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Developing infection prevention and control guidelines for healthcare professionals in the Netherlands: an evaluation
Annelotte Sussenbach1, Haitske Graveland2, Andreas Voss3
1Knowledge Institute of the Dutch Association of Medical Specialists, Utrecht, the Netherlands; Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, Groningen, the Netherlands.
Background:
Nosocomial infections in healthcare pose potentially life-threatening risks to patients and can drive up healthcare costs. To address this, the Dutch Collaborative Partnership for Infection Prevention Guidelines (SRI) creates evidence-based guidelines to reduce infections in hospitals, long-term care facilities, and public health settings.
Aim:
To evaluate professionals' experiences with the evidence-based guideline development process in order to gain insights into the feasibility of the current process.
Methods:
Guideline development group (GDG) members from 2021 to 2022 were surveyed. Data on expectations prior to participation; experienced workload; satisfaction with the composition of the GDG, the guideline development process, and generic or domain-specific guidelines; and implementation factors, were collected and analysed.
Findings:
Eighty out of 168 (48%) members of 17 GDGs responded. Expectations were clear to 46 (57%) respondents prior to participating. Twenty-seven (34%) respondents found time investment higher than expected, especially literature screening. Seventy (88%) respondents agreed that their association was represented sufficiently, and 69 (86%) reported that there was sufficient knowledge on infection prevention. However, 25 (31%) respondents expressed that Grading of Recommendations Assessment, Development and Evaluation (GRADE) is unsuitable to assess available evidence, although not offering alternatives. Thirty-two (40%) respondents wished for the adaptation of generic guidelines into domain-specific guidelines.
Conclusion:
Respondents emphasized the need for adaptation of generic guidelines into domain-specific guidelines, implying the necessity to develop guidelines that closely align with the needs of the field. Addressing areas for improvement - such as workload management, methodological concerns, and implementation strategies - are crucial to optimize the development process and ensure the guidelines' impact on infection prevention.
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