Abstract：
BACKGROUND:Low-value care provides little or no benefit to the patient, causes harm and wastes limited resources. Reducing it is therefore important for safer and more sustainable care. OBJECTIVES:We systematically assessed nursing low-value care practices in Dutch clinical practice guidelines with the aim to facilitate and stimulate nurses to reduce this low-value care. METHODS:We screened Dutch clinical practice guidelines for do-not-do recommendations stating that specific nursing care should be avoided. We combined similar recommendations and categorized them by specialism-related groups of nurses, the settings where care took place, and the kind of care according to the Fundamentals of Care framework. RESULTS:We found 66 nursing do-not-do recommendations in 125 clinical practice guidelines, for example, 'Do not use physical restraints in case of a delirium'. Most recommendations were relevant for intensive care nurses (n = 23) and the hospital care setting (n = 49). The majority of recommendations concerned the element safety, prevention and medication of the Fundamentals of Care framework (n = 38). CONCLUSIONS:This is the first systematic assessment of low-value nursing care in clinical practice guidelines. The majority of the 66 low-value care practices are not mentioned in other low-value care lists and are therefore new targets for de-implementation. The next step to reducing low-value care should be to create awareness amongst nurses, stimulate the dialogue on de-implementation in practice and facilitate quality improvement projects to quantify and reduce nursing low-value care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Verkerk EW,Huisman-de Waal G,Vermeulen H,Westert GP,Kool RB,van Dulmen SAdoi
10.1016/j.ijnurstu.2018.07.002subject
Has Abstractpub_date
2018-11-01 00:00:00pages
34-39eissn
0020-7489issn
1873-491Xpii
S0020-7489(18)30157-3journal_volume
87pub_type
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