Evidence-based management

Last updated

Evidence-based management (EBMgt) is an emerging movement to explicitly use the current, best evidence in management and decision-making. It is part of the larger movement towards evidence-based practices.

Contents

Overview

Evidence-based management entails managerial decisions and organizational practices informed by the best available evidence. [1] As with other evidence-based practice, this is based on the three following principles:

While, like its counterparts in medicine, [4] and education [5] EBMgt considers the circumstances and ethical concerns managerial decisions involve, it tends not to make extensive use of behavioral science relevant to effective management practice. [6] [7] [8] [9] Evidence-based management proceeds from the premise that using better, deeper logic and employing facts to the extent possible permits leaders to do their jobs better. [10]

Practice

An important part of EBMgt is educating current and future managers in evidence-based practices. The EBMgt website maintained at Stanford University provides a repository of syllabi, cases, and tools that can inform the teaching of evidence-based management.

Efforts to promote EBMgt face greater challenges than other evidence-based initiatives. In medicine, there is more consensus as to what constitutes best evidence than in the social sciences more generally, and management in particular. Unlike medicine, nursing, education, and law enforcement, "management", alone, is not a regulated profession. Management, however, is a learned discipline applied in practice in all types of professions, and professional disciplines essentially require professional management knowledge. There are no established legal or cultural requirements regarding education or knowledge for an individual to become a manager. Nevertheless, there are professional management organizations that do provide well-vetted and generally accepted professional certifications for managers who have been found knowledgeable, experienced, and tested through management certification examinations. Managers have diverse disciplinary backgrounds. An undergraduate college degree is typically required to enter MBA programs – but not to be a manager. No "regulated" body of shared knowledge characterizes managers, making it unlikely that peer pressure will be exerted to promote the use of evidence by any manager who refuses to do so. Little shared language or terminology exists, making it difficult for managers to hold discussions of evidence or evidence-based practices. [7] [8] For this reason, the adoption of evidence-based practices is likely to be organization-specific, where leaders take the initiative to build an evidence-based culture. [1] Organizations successfully pursuing evidence-based management typically go through cycles of experimentation and redesign of their practices to create an evidence-based culture consistent with their values and mission.

Practices indicative of an evidence-based organizational culture include:

Organizations adopting agile approaches in their product development, often find they need to make changes in other areas to reap the full benefits of the changes (the growing field of business agility and agile transformation). Evidence-based management provides a more structured approach to working through such change in short-cycles; to focus investments in areas that will bring the greatest value soonest; and to provide a framework for evaluating their success. [11]

Some advocates of EBMgt argue that it is more likely to be adopted in knowledge-intensive organizations. A study of six leading healthcare organizations found that managers and clinical leaders used a variety of forms of knowledge including drawing on academic research, experiential knowledge and respected colleagues. [12] The researchers concluded that skillful 'knowledge leadership' is crucial in translating EBMgt and other academic research into practice in ways that are relevant and can be mobilized in specific organizational contexts. [13]

Alternatives and objections

The weak form alternatives to evidence-based anything include hearsay, opinion, rhetoric, discourse, advice (opinion), self deception, bias, belief, fallacy, or advocacy. The stronger forms include concerns about what counts as evidence, types of evidence, what evidence is available, sought or possible, who decides and pays for what evidence to be collected, and that evidence needs to be interpreted. Also there are the limitations to empiricism as well argued in the historical debate between empiricism and rationalism which is usually assumed to be resolved by Immanuel Kant by saying the two are inextricably interwoven. We reason what evidence is fair and what the evidence means (Critique of Practical Reason). Critical theorists have raised objections to the claims made by those promoting evidence-based management. [14] [15] From this perspective, what counts as "evidence" is considered as intrinsically problematic and contested because there are different ways of looking at social problems. [15] [16] Furthermore, in line with perspectives from critical management studies, "management" is not necessarily an automatic good thing—it often involves the exercise of power and the exploitation of others. One response is to include a balanced treatment of such issues in reviewing and interpreting the research literature for practice. [17] Another response is to reconsider EBMgt in terms of cybernetic theory, whereby the "requisite variety" of evidence compiled across decision-makers is critical because "compiling more evidence does not necessarily imply compiling a wider range of knowledge types" [16] To that end, a promising alternative to the "evidence-based" approach would be the use of dialectic, argument, or public debate (argument is not to be confused with advocacy or quarreling). Aristotle, in works like Rhetoric, reasons that the way to test knowledge claims is to set up an inquiry method where a sceptical audience is encouraged to question evidence and its assumptions. To win an argument, convincing evidence is required. Calls for argumentative inquiry, or the argumentative turn may be fairer, safer and more creative than calls for evidence-based approaches. [18] [19]

