Application of the principles of evidence-based practice in decision making among senior management in Nova Scotia’s addiction services agencies

Substance Abuse Treatment, Prevention, and Policy

Robert Gilbert³  Lynda McAllister¹  M Jayne MacCarthy¹  Matthew Murphy² 

[1] Quality and Research Utilization Team, Addiction Services, Pictou County Health Authority, 199 Elliott Street, Pictou, NS B0K1H0, Canada;Department of Quality Management, Guysborough Antigonish Strait Health Authority, 25 Bay Street, Antigonish, NS B2G2G5, Canada;School of Health Sciences, Dalhousie University, 1278 South Park Street, Halifax, NS B3H 2Y9, Canada

关键词: Qualitative research;    Senior Administrative Personnel;    Prevention;    Treatment;    Addiction;    Substance abuse;    Evidence-based medicine;    Evidence-based decision-making;   

Others  :  1131522
DOI  :  10.1186/1747-597X-9-47

 received in 2014-04-23, accepted in 2014-11-28,  发布年份 2014

【 摘 要 】

Background

Competency profiles for occupational clusters within Canada’s substance abuse workforce (SAW) define the need for skill and knowledge in evidence-based practice (EBP) across all its members. Members of the Senior Management occupational cluster hold ultimate responsibility for decisions made within addiction services agencies and therefore must possess the highest level of proficiency in EBP. The objective of this study was to assess the knowledge of the principles of EBP, and use of the components of the evidence-based decision making (EBDM) process in members of this occupational cluster from selected addiction services agencies in Nova Scotia.

Methods

A convenience sampling method was used to recruit participants from addiction services agencies. Semi-structured qualitative interviews were conducted with eighteen Senior Management. The interviews were audio-recorded, transcribed verbatim and checked by the participants. Interview transcripts were coded and analyzed for themes using content analysis and assisted by qualitative data analysis software (NVivo 9.0).

Results

Data analysis revealed four main themes: 1) Senior Management believe that addictions services agencies are evidence-based; 2) Consensus-based decision making is the norm; 3) Senior Management understand the principles of EBP and; 4) Senior Management do not themselves use all components of the EBDM process when making decisions, oftentimes delegating components of this process to decision support staff.

Conclusions

Senior Management possess an understanding of the principles of EBP, however, when making decisions they often delegate components of the EBDM process to decision support staff. Decision support staff are not defined as an occupational cluster in Canada’s SAW and have not been ascribed a competency profile. As such, there is no guarantee that this group possesses competency in EBDM. There is a need to advocate for the development of a defined occupational cluster and associated competency profile for this critical group.

【 授权许可】

   
2014 Murphy et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

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