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Systematic review
Limited literature available regarding the role of nurses, midwives and health visitors in development and implementation of protocol-based care
  1. Debra Bick1,
  2. Jo Rycroft-Malone2
  1. 1King's College London, Florence Nightingale School of Nursing and Midwifery, London UK
  2. 2Centre for Health Related Research, School of Healthcare Sciences, Bangor University, Bangor UK
  1. Correspondence to Debra Bick
    Debra Bick, King's College London, 57 Waterloo Road, London SE1 8WA, UK; debra.bick{at}kcl.ac.uk

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What is protocol-based care?

Protocol-based care (PBC) refers to use of a range of documents, including protocols, guidelines and care bundles to standardise healthcare and support evidence-based practice. PBC has been at the core of UK government health reforms; however, little is known about the impact of PBC on nursing, midwifery and health visitor practice or patient outcomes, despite widespread use. This synthesis of UK literature aimed to explore how nurses, midwives and health visitors contribute to the development, implementation and audit of PBC.

How was the syntheses conducted?

An interpretive review was undertaken, informed by a five-stage literature review model. Literature was synthesised inductively and deductively using the Modernisation Agency/National Institute for Clinical Excellence (2002)1 guide to the development and implementation of PBC as a framework against which to compare practitioners' experiences.

How good was the evidence?

Most studies were descriptive, offering tacit practitioner knowledge and positive feedback on locally developed …

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