title: Development of an evaluation tool for a clinical practice guideline on nursing assessment and device selection for vascular access.
abstract: This study developed and tested a chart audit tool to assess the implementation of evidence-based recommendations for vascular access nursing assessment and device selection. Chart audits of 71 patients were conducted in a home healthcare agency and a community hospital prior to guideline implementation. Observations of initial infusion therapy and chart audit documentation of 31 patients were also compared. Results from observations indicated that nurses provided care consistent with the recommendations, but findings from chart audits indicated that assessment and decisionmaking were poorly documented. Studies that use only precomparison and postcomparison by chart audit may miss changes in nursing practice.
authors.affiliation: University of Ottawa School of Nursing, 451 Smyth Road, Ottawa, Ontario, Canada K1H 8M5. khiguchi@uottawa.ca
authors.forename: Kathryn A Smith
authors.initials: KA
authors.lastname: Higuchi
authors.forename: Nancy
authors.initials: N
authors.lastname: Edwards
authors.forename: Evangeline
authors.initials: E
authors.lastname: Danseco
authors.forename: Barbara
authors.initials: B
authors.lastname: Davies
authors.forename: Heather
authors.initials: H
authors.lastname: McConnell
mesh_terms: D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation* / Q000451:nursing*; D002408:Catheters, Indwelling / Q000009:adverse effects; D002983:Clinical Competence / Q000592:standards; D003657:Decision Making; D004282:Documentation / Q000592:standards; D019317:Evidence-Based Medicine; D005240:Feasibility Studies; D005260:Female; D019983:Guideline Adherence / Q000592:standards; D006699:Home Care Services; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000592:standards; D009731:Nursing Audit / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards; D009864:Ontario; D010347:Patient Care Planning / Q000592:standards; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies