background: development of a manual or well‑defined criterion for prioritizing the topics of clinical practice guidelines (cpgs) will help validate and organize this process evermore. this study was conducted to design an applicable manual that would prioritize the cpg topics for family physicians. methods: this study was a multi‑stage method using a qualitative approach that was conducted for ...

BACKGROUND Patient engagement in clinical practice guideline (CPG) development is recommended by multiple institutions and instruments measuring guideline quality. Approaches to engaging patients, however, vary between oversight organizations, quality tools and guideline developers. OBJECTIVE We propose a ten-step framework outlining steps and options for patient engagement in guideline devel...

BACKGROUND Development of a manual or well-defined criterion for prioritizing the topics of clinical practice guidelines (CPGs) will help validate and organize this process evermore. This study was conducted to design an applicable manual that would prioritize the CPG topics for family physicians. METHODS This study was a multi-stage method using a qualitative approach that was conducted for ...

Clinical practice guideline (CPG) activities must be planned carefully for efficient use of available resources and evidence-based implementation. De novo development of CPGs may sometimes 'recreate the wheel' and delay implementation. Three innovative alternatives to de novo CPG development (adopt, contextualise or adapt) are outlined, which have greater potential than de novo development to b...

As the evidence for oncology nursing practice expands exponentially, nurse clinicians, including oncology nurses, are faced with a growing demand to integrate evolving contemporary evidence into practice. Models such as the Evidence-Based Practice (EBP) Framework (University of Pennsylvania Health System [UPHS] Nursing Research Committee, 1999) (see Figure 1), as well as the Oncology Nursing So...

Clinical practice guidelines augment clinician decision making. Researchers cite a lack of knowledge of guideline existence, complexity of guidelines, staff attitude, lack of training, time and resource constraints as reasons for nonadherence. This project sought to understand factors that promote or prevent guideline implementation at the point of care. Respondents' viewed clinical practice gu...

BACKGROUND Theories of behavior change indicate that an analysis of barriers to change is helpful when trying to influence professional practice. The aim of this study was to assess the perceived barriers to practice change by eliciting nurses' opinions with regard to barriers to, and facilitators of, implementation of a Fall Prevention clinical practice guideline in five acute care hospitals i...

This article examines how courts are likely to apply evidence-based medicine, and particularly clinical practice guidelines (CPGs), in healthcare litigation involving quality-of-care and entitlement-to-benefits (coverage) claims. Exploring the "politics" of the current situation, it observes that, just as clinicians have been reluctant to use CPGs in practice, courts have been, and likely will ...

BACKGROUND The complexity and quality requirements for the development of clinical practice guidelines steadily increase. Internet technologies support this process by optimizing the development process. OBJECTIVE The aim of this internet based solution was to facilitate the development of clinical practice guidelines. METHODS An internet portal was developed allowing for a shared workplace...

The “Point of Care” section answers everyday clinical questions by providing practical information that aims to be useful at the point of patient care. The responses reflect the opinions of the contributors and do not purport to set forth standards of care or clinical practice guidelines. Readers are encouraged to do more reading on the topics covered. If you would like to contribute to this se...