Analysis and Application of Clinical Practice
Clinical Practice Guideline Summary Template
Using this worksheet which is based on the AGREE II instrument, evaluate your clinical practice guideline using these questions:
Domain I: Score and Purpose
• What is the overall objective of the guideline? What is the scope and purpose of this CPG?
• What health question(s) are covered by the guideline? Be specific.
• Who is the target population (patients, public, consumers, students, etc.) to whom the guideline is meant to apply? Who are the recipients of the services
outlined in the document?
Domain 2: Stakeholder Involvement
• What professions are represented in the guideline development group?
• How well were the target populations’ views and preferences considered and sought?
Domain 3: Rigor of Development
• What systematic methods were used to search for evidence to develop the CPG?
• What were the criteria for selecting the evidence?
• What are the strengths and limitations of the body of evidence used to develop the CPG?
• How were health benefits, side effects, and risks considered in developing the CPG?
• What explicit link is present between the recommendations and the supporting evidence?
• How was the CPG externally reviewed by experts prior to its publication?
• What procedure is in place for updating the CPG?
Domain 4: Clarity and presentation
• What key recommendations are presented? How specific and unambiguous are the recommendations? How easily identifiable where these recommendations?
• What are the different options for managing the condition or health issue presented in the CPG? How clearly are they presented in the CPG?
Domain 5: Applicability
• What facilitators and barriers to the application of the CPG?
• How did the CPG provide advice and/or tools on the application of the recommendation into practice?
• What potential resource implications of applying the recommendations have been considered?
• What key monitoring and/or auditing criteria are presented in the CPG?
Domain 6: Editorial independence
• How ere the views of the funding body kept from influencing the content of the guideline?
• What conflicts of interest are possible?
• How are the competing interests of the CPG group members recorded and addressed?
Summary
• Does the CPG answer the key clinical questions presented in the CPG?
• How will you, as the advanced practice nurse, apply this CPG in practice?
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