NSG 4000 – Application of Evidence-Based Research

 

Week 6 Clinical Practice Guidelines

 

https://www.youtube.com/watch?v=mQE4csiYaa8

 

https://libguides.adelphi.edu/c.php?g=1129354&p=8242231

 

https://rnao.ca/bpg/guidelines

 

https://www.guidelinecentral.com/

 

Find a current clinical practice guideline (preferably one that relates to your nursing topic) dated within the past five years from the assigned reading or the website of the professional nursing association of your area of interest or nursing specialty. Answer the following questions.  Support your response by citing and referencing the clinical practice guideline.

1. Read the selected clinical practice guideline and share its:

· Title

· Date of publication

· Organization or author

· Purpose

· Two major clinical recommendations

2. In a concise paragraph, provide a reflection of your appraisal of the clinical recommendations by examining the following aspects of the clinical practice guideline:

· Were the recommendations based on strong evidence? Consider the levels of evidence for the various references used to develop the clinical practice guideline and explain.

 

· How will the recommendations help you to care for patients?

 

· How is a clinical practice guideline different from a research study?

NSG 4000 – Application of Evidence-Based Research

1. The title of the clinical practice guideline is AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee¹.
2. The date of publication is September 13, 2021¹.
3. The organization or author is the American Academy of Orthopaedic Surgeons (AAOS)¹.
4. The purpose of the clinical practice guideline is to provide updates to the evidence-based recommendations for the management of osteoarthritis of the knee, excluding knee replacement surgery¹.
5. Two major clinical recommendations are:
   • The guideline suggests that patients with symptomatic osteoarthritis of the knee receive one of the following analgesics for pain (unless there are contraindications to this treatment): acetaminophen (not to exceed 3,000 mg per day), intra-articular corticosteroids, or oral anti-inflammatory drugs (NSAIDs)¹.
   • The guideline does not recommend the use of glucosamine and/or chondroitin sulfate or hydrochloride, needle lavage, or debridement for the treatment of osteoarthritis of the knee¹.

A possible reflection paragraph is:

The clinical recommendations in this guideline are based on strong evidence, as they are derived from systematic reviews and meta-analyses of randomized controlled trials, observational studies, and expert opinions. The guideline also provides the strength of each recommendation, the quality of the evidence, and the potential harms and benefits of each intervention. The recommendations will help me to care for patients with osteoarthritis of the knee by offering them the most effective and safe options for pain relief and improved function, as well as informing them of the treatments that are not supported by the current evidence. A clinical practice guideline is different from a research study in that it synthesizes the best available evidence from multiple sources and provides practical guidance for clinical decision making, whereas a research study investigates a specific question or hypothesis using a defined methodology and reports the results and conclusions.

Application of Evidence-Based Research

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