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The 2014 International Pressure Ulcer Guideline: methods and development
Emily Haesler1, Jan Kottner2, Janet Cuddigan3
1Curtin University, School of Nursing, Midwifery and Paramedicine, Perth, Western Australia, Australia.
Journal of Advanced Nursing
|December 18, 2016
Summary
This guideline details the methodology for developing pressure ulcer prevention and treatment recommendations. Understanding the process enhances clinical application of best practices.
Area of Science:
- Clinical Practice Guidelines
- Evidence-Based Practice
- Pressure Ulcer Management
Background:
- The second edition of the clinical guideline was developed by international experts from key pressure ulcer advisory panels.
- This guideline focuses on the methodology behind the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline (2014).
Purpose of the Study:
- To discuss the methodology employed in developing the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline.
- To enhance clinician understanding and meaningfulness of guideline recommendations.
Main Methods:
- A comprehensive literature search identified 4286 studies up to July 2013.
- 356 studies were critically appraised and included, with evidence levels assigned.
- The GRADE system was used to assign the strength of recommendation.
Main Results:
- 575 recommendations were generated, with evidence strength and recommendation strength assigned.
- 87% of recommendations were supported by low-quality/indirect evidence or expert opinion (rated C).
- 43% of recommendations received a strong ('Do it') rating.
Conclusions:
- Recommendations reflect best practices for pressure ulcer prevention and treatment.
- Implementation should consider local context, resources, and individual patient needs.
- Understanding the guideline development process is crucial for effective clinical application.
Keywords:
clinical guidelineevidence-based practicenursingpressure injurypressure ulcerresearch methodologyMore Related Videos
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