2.50
Hdl Handle:
http://hdl.handle.net/10755/151337
Type:
Presentation
Title:
Protocol-based care: an approach to advancing evidence-based practice?
Abstract:
Protocol-based care: an approach to advancing evidence-based practice?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Rycroft-Malone, Jo, PhD, MSc, BSc, RN
P.I. Institution Name:University of Wales, Bangor
Title:Reader in Health Services Research
Co-Authors:Marina Fontenla, MSc, BSc and Debra Bick, PhD, MedSc, BA, RM, RGN
[Evidence-based Presentation] Background: Protocol-based care is part of the evidence-based practice and standardisation movements that are influencing health care throughout the developed world. Whilst an increasingly popular way to deliver care, questions remain about the nature, benefits, and impact of protocol-based care on service delivery, evidence-based practice and patient care, and, about the nursing contribution to its development and implementation. Aim: This presentation will share the findings from a Department of Health funded research study evaluating how and why protocols impact on practice, and service delivery. Approach: A multi-site, multiple method case study was conducted (Yin 1993 & 1994). 5 case study sites in the United Kingdom, which included community and acute sites were purposively sampled. Qualitative data collection methods included non-participant observation of practice, interviews with staff and patients, and document analysis. Realistic evaluation was the study's overarching methodological framework (Pawson & Tilley 2000). Findings: Findings include that protocols are used as checklists, particularly by junior or new members of staff; can become 'internalised'; cause a tension for staff between individualising and standardising care; and can have both positive and negative impacts on care and roles. Additionally protocols do not necessarily simplify or standardise decision-making, but can provide a heuristic. Furthermore the context of decision-making impacts on how protocols are used and other sources of evidence, other than that contained in protocols is used to inform patient-relevant decision-making. Discussion: Findings will be discussed in the context of their implications for evidence-based practice and the delivery of patient-centered care, and whether protocols have the capability to standardise decision making.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleProtocol-based care: an approach to advancing evidence-based practice?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/151337-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Protocol-based care: an approach to advancing evidence-based practice?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rycroft-Malone, Jo, PhD, MSc, BSc, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wales, Bangor</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Reader in Health Services Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">J.Rycroft-Malone@bangor.ac.uk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marina Fontenla, MSc, BSc and Debra Bick, PhD, MedSc, BA, RM, RGN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Background: Protocol-based care is part of the evidence-based practice and standardisation movements that are influencing health care throughout the developed world. Whilst an increasingly popular way to deliver care, questions remain about the nature, benefits, and impact of protocol-based care on service delivery, evidence-based practice and patient care, and, about the nursing contribution to its development and implementation. Aim: This presentation will share the findings from a Department of Health funded research study evaluating how and why protocols impact on practice, and service delivery. Approach: A multi-site, multiple method case study was conducted (Yin 1993 &amp; 1994). 5 case study sites in the United Kingdom, which included community and acute sites were purposively sampled. Qualitative data collection methods included non-participant observation of practice, interviews with staff and patients, and document analysis. Realistic evaluation was the study's overarching methodological framework (Pawson &amp; Tilley 2000). Findings: Findings include that protocols are used as checklists, particularly by junior or new members of staff; can become 'internalised'; cause a tension for staff between individualising and standardising care; and can have both positive and negative impacts on care and roles. Additionally protocols do not necessarily simplify or standardise decision-making, but can provide a heuristic. Furthermore the context of decision-making impacts on how protocols are used and other sources of evidence, other than that contained in protocols is used to inform patient-relevant decision-making. Discussion: Findings will be discussed in the context of their implications for evidence-based practice and the delivery of patient-centered care, and whether protocols have the capability to standardise decision making.</td></tr></table>en_GB
dc.date.available2011-10-26T10:59:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:59:05Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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