Evidence-Based Practice for Nurses

the literature. Computerization capabilities are allowing information from

guidelines, such as algorithms or decision tools, to be loaded into the personal

digital assistants of practicing nurses. Others, such as insurers, attorneys, and

ethicists, will be interested in guideline development.

Domain 1 Scope and purpose of the guidelines

Domain 2 Stakeholder involvement

Domain 3 Rigor of development

Domain 4 Clarity and presentation

Domain 5 Applicability

Domain 6 Editorial independence

Data from AGREE Collaboration. (2013). Appraisal of guidelines for research and evaluation II

(AGREE II) instrument. Retrieved from http://www.agreetrust.org/wpcontent/uploads/2013/06

/AGREE_II_Users_Manual_and_23-item_Instrument_ENGLISH.pdf

TABLE 15-3 Domains of Quality in the AGREE II Instrument

Think about your last clinical experience. What practice guidelines would have been helpful?

Where might you find these guidelines? Do you think the staff would be receptive to your using

clinical guidelines on the unit?

CRITICAL THINKING EXERCISE 15-2

True/False

1. Patient care must follow clinical guidelines exactly.


2. A panel of experts synthesizes evidence to make recommendations for clinical guidelines.


3. Nurses should evaluate clinical guidelines because they may be biased.

TEST YOUR KNOWLEDGE 15-3

How did you do? 1. F; 2. T; 3. T

416 CHAPTER 15 Weighing In on the Evidence