Hormone Replacement Therapy: Changing Guidelines, Changing Practice

Changing Professional Practice Theory and Practice of Clinical Guidelines Implementation

Health care professionals may have difficulties in keeping up-to-date with the overwhelming and fast growing volume of new scientific evidence for good clinical practice. Often there is an unacceptable time lag between the time of having a valid research basis for a specific procedure and the point when the procedure has been adopted in practice. This may lead to suboptimal care. Clinical guide...

Changing Practice

The menopause and hormone replacement therapy: views of women in general practice receiving hormone replacement therapy.

Women's views on the menopause and hormone replacement therapy were explored using a questionnaire given to women attending one general practice who were having hormone replacement therapy under the supervision of their doctor. Sixty four women (67%) responded. Although only 5% of women had requested hormone replacement therapy from their general practitioner the majority of women indicated tha...

Practice uncertainty: changing perceptions.

Practice uncertainty is inevitable in health care, and there are many contextual factors that can lead to either good or bad outcomes for patients and health care providers. Practice uncertainty is not a well-established concept in the literature, perhaps because of the predominant empirical paradigm and the high value placed on certainty within current health care culture. This study was condu...

Changing trends in practice.

Occupational therapists are involved in delivering their services within a very complex health care environment and it is essential to understand the implications of the health care system in planning and implementing occupational therapy services. This month's column gives the occupational therapist a perspective on the health system and should be a guide for all clinicians and educators in lo...