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Abstract:
The implementation of evidence-based management
guidelines may require adaptation and translation to the realities of
clinical care settings in order to have a positive and predictable
impact on outcomes. Health care practitioners require education and
follow-up to assure that they understand the guideline options that are
evidence-based and how to appropriately apply them in their settings.
The authors of this study sought to understand how well evidence-based
guidelines were followed in practice. Retrospective chart audits from
diverse geographical locations were reviewed and focused on chronic
venous, diabetic, or pressure ulcer care. Data were then compared to
guidelines documentation found in the literature review, professional
organizations, and the National Guideline Clearinghouse. Chart audit
documentation was reviewed for consistency, divergence from guidelines,
and wound healing results. The authors concluded that there were
significant variations in actual practice that did not always match
guidelines for wound management. The greatest diversion from adherence
was seen in choices made about wound dressings.
Key words:
Evidence-based management, chronic wounds,
guidelines, adherence |
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