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Table 5 Selected clinical outcomes at pre and post guideline implementation ‡

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

Guideline Selected process of care indicators and patient outcomes Pre % Post % p-value Changes† Source of Data
Asthma N = 80 Pre N = 48 Post Assessment of patient use of β2 agonist 52.5 72.9 0.026 + chart
  Individual action plan for client discharge 3.8 23.9 0.001 + chart
  Teaching information provided 3.8 27.1 0.000 + chart
Breastfeeding Breast-feeding in hospital N = 75 Pre; N = 76 Post     - Interview in hospital
     Exclusive 80.0 67.1   
     Mixed 20.0 22.4 0.012  
     Formula only 0.0 10.5   
  Infant supplementation given N = 103 Pre; N = 89 Post 24.3 34.8 0.115 ns chart
Delirium, Dementia and Depression N = 196 Pre N = 186 Post Assessment on admission for memory problems 66.3 76.9 0.024 + chart
  Assessment on admission for mood (i.e. depression) 29.6 45.0 0.003 + chart
  Assessment during stay for memory problems 62.4 72.7 0.037 + chart
Diabetes Foot Care N = 97 Pre N = 119 Post Assessment for risk factors for foot ulceration/amputation 16.5 60.7 0.000 + chart
  Monofilament used to assess sensation in the feet     + chart
     Yes 0.0 57.1 0.000  
     No 75.8 5.9   
     No note 24.2 37.0   
Smoking Cessation Received advice on stopping smoking or staying quit N = 116 Pre; N = 93 Post 1.7 17.4 0.000 + chart
  Self-help information given N = 116 Pre; N = 93 Post 1.7 28.0 0.000 + chart
  Have you tried to quit smoking in the past 2 months? N = 36 Pre; N = 21 Post 66.7 33.3 0.026 - Telephone call at home
Venous Leg Ulcers N = 87 Pre N = 52 Post Assessed for clinical history and features associated with venous disease 58.6 96.2 0.000 + Chart
  Doppler measurement of Ankle Brachial Pressure Index (ABPI) 3.7 45.7 0.000 + Chart
  1. † According to recommendation + indicates improvement with p < 0.05, – indicates worse care with p < 0.05, ns indicates no significant difference in care
  2. Selection illustrates nursing care and patient outcomes from chart audit data as well as the only two statistically significant negative changes (-).