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To bridge a quality chasm: connect with the guidelines
1cgallagher@med.miami.edu
Insights
Nurses can bridge the pediatric quality gap by implementing evidence-based practices and advocating for children. Empowering parents and collaborating with colleagues are key to achieving optimal child health outcomes.
Area of Science:
- Pediatric Nursing
- Evidence-Based Practice
- Healthcare Quality Improvement
Background:
- A significant disparity exists between current and optimal pediatric healthcare.
- Practice variations from evidence-based guidelines are prevalent for common childhood conditions.
Purpose of the Study:
- To inform nurses about the pediatric quality "chasm."
- To identify practice variations from evidence-based guidelines for common childhood conditions.
Main Methods:
- This article identifies practice variations by comparing current pediatric care with evidence-based guidelines for common childhood conditions.
Main Results:
- The study highlights discrepancies between recommended and actual care for children.
- Specific examples of practice variations are detailed for common pediatric conditions.
Conclusions:
- Nurses are responsible for delivering state-of-the-art, evidence-based care to children.
- Bridging the pediatric quality chasm requires nurses to advocate for children, utilize scientific knowledge, and empower parents.
- Patient-centered care and collaboration are essential for connecting with guidelines and improving pediatric quality.
Issues And Purpose:
A wide chasm exists between the care we have and the care we could have. This article will inform nurses about the pediatric quality "chasm" by identifying practice variations from evidence-based guidelines for common childhood conditions.
Conclusions:
Nurses are accountable for providing state-of-the-art, evidence-based care to children. The pediatric quality chasm calls for nurses to stand up and speak out for children, to use and develop tools that activate the best scientific knowledge, and to empower parents to make it happen.
Practice Implications:
Advocacy and patient-centered care are nurses' means to partner with parents and collaborate with colleagues to connect with the guidelines and bridge the quality chasm.