Supporting research

Some of the publications in this area are Evidence-Based Management, Harvard Business Review, and Hard Facts, Dangerous Half-Truths and Total Nonsense: Profiting From Evidence-Based Management. [1] Some of the people conducting research on the effects of evidence-based management are Jeffrey Pfeffer, Robert I. Sutton, and Tracy Allison Altman. Pfeffer and Sutton also have a website dedicated to EBMgt. [20]

Evidence-based management is also being applied in specific industries and professions, including software development. [21] Other areas are crime prevention (Sherman et al. (2002), [22] public management, and manufacturing. [23]

See also

Related Research Articles

<span class="mw-page-title-main">Chiropractic</span> Form of pseudoscientific alternative medicine

Chiropractic is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine. It has esoteric origins and is based on several pseudoscientific ideas.

Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients." The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients.

Management is the administration of organizations, whether they are a business, a nonprofit organization, or a government body through business administration, nonprofit management, or the political science sub-field of public administration respectively. It is the process of managing the resources of businesses, governments, and other organizations.

Work design is an area of research and practice within industrial and organizational psychology, and is concerned with the "content and organization of one's work tasks, activities, relationships, and responsibilities" (p. 662). Research has demonstrated that work design has important implications for individual employees, teams, organisations, and society.

As an ethic that spans science, engineering, business, and the humanities, transparency is operating in such a way that it is easy for others to see what actions are performed. Transparency implies openness, communication, and accountability.

In planning and policy, a wicked problem is a problem that is difficult or impossible to solve because of incomplete, contradictory, and changing requirements that are often difficult to recognize. It refers to an idea or problem that cannot be fixed, where there is no single solution to the problem; and "wicked" denotes resistance to resolution, rather than evil. Another definition is "a problem whose social complexity means that it has no determinable stopping point". Moreover, because of complex interdependencies, the effort to solve one aspect of a wicked problem may reveal or create other problems. Due to their complexity, wicked problems are often characterized by organized irresponsibility.

Adaptive management, also known as adaptive resource management or adaptive environmental assessment and management, is a structured, iterative process of robust decision making in the face of uncertainty, with an aim to reducing uncertainty over time via system monitoring. In this way, decision making simultaneously meets one or more resource management objectives and, either passively or actively, accrues information needed to improve future management. Adaptive management is a tool which should be used not only to change a system, but also to learn about the system. Because adaptive management is based on a learning process, it improves long-run management outcomes. The challenge in using the adaptive management approach lies in finding the correct balance between gaining knowledge to improve management in the future and achieving the best short-term outcome based on current knowledge. This approach has more recently been employed in implementing international development programs.

Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin, exposed the high mortality rate for paediatric cardiac surgery at the Bristol Royal Infirmary. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.

<span class="mw-page-title-main">Systematic review</span> Comprehensive review of research literature using systematic methods

A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on the topic, then analyzes, describes, critically appraises and summarizes interpretations into a refined evidence-based conclusion. For example, a systematic review of randomized controlled trials is a way of summarizing and implementing evidence-based medicine.

Evidence-based practice is the idea that occupational practices ought to be based on scientific evidence. While seemingly obviously desirable, the proposal has been controversial, with some arguing that results may not specialize to individuals as well as traditional practices. Evidence-based practices have been gaining ground since the formal introduction of evidence-based medicine in 1992 and have spread to the allied health professions, education, management, law, public policy, architecture, and other fields. In light of studies showing problems in scientific research, there is also a movement to apply evidence-based practices in scientific research itself. Research into the evidence-based practice of science is called metascience.

Network governance is "interfirm coordination that is characterized by organic or informal social system, in contrast to bureaucratic structures within firms and formal relationships between them. The concepts of privatization, public private partnership, and contracting are defined in this context." Network governance constitutes a "distinct form of coordinating economic activity" which contrasts and competes with markets and hierarchies.

