Review: nursing care driven by guidelines improves some process measures and patient outcomes
Question For the disciplines of nursing, midwifery, health visiting, chiropody, speech and language therapy, physiotherapy, occupational therapy, dietetics, clinical psychology, pharmacy, and radiography, do dissemination and implementation of clinical practice guidelines improve professional practice, cost effectiveness, and patient outcomes?
Studies were identified using 9 bibliographic databases and the trials register of the Cochrane Effective Practice and Organisation of Care Group. Experts and libraries of professional organisations were contacted, internet sites were searched, bibliographies were scanned, and 1 journal was handsearched.
Randomised controlled trials (RCTs), controlled before and after studies, or interrupted time series designs were selected if the professions of nursing or allied health were studied and if the dissemination or implementation of a clinical practice guideline was evaluated for changes in clinician behaviour or patient outcomes.
Data were extracted on study design, participants, clinical area, study comparisons, …