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Related Concept Videos

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Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
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Guidelines for Nursing Documentation I01:30

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Factual:  
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Related Experiment Videos

Evidence-based practice guidelines in OHS: are they agree-able?

Carel Hulshof1, John Hoenen

  • 1Netherlands Society of Occupational Medicine (NVAB), Centre of Excellence, PO Box 2113, 3500 GC Utrecht, The Netherlands.

Industrial Health
|February 8, 2007
PubMed
Summary

The AGREE instrument effectively assesses occupational health guidelines, proving relevant and user-friendly for professionals. While some scoring disagreements occurred, its reliability supports evidence-based practice development.

Related Experiment Videos

Area of Science:

  • Occupational Health
  • Evidence-Based Practice
  • Health Services Research

Background:

  • Assessing the quality of evidence-based practice guidelines is crucial for occupational health.
  • The Appraisal of Guidelines and REsearch and Evaluation (AGREE) instrument is a widely used tool for guideline appraisal.
  • Its suitability for occupational health guidelines requires specific evaluation.

Purpose of the Study:

  • To evaluate the acceptance, validity, reliability, and feasibility of the AGREE instrument for occupational physicians.
  • To assess the quality of practice guidelines from the Netherlands Society of Occupational Medicine (NVAB) using the AGREE instrument.

Main Methods:

  • Six NVAB practice guidelines were appraised by 20 occupational health professionals and experts.
  • Data on acceptance, validity, reliability, and feasibility were collected.
  • Internal consistency and interrater reliability were analyzed for AGREE domains.

Main Results:

  • The AGREE instrument was generally accepted, relevant, and easy to use for occupational health.
  • Sufficient internal consistency and interrater reliability were found for most domains, despite disagreements on individual item scores.
  • 'Applicability' domain received the lowest average score (53%), indicating areas for improvement.
  • 'Scope and Purpose' domain received the highest average score (87%).

Conclusions:

  • The AGREE instrument is a relevant and feasible tool for evaluating the quality of evidence-based practice guidelines in occupational health.
  • The AGREE criteria provide a valuable framework for developing and updating occupational health guidelines.
  • Specific attention to the 'applicability' domain is needed to enhance guideline quality.