Guidelines adherence among nurses and allied health professionals is the basis of patient care. Guidelines are used to enhance quality of care delivery and promote patient safety through evidence-base practice. They may also standardize clinical interventions by which Allied Health Professionals (AHP) including nurses can be made accountable for. Despite the fact that the development of clinical guidelines has evolved in medicine, nurses and midwifery are becoming more interested in the use of guidelines as one means of facilitating evidence-based practice and ensuring higher quality care. Although nurses and are increasingly using clinical guidelines to ensure higher quality of care, this does not necessarily mean that they adhere to them. Evidence indicates that health professionals including nurses vary in following clinical guidelines and this caused to deliver unsafe interventions and harmful care. It is therefore important to understand the underlying factors promoting and inhibiting guideline adherence in nursing profession. Hence, this has received relatively little research attention. In general, little is known about the process and factors responsible for how nurses change their practice methods when they become aware of a guideline. Nurses’ adherence to guidelines may be hindered by a variety of barriers. A theoretical approach can help explain these barriers and possibly help target interventions to specific barriers.
1. Understand current issues with Clinical Practice Guidelines (CPGs)
2. Differentiate between CPGs and Protocols
3. Understand the Development of CPGs
4. Introduction to CPGs framework of adherence and provide recommendations for the implications of CPGs among the nursing profession