The implementation of venous leg ulcer guidelines

process analysis of the intervention used in a multi-centre, pragmatic, randomized, controlled trial

J. L. Marshall, P. Mead, K. Jones, E. Kaba, A. P. Roberts

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

• The production and implementation of clinical practice guidelines is currently a high political priority and a rapidly developing field within healthcare in the United Kingdom (UK). Their purpose is to provide clinicians with a synthesis of the best available external evidence and operationalize the implementation of evidence-based practice. • Despite indications that clinical guidelines can make a difference to the quality of patient care, there is some evidence that practitioners struggle with their application. • The aim of this paper is to report one element of a trial undertaken by three collaborating universities in the Northern and Yorkshire Region of the UK health service during 1997-1998. • The objective was to understand what makes guidelines acceptable and usable, or otherwise, to health professionals. • The findings reported in this paper describe the process of care in those general practices that elected to implement guidelines for the management of patients with venous leg ulcers. • We conclude that planning for training, resource and quality improvement processes must be built into a team's guidelines implementation procedures. • A preliminary needs analysis of the contextual 'hurdles and levers' within each primary healthcare team is also necessary to identify individual issues that must be addressed if the process is to succeed. • These findings provide some lessons for successful implementation of clinical guidelines in general. Recommendations for nursing policy makers, managers, practitioners and researchers are included.

Original languageEnglish
Pages (from-to)758-766
Number of pages9
JournalJournal of Clinical Nursing
Volume10
Issue number6
DOIs
Publication statusPublished - Nov 2001
Externally publishedYes

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Varicose Ulcer
Leg Ulcer
Randomized Controlled Trials
Guidelines
Patient Care Team
Quality of Health Care
Evidence-Based Practice
Quality Improvement
Administrative Personnel
Practice Guidelines
General Practice
Health Services
Primary Health Care
Patient Care
Nursing
Research Personnel
Delivery of Health Care
Health

Cite this

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