• electronic health record;
  • evidence-based practice;
  • multi-professional;
  • staff opinions;
  • standardized care plan

pöder u., fogelberg-dahm m. & wadensten b. (2011) Journal of Nursing Management19, 810–819 Implementation of a multi-professional standardized care plan in electronic health records for the care of stroke patients

Aims  To compare staff opinions about standardized care plans and self-reported habits with regard to documentation, and their perceived knowledge about the evidence-based guidelines in stroke care before and after implementation of an evidence-based-standardized care plan (EB-SCP) and quality standard for stroke care. The aim was also to describe staff opinions about, and their use of, the implemented EB-SCP.

Background  To facilitate evidence-based practice (EBP), a multi-professional EB-SCP and quality standard for stroke care was implemented in the electronic health record (EHR).

Method  Quantitative, descriptive and comparative, based on questionnaires completed before and after implementation.

Results  Perceived knowledge about evidence-based guidelines in stroke care increased after implementation of the EB-SCP. The majority agreed that the EB-SCP is useful and facilitates their work. There was no change between before and after implementation with regard to opinions about standardized care plans, self-reported documentation habits or time spent on documentation.

Conclusions  An evidence-based SCP seems to be useful in patient care and improves perceived knowledge about evidence-based guidelines in stroke care.

Implications for nursing management  For nursing managers, introduction of evidence-based SCP in the EHR may improve the prerequisites for promoting high-quality EBP in multi-professional care.