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Clinical guidelines in nursing, midwifery and the therapies: A systematic review

Lookup NU author(s): Dr Lois Thomas, Professor Elaine McColl, Dr Nicolette Rousseau, Dr Jennifer Soutter

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Abstract

Background While nursing, midwifery and professions allied to medicine (PAMs) are increasingly using clinical guidelines to reduce inappropriate variations in practice and ensure higher quality care, there have been no rigorous overviews of their effectiveness in relation to these professions. We identified 18 evaluations of guidelines which met established quality for evaluations of interventions aimed at changing professional practice. This paper describes characteristics of guidelines evaluated and the effectiveness of different dissemination and implementation strategies used. Methods Guideline evaluations conducted since 1975 which used a randomized controlled trial, controlled before-and-after, or interrupted time-series design, were identified using a combination of database and hand searching. Findings It is mostly impossible to tell whether the guidelines evaluated were based on evidence. The most common method of guideline dissemination was the distribution of printed educational materials. Three studies compared different dissemination and/or implementation strategies: findings suggest educational interventions may be of value in the dissemination of guidelines and confer a benefit over passive dissemination.


Publication metadata

Author(s): McColl E; Soutter J; Rousseau N; Thomas LH; Cullum N

Publication type: Review

Publication status: Published

Journal: Journal of Advanced Nursing

Year: 1999

Volume: 30

Issue: 1

Pages: 40-50

Print publication date: 01/07/1999

ISSN (print): 0309-2402

ISSN (electronic): 1365-2648

URL: http://dx.doi.org/10.1046/j.1365-2648.1999.01047.x

DOI: 10.1046/j.1365-2648.1999.01047.x

PubMed id: 10403979


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