<span class="mw-page-title-main">Issue-based information system</span> Argumentation scheme

The issue-based information system (IBIS) is an argumentation-based approach to clarifying wicked problems—complex, ill-defined problems that involve multiple stakeholders. Diagrammatic visualization using IBIS notation is often called issue mapping.

Jeffrey Pfeffer is an American business theorist and the Thomas D. Dee II Professor of Organizational Behavior at the Graduate School of Business, Stanford University, and is considered one of today's most influential management thinkers.

A knowledge broker is an intermediary, that aims to develop relationships and networks with, among, and between producers and users of knowledge by providing linkages, knowledge sources, and in some cases knowledge itself, to organizations in its network.

Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs.

Evidence-based dentistry (EBD) is the dental part of the more general movement toward evidence-based medicine and other evidence-based practices. The pervasive access to information on the internet includes different aspects of dentistry for both the dentists and patients. This has created a need to ensure that evidence referenced to are valid, reliable and of good quality.

The discipline of evidence-based toxicology (EBT) strives to transparently, consistently, and objectively assess available scientific evidence in order to answer questions in toxicology, the study of the adverse effects of chemical, physical, or biological agents on living organisms and the environment, including the prevention and amelioration of such effects. EBT has the potential to address concerns in the toxicological community about the limitations of current approaches to assessing the state of the science. These include concerns related to transparency in decision making, synthesis of different types of evidence, and the assessment of bias and credibility. Evidence-based toxicology has its roots in the larger movement towards evidence-based practices.

Evidence-based conservation is the application of evidence in conservation biology and environmental management actions and policy making. It is defined as systematically assessing scientific information from published, peer-reviewed publications and texts, practitioners' experiences, independent expert assessment, and local and indigenous knowledge on a specific conservation topic. This includes assessing the current effectiveness of different management interventions, threats and emerging problems and economic factors.

Ewan Balfour Ferlie FBA is a British social scientist, whose work has made an important contribution to the academic literature on public sector management. He has published widely and internationally on narratives of public management reform and also on questions of organizational change in public services organizations, especially in health care and higher education. His well-cited works include co-authored monographs, Oxford University Press handbooks and peer reviewed articles. He is currently professor of public services management at King's College London.

A nurse scientist is a registered nurse with advanced education and expertise in nursing research. These professionals play a critical role in advancing nursing knowledge, improving patient care, and shaping the future of the nursing profession. Highly educated and specialized, nurse scientists conduct research to generate new knowledge about nursing care, employing a deep understanding of nursing theory, research methodologies, and clinical practice. Nurse scientists are essential contributors to the development of new nursing interventions and practices. Their skills extend beyond academic settings and these advanced nurses work in hospitals, research institutes, and community organizations. Through their efforts, nurse scientists have a profound impact on the quality of healthcare, contributing significantly to the improvement of patient care and the overall advancement of the nursing profession. They possess advanced qualifications, typically holding a Ph.D. in nursing or a related field, demonstrating expertise not only in research principles and methodology but also in-depth content knowledge within a specific clinical area. The primary focus of the role is to provide leadership in the development, coordination and management of clinical research studies; provide mentorship for nurses in research; lead evaluation activities that improve outcomes for patients participating in research studies; contribute to the overall health sciences literature. Nurse scientists have been regarded as knowledge brokers. They participate in nursing research.

