Guidelines Translation for Distress Management in Cancer Patients Based on CAN-IMPLEMENT: Adaptation Part

Abstract Background Almost all cancer patients experience some level of distress, which has significantly reduced their quality of life. Nowadays evidence-based practice in various fields of health care is increasing, and it has played an important role. This study aimed to clarify the theme of guideline adaptation, integrate relevant clinical practice guidelines on distress management in cancer patients, and develop the Cancer-related Distress Management Guidelines. Methods A Guideline Adaptation and Implementation Planning Resource (CAN-IMPLEMENT) was used as the research framework, which include three phases. Here the Adaptation Part (Phase 1) was reported: adaptation of relevant clinical practice guidelines on the distress management in cancer patients to form the Cancer-related Distress Management Guidelines. Results The physical symptom distress score (0.61 ± 0.58) was almost equal to the psychological symptom distress score (0.61 ± 0.70) among cancer patients in Shanghai. A work plan for the adaptation of Cancer-related Distress Management Guidelines was developed. Two clinical practice guidelines related to distress management in cancer patents were included after searching, screening, assessment and selection. The domain scores of the draft the Cancer-related Distress Management Guidelines on Appraisal of Guidelines for Research and Evaluation II (AGREE II) were 80.00% (scope and purpose), 82.78% (stakeholder involvement), 87.50% (rigour of development), 73.89% (clarity and presentation), 73.75% (applicability), 87.50% (editorial independence) respectively. The scores of most recommendations on feasibility, appropriateness, meaningfulness and effectiveness were 90.0% or higher. The final guidelines included 13 recommendations. Conclusions The psychological symptoms and physical symptoms were both worthy of attention in cancer patients. The quality of the draft the Cancer-related Distress Management Guidelines was well-accepted based on two included guidelines. Most recommendations received positive and constructive feedback on feasibility, appropriateness, meaningfulness and effectiveness. The final guidelines was formed based on the revision of the first draft guidelines.

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Adult Cancer Pain

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2007.0074 ◽

2007 ◽

Vol 5 (8) ◽

pp. 824

Author(s):

_ _

Keyword(s):

Quality Of Life ◽

Clinical Practice ◽

Cancer Pain ◽

National Comprehensive Cancer Network ◽

Cancer Patients ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Cancer Network ◽

Recent Version

Pain is one of the most common symptoms associated with cancer and one of the symptoms patients fear most; unrelieved pain denies them comfort and greatly affects their activities, motivation, interactions with family and friends, and overall quality of life. The importance of relieving pain and availability of effective therapies make it imperative that clinicians caring for cancer patients to be adept at assessing and treating cancer pain. The National Comprehensive Cancer Network Adult Cancer Pain Clinical Practice Guidelines in Oncology acknowledge the range of complex decisions faced in caring for these patients. As a result, they provide dosing guidelines for NSAIDs, opioids, and adjuvant analgesics. They also provide specific suggestions for escalating opioid dosage, managing opioid toxicity, and when and how to proceed to other techniques to manage cancer pain. For the most recent version of the guidelines, please visit NCCN.org

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Nonconformity in the clinical practice guidelines for subclinical Cushing's syndrome: which guidelines are trustworthy?

Acta Endocrinologica ◽

10.1530/eje-14-0345 ◽

2014 ◽

Vol 171 (4) ◽

pp. 421-431 ◽

Cited By ~ 29

Author(s):

Jing Shen ◽

Mingfang Sun ◽

Bo Zhou ◽

Juping Yan

Keyword(s):

Clinical Practice ◽

Cushing’S Syndrome ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Guideline Development ◽

