanpoor, Edris; Hajebrahimi, Sakineh; Sadeghi‐Bazargani, Homayoun

doi:10.4314/ejhs.v27i6.11

Cited by 28 publications

(36 citation statements)

References 22 publications

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“…The highest mean scores were observed for “social/interpersonal factors.” “Interest and willingness to scientific management principles” had the highest mean scores among all 42 facilitators. Findings of the this study were generally consistent with the previously reported research claiming that nursing managers’ viewpoints of organizational support and a favorable learning environment developed their knowledge, skills, and confidence to interpret research evidence into practice (Brown, Wickline, Ecoff, & Glaser, ; Janati et al., ; Majdzadeh et al., ; Majid et al., ; Malik, McKenna, & Plummer, ; Melnyk et al., ; Pagoto et al., ; Wallis, ).…”

Section: Discussionsupporting

confidence: 88%

“…Evidence‐based management (EBMgt) has been expanded as a new management model for improving the quality of healthcare organizations’ decisions (Janati, Hasanpoor, Hajebrahimi, & Sadeghi‐Bazargani, ; Melnyk et al., ). The idea for EBMgt is derived from evidence‐based medicine (EBMed) that argues for the use of scientifically proven findings to guide practices in medicine and now nursing.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence‐based nursing management (EBNMgt) improves organizational and managerial decisions by bridging theory and practice gaps and has a critical impact on hospital performance. EBNMgt is the synthesis of scientific and research evidence, facts and information of hospital, political–social development plans, managers’ professional expertise, ethical–moral evidence, and values and expectations of all stakeholders (Janati et al., ; Newhouse, ; Newhouse, Dearholt, Poe, Pugh, & White, ; Underhill, Roper, Siefert, Boucher, & Berry, ).…”

Section: Introductionmentioning

confidence: 99%

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Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management

Hasanpoor

Siraneh

Janati

et al. 2019

Worldviews Ev Based Nurs

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Background: Evidence-based health management is defined as a new approach to improve the quality of hospital decisions by systematic application of the best available evidence. To use that, facilitators and barriers to implementation of evidence-based management (EBMgt) in the decision-making process need to be identified.Aim: The purpose of this study was to assess nursing managers' perspectives on the facilitators and barriers to implementation of EBMgt in Tabriz hospitals, northwest Iran. Methods:A cross-sectional study design was used in 2017. The study was conducted in one state in Iran (Tabriz). A total of 276 nursing managers (e.g., matrons, supervisors, & head nurses [HNs]) were invited to participate from the Tabriz hospitals (N = 20); 212 completed and returned the survey, yielding a response rate of 76.81%. The EBMgt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBMgt (five main domains and 46 questions). The second part includes the facilitators of EBMgt (five main domains and 42 questions). Data entry and analysis were carried out using SPSS-21 software.Results: Highest mean scores of barriers were observed for "training and research systems" (64.65 ± 12.42). "Lack of communication between knowledge producers and hospital decisionmakers" (68.19 ± 17.32) had highest mean scores among all 46 barriers. Also, the results showed that mean scores for all the barriers were higher than 55. The highest mean scores were observed for "social/interpersonal factors" (65.84 ± 17.07). "Interest and willingness to scientific management principles" (68.62 ± 20.17) had highest mean scores among all 42 facilitators.Linking Evidence to Action: The aim of EBMgt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBMgt in hospitals. Building the facilitators and eliminating barriers are foundation of EBMgt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision-making process in nursing care.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management

Hasanpoor

Siraneh

Janati

et al. 2019

Worldviews Ev Based Nurs

Self Cite

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“…Concerning the sources for the use of evidence in decision-making in HSM, studies have cited numerous sources, most notably scientific and specialized evidence such as research, articles, academic reports, published texts, books, and clinical guidelines (45,69,70). After scientific evidences, using the opinions and experiences of experts, colleagues, and managers (49,52,55,64) as well as the use of census and local level data (55,64,71), and other sources such as financial (71), political (49,55) and evaluations (55,72) data were cited.…”

Section: Inquiringmentioning

confidence: 99%

A Framework of Evidence-Based Decision-Making in Health System Management: Applying Best-Fit Framework Synthesis

Shafaghat

Bastani

Nasab

et al. 2020

Preprint

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Background: Scientific evidence is the basis for improving public health; decision-making without sufficient attention to evidence may lead to unpleasant consequences. In recent years, efforts have been made to create more comprehensive guidelines for evidence-based decision-making (EBDM), thus the purpose of the present study was developing a framework for EBDM to make the best decisions concerning to scare resources and too many needs. Methods: The present basic-applied research was a secondary study carried out using qualitative research method in 2019. A Systematic Scoping Review (SSR) was done for the comprehensive review of the existing published studies in this area. This method, according to Arksey and O’Malley approach, consists of five main stages and one optional stage. Results: Based on the SSR, 3751 studies from 7 databases were found, and due to the full-text screening of the studies, 30 final studies were selected for extracting the components and steps of EBDM in Health System Management (HSM). After collecting, synthesizing, and categorizing key information, the framework of EBDM in HSM is developed in the form of four general scopes of inquiring, inspecting, implementing and integrating, which includes 10 main steps and 56 sub-steps. Conclusions: The present framework tries to present a sequential systematic map to achieve evidence-based decision and policy making specially for under developed and developing countries which mostly suffer from applying update and applied evidences in their decision-making process. At the same time, it seems that the present framework tries to synthesize and integrate the fragmented elements of the other models and in this way can be tested by developed countries to improve their EBDM cycle.

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“…Therefore, it is essential that two sectors work together to solve these problems through employing each other's capabilities. Over recent decades, there has been vigorous intention toward expanding new models for organization and management, especially in health services organizations 7,8 . Many models emphasize the role of public -private partnership in the health sector.…”

Section: Introductionmentioning

confidence: 99%

The Barriers To Implementation Of New Public Management Strategies In Iran’s Primary Health Care: A Qualitative Study

2018

J LIAQUAT UNI MED HEALTH SCI

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Health care managers’ perspectives on the sources of evidence in evidence-based hospital management: A qualitative study in Iran

Cited by 28 publications

References 22 publications

Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management

Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management

A Framework of Evidence-Based Decision-Making in Health System Management: Applying Best-Fit Framework Synthesis

The Barriers To Implementation Of New Public Management Strategies In Iran’s Primary Health Care: A Qualitative Study

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