Abstract:
BACKGROUND:Pressure injuries are one of the most frequently occurring, yet preventable hospital-acquired adverse events. Given there are many clinical practice guidelines available on the prevention and treatment of pressure injuries, it is useful to understand the quality of these guidelines and the clinical application of their recommendations. OBJECTIVE:To critically evaluate the quality and applicability of the recommendations in pressure injury prevention and treatment clinical practice guidelines. DESIGN:Systematic review, reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DATA SOURCES:We systematically searched the literature published from 2005 to 2020 using MEDLINE, EMBASE, CINAHL, the Cochrane Library, ProQuest and PubMed electronic databases, and nine guideline repositories. REVIEW METHODS:We assessed overall quality using the validated Appraisal of Guidelines for Research and Evaluation II (AGREE II) and AGREE Recommendation Excellence (AGREE-REX) tools. Overall % mean scores across AGREE II and AGREE-REX domains were calculated for each guideline. Clinical practice guidelines were then ranked in tertiles based on "high", "moderate" or "low" quality. The review protocol was registered in the International Prospective Register of Systematic Reviews. RESULTS:Initial combined database and repository searches yielded 3247 documents. Of these,73 full text documents were reviewed. The final analysis included 12 complete guidelines and 14 related documents. Overall AGREE II scores ranged from 32% to 96% while AGREE-REX scores were generally lower ranging from 10% to 75%. Combined % mean scores across AGREE II and AGREE-REX criteria suggest that four guidelines were ranked as "high" (range 69% to 85%) and are recommended without modification. These included; the 2019 International Guideline, the 2016 Canadian Guideline, the 2014 NICE Guideline, and the 2013 Belgian Guideline. CONCLUSIONS:There is disparity in the quality of the included guidelines, however four high quality guidelines are available. These guidelines could ideally be implemented in daily practice and adapted to local policies.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Gillespie BM,Latimer S,Walker RM,McInnes E,Moore Z,Eskes AM,Li Z,Schoonhoven L,Boorman RJ,Chaboyer Wdoi
10.1016/j.ijnurstu.2020.103857subject
Has Abstractpub_date
2020-12-23 00:00:00pages
103857eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30348-5journal_volume
115pub_type
杂志文章,评审abstract:BACKGROUND:Calls for improved conditions in nursing homes have pointed to the importance of optimizing the levels and skills of care providers. Understanding the work of care providers will help to determine if staff are being used to their full potential and if opportunities exist for improved efficiencies. OBJECTIVE...
journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2005-01-01 00:00:00
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更新日期:2020-08-01 00:00:00
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