Cushing's Syndrome ◽

Subclinical Cushing’S Syndrome ◽

Agree Ii ◽

Management Guidelines

ObjectiveThis study aimed to systematically evaluate the quality of clinical practice guidelines (CPGs) and to compare their recommendations for managing subclinical Cushing's syndrome (SCS) to assist practitioners in making rapid clinical decisions.Design and methodsSCS management guidelines were retrieved from electronic databases. The Appraisal of Guidelines Research and Evaluation II (AGREE-II) tool and the Institute of Medicine (IOM) criteria were used to evaluate the quality of the selected guidelines. In addition, we further compared recommendations, cited references and levels of evidence between the SCS management guidelines.ResultsWe included five guidelines that were obtained through the literature selection process. On the basis of the AGREE-II and IOM criteria, none of the selected guidelines were satisfactory in all aspects. However, the Italian Association of Clinical Endocrinologists (IACE) guidelines demonstrated slightly higher scores than did the other guidelines, so this guideline was recommended (with certain modifications for several domains). Regarding the content of the CPGs, we found considerable differences in the recommendations for managing SCS. These differences were derived from citation selection bias, evidence interpretation bias, differences in the composition of the guidelines' workgroups and the omission of guidelines for updating and externally reviewing the recommendations.ConclusionsThere is generally poor guideline quality among different organisations, and remarkable differences exist in the recommendations for the same clinical subject. Therefore, future guideline development should be performed in strict accordance with the AGREE-II and IOM criteria.

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Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

10.2196/preprints.11846 ◽

2018 ◽

Author(s):

Azizeh Khaled Sowan ◽

Meghan Leibas ◽

Albert Tarriela ◽

Charles Reed

Keyword(s):

Intensive Care ◽

Quality Of Care ◽

Clinical Practice ◽

Nursing Care ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Care Plan ◽

System Use ◽

Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

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Quality of clinical practice guidelines for the management of hypertension in six Southeast Asian countries

Clinical and Experimental Hypertension ◽

10.1080/10641963.2021.1925683 ◽

2021 ◽

pp. 1-9

Author(s):

Chia Siang Kow ◽

Syed Shahzad Hasan ◽

Pei Se Wong ◽

Rohit Kumar Verma

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Southeast Asian ◽

Asian Countries ◽

Southeast Asian Countries

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Assessment of the quality, content and perceived utility of local maternity guidelines in hospitals in England implementing the saving babies’ lives care bundle to reduce stillbirth

BMJ Open Quality ◽

10.1136/bmjoq-2019-000756 ◽

2020 ◽

Vol 9 (2) ◽

pp. e000756

Author(s):

Yu Zhen Lau ◽

Kate Widdows ◽

Stephen A Roberts ◽

Sheher Khizar ◽

Gillian L Stephen ◽

...

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Stakeholder Involvement ◽

Care Bundle ◽

Intrapartum Care ◽

National Guidelines ◽

Department Of Health ◽

The Uk

IntroductionThe UK Department of Health have targeted a reduction in stillbirth by 50% by 2025; to achieve this, the first version of the Saving Babies’ Lives Care Bundle (SBLCB) was developed by NHS England in 2016 to improve four key areas of antenatal and intrapartum care. Clinical practice guidelines are a key means by which quality improvement initiatives are disseminated to front-line staff.MethodsSeventy-five clinical practice guidelines covering the four areas of antenatal and intrapartum care in the first version of SBLCB were obtained from 19 maternity providers. The content and quality of guidelines were evaluated using the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. Maternity health professionals in participating organisations were invited to participate in an anonymous survey to determine perceptions toward and experiences of the use of clinical practice guidelines using a series of Likert scales.ResultsUnit guidelines showed considerable variation in quality with median scores of 50%–58%. Only 4 (5.6%) guidelines were recommended for use in clinical practice without modifications, 54 (75.0%) were recommended for use subject to modifications and 12 (16.7%) were not recommended for use. The lowest scoring domains were ‘rigour of development’, ‘stakeholder involvement’ and ‘applicability’. A significant minority of unit guidelines omitted recommendations from national guidelines. The majority of staff believed that clinical practice guidelines standardised and improved the quality of care but over 30% had insufficient time to use them and 24% stated they were unable to implement recommendations.ConclusionTo successfully implement initiatives such as the SBLCB change is needed to local clinical practice guidelines to reduce variation in quality and to ensure they are consistent with national recommendations . In addition, to improve clinical practice, adequate time and resources need to be in place to deliver and evaluate care recommended in the SBLCB.

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Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

Canadian Journal of Gastroenterology ◽

10.1155/1999/939476 ◽

1999 ◽

Vol 13 (7) ◽

pp. 560-562 ◽

Cited By ~ 1

Author(s):

Colin Macarthur ◽

Liisa Jaakkimainen

Keyword(s):

Health Care ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Guideline Development ◽

Guideline Implementation ◽

Key Steps ◽

Evidence Based Guidelines ◽

Care Costs

The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances”. The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

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