Decision-Making and Evidence in Direct Practice

McLaughlin, Anne-Marie; Rothery, Michael; Babins-Wagner, Rochelle; Schleifer, Barbara

doi:10.1007/s10615-009-0190-8

Cited by 15 publications

(17 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Again, this tallies with existing research which shows that policymakers value their own experience above research evidence. 27 However, use of local data and other non-research evidence has also been described, [28][29][30] perhaps indicating a role for increased use and support of public health surveillance data by research communities. 31 Together, these findings do not suggest that particular professional groups are more or less likely to be important sources of information -rather that there is an important role for interpersonal skills and relationship building, and that this type of interactional data should be a target for future research.…”

Section: Discussionmentioning

confidence: 99%

Identifying public health policymakers’ sources of information: comparing survey and network analyses

Oliver

Vocht

Money

et al. 2015

Eur J Public Health

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Identifying public health policymakers’ sources of information: comparing survey and network analyses

Oliver

Vocht

Money

et al. 2015

Eur J Public Health

View full text Add to dashboard Cite

show abstract

“…Experts reflect on previous experiences and selectively apply this knowledge to the problem at hand (Cheetham & Chivers, 2005;Ruch, 2002), actively using critical thinking and tacit knowledge to find creative solutions (Cheetham & Chivers, 1998;Eraut, 2002;Schön, 1983Schön, , 1987. Indeed, despite a recent emphasis on evidence-based practice (Regehr, Stern, & Shlonsky, 2007), professionals continue to rely primarily on tacit knowledge consisting of their own experience, professional values and consultations with colleagues (McLaughlin, Rothery, Babins-Wagner, & Schleifer, 2010). However, in the area of suicide risk, expertise alone has been proven to be a remarkably inaccurate predictor.…”

mentioning

confidence: 99%

Suicide risk assessments: Examining influences on clinicians’ professional judgment.

Regehr¹,

LeBlanc²,

Bogo³

et al. 2015

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness. This experimental design study investigated the degree to which the previous work-related experiences of clinicians and their preexisting emotional state influence professional judgment regarding acute risk in patients presenting with suicidal ideation. Experienced social workers and social work students conducted suicide risk assessments on 2 standardized patients performing in scenarios constructed to depict individuals presenting with suicidal ideation. This study revealed significant variations in clinical judgments of practitioners assessing suicide risk. While scores on standardized risk assessment measures were the strongest predictor of judgments regarding the need for hospitalization to ensure the safety of the patient, other influences included clinician age and levels of posttraumatic stress symptoms. Mental health clinicians and organizations that employ them should be aware of possible individual influences on professional judgments related to suicide risk.

show abstract

“…Retrospective interviews as a way to explore social workers' thinking processes in their decisionmaking have been used by previous researchers (e.g. McLaughlin et al, 2010). One of the limitations is that interpretations may not be the same after the fact as at the time (Schutz, 1963), and memories may be false (Gambrill, 2008).…”

Section: Methodsmentioning

confidence: 99%

‘Siblings as Better Together’: Social Worker Decision Making in Cases Involving Sibling Sexual Behaviour

Yates

2017

The British Journal of Social Work

View full text Add to dashboard Cite

Sibling abuse is arguably the most prevalent form of family violence (Meyers, 2014), with sibling sexual abuse more common than parental sexual abuse (Krienert and Walsh, 2011). However, research on social worker decision making has been limited to situations concerning parental abuse, with almost no attention paid to situations where a child in the family presents a risk. This grounded theory study analyses from interviews with 21 social workers in Scotland their retrospective accounts of decisions relating to sibling living and contact arrangements regarding 21 families in which sibling sexual behaviour has occurred. It finds that decisions are made intuitively, influenced by a practice mind-set, 'siblings as better together'. This mind-set comprises three underlying perspectives: children as vulnerable and intending no sexual harm to others; sibling relationships as non-abusive and of intrinsic value; and parents as well-intentioned protective. These perspectives encourage a focus on immediate safety rather than emotional harm, and could be said to extend Dingwall et al.'s (1983) 'rule of optimism'. There is a danger of the victim child becoming lost. The study opens up a new area of research, its findings of relevance for professional groups beyond social workers including specialist nurses and other allied health professionals.

show abstract

Decision-Making and Evidence in Direct Practice

Cited by 15 publications

References 14 publications

Identifying public health policymakers’ sources of information: comparing survey and network analyses

Identifying public health policymakers’ sources of information: comparing survey and network analyses

Suicide risk assessments: Examining influences on clinicians’ professional judgment.

‘Siblings as Better Together’: Social Worker Decision Making in Cases Involving Sibling Sexual Behaviour

Contact Info

Product

Resources

About