Methodology minute: Utilizing the RAND/UCLA appropriateness method to develop guidelines for infection prevention

Karina R Charles1, Lisa Hall2, Amanda J Ullman3

  • 1Paediatric Intensive Care Unit, Queensland Children's Hospital, South Brisbane Queensland, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, St Lucia, Queensland, Australia; Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Queensland, Australia.

Insights

The RAND/UCLA appropriateness method offers practical, evidence-based clinical guidance for infection preventionists when clinical trial data is unavailable. This primer introduces the methodology with a case study for infection prevention and management.

Area of Science:

  • Healthcare Management
  • Clinical Practice Guidelines
  • Infection Control

Background:

  • Clinical trial data is often lacking for specific infection prevention and management scenarios.
  • Evidence-based guidance is crucial for infection preventionists (IPs).
  • The need for practical, adaptable methodologies in infection control is high.

Purpose of the Study:

  • To introduce the RAND/UCLA appropriateness method to infection preventionists.
  • To demonstrate the application of this method in infection prevention and management.
  • To provide a primer on a novel approach to clinical decision-making.

Main Methods:

  • Utilizing the RAND/UCLA appropriateness method.
  • Developing practical, evidence-based clinical guidance.
  • Illustrating the methodology through a case study.

Main Results:

  • The RAND/UCLA appropriateness method provides a structured approach to developing clinical guidance.
  • The method is applicable even without extensive clinical trial data.
  • A case study successfully demonstrated its utility in infection prevention.

Conclusions:

  • The RAND/UCLA appropriateness method is an innovative tool for infection preventionists.
  • This methodology facilitates evidence-based decision-making in the absence of direct trial data.
  • The primer serves as an accessible introduction to implementing this method in practice.

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