Table 5
Selected clinical outcomes at pre and post guideline implementation ‡
| Guideline | Selected process of care indicators and patient outcomes | Pre % | Post % | p-value | Changes† Source of Data |
| Asthma N = 80 Pre N = 48 Post | Assessment of patient use of β2 agonist | 52.5 | 72.9 | 0.026 | + chart |
| Individual action plan for client discharge | 3.8 | 23.9 | 0.001 | + chart | |
| Teaching information provided | 3.8 | 27.1 | 0.000 | + chart | |
| Breastfeeding | Breast-feeding in hospital N = 75 Pre; N = 76 Post | - Interview in hospital | |||
 Exclusive | 80.0 | 67.1 | |||
| Mixed | 20.0 | 22.4 | 0.012 | ||
| Formula only | 0.0 | 10.5 | |||
| Infant supplementation given N = 103 Pre; N = 89 Post | 24.3 | 34.8 | 0.115 | ns chart | |
| Delirium, Dementia and Depression N = 196 Pre N = 186 Post | Assessment on admission for memory problems | 66.3 | 76.9 | 0.024 | + chart |
| Assessment on admission for mood (i.e. depression) | 29.6 | 45.0 | 0.003 | + chart | |
| Assessment during stay for memory problems | 62.4 | 72.7 | 0.037 | + chart | |
| Diabetes Foot Care N = 97 Pre N = 119 Post | Assessment for risk factors for foot ulceration/amputation | 16.5 | 60.7 | 0.000 | + chart |
| Monofilament used to assess sensation in the feet | + chart | ||||
| Yes | 0.0 | 57.1 | 0.000 | ||
| No | 75.8 | 5.9 | |||
| No note | 24.2 | 37.0 | |||
| Smoking Cessation | Received advice on stopping smoking or staying quit N = 116 Pre; N = 93 Post | 1.7 | 17.4 | 0.000 | + chart |
| Self-help information given N = 116 Pre; N = 93 Post | 1.7 | 28.0 | 0.000 | + chart | |
| Have you tried to quit smoking in the past 2 months? N = 36 Pre; N = 21 Post | 66.7 | 33.3 | 0.026 | - Telephone call at home | |
| Venous Leg Ulcers N = 87 Pre N = 52 Post | Assessed for clinical history and features associated with venous disease | 58.6 | 96.2 | 0.000 | + Chart |
| Doppler measurement of Ankle Brachial Pressure Index (ABPI) | 3.7 | 45.7 | 0.000 | + Chart |
† According to recommendation + indicates improvement with p < 0.05, – indicates worse care with p < 0.05, ns indicates no significant difference in care
‡ Selection illustrates nursing care and patient outcomes from chart audit data as well as the only two statistically significant negative changes (-).