Information de reference pour ce titreAccession Number: | 00129334-200507000-00011.
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Author: | Graham, Ian D. PhD; Harrison, Margaret B. PhD, RN; Lorimer, Karen MScN, RN; Piercianowski, Tadeusz MBBS, FRCPC, FAAD; Friedberg, Elaine MHA, RN; Buchanan, Maureen BScN, BA, RN; Harris, Connie MSc (candidate), ET, RN
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Institution: | Ian D. Graham, PhD, is Associate Professor, School of Nursing, and Associate Professor, Medicine, Epidemiology and Community Medicine, University of Ottawa, and Senior Social Scientist and Associate Director, Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa, Ontario, Canada. Margaret B. Harrison, PhD, RN, is Associate Professor, Senior Scientist, Practice and Research in Nursing Group, the School of Nursing, Queen's University, Kingston, Ontario, Canada. Karen Lorimer, MScN, RN, is Clinical Leader, Wound Service, Victoria Order of Nurses, Ottawa, Ontario, Canada. Tadeusz Piercianowski, MBBS, FRCPC, FAAD, is with the Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada. Elaine Friedberg, MHA, RN, is Research Coordinator and Analyst, Practice and Research Nursing Group, School of Nursing, Queen's University, Kingston, Ontario, Canada. Maureen Buchanan, BScN, BA, RN, is a Wound Specialist with Paramed, Kingston, Ontario, Canada. Connie Harris, MSc (candidate), ET, RN, is a Partner in ET NOW, Waterloo, Ontario, Canada.
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Title: | |
Source: | Advances in Skin & Wound Care. 18(6):307-318, July/August 2005.
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Abstract: | BACKGROUND: Because of growing resources devoted to individuals requiring community care for leg ulcers, the authority responsible for home care in Ottawa, Ontario, Canada, established and evaluated a demonstration leg ulcer service. In an effort to provide current and evidence-based care, existing leg ulcer clinical practice guidelines were identified and appraised for quality and suitability to the new service.
PROCESS: The Practice Guideline Evaluation and Adaptation Cycle guided development of a local protocol for leg ulcer care, which included: (1) systematically searching for practice guidelines, (2) appraising the quality of identified guidelines using a validated guideline appraisal instrument, (3) conducting a content analysis of guideline recommendations, (4) selecting recommendations to include in the local protocol, and (5) obtaining practitioner and external expert feedback on the proposed protocol. Updating the protocol followed a similar process.
RESULTS: Of 19 identified leg ulcer practice guidelines, 14 were not evaluated because they did not meet the criteria (ie, treatment-focused guidelines, written in English and developed after 1998). Of the 5 remaining guidelines, 3 were fairly well developed and made similar recommendations. The level of evidence supporting specific recommendations ranged from randomized clinical trial evidence to expert opinion. By comparing the methodologic quality and content of the guidelines, the Task Force reached consensus regarding recommendations appropriate for local application. Two additional guidelines were subsequently identified and incorporated into the local protocol during a scheduled update.
CONCLUSIONS: Local adaptation of international and national guidelines is feasible following facilitation of the Practice Guidelines Evaluation and Adaptation Cycle.
(C) 2005 Lippincott Williams & Wilkins, Inc.
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Language: | English.
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Document Type: | FEATURES: ORIGINAL INVESTIGATION.
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Journal Subset: | Nursing. Clinical Medicine.
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ISSN: | 1527-7941
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NLM Journal Code: | dkd, 100911021
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