Creating consensus-based practice guidelines with 2000 nurses

2019 ◽  
Vol 28 (22) ◽  
pp. S18-S25 ◽  
Author(s):  
Sarah James-Reid ◽  
Kimberly Bain ◽  
Anne Steen Hansen ◽  
Grethe Vendelbo ◽  
Werner Droste ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Practice Guidelines ◽  
Best Practice ◽  
Medical Professionals ◽  
Evidence Based ◽  
Journal Articles ◽  
Best Practice Guidelines ◽  
Large Numbers ◽  
Speed Up ◽  
High Level

Medical professionals follow evidence-based practice guidelines to achieve effective patient outcomes. Traditionally, to develop guidelines, a small group of experts examine evidence then agree on a set of statements, which are then published in journals. However, more than 7000 primary care journal articles are published monthly. This study examined a different way of drawing up practice guidelines, which involved large numbers of nurses from different countries directly in developing then disseminating the guidelines to speed up acceptance and the implementation of best practice. The results were consensus-based best practice guidelines for the treatment of patients with ostomies, which have received a high level of acceptance and enthusiasm from practitioners in 27 countries.

scholarly journals 289 Detection of Falls in Older Patients by Medical Professionals on Admission to Hospital: An Audit

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Emily Buckley ◽  
Mazen Alalawi
Keyword(s):  
Practice Guidelines ◽  
Older Patients ◽  
Best Practice ◽  
Acute Hospital ◽  
Medical Professionals ◽  
Medical Patients ◽  
Screening Questionnaire ◽  
Best Practice Guidelines ◽  
Audit Data ◽  
History Of

Abstract Background A history of a previous fall is one of the best predictors of future falls, increasing its risk 3-fold. The Health Service Executive (HSE) best practice guidelines recommend that all patients aged over 65 years in contact with healthcare professionals should be asked routinely whether they have fallen in the past year and asked about the fall-frequency, context and characteristics. The aim of this audit was to increase falls recognition by medical professionals following the implementation of a falls screening questionnaire into the admission proforma of an acute hospital. Methods This was a clinical audit. Data was collected on 29 consecutive patients aged > 65 who were admitted via the emergency department of an acute hospital over a 6 day period. Data on falls was collected using the medical admissions hospital proforma during the first 72 hours. Following the initial audit, a new proforma containing a falls screening questionnaire (as per best practice guidelines) was introduced and an information session provided on its use. A re-audit of 17 admitted medical patients was then completed over the next 72 hours. Results The initial audit highlighted poor assessment of falls with only 3 (25%) patients being screened at admission. 1 (33%) had a fall; described as mechanical. Following introduction of a falls screening questionnaire into the admission proforma, a re-audit showed a significant increase, with 58% of admissions now being screened. Of these, 40% had fallen in the last year: 75% of falls were mechanical and 25% due to other causes. Conclusion This audit shows that falls in this patient population was largely unrecognised by medical professionals. Following implementation of a screening questionnaire, significant improvements were made. This audit concludes that implementation of a falls screening questionnaire into the medical admissions proforma is an effective method in identifying falls in older patients admitted to hospital.

scholarly journals Best practice guidelines for stroke in Cameroon: An innovative and participatory knowledge translation project

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Lynn Cockburn ◽  
Timothy N. Fanfon ◽  
Alexa Bramall ◽  
Eta M. Ngole ◽  
Pius Kuwoh ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Practice Guidelines ◽  
Stroke Rehabilitation ◽  
Best Practice ◽  
Guideline Development ◽  
Front Line ◽  
African Countries ◽  
Practice Recommendations ◽  
Best Practice Guidelines ◽  
Successes And Challenges

Background: Although the adherence to stroke guidelines in high-income countries has been shown to be associated with improved patient outcomes, the research, development and implementation of rehabilitation related guidelines in African countries is lacking.Objectives: The purpose of this article is to describe how a group of front-line practitioners collaborated with academics and students to develop best practice guidelines (BPG) for the management and rehabilitation of stroke in adult patients in Cameroon.Method: A working group was established and adapted internationally recognised processes for the development of best practice guidelines. The group determined the scope of the guidelines, documented current practices, and critically appraised evidence to develop guidelines relevant to the Cameroon context.Results: The primary result of this project is best practice guidelines which provided an overview of the provision of stroke rehabilitation services in the region, and made 83 practice recommendations to improve these services. We also report on the successes and challenges encountered during the process, and the working group’s recommendations aimed at encouraging others to consider similar projects.Conclusion: This project demonstrated that there is interest and capacity for improving stroke rehabilitation practices and for stroke guideline development in Africa.

scholarly journals Impact of the implementation of best practice guidelines on nurse’s evidence‐based practice and on nurses' work environment: Research protocol

2020 ◽  
Vol 77 (1) ◽  
pp. 448-460
Author(s):  
Silvia Esteban‐Sepúlveda ◽  
Albert Sesé‐Abad ◽  
Laia Lacueva‐Pérez ◽  
Manuela Domingo‐Pozo ◽  
Sergio Alonso‐Fernandez ◽  
...  
Keyword(s):  
Work Environment ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Research Protocol ◽  
Best Practice Guidelines ◽  
Environment Research

scholarly journals Failure to follow evidence‐based best practice guidelines in the treatment of severe acute pancreatitis

HPB ◽  
2013 ◽  
Vol 15 (10) ◽  
pp. 822-827 ◽  
Author(s):  
Adrian C. Vlada ◽  
Bradley Schmit ◽  
Andrew Perry ◽  
Jose G. Trevino ◽  
Kevin E. Behrns ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based ◽  
Best Practice Guidelines

scholarly journals Latest Evidence-Based Application for Radiofrequency Neurotomy (LEARN): Best Practice Guidelines from the American Society of Pain and Neuroscience (ASPN)

2021 ◽  
Vol Volume 14 ◽  
pp. 2807-2831
Author(s):  
David W Lee ◽  
Scott Pritzlaff ◽  
Michael J Jung ◽  
Priyanka Ghosh ◽  
Jonathan M Hagedorn ◽  
...  
Keyword(s):  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based ◽  
Best Practice Guidelines ◽  
Radiofrequency Neurotomy ◽  
American Society

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

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