Hewitt-Taylor Jaquelina
Institute of Health and Community Studies, Bournemouth University, 9 Spear Road, Portswood, Southampton SO14 6UG, UK.
Intensive Crit Care Nurs. 2004 Feb;20(1):45-52. doi: 10.1016/j.iccn.2003.08.002.
Clinical guidelines and care protocols are intended to provide information, based on an appraisal of the current best evidence of clinical and cost-effectiveness, regarding therapeutic interventions for given conditions. With the establishment of the National Collaborating Centre for Nursing as a part of National Institute for Clinical Excellence (NICE), it is anticipated that an increasing number of clinical guidelines that focus on aspects of nursing care will be developed at a national level. The Department of Health also aims to introduce nationally agreed multidisciplinary care protocols which will dictate how certain conditions are to be managed. These developments have the potential to enhance healthcare provision and nursing practice. However, they also introduce potential dilemmas for nurses. This paper discusses some of the issues involved in the development and implementation of clinical guidelines and care protocols in intensive care nursing.
临床指南和护理方案旨在基于对临床及成本效益的当前最佳证据的评估，提供有关特定病症治疗干预措施的信息。随着国家护理协作中心作为国家临床优化研究所（NICE）的一部分的设立，预计将在国家层面制定越来越多关注护理方面的临床指南。卫生部还旨在引入全国商定的多学科护理方案，以规定如何管理某些病症。这些发展有可能改善医疗保健服务和护理实践。然而，它们也给护士带来了潜在的困境。本文讨论了重症监护护理中临床指南和护理方案的制定与实施所涉及的一些问题。
