Clearinghouse Logo


VNAA Clearinghouse for Chronic Conditions in Homecare

condition image

"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978










Best Practices

spacer spacer

Best Practices
Best practices are defined here as optimal techniques, procedures or programs identified through evidence-based research or by the experience of experts of one or more organizations. Implementing best practices improves care effectiveness and efficacy while enhancing positive patient outcomes. Best practices are summarized into algorithms, protocols, care pathways, and evidence reports - all supported by the literature.

Levels of Evidence
Levels of evidence have been assigned to the tools in the heart failure section of this site. The majority of homecare best practices are currently based upon recommendations from clinical practice guidelines (many of which are not specific to the homecare setting). Therefore, a number of the tools in the HF section have been assigned to Level 3. Level 3 tools have not specifically been studied for their validity and reliability, although their content is supported in interpretation by clinical practice guidelines. Wherever the panel did find tools that have been tested for reliability and validity, the levels assigned to those tools reflect the research method used for the testing.

Levels of evidence
spacer
Level 1
Systematic reviews and repeated studies, thoroughly researched.
Level 2
Experimental (Single or Quasi experimental study) and non-experimental (Exploratory or qualitative study).
Level 3
Recommendations of respected, experienced homecare authorities.
Level 4
Not Recommended.

The expert panel encourages research in the homecare setting for tools that have been designated as Level 3 by organizations and academic institutions. We invite those who utilize the tools found here to share their outcomes with the expert panel. We also welcome your submission of additional tools that have been tested for validity and reliability, as well as those found to be clinically or empirically effective in the homecare setting. Please share this information by e-mailing VNAA's Manager of Educational Programs.




Home | About This Site | Site Map | Contact Us | Resources
VNAA Clearinghouse for Chronic Conditions in Homecare


Funding for this site was provided in part by the US Congress and the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.