Essential skills for evidence-based practice appraising clinical practice guidelines
Jeanne T. Grace, RN, PhD
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Evidence-based clinical practice guidelines allow generalist nurses to benefit from the scholarship and clinical expertise of others. Guidelines summarize the available evidence about a clinical problem and make recommendations for practice based on evidence appraisal and values (often unstated) defining effective and efficient care. Practice guideline recommendations must be comprehensive even when best evidence is not available to inform each one. As a result, evidence-based clinical practice guidelines include ratings of the strength of evidence supporting each recommendation and often the strength of the recommendation (balance of risks and benefits). Clinical practice guidelines provide evidence in a format that is particularly useful for generalist nurses; however, any guideline must be appraised for trustworthiness and values fit before application to patient care. Instructions for a brief appraisal process are provided in both English and Thai.
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|Keywords||Clinical Practice Guideline;
Strength of Evidence;
Strength of Recommendation
Original Publication Info
|Publisher||Mahidol University, Thailand|
|Citation||Grace, J. T. (2013) Essential Skills for Evidence-based Practice: Appraising Clinical Practice Guidelines. Journal of Nursing Science, 31(3), 7-17.|
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Showing items related by title, author, creator and subjects.
Essential skills for evidence-based practice: Strength of evidence Grace, Jeanne T. (Mahidol University, Thailand, 2009-05)The strength of the evidence to answer any clinical question depends on the quantity and quality of the evidence and the consistency of findings across studies. The nature of the clinical question determines what study ...
Essential skills for evidence-based practice: Appraising evidence for therapy questions Grace, Jeanne T. (Mahidol University, Thailand, 2012-01)Evidence to support the effectiveness of therapies commonly compares the outcomes between a group of individuals who received the therapy and a group of individuals who did not. Nurses must be able to determine how well ...
Essential skills for evidence-based practice: Appraising qualitative research Grace, Jeanne T. (Mahidol University, Thailand, 2014-04)Research from qualitative traditions is often ignored as a resource for evidence-based practice. Findings from qualitative research, however, are of particular benefit to generalist nurses. Human responses to health concerns ...
Essential skills for evidence-based practice: How to ask a clinical question Grace, Jeanne T. (Mahidol University, Thailand, 2009-01)Nurses who wish to apply evidence to practice must be able to ask questions about clinical problems in a format that allows those questions to be answered with evidence. This article contains a discussion of the nature of ...
Essential skills for evidence-based practice: Evidence access tools Grace, Jeanne T. (Mahidol University, Thailand, 2009-09)In an efficient search for evidence to address clinical questions, clinicians consult trustworthy collections of critically evaluated evidence when those resources exist. The “5S” hierarchy organizes these resources in ...