Assistant Professor, Department of Nursing, Botucatu Medical School, Univ Estadual Paulista UNESP, São Paulo, Brazil.
J Nurs Scholarsh. 2013 Sep;45(3):265-72. doi: 10.1111/jnu.12024. Epub 2013 Mar 26.
The study objective was to understand the meaning of evidence-based management for senior nurse leaders in accredited, public hospitals in the State of Sao Paulo, Brazil.
A phenomenological approach was used to analyze interviews conducted with 10 senior nurse leaders between August 2011 and March 2012. The analytic method was developed by the Brazilian phenomenologist, Martins.
Senior nurse leaders described how they critically appraise many sources of evidence when making managerial decisions. They emphasized the importance of working with their teams to locally adapt and evaluate best evidence associated with managerial decision making and organizational innovations. Their statements also demonstrated how they use evidence-based management to support the adoption of evidence-based practices. They did not, however, provide specific strategies for seeking out and obtaining evidence. Notable challenges were traditional cultures and rigid bureaucracies, while major facilitators included accreditation, teamwork, and shared decision making.
Evidence-based management necessitates a continuous process of locating, implementing, and evaluating evidence. In this study leaders provided multiple, concrete examples of all these processes except seeking out and locating evidence. They also gave examples of other leadership skills associated with successful adoption of evidence-based practice and management, particularly interdisciplinary teamwork and shared decision making.
This study demonstrates senior nurse leaders' awareness and utilization of evidence-based management. The study also suggests what aspects of evidence-based management need further development, such as more active identification of potential, new organizational innovations.
本研究旨在了解巴西圣保罗州认证公立医院资深护理管理者对循证管理的理解。
采用现象学方法分析 2011 年 8 月至 2012 年 3 月期间对 10 名资深护理管理者进行的访谈。分析方法由巴西现象学家 Martins 开发。
资深护理管理者描述了他们在做出管理决策时如何批判性地评估多种证据来源。他们强调与团队合作，以本地方式调整和评估与管理决策和组织创新相关的最佳证据的重要性。他们的陈述还表明，他们如何利用循证管理来支持循证实践的采用。然而，他们并没有提供具体的策略来寻找和获取证据。值得注意的挑战是传统文化和僵化的官僚主义，而主要的促进因素包括认证、团队合作和共同决策。
循证管理需要一个不断寻找、实施和评估证据的过程。在这项研究中，领导者提供了所有这些过程的多个具体例子，除了寻找和获取证据。他们还举例说明了与成功采用循证实践和管理相关的其他领导技能，特别是跨学科团队合作和共同决策。
本研究表明资深护理管理者对循证管理的认识和利用。该研究还表明，循证管理的哪些方面需要进一步发展，例如更积极地确定潜在的新组织创新。
