Implementing Evidence-Based Practice in Human Service Organizations

Austin, Michael J.; Claassen, Jennette

doi:10.1300/j394v05n01_10

Cited by 37 publications

(21 citation statements)

References 17 publications

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“…Several implementation frameworks include the measurement of organizational factors such as the implementation climate, learning culture, or leadership yet offer little practical guidance for these types of interventions (e.g., Aarons & Sommerfeld, 2012;Austin & Claassen, 2008;Beidas et al, 2013). The PACE program contributes to the few efforts among community-based mental health agencies that integrate organizational level interventions with the implementation process (e.g., Barwick et al, 2011;Williams, Glisson, Hemmelgarn, & Green, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…The CARI consists of 40 items across eight domains: organizational capacity, organizational climate/culture, staff capacity, implementation plan, system level capacity, functional considerations, senior leadership, and training. It was adapted from a tool proposed by Austin and Claassen (2008) which consisted of 20 items along four domains on a 4-point scale (1 = Not even close, 2 = Some way to go, 3 = Nearly there, 4 = We're there).…”

Section: Procedures and Sources Of Datamentioning

confidence: 99%

“…These modules served as a guide for several activities in the planning phase. First, core teams across all agencies participated in sessions on leading change and teamwork spanning two days based on organizational learning and change management approaches (Austin & Claassen, 2008 For personal use only. Botcheva et al, 2002;Brown et al, 2010;Edmondson, 2004;Hodson & Cooke, 2007;Raghavan, Bright, & Shadoin, 2008).…”

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confidence: 99%

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Implementing Implementation: Practical Lessons Learned From Supporting Evidence- Informed Service Delivery in Community-Based Child and Youth Mental Health Agencies

Danseco

Barber

Brown

et al. 2017

Canadian Journal of Community Mental Health

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As child and youth mental health agencies apply the recommendations from the national mental health strategy, a strong focus has been placed on the implementation of evidence-informed practices to ensure the best outcomes for those they serve. Although a considerable amount of research exists on the implementation of best practices and the key factors to successful implementation, far less exists in terms of concrete strategies to support such initiatives. This article describes a unique initiative in Ontario that provided implementation supports and funding for agencies. Lessons learned and implications for bridging the gap between research and practice are explored.

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Section: Discussionmentioning

confidence: 99%

Section: Procedures and Sources Of Datamentioning

confidence: 99%

mentioning

confidence: 99%

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Implementing Implementation: Practical Lessons Learned From Supporting Evidence- Informed Service Delivery in Community-Based Child and Youth Mental Health Agencies

Danseco

Barber

Brown

et al. 2017

Canadian Journal of Community Mental Health

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“…The literature on implementation is growing and has been very instructive in responding to these challenges. Austin and Claassen (2008) conducted a comprehensive review of literature addressing the organizational factors needed to introduce EBP into human service agencies and concluded that ''EBP requires special attention to the processes of organizational change, the understanding of organizational culture, and the specialized expertise to promote the successful dissemination and utilization of research'' (p. 274). These findings are also echoed in the analysis done by RiP and led to the development of two excellent resources: Firm Foundations: A Practical Guide to Organizational Support for the Use of Research Evidence (Barratt & Hodson, 2006) and Leading EvidenceInformed Practice: A Handbook (Hodson & Cooke, 2007).…”

Section: Critical Factors In Implementationmentioning

confidence: 99%

Promoting Evidence-Informed Practice in Child Welfare in Ontario

Shera

Dill²

2011

Research on Social Work Practice

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Practice and Research Together (PART) is an Ontario-based research utilization initiative, the core function of which is to distil and disseminate practice-relevant research findings to child welfare practitioners. This article addresses (a) the mission and goals of the PART program; (b) the key components of the program design; (c) the conceptual foundations of evidence-informed practice (EIP) as it relates to the program; (d) the successes and challenges of implementation to date; (e) the results of a comprehensive evaluation; and (f) areas for future research and development. Key findings of the formative evaluation include Link PARTners (LPs-organizational representatives) feeling isolated in their role in promoting organizational change; frontline practitioners reporting that they have little time or resources to use the program materials; supervisors stating that they support the concept of EIP but lack the skills and abilities to move these ideas forward; and executive directors are requesting more evidence to promote organizational and systemic change.

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“…Knowledge and clinical experience are the most important factors in clinical decision making [2]. There is a need to develop the body of knowledge about how to implement evidence-based practice in decision making on micro-and macro-levels in community nursing care [3].…”

Section: Introductionmentioning

confidence: 99%

Referrals to Emergency Departments— The Processes and Factors That Influence Decision-Making among Community Nurses

Kihlgren¹,

Sunvisson²,

Ziegert³

et al. 2014

OJN

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The aim of the study was to describe the basis on which municipal care registered nurses (RN) make decisions and their experiences when referring older persons from nursing homes to emergency departments (EDs). RNs in the community are to ensure that older adults receive good care quality in nursing home. This study used a descriptive design with a qualitative content analysis. The analysis of the data from the 13 interviews revealed one theme "Shared responsibilities in the best interests of the older person reduce feelings of insufficiency". The content was formulated, which revealed the RNs' feelings, reasoning and factors influencing them and their actions in the decision-making situation, before the patients were referred to an emergency department. Complex illnesses, non-adapted organizations, considerations about what was good and right in order to meet the older person's needs, taking account of her/his life-world, health, well-being and best interests were reported. Co-worker competencies and open dialogues in the "inner circle" were crucial for the nurses' confidence in the decision. Hesitation to refer was associated with previous negative reactions from ED professionals. The RN sometimes express that they lacked medical knowledge and were uncertain how to judge the acute illness or changes. Access to the "outer circle", i.e. physicians and hospital colleagues, was necessary to counteract feelings of insecurity about referrals. When difficult decisions have to be made, not only medical facts but also relationships are of importance. To strengthen the RNs' and staff members' competence by means of education seems to be important for avoiding unnecessary referrals. Guidelines and work routine need to be more transparent and referrals due to the lack of resources are not only wasteful but can worsen the older persons' health.

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Implementing Evidence-Based Practice in Human Service Organizations

Cited by 37 publications

References 17 publications

Implementing Implementation: Practical Lessons Learned From Supporting Evidence- Informed Service Delivery in Community-Based Child and Youth Mental Health Agencies

Implementing Implementation: Practical Lessons Learned From Supporting Evidence- Informed Service Delivery in Community-Based Child and Youth Mental Health Agencies

Promoting Evidence-Informed Practice in Child Welfare in Ontario

Referrals to Emergency Departments— The Processes and Factors That Influence Decision-Making among Community Nurses

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