You are here

Article Text

Article menu

Download PDFPDF

XML
Abstracts from the 5th International Society for Evidence-Based Healthcare Congress, Kish Island, Iran
Poster
41: CRITICAL APPRAISAL OF EVIDENCE-BASED NURSING CARE GUIDELINE BY USING THE AGREE II INSTRUMENT
  1. Atefeh Ghanbari1,
  2. Pardis Rahmatpour2,
  3. Fatemeh Jafaraghayee3,
  4. Malahat Khalili4
  1. 1Associate Professor, PhD of Nursing, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
  2. 2Msc of Nursing Education, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
  3. 3Assistant Professor, PhD of Nursing, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
  4. 4PhD student of Epidemiology, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background and aims: Clinical practice guidelines (CPGs) are useful tools based on the best available evidence for bridging the gap between available scientific evidence and clinical practice. Implementation according CPGs in practice have positive effects on health professionals' practice and patient outcomes. However, with the increase in published CPGs, concerns about their quality have risen. The aim of this study is to Critical Appraisal of Evidence-based Nursing Care Guideline by Using the AGREE II instrument.

Methods: Evidence-based Nursing Care Guideline in patients with diabetic foot ulcer was developed based on Stetler Model from March to December 2015by our research team. Critical appraisal of guideline was evaluated in 6 domains of AGREEII tool by expert panel. Expert panel(n=10) consist of specialist in endocrinology and diabetes field and nursing faculty member of Guilan University of Medical Sciences(GUMS) had research in diabetes and DFU. Applicability of guideline in clinical was assess with checklist by nursing group. Nursing group (n=28) consists of head nurses and all nurses of endocrine and surgery units, and educational nursing supervisor of RAZI hospital affiliated to GUMS.

Results: Among 114studies, evidence of 19 studies was selected and categorized based on 8NDs. According to mean scores of CVI/CVR of evidence, some evidence was revised by research team. In AGREEII domains, guideline had the highest score in “Scope and Purpose” (92.7%) and the lowest in “Applicability” (76.2%). About applicability of guideline, 92.9% of nurses reported the positive effect of implementation of guideline recommendations on caring DFU and lack of needed equipment for its implementation.

Conclusion: According to results, developed guideline in all domains had acceptable score. Recommendations of guideline had effective role in prevention, reduction of complication and length of stay in hospital among DFU patients. Development, implementation and evaluation of these guidelines are recommended for diabetes complications.

  • Evidence-Based Nursing
  • Practice Guideline
  • Diabetic Foot
  • Foot Ulcer
  • Diabetes

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-015415.41

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.