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to his surprise, Jack has begun to realize that some of the practice wisdom
and common sense suggestions he at first rejected because they failed to
have a research base, actually did seem to work. It's made him much
more respectful of his colleagues and more willing to listen to the past
experiences of others that actually work. And finally, he has begun to
understand and use the supervisory approaches that work for him. What
works for him is a complex mix of his personal skills, best evidence, and
suggestions from workers and other managers. Jack thinks that this is the
way it should be and believes that he is becoming the sort of supervisor
he always wanted to be: wise, knowledgeable, and creative, with improv-
ing patients and workers more satisfied with their jobs.
This chapter discusses the basic characteristics of competency-based man-
agement (CBM) and how it differs from managerial wisdom. It also pro-
vides arguments for and against the use of best evidence and notes that
the positive arguments outweigh the negatives. Nonetheless, there are
some concerns about the use of best evidence in management. These
include the lack of well-done studies showing that competency-based
management is superior to less research-oriented approaches and the
resistance of managers to use research findings as a management tool.
Managers often make the argument that every work situation is different
and generalizing from studies to a specific workplace or a specific worker
will lead to serious mistakes. A case example is provided to show how
managers can use CBM in their own practice with common managerial
problems that, left unresolved, may morph into serious problems for
workers, individually and collectively.
American Board of Examiners in Clinical Social Work (2004). Clinical management:
A practice specialty of clinical social work . A position statement of the American Board of
Examiners in Clinical Social Work . Retrieved on the Internet, May 12, 2006 at , www. . .
American Medical Association Evidence-Based Practice Working Group (1992).
Evidence-based practice: A new approach to teaching the practice of medicine.
Journal of the American Medical Association , 268 , 2420 2425.
Axelrod, R. (2002). Making teams work. Journal for Quality & Participation , 25 (1), 10 12.
Bailes B. K. (2002) Evidence-based practice guidelines: One way to enhance clinical prac-
tice. AORN Journal, 12(6), 1 8.
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