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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Implementing Clinical Practice Guidelines for Improving Function in Cerebral Palsy: Development of a Fidelity Tool.

Michelle Jackman1, Megan Thorley, Rachel Toovey

  • 1The Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, Australia (Dr Jackman, Mr Blatch-Williams, Prof Novak); John Hunter Children's Hospital, Newcastle, Australia (Dr Jackman); Queensland Paediatric Rehabilitation Service, Brisbane, Australia (Ms Thorley); Department of Physiotherapy, The University of Melbourne, Melbourne, Australia (Dr Toovey); Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland Child Health Research Centre, Brisbane, Australia (Dr Burgess, A/Prof Sakzewski, Prof Boyd).

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|October 8, 2024
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Summary

A new 21-item fidelity tool was developed to guide the implementation of clinical practice guidelines for improving physical function in children with cerebral palsy. This tool aids clinicians and supervisors in self-reflection and planning practice changes.

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Area of Science:

  • Pediatric Rehabilitation
  • Clinical Practice Guideline Implementation
  • Cerebral Palsy Management

Background:

  • Cerebral palsy (CP) significantly impacts physical function in children and young people.
  • Effective implementation of clinical practice guidelines (CPGs) is crucial for optimizing care.
  • A need exists for tools to support adherence to CPGs in pediatric CP rehabilitation.

Purpose of the Study:

  • To develop a fidelity tool for supporting the implementation of CPGs.
  • To enhance physical function outcomes for children and young people with CP.
  • To provide a structured approach for evaluating adherence to best practices.

Main Methods:

  • A 5-step development process was employed.
  • Mixed-methods action research, including pilot studies, was utilized.
  • Data collection involved focus groups, questionnaires, and field notes.

Main Results:

  • A 21-item fidelity tool was successfully developed.
  • The tool covers core CPG components: goal setting, intervention, and therapeutic elements.
  • Clinicians and supervisors found the tool acceptable, feasible, and useful for self-reflection.

Conclusions:

  • A validated fidelity tool is now available for use.
  • Clinicians, supervisors, and organizations can use it for practice reflection.
  • The tool supports aligning practice with CPGs to improve functional outcomes in pediatric CP.