The effectiveness of methods of dissemination and implementation of clinical guidelines for nursing practice: a selective review

Autor: Closs, S.J., Cheater, F.M.
Zdroj: Clinical Effectiveness In Nursing; March 1997, Vol. 1 Issue: 1 p4-14, 11p
Abstrakt: Maximizing the clinical effectiveness of health care delivery is currently a priority in the UK. Clinical guidelines are being used as a means of informing and encouraging practitioners to provide evidence-based care. Although considerable effort has gone into developing guidelines for nursing, little is known about the relative effectiveness of different ways of communicating them to potential users, and ensuring that they are incorporated into practice. This review, therefore, was undertaken in order to ascertain the current level of knowledge concerning methods of dissemination and implemention of clinical guidelines for nursing practice. A selective review of the literature using three major databases elicited a large amount of anecdotal and descriptive material, but very little research evidence. More research was available concerning the effectiveness of guidelines on medical practice, although this is not necessarily directly transferable to nursing. Current developments concerning the dissemination and implementation of nursing guidelines are discussed. There is an urgent need for evaluative research into the various methods of dissemination and implementation of clinical guidelines if the demand for clinical effectiveness is to be met.
Databáze: Supplemental Index