Johns Hopkins Nursing Evidence-Based Practice Thrid Edition: Model and Guidelines

(^148) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition
■■ Have the full text guideline available in English to the public upon request
■■ Be the most recent version published and have been developed, reviewed,
or revised within the past five years
An example of a set of guidelines that meets the exacting requirements of the
NGC is the “2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to
Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American
College of Cardiology/American Heart Association Task Force on Practice Guide-
lines” (Stone et al., 2014).
Despite these recommendations, guidelines still vary greatly in how they are de-
veloped and how the results are reported (Kuehn, 2011). In response to concern
about the quality, two reports were released by the IOM to set standards for clini-
cal practice guidelines (IOM, 2011). The IOM developed eight standard practices
for creating CPGs (see Table 7.1). The IOM CPG standards describe the informa-
tion that should be in the guidelines and development processes to be followed.
Table 7.1 Clinical Practice Guideline (CPG) Standards and Description
Standard Description
Establish transparency. Funding and development process should be publicly
available.
Disclose conflict(s) of interest
(COI).
Individuals who create guidelines and panel chairs
should be free from conflicts of interest (COI). Funders
are excluded from CPG development. All COIs of each
Guideline Development Group member should be
disclosed.
Balance membership of
guideline development group.
Guideline developers should include multiple disciplines,
patients, patient advocates, or patient consumer
organizations.