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Developing clinical guidelines: issues and challenges.

J Rycroft-Malone1, L Duff

  • 1Quality Improvement Programme, RCN Institute, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE. 01865 224558

Journal of Tissue Viability
|April 16, 2002
PubMed
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Developing clinical guidelines for evidence-based practice is resource-intensive. Adapting existing guidelines offers a practical alternative for local implementation, saving time and resources.

Area of Science:

  • Nursing Practice
  • Evidence-Based Healthcare
  • Clinical Guideline Development

Background:

  • Clinical guidelines are crucial for promoting evidence-based practice.
  • There has been a significant increase in guideline development nationally and locally.
  • The Royal College of Nursing (RCN) has developed guidelines for tissue viability.

Purpose of the Study:

  • To describe clinical guidelines and their development process by a national organization.
  • To outline challenges and desirable attributes in guideline development.
  • To present a stepwise process for adapting existing guidelines.

Main Methods:

  • The paper details the development of two specific tissue viability guidelines.
  • It outlines challenges encountered during the guideline development process.

Related Experiment Videos

  • A stepwise approach for adapting existing guidelines is presented.

    • Main Results:

    • Guideline development is a labor-intensive, resource-intensive, and time-consuming process.
    • Key challenges include topic, group experience, purpose, and evidence availability.
    • Desirable attributes for usable and effective guidelines are identified.

    Conclusions:

    • Producing clinically valid and usable guidelines requires significant effort and resources.
    • Adapting existing guidelines is a viable strategy to overcome development challenges.
    • The presented stepwise process aids in local guideline adaptation.