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Review: nursing care driven by guidelines improves some process measures and patient outcomes

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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?

Data sources

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.

Study selection

Randomised controlled trials (RCTs), controlled before and after …

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  • Source of funding: National Health Service R&D Programme, UK.

  • For correspondence: Dr L H Thomas, Centre for Health Services Research, University of Newcastle, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK. Fax +44 (0)191 222 6043.