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contribution of nursing

The contribution of nursing, midwifery and health visiting to protocol based care and its variants on organisation, patient and staff outcomes, quality and costs of care. Investigators (Study 1) 2004-2007

Investigators: J Rycroft-Malone*, C, Morrell,D, Bick.
Project Funding: NIHR SDO Programme.
Evaluating the nature, impact and nursing contribution to clinical decision-making using protocols (Study 2) 2005-2007
Investigators: J, Rycroft-Malone*, K, Seers, C, Morrell, D, Bick.
Project Funding: NIHR SDO Programme.

The objective of this research was to evaluate the contribution of nursing, midwifery, health visiting to protocol-based care on organisational, patient, staff, and quality of care. An additionally funded project aimed to explore how protocol-based care affects clinical decision-making. For Study 1, a case study evaluation was undertaken, and for Study 2 a decision-making ethnography. Realistic evaluation was used as the overarching methodological framework for both studies.
Seven sites across both studies were purposively sampled and included acute and primary care service provision. A variety of standardised care approaches were studied including pathways, local guidelines, protocols, algorithms, and patient group directives across sites, and sometimes within sites. These covered various patient conditions and types of service delivery.

Rycroft- Malone J., Fontenla M., Bick D, Seers K (2008). Protocol Based Care Evaluation Project. Report for the NIHR Service Delivery and Organisation Programme.

Rycroft-Malone J, Fontenla M, Bick D, Seers K (2008). Protocol based care: Impact on roles and service delivery. Journal of Evaluation of Clinical Practice; 14 (5): 867 – 873
Bick D, Rycroft-Malone J, Fontenla M. (2009). A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequences. BMC Pregnancy and Childbirth 2009 Oct 5; 9:47.
Rycroft-Malone J, Fontenla M, Seers K, Bick D (2009). Protocol–based care: the standardization of decision making? Journal of Clinical Nursing; 18: 1490 - 1500
Rycroft-Malone J, Bick D (2009). Standardising care using integrated care pathways: if they seem like a solution, did we ask the right questions? Editorial. International Journal of Evidence Based Healthcare; 7: 59 – 60.
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