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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Medical practice guidelines: current activities and future directions.

A M Audet1, S Greenfield, M Field

  • 1New England Medical Center, Boston, Massachusetts.

Annals of Internal Medicine
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Medical practice guidelines aim to improve care quality, but current development lacks focus on implementation and outcome evaluation. Future efforts must prioritize these areas for greater effectiveness.

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Area of Science:

  • Health Services Research
  • Clinical Practice Guidelines
  • Healthcare Quality Improvement

Background:

  • Medical practice guidelines are promoted to enhance healthcare system effectiveness.
  • Current guideline development initiatives present both strengths and weaknesses.

Purpose of the Study:

  • To examine the current state of medical practice guidelines.
  • To identify limitations in guideline development and implementation.
  • To suggest future research directions in the field.

Main Methods:

  • An informal descriptive survey was conducted using telephone-administered questionnaires.
  • Data were supplemented with solicited comments, opinions, and examples from participating organizations.
  • Eight prominent organizations with prototypic guideline development approaches were surveyed.

Main Results:

  • All surveyed organizations aimed to improve medical care quality, but objectives lacked operational terms.
  • Emphasis on guideline implementation and impact evaluation on health practices and outcomes was limited.
  • Systematic methods for guideline development exist but lack evidence on which approaches yield superior results.

Conclusions:

  • Guideline development requires parallel attention to implementation strategies and scientific evaluation in clinical settings.
  • Greater consensus is needed on methods for guideline development, content assessment, and impact evaluation.
  • Ongoing initiatives aim to improve order and quality in the field of medical practice guidelines.