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Table 4 Description of recommendations and proportion of indicators which improved or not from pre to post implementation

From: Insights about the process and impact of implementing nursing guidelines on delivery of care in hospitals and community settings

  Asthma Breastfeeding Delirium, Dementia, Depression Foot Complications Diabetes Smoking Cessation Venous Leg Ulcers
Recommendations implemented 4//4 3/7 7/7 6/6 3/7 52/56
Content of recommendations implemented† -Assess asthma control -Educate re Asthma -Develop action plans -Assess inhaler device technique -Endorse WHO Baby Friendly Hospital Initiative Advocate friendly environments -Promote community action -Assess Postnatal factors -Educate and support -Maintain suspicion for DDD in the older adult -Screen for cognition, function, behaviour and mood -Use structured assessment & standardized tools -Physical exam of feet to assess risk factors -Educate about foot care Educate tailored to knowledge, needs and risk factors Minimal smoking cessation intervention using ask, advice, assist, arrange protocol Recognize relapse is common and need to re-engage. -Assess risk factors -Measure surface areas -Ankle Brachial Pressure Index -Assess Pain Debride wound -Assess Infection -Graduated compression bandaging
Number of chart audit items 12 4 19 13 12 15
   Improvements* 7 0 3 12 4 9
   No difference 5 3 16 1 8 6
   Worse* 0 1 0 0 0 0
Number of patient interview items 5 9 N/A 7 12 N/A
   Improvements* 1 0   7 0  
   No difference 4 9   0 12  
   Worse* 0 0   0 0  
Observation 1 N/A N/A N/A N/A N/A
   Improvements* (Inhaler use) 1      
Number of items in follow-up telephone call 3 6 N/A 3 11 N/A
   Improvements* 2 1   0 0  
   No difference 0 5   3 10  
   Worse* 0 0   0 1  
Total # indicators N% 21 19 19 23 35 15
   Improvements* 11 52.4% 1 5.3% 3 15.8% 19 82.6% 4 11.4% 9 60.0%
   No difference 10 47.6% 17 89.5% 16 84.2% 4 17.4% 30 85.7% 6 40.0%
   Worse* 0 1 5.3% 0 0 1 2.9% 0
  1. * p < 0.05, N/A or not applicable, †Excludes recommendations about referrals which are discussed in another paper [ref referrals paper] For full description see [16]