Kontakt 2011, 13(4):396-403 | DOI: 10.32725/kont.2011.043

Analysis of selected clinical practice guidelines and standards of pressure ulcers managementNursing

Dorota Wojnarová*, Darja Jarošová
Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence

The purpose of the study presented here was to use the AGREE instrument for the implementation of the methodological analysis of the quality of processing selected clinical practice guidelines focused on problems of pressure ulcers, and furthermore to find differences between particular recommended clinical procedures in the field of prevention of the decubitus development and recommended preventive strategies.
The clinical practice guidelines (CPG) were searched for in electronic databases (G-I-N, Medline, Embase, ProQuest, Science Direct, Web of Knowledge) based on the following key words: pressure ulcers, pressure sore, decubitus, prevention, clinical practice guidelines. After subsequent classification and analysis of five foreign recommended clinical procedures and two Czech standards, the CPG methodological quality was evaluated and recommended preventive nursing strategies of prevention and taking care of pressure ulcers were compared.
In terms of methodology, the clinical practice guideline Risk Assessment & Prevention of Pressure Ulcers of the group Registered Nurses Association Ontario (RNAO) exerted the highest quality of processing. Most CPG evaluated mentioned similar recommendations of nursing interventions in the prevention and taking care of pressure ulcers. Differences were particularly found in recommendations of scales for the determination of the measure of risk of the pressure ulcers development, where the scale Braden, and under Czech conditions the scale Norton, were preferred.
Our study demonstrated considerable differences in processing of foreign CPG and Czech local standards of taking care of pressure ulcers, mainly in the compilation and implementation of recommendations - participation of multidisciplinary teams including patients, recommendations supported by research demonstrations, availability of professional as well as lay public.

Keywords: clinical practice guidelines; pressure ulcers; AGREE instrument; preventive interventions

Received: August 22, 2011; Accepted: October 10, 2011; Published: December 16, 2011  Show citation

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Wojnarová D, Jarošová D. Analysis of selected clinical practice guidelines and standards of pressure ulcers management. Kontakt. 2011;13(4):396-403. doi: 10.32725/kont.2011.043.
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