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Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts
INTRODUCTION: De novo (new) guideline development methods are well described and supported by numerous examples, including comprehensive checklists. However, alternative guideline development methods, which draw from existing up to date, high quality clinical practice guidelines instead of re-invent...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
African Federation for Emergency Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7910183/ https://www.ncbi.nlm.nih.gov/pubmed/33680734 http://dx.doi.org/10.1016/j.afjem.2020.09.010 |
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author | McCaul, Michael Young, Taryn Clarke, Mike |
author_facet | McCaul, Michael Young, Taryn Clarke, Mike |
author_sort | McCaul, Michael |
collection | PubMed |
description | INTRODUCTION: De novo (new) guideline development methods are well described and supported by numerous examples, including comprehensive checklists. However, alternative guideline development methods, which draw from existing up to date, high quality clinical practice guidelines instead of re-inventing the wheel, have not been adopted so readily, despite the potential efficiencies of such methods compared to de novo development. In Africa, guideline quality and rigour of development, especially for prehospital care, remains poor. This paper firstly describes the opinions of international guideline experts on the African Federation for Emergency Medicine guideline project, and secondly updates a framework for South African prehospital guideline development. METHODS: We conducted a qualitative study of expert reviews of an evidence-based guideline development project led by the African Federation for Emergency Medicine in 2016 for prehospital care in South Africa. We purposefully sampled key international and regional guideline experts from a range of organisations. Comments and voice memos, following a terms of reference guide, were thematically analysed through manual coding. RESULTS: A total of seven experts gave feedback. Key themes revolved around existing international clinical practice guidelines not being enough to cover context specific evidence, blurring of guideline responsibilities and output, and transparency of guideline decisions and conflicts of interest. We showcase three fit-for-purpose guideline development approaches and provide an updated alternative guideline development roadmap for low-resource settings. CONCLUSION: In order to create clinical practice guidelines that clinicians trust and use on a daily basis to change lives, guideline developers need rigorous yet pragmatic approaches that are responsive to end-user needs. Reflecting on the African Federation for Emergency Medicine prehospital guideline development project in 2016, this paper presents key guiding themes to strengthen guideline development in low- and middle-income countries and other low-resource settings and provides an updated hybrid guideline development approach. |
format | Online Article Text |
id | pubmed-7910183 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | African Federation for Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-79101832021-03-05 Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts McCaul, Michael Young, Taryn Clarke, Mike Afr J Emerg Med Original article INTRODUCTION: De novo (new) guideline development methods are well described and supported by numerous examples, including comprehensive checklists. However, alternative guideline development methods, which draw from existing up to date, high quality clinical practice guidelines instead of re-inventing the wheel, have not been adopted so readily, despite the potential efficiencies of such methods compared to de novo development. In Africa, guideline quality and rigour of development, especially for prehospital care, remains poor. This paper firstly describes the opinions of international guideline experts on the African Federation for Emergency Medicine guideline project, and secondly updates a framework for South African prehospital guideline development. METHODS: We conducted a qualitative study of expert reviews of an evidence-based guideline development project led by the African Federation for Emergency Medicine in 2016 for prehospital care in South Africa. We purposefully sampled key international and regional guideline experts from a range of organisations. Comments and voice memos, following a terms of reference guide, were thematically analysed through manual coding. RESULTS: A total of seven experts gave feedback. Key themes revolved around existing international clinical practice guidelines not being enough to cover context specific evidence, blurring of guideline responsibilities and output, and transparency of guideline decisions and conflicts of interest. We showcase three fit-for-purpose guideline development approaches and provide an updated alternative guideline development roadmap for low-resource settings. CONCLUSION: In order to create clinical practice guidelines that clinicians trust and use on a daily basis to change lives, guideline developers need rigorous yet pragmatic approaches that are responsive to end-user needs. Reflecting on the African Federation for Emergency Medicine prehospital guideline development project in 2016, this paper presents key guiding themes to strengthen guideline development in low- and middle-income countries and other low-resource settings and provides an updated hybrid guideline development approach. African Federation for Emergency Medicine 2021-03 2020-10-29 /pmc/articles/PMC7910183/ /pubmed/33680734 http://dx.doi.org/10.1016/j.afjem.2020.09.010 Text en © 2020 African Federation for Emergency Medicine. Publishing services provided by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original article McCaul, Michael Young, Taryn Clarke, Mike Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title | Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title_full | Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title_fullStr | Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title_full_unstemmed | Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title_short | Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts |
title_sort | strengthening prehospital clinical practice guideline development in south africa: reflections from guideline experts |
topic | Original article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7910183/ https://www.ncbi.nlm.nih.gov/pubmed/33680734 http://dx.doi.org/10.1016/j.afjem.2020.09.010 |
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