Decision-Making and Evidence in Direct Practice

This article presents the results of research designed to explore decision-making by direct practitioners in selected non-profit human service settings. Forty interviews were conducted with workers at front-line, supervisory and higher-management levels. The research questions included; what sources of information are used in decision-making, what variables enhance or impede utilization of evidence-based knowledge in decision-making and what would be important resources for improving availability, access and utilization of evidence-based knowledge in decision-making? Our results indicate that respondents relied most heavily on experience; on their professional values and beliefs, and on an empathic understanding of their clients' uniqueness. Compared to these sources of information use of research and the professional literature were less enthusiastically endorsed.