title: Changing practice in invasive procedures: the experience of the Krishnan Chandran children's centre.
abstract: The UK government's clinical governance strategy places emphasis on the provision of evidence-based, effective and client-focused care. This provided the framework for developing nurse-led venepuncture and immunization clinics. Evidence from research and examples of good practice were used to guide the structure and ethos of the new service. The professional development required to train one staff member in venepuncture and immunization techniques was adapted from already existing training. A specific training package was then developed to facilitate professional development of further staff. Audit was used, both to identify the need for the service and to assess its quality and cost-effectiveness. Consumer views were obtained through informal discussion and interviews with parents. This article explores how the concepts of clinical governance, together with the commitment of the multi-professional team, have resulted in a transformation of care for children undergoing invasive procedures in the outpatient department.
authors.affiliation: Children's Outpatient Services Manager, Krishnan Chandran Children's Centre, Leighton Hospital, Crewe, UK. lynda.lawton@mcht.nhs.uk
authors.forename: Lynda C
authors.initials: LC
authors.lastname: Lawton
authors.forename: Pat
authors.initials: P
authors.lastname: Rose
mesh_terms: D019985:Benchmarking; D002648:Child; D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D004739:England; D019317:Evidence-Based Medicine; D006801:Humans; D008430:Maternal-Child Health Centers; D024802:Nurse's Role; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration; D009936:Organizational Innovation; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010290:Parents / Q000523:psychology; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration*; D018962:Phlebotomy / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology; D015397:Program Evaluation; D002666:Psychology, Child; D014611:Vaccination / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology