Neonatal

Neonatal

  • Submitted By: nuhad
  • Date Submitted: 01/09/2009 2:43 AM
  • Category: Science
  • Words: 771
  • Page: 4
  • Views: 620

Introduction 1466 words Over the last twenty years key publications such as The Bristol Enquiry (DOH 1984-1985) and ‘A First Class Service: Quality in the NHS (DOH 1998) has led to the development of an evidence based National Health Service (NHS) culture. Evidence-based is a practice that uses findings as a basis for decision-making and nursing action. Trinder & Reynolds (2000) suggest that the impact of evidence-based medicine (EBM) on national policy in the United Kingdom (UK) has been remarkable. In other words EBM has had a direct and noticeable effect on the type of health care delivered. A plan for the NHS by the government was published in July 2000, and it recognised that the development of primary care services was the key to the modernisation of the NHS (Wilkin et al 2001). According to the original DOH document (1998 cited in Flynn 2002 p 156) clinical governance: is ‘a process’ designed to reduce inequalities and variations from good practice The National Institute for Clinical Excellence (NICE) specifies how services can best be organised for particular conditions as well as the standards such services must meet, issues guidance for clinicians about which treatments work best for certain types of patient, and evaluates particular drug therapies for their clinical and cost effectiveness (Flynn 2002). Gerrish & Lacey (2006) have argued that it is difficult to achieve the aspiration of excellence in health care because of financial constraints and pressure on resources. In order to use a different process for clinical decision making nurses are required to learn new skills, updating knowledge which is based on evidence. In addition according of standard NHS code of conduct (2008) Consent has to be obtain and the patient should provide full information about his health status However some researchers claim that there is a gap between research and practice. Gerrish & Lacey (2006) state that it requires nurses to develop a critical and...

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