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Related Experiment Videos

Implementing nursing best practice guidelines: impact on patient referrals.

Nancy Edwards1, Barbara Davies, Jenny Ploeg

  • 1School of Nursing and Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada. nedwards@uottawa.ca

BMC Nursing
|June 30, 2007
PubMed
Summary
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Implementing nursing best practice guidelines (BPGs) improved nurses' knowledge of referral resources but did not significantly alter actual patient referral practices. Tailored BPGs are needed for effective community referrals.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Patient Referral Systems

Background:

  • Continuity of care relies on effective patient referrals between hospital and community settings.
  • Referral processes are often problematic, highlighting a gap in care coordination.
  • Nurses are strategically positioned to facilitate patient referrals and improve resource awareness.

Purpose of the Study:

  • To evaluate the impact of implementing six nursing best practice guidelines (BPGs) on nurses' knowledge of patient referral resources.
  • To assess changes in nurses' patient referral practices following BPG implementation.

Main Methods:

  • A prospective, before-and-after study design was employed across multiple healthcare settings.
  • Data collection involved pre- and post-implementation questionnaires for 257 nurses, chart audits (n=421 pre, n=332 post), and patient interviews (n=152 pre, n=124 post).

Related Experiment Videos

  • Educational sessions were conducted to disseminate information on identified referral resources.

    • Main Results:

    • Statistically significant increases in nurses' familiarity with referral resources were observed across all BPG topics.
    • Self-reported referrals to specific services increased for three guidelines post-implementation.
    • No significant changes in referral rates were found in chart documentation or patient reports; internet referrals remained minimal.

    Conclusions:

    • Nursing best practice guidelines (BPGs) implementation yielded mixed results regarding patient referrals.
    • Increased nurse familiarity with referral resources does not automatically translate to improved referral practices.
    • BPGs should incorporate specific, tailored recommendations for effective referral processes, especially for community settings.