The steps in developing the guidelines are as follows Consider the needs of the guidelines by considering how it will affect the current medical condition of a given patient (Thomson et al, 1995). Consider the variations that are witnessed in the current practice. Ensure that the proposed guidelines are clear and there is room for improvement. Consider the cost and benefits of the new guidelines. The guidelines should improve the quality of healthcare services (Woolf et al, 1999). There is need to consider the benefits of the guidelines to the patients, the clinical nurse and whether they can be implemented easily. The resources that are necessary for the implementation of the new guidelines should also be evaluated. Consider the availability and sustainability of these resources. The next step is to establish the parameters of the new guideline. Establish the limit and focus of the guidelines by focusing on the targeted population. There is need to develop the period within which the guidelines could be developed and implemented. There is also a need to establish the medical interventions that will be available (EONS Clinical Guidelines, n.d, p.12). The next step is to identify and appraise the evidence (Feldstein, 2005, p.11). Consider the effectiveness of the guidelines that have been in practice. Carry out research and get information on the outcomes that were recorded in the patients through these guidelines. It is then necessary to identify the other issues that were not evident from the studies and categorize the evidences (EONS Clinical Guidelines, n.d, p.12). The next step is to draft the guidelines. The changes that have been introduced are stated clearly with the expected results. The practitioner outlines the opinion that supports the changes in practice that has been introduced and provides and assessment on their ability to be implemented (EONS Clinical Guidelines, n.d, p.12). 2. Briefly describe the purpose of AGREE instrument AGREE is an international association of different medical practitioners that aim at developing ways of formulating and evaluating the clinical guidelines. It is noted that there is need to adopt recommendations based on clear evidences (Michie & Lester, 2006, p.2). The association developed the AGREE instrument that performs the following roles. As an appraisal instrument for individual recommendations, the AGREE instrument was developed to provide a basis through which the quality of the guidelines could be assessed and the necessary adjustments made. It also provides a framework to provide a methodological strategy for the development of guidelines It also provides a direction on the types of information to be included in the guideline. It provides a direction on how to format such information. (The AGREE Next Steps Consortium, 2009, p.5). 3. Identify the domains covered by AGREE instrument and briefly describe each domain The AGREE instrument can be divided into six domains that have 23 items (The AGREE Next Steps Consortium, 2009, p.5). These include the following: Scope and purpose- this domain contains the aims and objectives of the clinical guidelines. It also defines the targeted patient population and clinical issues that are addressed (The AGREE Collaboration, 2001, p.5) Stakeholder involvement: - this domain provides a detail of how the guidelines are linked to the views
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Running head: Clinical guidelines assessments Clinical guidelines assessments Insert Name Insert Grade Course Insert May 25, 2011 Clinical guidelines assessments 1. The principal steps in developing a clinical guideline practice The different medical conditions require different health care services…
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