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Procedures for using clinical practice guidelines
Patricia Hargrove1, Mona Griffer, Bonnie Lund
1Minnesota State University, Mankato, Mankato, MN 56001, USA. patricia.hargrove@mnsu.edu
Language, Speech, and Hearing Services in Schools
|July 4, 2008
Summary
Speech-language pathologists can improve evidence-based practice using a new guide to critically analyze clinical practice guidelines (CPGs). This tool enhances informed decision-making in speech-language pathology.
Area of Science:
- Speech-language pathology
- Evidence-based practice
- Clinical decision-making
Background:
- Clinical practice guidelines (CPGs) offer recommendations based on evidence and expert opinion.
- Effective application of CPGs in speech-language pathology requires critical appraisal skills.
- A structured approach is needed to evaluate and implement CPGs in clinical settings.
Purpose of the Study:
- To define clinical practice guidelines (CPGs) and discuss their components and rationale.
- To present a guide for critically analyzing CPGs for speech-language pathology practice.
- To provide recommendations for applying CPGs in clinical settings.
Main Methods:
- Authors and a graduate student independently evaluated an early intervention CPG using the developed guide.
- The guide's interrater reliability was assessed.
- An illustrative CPG evaluation was presented to demonstrate guide application.
Main Results:
- The developed guide demonstrated high interrater reliability.
- Analysis identified issues with three specific items within the guide.
- Potential resolutions and explanations for identified guide problems were proposed.
Conclusions:
- Speech-language pathologists can enhance research application in practice by utilizing the proposed guide.
- The guide supports improved informed clinical decision-making skills.
- Effective CPG analysis and application are crucial for advancing speech-language pathology practice.
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