Practical Advice for Nurses in Implementing Nursing Clinical Guideline – Risk Estimation and Prevention of Cardiovascular Diseases

The aim of the study: The evidence-based nursing clinical guidelines transform the best research evidence into recommendations for clinical practice. Majority of patients can be managed according to nursing clinical guidelines. In nursing clinical guideline implementation the nurse uses his/her own knowledge base and jurisdiction in the care of the patient. The nurse makes observations of the status of the patient and chooses the best nursing intervention included in the nursing clinical guideline to promote the condition of the patient. Methods. In the Republic of Kazakhstan, adaptation was chosen as a method how to develop nursing clinical guidelines. The Kazakhstani nursing clinical guideline “Risk estimation and prevention of cardiovascular diseases” contains recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The guideline was originally developed by the Scottish Intercollegiate Guidelines Network. Results. Nurses need to make decisions concerning the care of cardiovascular patients: advice on treatment, patient information and education. The article contains evidence-based information of cardiovascular nursing care and recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The main nursing intervention is motivational interview technique to establish a trustworthy relationship with the patient and trough controversial dialogue to support the patient towards healthier lifestyle and commitment to planned care. Conclusion. In addition, the article covers a short overview of nursing clinical guideline development process in the Republic of Kazakhstan, to ensure the common understanding of nursing clinical guideline development process and the role of nursing clinical guidelines in everyday nursing practice.

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The updated clinical guideline development process in Estonia is an efficient method for developing evidence-based guidelines

Journal of Clinical Epidemiology ◽

10.1016/j.jclinepi.2012.07.007 ◽

2013 ◽

Vol 66 (2) ◽

pp. 132-139 ◽

Cited By ~ 5

Author(s):

Lisa A. Bero ◽

Suzanne Hill ◽

Jarno Habicht ◽

Mari Mathiesen ◽

Joel Starkopf

Keyword(s):

Efficient Method ◽

Development Process ◽

Clinical Guideline ◽

Guideline Development ◽

Evidence Based ◽

Guideline Development Process ◽

Evidence Based Guidelines

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Improving the system of training Nursing specialists. Results of the strategic partnership between JAMK University of Applied Sciences, Finland, and medical colleges of the Republic of Kazakhstan

Journal of Health Development ◽

10.32921/2225-9929-2021-2-42-63-68 ◽

2021 ◽

Vol 2 (42) ◽

pp. 63-68

Author(s):

Heikkilä Johanna ◽

◽

Kivinen Eveliina ◽

Naakka Hanna ◽

Hopia Hanna ◽

...

Keyword(s):

Applied Sciences ◽

Clinical Guidelines ◽

Strategic Partnership ◽

Evidence Based ◽

Strategic Partnerships ◽

University Of Applied Sciences ◽

Building Activities ◽

The Republic ◽

Nursing Clinical ◽

Medical Colleges

The material presents results of the strategic partnership between JAMK University of Applied Sciences, Finland, and medical colleges of the Republic of Kazakhstan. The systematic annual process of starting the development of new nursing clinical guidelines and of leading and coordinating the adaptation as well as preparing the trainings of national trainers for each set of guidelines has slowed down or even stopped and needs immediate attention. In addition, the development of corresponding evidence-based Standardized Operational Procedures must be organized. Our recommendation is that the Ministry of Healthcare and the Republican Center of Health Development would strengthen the national coordination and create a systematic roadmap for translating nursing clinical guidelines into nursing practice. In addition, nurses’ knowledge and skills in evidence-based nursing must be increased through capacity building activities. Key words: standardized operating procedures, clinical guidelines, nursing, strategic partnerships.

