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Despite some design and function limitations, the desktop was perceived positively by most participants and was effective in supporting evidence-informed practice and decision making.
It will be important to ensure rigorous scrutiny of the quality of practice and decision making by front line workers and their managers, and of the effectiveness of management practice and performance management systems in all relevant agencies".
Such measurement is also proposed as an aid to improve clinical practice and decision making [ 2, 3].
Education and training of health care professionals will only be successful when it leads to improved practice and decision making [ 38, 39].
With knowledge brokers as intermediaries, this strategy builds upon personal contacts with decision-makers and health workers to integrate evidence-based knowledge more effectively into practice and decision making.
While the decision-makers considered that research was useful and should be used in both practice and decision making, the respondents actually citing the most examples of the usefulness of knowledge transferred by the broker were from NGOs and MHOs: 'Research has contributed to MHO development; [for example, it helps in understanding] why people don't join, what is this related to?
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In theoretical terms, this debate has been framed by a movement from what are perceived as objective and elitist notions of planning practice and decision-making to ones that are considered (by some) to be 'inter-subjective' and non-elitist.
The growing need for high-quality scientific evidence to inform medical practice and decision-making is placing increasing pressure on the clinical research enterprise.
There has also been a move to more defensive practice and decision-making with the numbers of children with child protection plans increasing, a surge in the number of court proceedings to remove children from families and more children in local authority care.
Incorporating evidence into clinical practice and decision-making requires an ability to understand different research designs and their application, the ability to identify appropriate research evidence, and to critically appraise the identified evidence to establish its quality and applicability to clinical practice.
For something that seems so self-evident to most people, its remarkable how many of us struggle to translate our intellectual awareness into day-to-day practice and decision-making.
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