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Objectives for care: replacing procedures with guidelines.

G Snowley, P J Nicklin

    Professional Nurse (London, England)
    |May 1, 1989
    PubMed
    Summary
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    Nursing procedure manuals hinder patient care by focusing on tasks over assessment. Guidelines, however, promote a systematic, needs-based approach to nursing, improving care delivery.

    Area of Science:

    • Nursing Science
    • Healthcare Management

    Background:

    • Nursing procedure manuals often prioritize task completion over comprehensive patient assessment.
    • This task-oriented approach can impede the effective application of the nursing process.

    Purpose of the Study:

    • To evaluate the impact of nursing procedure manuals versus guidelines on the nursing process.
    • To determine which approach better supports a systematic and needs-based delivery of nursing care.

    Main Methods:

    • Comparative analysis of nursing documentation and care planning.
    • Review of existing literature on nursing process implementation.

    Main Results:

    • Nursing procedure manuals were found to obstruct the nursing process due to their task-centric nature.

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  • Guidelines offered greater flexibility, facilitating a more systematic and needs-based approach to patient care.
  • Conclusions:

    • Shifting from procedure manuals to guidelines enhances the implementation of the nursing process.
    • Guidelines support a more holistic and individualized approach to patient care, aligning with best practices.