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Clinical Guideline Development for Otitis Media: A Report on Methodology

Otolaryngology ◽

10.1177/019459989310900315 ◽

1993 ◽

Vol 109 (3) ◽

pp. 478-481 ◽

Cited By ~ 3

Author(s):

Anthony E. Magit ◽

Sylvan E. Stool

Keyword(s):

Otitis Media ◽

Clinical Guidelines ◽

Clinical Guideline ◽

Otitis Media With Effusion ◽

Guideline Development ◽

Clinical Settings ◽

Multiple Factors ◽

Contemporary Practice ◽

Major Emphasis ◽

Head Neck

Clinical guideline development is a major emphasis of recent health policy efforts. Interest in clinical guidelines is the result of multiple factors, including economic pressures and the desire to achieve a baseline level of practice in clinical settings. Guidelines have always been of fundamental importance in medicine. This article will discuss the place clinical guidelines have in contemporary practice and the difficulties encountered in the process of developing a meaningful guideline for managing otitis media with effusion. (OTOLARYNGOL HEAD NECK SURG 1993;109:478-81.)

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Improving Prioritisation Processes for Clinical Practice Guidelines: New Methods and an Evaluation From the National Heart Foundation of Australia.

10.21203/rs.3.rs-838801/v1 ◽

2021 ◽

Author(s):

Brooke Atkins ◽

Tom Briffa ◽

Cia Connell ◽

Amanda Buttery ◽

Garry Jennings

Keyword(s):

Heart Disease ◽

Priority Setting ◽

Clinical Guidelines ◽

Clinical Guideline ◽

Guideline Development ◽

Heart Diseases ◽

International Classification ◽

Public Consultation ◽

Nominal Group ◽

Expert Committee

Abstract BackgroundReleasing timely and relevant clinical guidelines is challenging for organisations globally. Priority setting is crucial as guideline development is resource intensive. Our aim, as a national organisation responsible for developing cardiovascular clinical guidelines, was to develop a method of generating and prioritising topics for future clinical guideline development in areas where guidance was most needed.MethodsSeveral novel processes were developed, adopted and evaluated including: 1) initial public consultation for health professionals and the general public to generate topics; 2) thematic and qualitative analysis, according to the International Classification of Diseases (ICD-11), to aggregate topics; 3) adapting a criteria-based matrix tool to prioritise topics; 4) achieving consensus through modified-nominal group technique and voting on priorities; and 5) process evaluation via survey of end-users. The latter was comprised of the organisation’s Expert Committee of 12 members with expertise across cardiology and public health, including two citizen representatives.ResultsTopics (n=405; reduced to n=278 when duplicates removed) were identified from public consultation responses (n=107 respondents). Thematic analysis synthesised 127 topics that were then categorised into 37 themes using ICD-11 codes. Exclusion criteria were applied (n=32 themes omitted), resulting in 5 short-listed topics: 1) congenital heart disease; 2) valvular heart disease; 3) hypercholesterolaemia, 4) hypertension and 5) ischaemic heart diseases and diseases of the coronary artery. The Expert Committee applied the prioritisation matrix to all five short-listed topics during a consensus meeting and voted to prioritise topics. Unanimous consensus was reached for the topic voted the highest priority: ischaemic heart disease and diseases of the coronary arteries, resulting in the decision to update the organisation’s 2016 clinical guidelines for acute coronary syndromes. Evaluation indicated that initial public consultation was highly valued by the Expert Committee, the matrix tool was easy to use and improved transparency in priority setting.ConclusionDeveloping a multistage, systematic process, incorporating public consultation, and an international classification system led to improved transparency in our clinical guideline priority setting processes and that topics chosen would have the greatest impact on health outcomes These methods are potentially applicable to other national and international organisations responsible for developing clinical guidelines.

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Processes for updating guidelines: protocol for a systematic review

HRB Open Research ◽

10.12688/hrbopenres.13448.1 ◽

2021 ◽

Vol 4 ◽

pp. 116

Author(s):

Karen Cardwell ◽

Joan Quigley ◽

Barbara Clyne ◽

Barrie Tyner ◽

Marie Carrigan ◽

...

