Article type
Abstract
Background: Many international clinical practice guidelines exist to guide wound managing. Nevertheless, the international recommendations have not yet been adapted to address the Iranian healthcare context.
Objectives: The current study was conducted to adapt clinical practice guidelines for wound management, following the ADAPTE-process for use by all clinicians in the clinical decision making process in their wound care practice in Iran.
Methods: The ADAPTE framework was used to conduct the adaptation process. Clinical practice guidelines were identified from six database of evidence-based clinical practice guidelines and three electronic databases. Three independent reviewers critically appraised the eligible guidelines using the Appraisal of Clinical Guidelines for Research and Evaluation II (AGREE II) tool. Guidelines had to be related to a topic published within the past 5 years and achieve a development rigor score of 60% using the AGREE II instrument. Recommendations were then extracted, tabulated and evaluated by four criteria of usefulness, cost-effectiveness, acceptability, and applicability within two Delphi rounds. Pertinent recommendations were then translated into Persian language and externally validated in the Iranian healthcare context using AGREE reporting checklist.
Results: We identified 160 results in databases. After applying inclusion and exclusion criteria, we assessed five international clinical guidelines for quality using the AGREE II instrument. Three clinical guidelines fulfilled the inclusion criteria. The included guidelines contains 213 recommendations, of which 173 were adapted to the Iranian context in the following sub-headings: assessment, determining goal of care, assemble the team, develop and implement a care plan, client education, discharge planning, and evaluating care outcomes.
Conclusion: This adapted clinical practice guideline provides guidance to local healthcare providers on managing wounds, which will improve the acceptance and applicability of the recommendations and promote compliance among healthcare providers in Iran. Further research should assess the effectiveness of implementing this adapted guideline to improve local wound care in Iran.
Objectives: The current study was conducted to adapt clinical practice guidelines for wound management, following the ADAPTE-process for use by all clinicians in the clinical decision making process in their wound care practice in Iran.
Methods: The ADAPTE framework was used to conduct the adaptation process. Clinical practice guidelines were identified from six database of evidence-based clinical practice guidelines and three electronic databases. Three independent reviewers critically appraised the eligible guidelines using the Appraisal of Clinical Guidelines for Research and Evaluation II (AGREE II) tool. Guidelines had to be related to a topic published within the past 5 years and achieve a development rigor score of 60% using the AGREE II instrument. Recommendations were then extracted, tabulated and evaluated by four criteria of usefulness, cost-effectiveness, acceptability, and applicability within two Delphi rounds. Pertinent recommendations were then translated into Persian language and externally validated in the Iranian healthcare context using AGREE reporting checklist.
Results: We identified 160 results in databases. After applying inclusion and exclusion criteria, we assessed five international clinical guidelines for quality using the AGREE II instrument. Three clinical guidelines fulfilled the inclusion criteria. The included guidelines contains 213 recommendations, of which 173 were adapted to the Iranian context in the following sub-headings: assessment, determining goal of care, assemble the team, develop and implement a care plan, client education, discharge planning, and evaluating care outcomes.
Conclusion: This adapted clinical practice guideline provides guidance to local healthcare providers on managing wounds, which will improve the acceptance and applicability of the recommendations and promote compliance among healthcare providers in Iran. Further research should assess the effectiveness of implementing this adapted guideline to improve local wound care in Iran.