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Guidelines in professions allied to medicine

Creator:

Thomas, L. H., Cullum, N. A., McColl, E., Nikki Rousseau, N., Soutter, J. and Steen, N.

Subject Keywords: EVIDENCE BASED HEALTH CARE, GUIDELINE, HEALTH INTERVENTION, MIDWIFE, NURSING
Topic: Cardiovascular Health (Draft)
Chronic Conditions
Conditions
Coronary Heart Disease (CHD)
Hypertension
Stroke
Chronic Conditions
Type: Article
Region: International (other)
Description:

Clinical practice guidelines aim to reduce inappropriate variations in practice and to promote the delivery of evidence-based health care. Objectives To identify and assess the effects of studies of the introduction of clinical practice guidelines in nursing (including health visiting), midwifery and other professions allied to medicine. Randomised trials, controlled before-and-after studies and interrupted time series analyses of the introduction of interventions comparing 1. Clinical guidelines plus dissemination and/or implementation strategies versus no guidelines; 2. Guidelines plus dissemination and/or implementation strategies versus guidelines plus alternative dissemination and/or implementation strategies; and 3. (post hoc) Guidelines used by professions allied to medicine versus standard physician care. The participants were nurses, midwives and other professions allied to medicine. Eighteen studies were included involving more than 467 health care professionals. The reporting of study methods was inadequate for all studies. In all but one study, nurses were the targeted professional group; one study was aimed solely at dieticians. The various behaviours targeted included the management of hypertension, low back pain and hyperlipidaemia. Nine studies were identified for comparison 1. Three out of five studies observed improvements in at least some processes of care and six out of eight studies observed improvements in outcomes of care. Only one study included a formal economic evaluation, with equivocal findings. Three studies were identified for comparison 2 but it was difficult to draw firm conclusions because of poor methods. Six studies were identified for comparison 3 (post hoc). These studies generally supported the hypothesis that there was no difference between care given by nurses using clinical guidelines and standard physician care.

Date:

25/01/1999

Rights: © The Cochrane Collaboration
Suggested citation:

Thomas, L. H., Cullum, N. A., McColl, E., Nikki Rousseau, N., Soutter, J. and Steen, N.. (1999) Guidelines in professions allied to medicine [Online]. Available from: http://publichealthwell.ie/node/8392 [Accessed: 21st November 2019].

  

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