Antenatal screening: turning research into practice (original) (raw)

British Journal of Midwifery, 2002

Abstract

ABSTRACT One of the major challenges in evidence-based health care is the wide gap between research and practice. The aim of this study was to review local screening programmes systematically to assess the extent to which the services were informed by available best evidence. The information on local screening practices was collected, using a structured questionnaire and follow-up telephone interviews with local key informants. Best evidence for practice was identified by collating findings of systematic reviews and guidance from authoritative sources. Twenty-three antenatal screening programmes were identified. ‘Decision sheets’ for all the programmes were developed to facilitate the decision-making process and summarise areas of variation locally and with respect to best practice. Currently, authoritative guidance exists for 22 programmes and is followed locally for the most part. On occasions, the authoritative sources gave different guidance which resulted in variations in practice locally. In two programmes we considered that variations in local practice needed to be addressed (Down’s Syndrome and neural tube defect). This approach was much valued by both health professionals and lay representatives. Using the decision sheets, the Maternity Strategy Group formed a view on how to align services for Down’s Syndrome screening. This article suggests a generic approach to narrow the research-practice gap. Further evaluation of the decision sheets is required

Susan Hampshaw hasn't uploaded this paper.

Let Susan know you want this paper to be uploaded.

Ask for this paper to be uploaded.