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Clinical practice guidelines in the nursing home.

D R Berlowitz¹, G J Young, E C Hickey

¹Center for Health Quality, Outcomes, and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Mass., USA. dberlow@bu.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality

|January 31, 2002

Summary

Staff in Department of Veterans Affairs (VA) nursing homes are familiar with clinical practice guidelines. However, guideline adoption is inconsistent and not a systematic process across all staff.

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Area of Science:

Healthcare Quality
Nursing Home Management
Evidence-Based Practice

Background:

Clinical practice guidelines are crucial for enhancing healthcare quality.
Understanding the implementation and adoption of these guidelines in nursing home settings is essential.

Purpose of the Study:

To assess the familiarity with and adoption of clinical practice guidelines among staff in Department of Veterans Affairs (VA) nursing homes.
To investigate the patterns and facilitators of guideline adoption within these facilities.

Main Methods:

A survey was administered to staff across 36 VA nursing homes.
Respondents reported familiarity, availability, and adoption of specific clinical practice guidelines.

Main Results:

79% of 1065 respondents reported familiarity with clinical practice guidelines.
Less than 50% of staff at a facility reported adoption of specific guidelines.
Adoption of one guideline correlated with adoption of others, but nurse manager confirmation did not increase staff adoption.

Conclusions:

Staff in VA nursing homes demonstrate high familiarity with clinical practice guidelines.
Guideline adoption is not a systematic, facility-wide process and varies significantly.
Further research is needed to understand and improve systematic guideline implementation in nursing homes.