Clinical guidelines and care protocols

Hewitt‐Taylor, Jaquelina

doi:10.1016/j.iccn.2003.08.002

Cited by 56 publications

(52 citation statements)

References 24 publications

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“…It is anticipated that in order to introduce EBP into intensive care units (ICUs), nursing care will increasingly be directed by guidelines and protocols. [1] It is argued that protocol-directed care can help to standardise the care received by patients regardless of user expertise. However, nursing care involves more than strictly applying the steps of a guideline or protocol, and includes having adequate knowledge to choose the best course of action for each patient care situation.…”

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confidence: 99%

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Knowledge of intensive care nurses in selected care areas commonly guided by protocols

et al. 2014

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Objective. To assess the knowledge of nurses working in intensive care units (ICUs) in respect of pain management, glycaemic control and weaning from mechanical ventilation.Methods. An analytical, cross-sectional survey design was used. All ICU-trained and non-ICU-trained registered nurses (N=136) working in the ICUs of selected public and private hospitals were invited to participate. Results. The knowledge of both the ICU-trained and non-ICU-trained nurses was found to be lacking. The overall mean score (standard deviation) obtained was 47.56% (11.61). The ICU-trained participants obtained 50.11% (11.96) and non-ICU-trained participants obtained 45. 01% (10.75). This difference, although small, was statistically significant (p=0.0099). A poor relationship was found between level of knowledge and years of ICU experience. Conclusion. Nurses lack knowledge in the three care areas tested. ICU nurses' experience cannot be relied upon as a source of knowledge for decision-making about protocol-directed care. It is suggested that on-going educational programmes be introduced into ICUs to address this shortfall in knowledge.

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confidence: 99%

“…Furthermore, a patient may be receiving care directed by more than one protocol, which may have steps that are incongruent with one another. [1] This means that nurses must have and use specific knowledge competencies to guide their decisions when dealing with multiple protocols.…”

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Knowledge of intensive care nurses in selected care areas commonly guided by protocols

et al. 2014

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“…Clinical guidelines are systematically developed documents used in hospital settings to standardize and structure treatment or diagnostic processes [13]. A typical guideline departs from observations, employs evidence-based practices and hence leads to conclusions and recommendations.…”

Section: Background To the Researchmentioning

confidence: 99%

Advanced Pervasive Clinical Decision Support for the Intensive Care Unit

Backere¹,

Turck²,

Colpaert³

et al. 2012

Proceedings of the 6th International Conference on Pervasive Computing Technologies for Healthcare

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Abstract-Clinical decision support systems (CDSS) already have proven their use in supporting physicians and nurses in their daily responsibilities. However the uptake of these systems remains low. This is due to a number of reasons, such as little to no integration within the workflow of the medical staff, a multitude of available devices and a large amount of medical data that has to be processed. This research focusses on closing the communication gap between software engineers and domain experts and on integrating CDSS into the workflow of the medical staff by providing support at the right time, at the right place on the most suitable device, based on the current context. This way the variation in care can be reduced and costs are minimized.

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“…Unfortunately compiling this type of evidence can be complex, and thus not readily available. 14 As attention moves to new contract forms in primary dental care based on a 'blended' contract with a variety of indicators, including quality measures, it will be necessary to address some of these contradictions and ascertain what type The proportion of patients in the practice falling into high, medium and low risk categories was found to be one of the most salient and useful measures piloted. Having this information allows case mix to be taken into account when judging the performance of providers.…”

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confidence: 99%