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In Search of Evidence

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Chapter 7<br />

(Hemsley-Brown & Sharp, 2004). Managers also hold perceptions and beliefs<br />

regarding scientific evidence that are more similar to those <strong>of</strong> practitioners in other<br />

fields than management scholars have previously presumed. Although the present<br />

study is the first to systematically survey the actual attitudes that managers hold<br />

towards evidence-based practice, in medicine, nursing, and education such studies<br />

are legion. A recent systematic review based on 31 studies with a combined sample<br />

size <strong>of</strong> 10,798 respondents indicates that most healthcare pr<strong>of</strong>essionals strongly<br />

feel that evidence-based medicine improves patient care and is important for their<br />

pr<strong>of</strong>ession (Ubbink et al., 2013). This finding is consistent with the outcome <strong>of</strong><br />

other systematic reviews, which report that 50 to 70% <strong>of</strong> the practitioners in the<br />

medical realm have a positive attitude towards evidence-based medicine (Van Dijk<br />

et al., 2010; Zwolsman, Te Pas, Ho<strong>of</strong>t, Wieringa-de Waard, & Van Dijk, 2012).<br />

Given that in management evidence-based practice is not (yet) well established, it is<br />

remarkable that our study yielded a similar outcome: 66% <strong>of</strong> the respondents had<br />

a positive attitude towards evidence-based management and a large majority<br />

(75%) felt that by using evidence-based management they could improve the<br />

quality <strong>of</strong> their work.<br />

The main barriers we identified through our study are also consistent with the<br />

outcome <strong>of</strong> systematic reviews in medicine and nursing (Kajermo, Bostrom,<br />

Thompson, Hutchinson, & Estabrooks, 2010; Patelarou et al., 2013; Solomons &<br />

Spross, 2011; Ubbink et al., 2013; Van Dijk et al., 2010). However, in these reviews<br />

the limited access to research evidence was found to be the third major barrier.<br />

Additionally, in studies on determinants <strong>of</strong> research utilization, the most<br />

commonly studied variables are age, educational degree, work experience,<br />

information-seeking behavior, and involvement in research. However, systematic<br />

reviews in other fields have shown that findings regarding these variables split<br />

roughly evenly as either significant and positive or non-significant (Estabrooks,<br />

Floyd, Scott-Findlay, O’Leary, & Gushta, 2003; Lizarondo, Grimmer-Somers, &<br />

Kumar, 2011; Squires, Estabrooks, Gustavsson, & Wallin, 2011).<br />

IMPLICATIONS FOR PRACTICE, EDUCATION, AND RESEARCH<br />

Our study suggests that most managers have positive attitudes towards<br />

evidence-based management and that a large majority believes that using<br />

evidence-based management can improve the quality <strong>of</strong> one’s work. This positive<br />

perspective can be used as leverage by educational institutions and advocates <strong>of</strong><br />

evidence-based management to improve the managerial uptake <strong>of</strong> research<br />

findings. However, our study also indicates that most respondents perceive their<br />

colleagues’ attitudes towards evidence-based management to be less favorable

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