Abstract
Evidence is the available body of facts or information about a topic or issue intended to make clear, prove, or disprove whether a proposal is accurate or valid. Integration of findings from formal, systematic research into the practice of evidence-based policy decisions identifies the best evidence in order to inform decision-making. When an informed advanced practice nurse presents data and information along with a request for creation of or change in policy, the advanced practice nurse presents a stronger argument in support of the issue or agenda item.
An ideal scenario suggests that evidence-based policy decision-making uses information derived from formal research and systematic investigation to identify programs and practices capable of supporting or improving policy-relevant outcomes. The concept of evidence-based policy decisions implies that a rational, rigorous, and systematic approach takes place when making policy decisions. The premise is that policy decisions are better informed by available evidence and rational analysis. Support for this view suggests that policy decisions based on empirical evidence produce better outcomes.
This chapter explores and challenges the perception that policy decisions are a result of coordinated efforts based on evidence. In addition, the reality that policy decisions are often made in a precarious rather than a stable environment, not necessarily based on supportive data and evidence, is discussed. The concept of a policy agenda as it relates to the policy process, introduced in Chap. 2, is revisited in the context of evidence-based policy decisions. This is followed by a discussion of the impact decision-makers with authority and power have in influencing policy decisions. The concept of direct and indirect participation in the policy process concludes the chapter.
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References
Anderson JE (2011) Public policymaking, 7th edn. Wadsworth, Boston
Barzelay M (2001) The new public management: improving research and policy dialogue. University of California Press, Berkeley, CA a copublication with Russell Sage Foundation
Birch A (1993) The concepts and theories of modern democracies. Routledge, London
Birkland TA (2005) An introduction to the policy process: theories, concepts, and models of public policy making, 2nd edn. ME Sharpe, New York
Blondel J (1990) Comparative government. Philip Allan, New York
Buse K, Mays N, Walt G (2005) Making health policy, making health policy. Open University Press, Berkshire
Duffy EG (2015) Health care policy: implications for advanced nursing practice. In: Blair KA, Jansen MP (eds) Advanced practice nursing: core concepts for professional role development, 5th edn. Springer Publishing, New York, pp 167–184
Hall P, Land H, Parker WA (1975) Change choice and conflict in social policy. Heinemann, London
Harris JL (2014) Turning health policy into practice: implications for advanced practice registered nurses. In: Goudreau KA, Smolenski MC (eds) Health policy and advanced practice nursing: impact and implications. Springer, New York, pp 13–21
Hogwood B, Gunn L (1984) Policy analysis for the real world. Oxford University Press, Oxford
Kingdon J (2003) Agendas alternatives and public policies, 2nd edn. Longman Classics Series, New York
Pausch M (2012) What is political participation good for? Theoretical debate and empirical data from Austria. Resistance Studies Magazine 2012-No-1. Accessed 11 Nov 2016 from http://resistance-journal.org/wp-content/uploads/2016/04/Markus-Pausch.pdf
Pawson R (2006) Evidence-based policy: a realist perspective. Sage Publications, London
PEW-MacArthur Trust (2014) A report from the PEW-MacArthur results first initiative. Accessed 2 Nov from: http://www.pewtrusts.org/~/media/assets/2014/11/evidencebasedpolicymakingaguideforeffectivegovernment.pdf
Porche DJ (2012) Health policy: application for nurses and other healthcare professionals. Jones & Bartlett Learning, Sudbury
Schober M (2013) Factors influencing the development of advanced practice nursing in Singapore. Doctoralthesis, Sheffield Hallam University, Sheffield Hallam University archives. Accessed 14 November 2016 from http://shura.shu.ac.uk/7799/
Stewart M (2014) Prolific policy: implications for advanced practice registered nurses. In: Goudreau KA, Smolenski MC (eds) Health policy and advanced practice nursing: impact and implications. Springer, New York, pp 3–12
Tracy MF, Hanson CM (2014) Leadership. In: Hamric AB, Hanson CM, Tracy MF, O’Grady ET (eds) Advanced practice nursing: an integrative approach, 5th edn. Elsevier Saunders, St Louis, pp 266–298
Walt G (2006) Health policy: An introduction to process and power. Zed Books, London
Zahariadis N (2014) Ambiguity and multiple streams. In: Sabatier PA, Weible CM (eds) Theories of the policy process, 3rd edn. Westview Press, Boulder, pp 25–58
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Schober, M. (2017). Evidence-Based Policy Decisions. In: Strategic Planning for Advanced Nursing Practice. Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-319-48526-3_4
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DOI: https://doi.org/10.1007/978-3-319-48526-3_4
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