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Both issues and the procedural survey results reflect good routine practice with adherence to the current guidelines, the implementation of technical improvements and success in training over the years.
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However, there is evidence gathered by Latter et al. [ 26] that nurse prescribers are generally practicing with due adherence to the main principles of concordance.
The ISIA informed decision-making framework supported midwives to make changes to their practice, with a higher adherence to the use of intermittent auscultation as one component of the admission assessment, and for ongoing fetal heart monitoring in active labour.
Years of practice experience and proportion of diabetes patients seen in their practice were independently related with adherence to statin prescription.
Our case material indicates that patients are able to learn and practice the MM techniques, with good adherence to the home practice.
Diabetes registries offer users a quick and efficient way to identify high-risk patients and measure clinical outcomes, with potential to improve care both at the physician level with adherence to clinical practice guidelines, and the patient level, with self-management and improved medication adherence.
Under the conditions of the project with adherence to good practice taught during training and reinforced during supervision, it also means that gloves must be worn, and a sterile lancet used to pierce the skin.
Health centre factors that were independently associated with adherence to best practice guidelines included longer participation in the CQI program, remoteness of health centres, and regularity of client attendance.
We did not find differences in gender, practice settings (primary care, hospitals, medical centers), stakeholders (private, public), or training years (2002 to 2006) as having association with the adherence to the practice guideline.
Finally individual patient therapy needs to be coupled with adherence to optimal prevention practice to prevent spread of resistant bacteria from patient to patient.
This can be explained by the fact that ICU nurses at bed-side nursing care are more familiar with safe, direct patient-centred care (when using in practice these competencies frequently in daily care) than with adherence to ethical codes, general health care legislation, and transplantation legislation (literally) [ 20– 20].
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