Keyword(s):

Systematic Review ◽

Clinical Guidelines ◽

Iterative Process ◽

Clinical Guideline ◽

Guideline Development ◽

Grey Literature ◽

Service Users ◽

Narrative Synthesis ◽

Literature Searching ◽

Development Methodology

Background: National Clinical Guidelines are systematically developed statements, based on a thorough evaluation of the evidence, to assist practitioner and service users’ decisions. Clinical guidelines require updating to ensure validly of the recommendations contained within. The purpose of this systematic review is to describe the most recent guideline update processes, including prioritisation methods, used by international or national groups who provide methods guidance for developing and updating clinical guidelines. Methods: A combination of searching a pre-defined list of international and national organisations that provide methods guidance for developing and updating clinical guidelines, together with grey literature searching, will be undertaken to identify relevant handbooks. This will be supplemented by a systematic literature search of Medline (EBSCO), Embase (OVID) and The Cochrane Methodology Register. As guideline development methodology has evolved considerably, the overall search span for this systematic review will be the last 10-years (2011-2021). Publications eligible for inclusion are methodological handbooks that provide updating guidance, including prioritisation methods, for clinical practice guidelines and peer-reviewed articles that describe or have implemented updating guidance, including prioritisation methods. Using Covidence, two reviewers will independently review titles/abstracts and full texts. Where disagreements occur, discussions will be held to reach consensus and where necessary, a third reviewer will be involved. Methodological handbooks will be quality assessed (using the GIN-McMaster Guideline Development Checklist) independently by two reviewers and any disagreements will be resolved by deliberation, or if necessary, a third reviewer. Data will be extracted by one reviewer and checked for inaccuracies/omissions by a second. A narrative synthesis will be undertaken. Conclusions: Updating clinical guidelines is an iterative process that is both resource intensive and time-consuming. The findings of this systematic review will support clinical guideline developers to ensure appropriate investment of resources.

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Towards a Traceable Clinical Guidelines Application

Methods of Information in Medicine ◽

10.3414/me09-01-0038 ◽

2010 ◽

Vol 49 (06) ◽

pp. 571-580 ◽

Cited By ~ 12

Author(s):

E. Domínguez ◽

M. Zapata ◽

B. Pérez

Keyword(s):

Decision Support ◽

Decision Support Systems ◽

Human Resource ◽

Clinical Guidelines ◽

Development Process ◽

Clinical Guideline ◽

Support Systems ◽

Tool Chain ◽

Application Data ◽

Resource Costs

Summary Objectives: The goal of this research is to provide an overall framework to enable modelbased development of clinical guideline-based decision support systems (GBDSSs). The automatically generated GBDSSs are aimed at providing guided support to the physician during the application of guidelines and automatically storing guideline application data for traceability purposes. Methods: The development process of a GBDSS for a guideline is based on modeldriven development (MDD) techniques which allow us to carry out such a process automatically, making development more agile and saving on human resource costs. We use UML Statecharts to represent the dynamics of guidelines and, based on this model, we use a MDD-based tool chain to generate the guideline-dependent components of each GBDSS in an automatic way. In particular, as for the traceability capabilities of each GBDSS, MDD techniques are combined with database schema mappings for metadata management in order to automatically generate the GBDSS-persistent component as one of the main contributions of this paper. Results: The complete framework has been implemented as an Eclipse plug-in named GBDSSGenerator which, starting from the statechart representing a guideline, allows the development process to be carried out automatically by only selecting different menu options the plug-in provides. We have successfully validated our overall approach by generating the GBDSS for different types of clinical guidelines, even for laboratory guidelines. Conclusions: The proposed framework allows the development of clinical guideline-based decision support systems in an automatic way making this process more agile and saving on human resource costs.

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Systematic review of international clinical guidelines for the promotion of physical activity for the primary prevention of cardiovascular diseases

BMC Family Practice ◽

10.1186/s12875-021-01409-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

N. Aerts ◽

D. Le Goff ◽

M. Odorico ◽

J. Y. Le Reste ◽

P. Van Bogaert ◽

...

