Journal article
Adaptation of Clinical Practice Guideline Recommendations in Hospitals for People Living With Dementia and Their Caregivers.
- Mack S University Hospital Graz, Graz Austria & Institute of Nursing Science, Medical University of Graz, Graz, Austria.
- Hahn S Head of Nursing Division, Division Head of Applied Research and Development in Nursing, Bern University of Applied Sciences, Bern, Switzerland.
- Palli C Institute of Nursing Science, Medical University of Graz, Graz, Austria.
- Findling T University Hospital Graz, Graz Austria & Institute of Nursing Science, Medical University of Graz, Graz, Austria.
- Lohrmann C Institute of Nursing Science, Medical University of Graz, Graz, Austria.
- 2018-10-24
Published in:
- Worldviews on evidence-based nursing. - 2019
ADAPTE process
adaptation
clinical practice guidelines
dementia
general hospital
nonpharmacological intervention
recommendation
Austria
Caregivers
Dementia
Guideline Adherence
Guidelines as Topic
Hospitals
Humans
Quality of Health Care
English
BACKGROUND
Dementia is common in older people in general hospitals. To improve the quality of their care, the use of nonpharmacological interventions based on the best evidence from clinical guidelines is recommended. Many international clinical guidelines exist, but their recommendations are often not used because they do not fit the local setting or the country.
AIM
The aim of this study was to adapt the international clinical guidelines and their recommendations to the Austrian context regarding nonpharmacological interventions for people with dementia living in the general hospital setting.
METHODS
The ADAPTE process was chosen as a method for the adaptation. A search for international clinical guidelines was conducted in seven databases within this process. The guidelines which met the inclusion and quality criteria were assessed with the AGREE II instrument by two independent reviewers. The recommendations of the guidelines were extracted. Those that did not fit the Austrian context were excluded, and recommendations with similar statements were summarized. The selected and modified recommendations were translated into German.
RESULTS
Out of 206 guidelines, three met the inclusion criteria and two, the quality criteria. One hundred and fifty-two recommendations were extracted from these two guidelines, 42 of which were suitable for the Austrian setting and 20 of which had similar statements and could be summarized. Finally, 32 recommendations were identified that were applicable to the general hospital setting in Austria.
LINKING EVIDENCE TO ACTION
The adaptation of clinical guidelines with the ADAPTE process generated seven topics with 32 recommendations. Many international guidelines exist, but they cannot be applied verbatim in every country due to the fact that some recommendations are not applicable with respect to the national and local context. Creating an adaption of international guidelines is an effective way to provide and link evidence from research to national nursing practice.
Dementia is common in older people in general hospitals. To improve the quality of their care, the use of nonpharmacological interventions based on the best evidence from clinical guidelines is recommended. Many international clinical guidelines exist, but their recommendations are often not used because they do not fit the local setting or the country.
AIM
The aim of this study was to adapt the international clinical guidelines and their recommendations to the Austrian context regarding nonpharmacological interventions for people with dementia living in the general hospital setting.
METHODS
The ADAPTE process was chosen as a method for the adaptation. A search for international clinical guidelines was conducted in seven databases within this process. The guidelines which met the inclusion and quality criteria were assessed with the AGREE II instrument by two independent reviewers. The recommendations of the guidelines were extracted. Those that did not fit the Austrian context were excluded, and recommendations with similar statements were summarized. The selected and modified recommendations were translated into German.
RESULTS
Out of 206 guidelines, three met the inclusion criteria and two, the quality criteria. One hundred and fifty-two recommendations were extracted from these two guidelines, 42 of which were suitable for the Austrian setting and 20 of which had similar statements and could be summarized. Finally, 32 recommendations were identified that were applicable to the general hospital setting in Austria.
LINKING EVIDENCE TO ACTION
The adaptation of clinical guidelines with the ADAPTE process generated seven topics with 32 recommendations. Many international guidelines exist, but they cannot be applied verbatim in every country due to the fact that some recommendations are not applicable with respect to the national and local context. Creating an adaption of international guidelines is an effective way to provide and link evidence from research to national nursing practice.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1111/wvn.12334
- PMID 30352139
- Persistent URL
- https://sonar.ch/global/documents/93320
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