Cent Eur J Nurs Midw 2014, 5(4):176-183 | DOI: 10.15452/CEJNM.2014.05.0014

Assessing the methodological quality of clinical practice guidelines for preventing intravascular catheter-related infections

Darja Jarošová1,*, Petra Žitníková2
1 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
2 Department of Anesthesiology and Resuscitation, Associated Medical Facility Krnov, Czech Republic

Aim: The study aimed at assessing the methodological quality of selected clinical practice guidelines (CPGs) for preventing intravascular catheter-related infections.

Methods: CPGs were systematically searched in electronic databases and on websites of organizations, colleges and societies based on predefined criteria and keywords over a period of 2000-2013. After sorting and analyzing 104 documents, the methodological quality of three selected CPGs was assessed with the AGREE II generic instrument.

Results: All the CPGs obtained the highest domain scores in the dimensions Scope and Purpose (87%), Stakeholder Involvement (85%) and Clarity and Presentation (87%). Significantly lower scores were noted in the other domains, that is, Applicability (62%), Rigor of Development (55%) and Editorial Independence (30%). The highest overall methodological quality was observed in the Care and Maintenance to Reduce Vascular Access Complications (RNAO).

Conclusion: The methodological quality of the CPGs was relatively high, the only exceptions being the domains Editorial Independence and Rigor of Development. The assessment was a part of the process of adaptation of a selected guideline for the Czech health care setting. The AGREE instrument is suitable for development of completely new CPGs and for adaptation of existing CPGs for other socio-cultural and organizational conditions.

Keywords: clinical practice guidelines, prevention of catheter-related infections, methodological quality, AGREE II

Received: October 12, 2014; Accepted: December 1, 2014; Published: September 30, 2014  Show citation

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Jarošová D, Žitníková P. Assessing the methodological quality of clinical practice guidelines for preventing intravascular catheter-related infections. Central European Journal of Nursing and Midwifery. 2014;5(4):176-183. doi: 10.15452/CEJNM.2014.05.0014.
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