Keyword(s):

Physical Activity ◽

Cardiovascular Disease ◽

Clinical Practice ◽

Cardiovascular Diseases ◽

Primary Prevention ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Clinical Guidelines ◽

Prevention Programs ◽

Prevention Of Cardiovascular Disease

Abstract Background Cardiovascular diseases are the world’s leading cause of morbidity and mortality. An active lifestyle is one of the cornerstones in the primary prevention of cardiovascular disease. An initial step in guiding primary prevention programs is to refer to clinical guidelines. We aimed to systematically review clinical practice guidelines on primary prevention of cardiovascular disease and their recommendations regarding physical activity. Methods We systematically searched Trip Medical Database, PubMed and Guidelines International Network from January 2012 up to December 2020 using the following search strings: ‘cardiovascular disease’, ‘prevention’, combined with specific cardiovascular disease risk factors. The identified records were screened for relevance and content. We methodologically assessed the selected guidelines using the AGREE II tool. Recommendations were summarized using a consensus-developed extraction form. Results After screening, 27 clinical practice guidelines were included, all of which were developed in Western countries and showed consistent rigor of development. Guidelines were consistent about the benefit of regular, moderate-intensity, aerobic physical activity. However, recommendations on strategies to achieve and sustain behavior change varied. Multicomponent interventions, comprising education, counseling and self-management support, are recommended to be delivered by various providers in primary health care or community settings. Guidelines advise to embed patient-centered care and behavioral change techniques in prevention programs. Conclusions Current clinical practice guidelines recommend similar PA lifestyle advice and propose various delivery models to be considered in the design of such interventions. Guidelines identify a gap in evidence on the implementation of these recommendations into practice.

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Development of clinical guidelines for service provision of functional electrical stimulation to support walking: mixed method exploration of stakeholder views

BMC Neurology ◽

10.1186/s12883-021-02299-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

C Bulley ◽

C Meagher ◽

T Street ◽

A Adonis ◽

C Peace ◽

...

Keyword(s):

Electrical Stimulation ◽

Functional Electrical Stimulation ◽

Clinical Guidelines ◽

Service Provision ◽

Clinical Guideline ◽

Service Providers ◽

Delphi Consensus ◽

Stakeholder Views ◽

Key Stakeholders ◽

The Uk

Abstract Background Over the past 20 years Functional Electrical Stimulation (FES) has grown in clinical use to support walking in people with lower limb weakness or paralysis due to upper motor neuron lesions. Despite growing consensus regarding its benefits, provision across the UK and internationally is variable. This study aimed to explore stakeholder views relating to the value of a clinical guideline focusing on service provision of FES to support walking, how people might use it and what should be included. Methods A mixed methods exploration sought the views of key stakeholders. A pragmatic online survey (n = 223) focusing on the study aim was developed and distributed to the email distribution list of the UK Association for Chartered Physiotherapists Interested in Neurology (ACPIN). In parallel, a qualitative service evaluation and patient public involvement consultation was conducted. Two group, and seven individual interviews were conducted with: FES-users (n = 6), their family and carers (n = 3), physiotherapists (n = 4), service providers/developers (n = 2), researchers (n = 1) and distributors of FES (n = 1). Descriptive analysis of quantitative data and framework analysis of qualitative data were conducted. Results Support for clinical guideline development was clear in the qualitative interviews and the survey results. Survey respondents most strongly endorsed possible uses of the clinical guideline as ensuring best practice and supporting people seeking access to a FES service. Data analysis and synthesis provided clear areas for inclusion in the clinical guidelines, including current research evidence and consensus relating to who is most likely to benefit and optimal service provision as well as pathways to access this. Specific areas for further investigation were summarised for inclusion in the first stage of a Delphi consensus study. Conclusions Key stakeholders believe in the value of a clinical guideline that focuses on the different stages of service provision for FES to support walking. A Delphi consensus study is being planned based on the findings.

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