Evid Based Nurs doi:10.1136/ebn.2011.100145
  • Adult nursing
  • Quantitative study – other

Three-year follow-up after introduction of Canadian best practice guidelines for asthma and foot care in diabetes suggests that monitoring of nursing-care indicators using an electronic documentation system promotes sustained implementation

  1. John Xavier Rolley
  1. St Vincents/ACU Centre for Nursing Research, Australian Catholic University, Victoria, Australia
  1. Correspondence to John Xavier Rolley
    St Vincents/ACU Centre for Nursing Research, Australian Catholic University, Locked Bag 4115, Fitzroy MDC, VIC 3065, Australia; john.rolley{at}

Commentary on:

Implications for practice

  • Use of reminders in chart-based documentation aids adherence to guidelines.

  • Use of electronic health records technologies enables guideline implementation and evaluation.

  • Sustainable guidelines' implementation requires individual and system changes.

Implications for research

  • Development and evaluation of strategies to support evidence-informed practice are required.


Higuchi and colleagues set out the results from a 3-year follow-up study of a set of clinical practice guidelines implemented within two community diabetes education and care sites in Canada. The specific aim was to determine the sustainability of the guidelines' implementation over time. The guidelines under investigation related to two chronic conditions: asthma and diabetes. More specifically, the diabetes guideline looked at reducing risks for foot complications. The …

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