References

  1. 1 2 3 Pfeffer J, Sutton RI (March 2006). Hard Facts, Dangerous Half-Truths And Total Nonsense: Profiting From Evidence-Based Management (first ed.). Boston, Mass: Harvard Business Review Press. ISBN   978-1-59139-862-2.
  2. Spring B (July 2007). "Evidence-based practice in clinical psychology: what it is, why it matters; what you need to know". Journal of Clinical Psychology. 63 (7): 611–31. CiteSeerX   10.1.1.456.9970 . doi:10.1002/jclp.20373. PMID   17551934.
  3. Lilienfeld SO, Ritschel LA, Lynn SJ, Cautin RL, Latzman RD (November 2013). "Why many clinical psychologists are resistant to evidence-based practice: root causes and constructive remedies". Clinical Psychology Review. 33 (7): 883–900. doi:10.1016/j.cpr.2012.09.008. PMID   23647856.
  4. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB (2000-01-18). Evidence-Based Medicine: How to Practice and Teach EBM (second ed.). Edinburgh: Churchill Livingstone. ISBN   978-0-443-06240-7.
  5. Thomas G, Pring B (2004-07-04). Evidence-based Practice in Education. Maidenhead: Open University Press. ISBN   978-0-335-21334-4.
  6. Walshe K, Rundall TG (2001). "Evidence-based management: from theory to practice in health care". The Milbank Quarterly. 79 (3): 429–57, IV–V. doi:10.1111/1468-0009.00214. PMC   2751196 . PMID   11565163.
  7. 1 2 Rousseau DM (2005). "Change and Quality in Human Service Work". In Korunka C, Hoffmann P (eds.). Evidence-Based Management in Health Care. Munich: Hampp. pp. 33–46.
  8. 1 2 Rousseau DM (2006). "Keeping an open mind about evidence-based management". Academy of Management Review. 31. doi:10.5465/amr.2006.22528330.
  9. Pfeffer J, Sutton RI (January 2006). "Evidence-Based Management". Harvard Business Review. 84 (1): 62–74, 133. PMID   16447370 . Retrieved 2018-01-05.
  10. Pfeffer J, Sutton RI (January 2006). "Evidence-Based Management". Harvard Business Review. 84 (1): 62–74, 133. PMID   16447370 . Retrieved 2018-01-05.
  11. Scheerer A (2017). Coordination in Large-Scale Agile Software Development: Integrating Conditions and Configurations in Multiteam Systems. Springer. ISBN   978-3-319-55327-6.
  12. Dopson S, Fitzgerald L, Ferlie E, Fischer M, Ledger J, McCulloch J, McGivern G (May 2013). "Health care managers access and use of management research". National Institute for Health Research.
  13. Fischer, Michael D; Dopson, Sue; Fitzgerald, Louise; Bennett, Chris; Ferlie, Ewan; Ledger, Jean; McGivern, Gerry (July 2016). "Knowledge leadership: Mobilizing management research by becoming the knowledge object". Human Relations. 69 (7): 1563–1585. doi:10.1177/0018726715619686.
  14. Learmonth M, Harding N (June 2006). "Evidence-based management: the very idea". Public Administration. 84 (2): 245–266. doi:10.1111/j.1467-9299.2006.00001.x.
  15. 1 2 Learmonth M (March 2008). "Speaking Out: Evidence-Based Management: A Backlash Against Pluralism in Organizational Studies?". Organization. 15 (2): 283–291. doi:10.1177/1350508407087763. S2CID   143481608.
  16. 1 2 Martelli, Peter F.; Hayirli, Tuna Cem (2018-10-08). "Three perspectives on evidence-based management: rank, fit, variety". Management Decision. 56 (10): 2085–2100. doi:10.1108/MD-09-2017-0920. ISSN   0025-1747. S2CID   53579489.
  17. Rousseau DM, Manning J, Denyer D. "Evidence in Management and Organizational Science: Assembling the field's full weight of scientific knowledge through reflective reviews".
  18. Bailin S (1 January 2004). "Is Argument for Conservatives? or Where Do Sparkling New Ideas Come From?". Informal Logic. 23 (1). doi: 10.22329/il.v23i1.2151 .
  19. Fischer F, Forester J (1996). The Argumentative turn in policy analysis and planning (2 ed.). Durham, NC: Duke University Press. ISBN   978-0-8223-1354-0.
  20. "Center for Evidence Based Management". www.evidence-basedmanagement.com. Archived from the original on 2016-05-07. Retrieved 2018-01-05.
  21. Dybå T, Kitchenham BA, Jørgensen M (January 2005). "Evidence-based software engineering for practitioners". IEEE Software. 22 (1): 58–65. doi:10.1109/MS.2005.6.
  22. Farrington D, MacKenzie DL, Sherman L, Welsh BC (2006). Evidence-based crime prevention (Revised ed.). London: Routledge. ISBN   978-0-415-40102-9.
  23. Sloan MD, Boyles RA (2003). Profit signals: how evidence-based decisions power Six Sigma breakthroughs. Seattle, Wash.: Evidence-based Decisions. ISBN   978-0-9744616-0-1.