The book begins by placing clinical guidelines within the context of the broader movement towards evidence based practice; it explores the concept of evidence, and defines clinical guidelines and care protocols. These are then examined in the clinical situation. The book goes on to discuss the relationship between them and the exercise of individual autonomy and expertise, and with individualised care and patient involvement and choice.The influence of cost on decision making is reviewed, and a chapter discusses the political aspects of care guidelines and protocols. Finally the book describes the implementation of guidelines and protocols and the barriers to implementation, and makes suggestions for the future.
Author(s): Jaqui Hewitt-Taylor
Edition: 1
Year: 2006
Language: English
Pages: 204
Cover......Page 1
Contents......Page 9
List of Abbreviations......Page 11
1: Evidence-based Practice, Clinical Guidelines and Care Protocols......Page 13
2: Evidence......Page 29
3: Clinical Guidelines......Page 47
4: Care Protocols......Page 61
5: Developing Clinical Guidelines and Care Protocols......Page 75
6: Using Clinical Guidelines and Care Protocols......Page 93
7: Implementing Guidance......Page 109
8: Expertise and Autonomy......Page 125
9: Patient Choice......Page 141
10: Finite Resources, Infinite Demand......Page 155
11: Politics, Power, Guidelines and Protocols......Page 169
12: Best Practice: Where Do We Go from Here?......Page 185
References......Page 191
Index......Page 203
