SWOT
CASE STUDY 2: Evidence Based Data Collection | |||||
SELECTED FRAMEWORK: | SWOT ANALYSIS | ||||
PROBLEM TO SOLVE/GOAL: | Monthly, move 300 Patients from the prison and back safely while the prison continues to run normally | ||||
FRAMEWORK STEP | DATA POINT | EVIDENCE TYPE | SOURCE | USE IN FRAMEWORK | COMMENTS |
Identify Strengths | |||||
Daily Patient Volume Requirements – X patients per day | Objective | Case Study | Strength 1 | Will help in determine required staffing | |
Identify Weaknesses | |||||
High propencity of pregnancy to norm – Source says 2:100 Actual is 5:199 | Objective | Academic Reference/Case Study | Weakness 1 | Assess whether higher clinical staffing ratios needed on transport | |
Identify Opportunities | |||||
Telehealth is Available to Prisoners for Certain Types of Visits | Subjective | Personal Assumption | Opportunity 1 | May help to reduce patient volumes if needed | |
Identify Threats | Specific Nursing Staff May Resist 1:1 transport duties | Subjective | Personal Assumption | Threat 1 | May need support from HR if this occurs. Engage HR in advance |
Specific Nursing Staff May Resist 1:1 transport duties | Subjective | Personal Assumption | Threat 1 | May need support from HR if this occurs. Engage HR in advance | |
Identify Missing Information If Any | |||||
Compilment of Staff Available to Use | Objective | Prisoner Director | Counteract Threat1/Minimize Weakness 1 | Need to obtain | |
GAP IDENTIFICATION | |||||
PROBLEM TO SOLVE/GOAL: | Monthly, move 300 Patients from the prison and back safely while the prison continues to run normally | ||||
FRAMEWORK STEP | DATA POINT | EVIDENCE TYPE | SOURCE | USE IN FRAMEWORK | COMMENTS |
Identify Gaps | |||||
Transportation Options Not Provided | Objective | Gap 1 | Necessary for staffing, budgetting, prisoner management | ||
Frequency of Movement within the month not specificed | Objective | Gap 2 | Necessary for staffing, budgetting, prisoner management | ||
Prisoners have variety of problems. Some could be addressed in house | Objective | Case Study | Gap 3 | Discuss with Prison Director | |
Analyze gap
Evidence-Based Decision Making in Healthcare What is evidence-based practice? Good-quality decisions are based on a combination of critical thinking and the best available evidence (the quality of the evidence is at utmost importance) According to Dawes and colleagues (2005): Evidence-based practice is about making decisions through the conscientious, explicit, and judicious use of the best available evidence from multiple sources by ASKING (translating a practical issue or problem into an answerable question) ACQUIRING (systematically searching for and retrieving the evidence) APPRAISING (critically judging the trustworthiness and relevance of the evidence) AGGREGATING (weighting and pulling together the evidence) APPLYING (incorporating the evidence into the decision-making process) ASSESESING (evaluating the outcome of the decision taken) to increase the likelihood of a favorable outcome What counts as evidence? Evidence usually means information. It may be: -based on numbers -be qualitative -be descriptive Evidence usually comes from: -scientific evidence -organizational evidence -experiential evidence -stakeholder evidence *Regardless of source, all evidence should be included if it is judged to be trustworthy and relevant. Why do we need evidence-based practice? Personal judgement alone is susceptible to systematic errors. Cognitive and information-processing limits make us prone to biases that have negative effect on the quality of decisions (Bazerman 2009; Clements 2002; Kahneman 2011; Simon 1997) Benchmarking and “best practices†need to be critically evaluated before adaptation to a specific situation, organization, culture, time etc. Otherwise, use them only as a point of evidence and not as a deciding factor in decision making process. Barriers to the evidence-based decision making practice The managers need to be trained in the skills required to critically evaluate trustworthiness and relevance of information Important organizational information may be difficult to access, the information available may be of poor quality or misleading. Managers may not be aware of the current scientific evidence concerning the key issues in the field. Why do barriers exist? Practitioners pay little or no attention to scientific or organizational evidence, instead placing too much trust in personal judgement and experience, “best practicesâ€, and the beliefs of corporate