Clinical practice guideline is the deliberate product of inclusively considering factors influencing the decision making. Developing clinical practice guidelines is a time, resources and expertise consuming process. While for middle or low income countries where the resources and expertise may be scarce, adopting or adapting existing high quality clinical practice guidelines could be a potentially cost-effective strategy. Guideline adaptation is “a systematic process that guides local groups to identify, evaluate, adapt and use already available guidelines for their own purposes.” Although a potentially cost-effective strategy, guideline adaptation process is not widely taken across different settings, even poorly taken in some countries. …show more content…
Previous researches suggested a variety of guideline development process, which include guideline adaptation, but few studies focused specifically on the guideline adaptation process. Practice environment, evidence-based health care system, individual professional, politician and political context, innovation (CPG) and patients could be barriers to develop or adapt guidelines. These barriers may also apply to the guideline adaptation process. That is why although adaptation could be one of the best alternatives, those countries needing adapting guidelines may not follow. In addition to these mentioned factors, the incompliance to the proposed guideline adaptation strategy could be because of other reasons. Similar to the characteristics of practice guideline (i.e., quality of evidence, complexity) could be barriers for implementation, the characteristics of ADAPTE process could be potential barriers of guideline …show more content…
By combining quantitative measurement through a value to a property and qualitatively exploring the reason of a phenomenon or the theory underlying, the mixed methods could provide a more complete view and answer to a research question. The study on the barriers and facilitators of guideline adaptation process could potential promote the guideline adaptation process and facilitate the guideline enterprise. With the development in guideline adaptation methodology, we need to know the barriers and facilitators related to the guideline adaptation methodology, which existing evidence cannot answer. This study aims to compare the characteristics of the two adaptation approach and answer what barriers and facilitators exist in the guideline adaptation
When doing any studies with human subjects, “the safest and most reasonable position is that people everywhere are likely to respond similarly to the same treatment” (300). With third world countries, Angell states there are dissimilarities between population, but that cannot be anticipated. The local of standard care should not be different, the best treatment and care should always be given regardless of where the study takes place and who the subjects are. As clinical trial studies are becoming more popular, researchers need to understand the same protection goes to the people rather they are aboard or at home. Studies done in third world countries are unethical because they cannot afford the same effective treatment.
practitioner and patient decisions about appropriate health care for specific clinical circumstances". Their purpose is "to make explicit recommendations with a definite intent to influence what clinicians do". Additionally, guidelines have an important role in standardization care and health policy formation such as health promotion, screening etc.
Evidence-Based Practice (EBP) can be defined in two ways. Sackett (1996) explains about evidence based medicine (EBM) and that by using the best clinical expertise alongside the best available external clinical evidence from systematic research then the patient would receive the best treatment available. Although one issue with this approach is that the only point that the patient is involved is when the decision has already been reached. The author feels that on occasions the final decision may not be the best one. An alternative approach comes from Gray (2001) who discusses that using the best evidence available, in consultation with the patient would aid both parties in deciding the best option which will suit the patient. As a patient in the past the author knows which approach has been taken when discus...
The model chosen for this project is the Model for Evidence-Based Practice Change. The model consists of important guidelines tools in Evidence-based practice (EBP) that can reduce healthcare variation and improve patient outcomes (Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E., 2014). Evidence-based practice (EBP) is a problem-solving method to the delivery of health care as it combines the best evidence from well-design studies and evidence-based theories with expertise of the clinician and a patient’s preferences, values to make the best clinical decisions (Melnyk, B. M., et al. 2014). The model consists of seven steps of
“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values” (ASHA). Staff of ASHA embarked upon the new idea of Evidence-Based Practice (EBP) in 2005. The goal of EBP is the integration of: clinical expertise/expert opinion, external scientific evidence, and client/patient/caregiver perspective to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve (ASHA). The four steps of EBP include: framing the clinical question, finding the evidence to suppose the question, assessing the evidence, and making the clinical decision. Researchers have studied the status of current implementation of EBP in the field, challenges to implement EBP, the debate of adopting EBP framework in our field, and the use of EBP in SLP practice and EBP knowledge.
In order for clinical policy or guideline to be both evidence based and clinically relevant, it must balance the strengths and weaknesses of all applicable research evidence with the practical realities of the healthcare and clinical settings. This is can be a problematic step because of limitations in both the evidence that is available and in policy making (Donald & Haines, 1998).
Margaret Sanger opened the first birth control clinic in the United States on October 16, 1916. Her nonprofit organization is now known as Planned Parenthood. Sanger was not only an advocate for women’s reproductive rights, but also a serious eugenic enthusiast. Her motives behind starting the organization were to educate women about the reproductive process allowing them to choose when and whether to bear children. Although Sanger supported the eugenics movement and sterilization, we cannot forget about all of the men and women her organization helped and continues to help to this day.
Countries that do not have access to evidenced-based screening and diagnostic tools subsequently do not have access to evidence-based treatments and care ...
Liu, C., Spector, P. E., & Shi, L. (2008). Use of Both Qualitative and Quantitative
Evidence-based practice (EBP) is critical in nursing and midwifery, providing high-quality treatment by combining research, patient preferences, and professional skills. This report researches the role of evidence-based practice (EBP) in improving patient outcomes and professional growth. Key concerns include developing EBP principles, employing them, and evaluating impacts on care quality. Facilitators are research, education, organizational assistance, and transdisciplinary collaboration sources. Time restrictions and resistance to change are barriers.
However, how is this accomplished? To close the evidence-based practice gap, a number of actions have been taken and still can be taken. The actions consist of, information dissemination, which entails providing practitioners with evidence-based recommendations and conclusions via a variety of platforms, including conferences, workshops, and peer-reviewed publications. Educating Practitioners: Train and instruct medical professionals on how to monitor and assess patients, as well as integrate evidence-based procedures into clinical decision-making. Regularly evaluate the application of evidence-based procedures and track results to pinpoint areas in need of development.
Effective health care targeted processes that demonstrate desired outcomes. It is important to adopt the process of various techniques and identify the prevented techniques for the influence of changing associated system. Some techniques are involved in assessment of performance and tools for the quality of improvement. Health care provides multiple factors to determine the quality and ensure the safety of the change practices which increase challenges for patients. The patient actively engages in the development of evidence based on critical knowledge and core health care system strengths.
Mixed methods research should, instead (at this time), use a method and philosophy that attempt to fit together the in-sights provided by qualitative and quantitative research into a workable solution.
It is a paradigm that involves combining quantitative and qualitative approaches in the same study. Quantitative and qualitative data were collected simultaneously at various levels or different sequence; sometimes both types of data are combined to arrive at new variables and topics for future tests or scans. The process is fully interactive, which designs and deal with extremely complex problems. In this way, the results are generalised, which can develop emerging theory, testing hypotheses and others. Each design is practically unique and sequences may vary.
Another option available to a researcher is mixed methods which focuses on collecting, analyzing, and mixing both qualitative and quantitative data in a single study; also, it is based on the premise that the use of quantitative and qualitative combination provides a better understanding of the research problem than either approach alo...