دورية أكاديمية
أعرض في EDS

Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making: A Qualitative Study.

التفاصيل البيبلوغرافية
العنوان: Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making: A Qualitative Study.
المؤلفون: Allen P; Prevention Research Center, Brown School (Drs Allen, Mazzucca-Ragan, and Brownson and Mss Parks, Kang, and Jacob), and Alvin J. Siteman Cancer Center and Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine (Dr Brownson), Washington University in St Louis, St Louis, Missouri; Fredrick S. Pardee RAND Graduate School, RAND Corporation, Santa Monica, California (Ms Kang); and National Association of County and City Officials, Washington, District of Columbia (Dr Dekker)., Parks RG, Kang SJ, Dekker D, Jacob RR, Mazzucca-Ragan S, Brownson RC
المصدر: Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2023 Mar-Apr 01; Vol. 29 (2), pp. 213-225. Date of Electronic Publication: 2022 Oct 14.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract
أسماء مطبوعة: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1995-
مواضيع طبية MeSH: Public Health*/methods , Evidence-Based Practice*/methods, Humans ; Public Health Practice ; Qualitative Research ; Decision Making
مستخلص: Objectives: Evidence-based decision making (EBDM) capacity in local public health departments is foundational to meeting both organizational and individual competencies and fulfilling expanded roles. In addition to on-the-job training, organizational supports are needed to prepare staff; yet, less is known in this area. This qualitative study explores supportive management practices instituted as part of a training and technical assistance intervention.
Design: This qualitative study used a semistructured interview guide to elicit participants' descriptions and perceptions via key informant interviews. Verbatim transcripts were coded and thematic analyses were conducted.
Setting: Local public health departments in a US Midwestern state participated in the project.
Participants: Seventeen middle managers and staff from 4 local health departments participated in remote, audio-recorded interviews.
Intervention: Following delivery of a 3½-day in-person training, the study team met with health department leadership teams for department selection of supportive agency policies and procedures to revise or newly create. Periodic remote meetings included collaborative problem-solving, sharing of informational resources, and encouragement.
Main Outcome Measures: Included management practices instituted to support EBDM and impact on day-to-day work as described by the interview participants.
Results: Leadership and middle management practices deemed most helpful included dedicating staff; creating specific guidelines; setting expectations; and providing trainings, resources, and guidance. Health departments with a preexisting supportive organizational culture and climat e were able to move more quickly and fully to integrate supportive management practices. Workforce development included creation of locally tailored overviews for all staff members and onboarding of new staff. Staff wanted additional hands-on skill-building trainings. Several worked with partners to incorporate evidence-based processes into community health improvement plans.
Conclusions: Ongoing on-the-job experiential learning is needed to integrate EBDM principles into day-to-day public health practice. Management practices established by leadership teams and middle managers can create supportive work environments for EBDM integration.
Competing Interests: The authors declare they have no conflicts of interest.
(Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc.)
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معلومات مُعتمدة: P30 DK092950 United States DK NIDDK NIH HHS; P50 CA244431 United States CA NCI NIH HHS; R01 DK109913 United States DK NIDDK NIH HHS; U48 DP006395 United States DP NCCDPHP CDC HHS; P30 DK092949 United States DK NIDDK NIH HHS
تواريخ الأحداث: Date Created: 20221014 Date Completed: 20230201 Latest Revision: 20230929
رمز التحديث: 20230929
مُعرف محوري في PubMed: PMC9892206
DOI: 10.1097/PHH.0000000000001653
PMID: 36240510
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-5022
DOI:10.1097/PHH.0000000000001653