P22– Development and appraisal nursing clinical practice guidelines in Taiwan

[[abstract]]BACKGROUND (INTRODUCTION):Implementation of clinical practice guidelines (CPGs) can reduce medical variation and enhance work effectiveness. Results of this study can serve as the preliminary quality information for the CPGs' configuration, and guide subsequent development and policy-making.LEARNING OBJECTIVES (TRAINING GOALS): 1. To share the experiences of nursing CPGs development in Taiwan. 2. To compare the results of the six AGREE domains for Taiwan and international CPGs. METHODS: Since 2008, the Taiwan DOH has been delegating development of CPGs on six health topics. By August 2010, six CPGs had been completed. The AGREE instrument is used as the quality assessment tool. We organized the Guideline Developing Groups (GDGs) for CPGs: 131 experts with specialties in various fields were called to join efforts to develop CPGs. RESULTS:Overall, 135 recommendations are formed; 23 of these are rated as grade A, 56 as grade B, 32 as grade C, and 24 as grade D. The average AGREE scores for the six major domains were 84, 42, 54, 78, 19, and 40. DISCUSSION (CONCLUSION):The two scopes, knowledge synthesis and clinical application, can be preliminarily defined in this study. In terms of overall trends, the technology of knowledge synthesis is gradually reaching maturity, but more efforts are required for knowledge application, and the development of CPGs serves precisely as the bridge between the two. We suggest: 1) Opinions from all stakeholders, especially patients, should be considered to improve the content of the guideline; 2) Simple care flow charts, health education resources, audit forms, and other package tools in CPGs can facilitate clinical application. TARGET AUDIENCE(S):1. Caregivers, Nursing teachers 2. Guideline developer 3. Nurses