NIHR Journals Library | Issue 6. Making sense of evidence in management decisions: the role of research-based knowledge on innovation adoption and implementation in health care.
This is an excellent researchstudy looking at the use of evidence. Doctors are more interested in evidence that persuades them, while nurses like evidence that persuades them and others. Non-clinical managers differ from clinicians in putting primacy on seeing something work locally.
There are 27 case studies showing the reasoning process of the adoption or not in eight trusts of various new infection control technologies. Scientific articles were influential in some but by no means all decisions. Research-based organisations were more likely to rely on internal trials rather than external published evidence.
Rarely was “evidence” enough on its own. Other factors included trust culture, wider situation, and individual interests.