Reconsidering critical appraisal in social work: Choice, care and organization in real-time treatment decisions
(English)Manuscript (preprint) (Other academic)
This paper seeks to provide an empirically grounded discussion of the critical appraisal model of EBP in social work practice. Studying decisions in practice, the paper looks ethnographically at an attempt to implement critical appraisal in social work practice, and problematizes some of the assumptions underlying this idea. Whereas critical appraisal tends to view treatment decisions as clear-cut events that are made by autonomous social workers, participant observation shows that decisions emerge over time and that they are ‘organizational’ rather than emanating from individual social workers. Drawing on Mol’s (2008) notion of the ‘logic of care’ and findings from studies of organizational decision making, a more practice oriented understanding of treatment decision-making is outlined.
Evidence-based practice, decision making, critical appraisal, ethnography, logic of care, organizational decision-making
Research subject Social Work
IdentifiersURN: urn:nbn:se:su:diva-126505OAI: oai:DiVA.org:su-126505DiVA: diva2:900627
FunderForte, Swedish Research Council for Health, Working Life and Welfare