December 1, 1998BMJ Quality & SafetyOpen Access

Effect of clinical guidelines in nursing, midwifery, and the therapies: a systematic review of evaluations.

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Care guided by formal clinical guidelines significantly improves healthcare processes and patient outcomes, and nurse-led protocol care matches standard physician management.
Favorable outcome differences occurred in seven of nine studies, with structured clinical guidelines reliably boosting performance across diverse allied health disciplines.
Systematic review of evaluations published since 1975 analyzed randomised controlled trial and time-series designs to assess guideline dissemination and nurse skill substitution.
Highlights the promise of protocolized practice for improving the process of care, but many reviewed evaluations fell short of Cochrane criteria for rigorous methodological quality.

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Implication

Systematic review demonstrates improved care processes and clinical outcomes from guideline-driven practice in nursing and midwifery, indicating clinical guidelines enhance multidisciplinary care.

Cite This Study

Thomas et al. (1998) studied this question.

synapsesocial.com/papers/6a11dd5526b419a984b4da67 https://doi.org/10.1136/qshc.7.4.183

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Implication

Systematic review demonstrates improved care processes and clinical outcomes from guideline-driven practice in nursing and midwifery, indicating clinical guidelines enhance multidisciplinary care.

Effect of clinical guidelines in nursing, midwifery, and the therapies: a systematic review of evaluations.

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Implication

Cite This Study

Effect of clinical guidelines in nursing, midwifery, and the therapies: a systematic review of evaluations.

Key Points

Discussion

Implication

Cite This Study

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