leaders. As a result, money is spent on management practices that are ineffective or harmful to organizations, their members or their clients. Wh CORE VALUES One of the benefits of this process For teams who work together The group may choose to organize the value statements that Identify a value theme to the left of the detailed value Group/sort the value statements according to value theme Use the value themes as the guiding values in the table in Step The list of values will likely Over time, a set of core TIPS FOR SUCCESS • Recognize that the challenge with value words by themselves • As the value word is used in the future, both within the group Step 5 B. Jiwani, Good Organizational Decisions, SpringerBriefs in Ethics, 39 © The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 Good Decisions © 2021 Bashir Jiwani, PhD C 2 S A r r M n b r i a f w p f t p e f u p u U o a c l EBSCO Publishing : eBook Collection (EBSCOhost) – printed on 4/1/2023 11:49 AM via UNIVERSITY OF MARYLAND GLOBAL CAMPUS Step Synthesize Values (optiona SAMPLE WORKSHEET ENTRIES In our solution it is important We promote independence in We build a sense of community VALUES CAN BE… Instrumental/strategic: Intrinsic/inherent: important for APPENDIX C Provides a glossary of terms In this step we describe in detail exactly what is important to us Brainstorm everything that the decision should live up to • Ask people to offer full ideas in answering the Key • List all considerations regardless of degree of importance. statements on next page.) reasonable to prioritize and balance in this way? discuss how to address these. The resulting list will be the criteria against which the quality of • • • • • Step5 B. Jiwani, Good Organizational Decisions, SpringerBriefs in Ethics, 35 © The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 Good Decisions © 2021 Bashir Jiwani, PhD C 2 S A r r M n b r i a f w p f t p e f u p u U o a c l EBSCO Publishing : eBook Collection (EBSCOhost) – printed on 4/1/2023 11:48 AM via UNIVERSITY OF MARYLAND GLOBAL CAMPUS SAMPLE QUESTIONS “What should our staff “Where should we allocate “How should we respond to QUESTIONS AND SUB- QUESTIONS Some questions are actually For example, any question about to compare candidates for 2) Who will use the criteria and 3) What process will be used to In this step we define the problem and specify exactly what question we are Determine the problem(s) the group is working to solve. • The question you ask will determine the type and scope of answer • You want to ensure that the group is working on the same problem • A sense of the key question will arise from discussions with the List each suggestion as a possible question that the group might For each ask, “if we get an answer to this question, will it provide Notice if there are specific smaller questions that are part of a key Select a key question from the list. • Many questions will present themselves; the challenge is choosing which Do not get hung up on this step. • The articulation of the problem may evolve with further discussion of • Get enough of a shared understanding to move forward and set the • • • Step 3 B. Jiwani, Good Organizational Decisions, SpringerBriefs in Ethics, 27 © The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 Good Decisions © 2021 Bashir Jiwani, PhD C 2 S A r r M n b r i a f w p f A FACT… Is a belief that is true about the Some beliefs about reality are For these types of beliefs, the more Some beliefs, on the other hand, It is not likely that disagreements This step is where we examine decision team members’ understanding Using the worksheet, describe: • What we know for sure about the context will do this research) • The information that is missing, that we probably cannot know Develop a shared understanding of the context, including areas that may Discuss the evidence: • Is there agreement about the sources of evidence? • Is there agreement about how this evidence is interpreted? Ask specifically if there are any assumptions people believe are contentious Identify the source(s) of disagreement and explore whether consensus is Step 4 B. Jiwani, Good Organizational Decisions, SpringerBriefs in Ethics, 31 © The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 Good Decisions © 2021 Bashir Jiwani, PhD C 2 S A r r M n b r i a f w p f t p e f u p u U o a c l EBSCO Publishing : eBook Collection (EBSCOhost) – printed on 4/1/2023 11:48 AM via UNIVERSITY OF MARYLAND GLOBAL CAMPUS
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