Assignment 4 Evidence-Based Practice Guideline
Write a fully developed and detailed APA essay addressing each of the following points/questions. Be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Make sure to cite using the APA writing style for the essay and complete a reference page. The cover page is required. Review the rubric criteria for this assignment.
Utilize the databases identified in the text to locate an Evidence-Based Practice Guideline, related to your topic identified in Module 1 ((Topic: effect of hand hygiene protocol compared to not introducing a hand hygiene protocol help reduce the rate of hospital-acquired infections for a period of six months.). Perform a rapid critical appraisal of the Evidence-Based Guideline by answering the following questions in APA format. All questions should be answered in detail and explanations offered according to guideline content when applicable.
- Who were the guideline developers?
- Were the developers of the guideline representative of key stakeholders in this specialty (inter-disciplinary)?
- Who funded the guideline development?
- Were any of the guideline developers funded researchers of the reviewed studies?
- Did the team have a valid development strategy?
- Was an explicit (how decisions were made), sensible, and impartial process used to identify, select, and combine evidence?
- Did its developers carry out comprehensive, reproducible literature review within the past 12 months of its publication/revision?
- Were all important options and outcomes considered?
- Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked to the scientific evidence?
- Do the guidelines make explicit recommendations (reflecting value judgments about the outcomes)?
- Has the guideline been subjected to peer review and testing?
- Is the intent of use provided (i.e. national, regional, local)?
- Are the recommendations clinically relevant?
- Will the recommendations help me in caring for my patients?
- Are the recommendations practical/feasible? Are resources (people and equipment) available?
- Are the recommendations a major variation from current practice? Can the outcomes be measured through standard care?
Be sure to include the database from which the guideline was obtained and please submit a copy of the guideline with your paper.
Your APA formatted paper fully answer each question in complete sentences.
Clinical practice guidelines are of significant benefit in that that they help improve the process and quality of care and boost patient outcomes. Clinical practice guidelines also make it easy for healthcare practitioners to choose between the most effective evidence-based practices. The practice guideline for hand hygiene (HH) in healthcare settings is one of such clinical practice guidelines which is significantly explored in this paper.
Who were the guideline developers?
The practice guideline for HH in healthcare settings was developed by the Centers for Disease Control and Prevention (CDC). The main role of the CDC is to control the introduction and spread of infectious diseases in the US and also to improve disease prevention and control, health promotion, and environmental health activities. The practice guideline for hand hygiene development falls in the mandate of the CDC to help control and prevent diseases in different settings, including healthcare settings (CDC, 2002).
Were the developers of the guideline representative of key stakeholders in this specialty (inter-disciplinary)?
The developers of the practice guideline for HH in healthcare settings were representative of main stakeholders in the healthcare industry. This is because the developers included Doctor Julie L. Gerberding, who is the director of the CDC, Dr. David W Fleming, who is the deputy director for science and public health in the CDC; Dr. Dixie E.Snider who is an associate director of science in CDC and doctor Stephen B. Thacker, who is a director in the epidemiology program office of the CDC. The various doctors involved in publishing the practice guideline for hand hygiene in healthcare settings were therefore drawn from different backgrounds in healthcare and therefore formed an effective interdisciplinary team (CDC, 2002).
Who funded the guideline development?
The development of the guideline was funded by the federal government through the CDC. Every year the Federal government funds the various programs for the CDC, including the development of various practice guidelines that can be utilized for different preventative practices. The Federal government was the sole funding body for the practice guideline for hand hygiene in healthcare settings.
Were any of the guideline developers funded researchers of the reviewed studies?
None of the developers were funded researchers of the reviewed studies. This is because all the practice guideline developers worked for the CDC, which is an independent body. As a result of all the guideline developers not being funded, researchers of the reviewed studies were able to maintain objectivity without introducing any bias on the practice guideline.
Did the team have a valid development strategy?
The development team of the practice guideline had a valid development strategy that included three main steps. The first step that the development team took in coming up with the practice guideline was to review all the available scientific data related to hand hygiene. In this section of the practice guideline, the development team considered the historical perspective of the importance of hand hygiene and the definition of terms for various issues related to hand hygiene. In the first section of the practice guideline, the development team also considered evidence related to the transmission of pathogens on hands, the various models of hand transmission of pathogens, and also explored the relationship of hand hygiene and acquisition of healthcare-associated infections. The development team also considered the various methods used to evaluate the efficacy of HH and also the factors to consider when selecting HH products. In the first part of the practice guideline, the development team also considered the hand hygiene practices among healthcare workers and adherence to such hand hygiene practices. In the first part of the practice guideline, the development team also explored the methods used to promote adherence to hand hygiene in healthcare facilities and also evaluated the efficacy of promoting hand hygiene adherence and various policies related to hand hygiene in healthcare facilities. The development team also performed the second step in coming up with an effective HH strategy which included drawing up recommendations that healthcare facilities can utilize to maintain hand hygiene. Finally, in the third step, the development team provided performance indicators for HH protocols in healthcare facilities (CDC, 2002).