Education and Ethics In Nursing
ISSN: 2322-5300
نوع مقاله : پروتکل مطالعه (protocol study)
نویسندگان
1 دانشیار، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری سلامت جامعه و سالمندی ، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 کارشناس ارشد، مرکز تحقیقات مراقبت های پرستاری و مامایی،بیمارستان امین، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3 استادیار، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری سلامت جامعه و سالمندی ، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
4 استادیار، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری مراقبت ویژه ، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
کلیدواژهها
عنوان مقاله English
نویسندگان English
Introduction:
Clinical guidelines for home care of elderly stroke patients is a missing link in providing home care services in Iran, which can play an important role in improving the health and rehabilitation of stroke patients. This is despite the fact that compiling clinical guidelines in Iran will be very difficult, and by localizing existing clinical guidelines, rework can be prevented and resources can be saved. Therefore, this study is carried out with the aim of "localization of clinical guidelines for home care of elderly patients with stroke".
Method:
The current research includes three steps of preparation, localization and finalization. The first step (preparation) includes 5 steps (checking the ability of carrying out the localization process, forming the executive committee, choosing the title of the guide, identifying and determining the necessary resources, facilities and skills and writing the program localization process), the second step (localization) including 5 steps (choosing questions, searching for guidelines and other relevant evidence, screening the found guidelines and limiting them, reviewing evaluations and selecting guidelines and preparing a draft of localized clinical guidelines) and the third step ( finalization guideline) including 2 Steps (external review by target users and compiling the final guide with the consensus of experts and the use of the RAM technique).
Discussion:
In order to localize clinical guidelines, first research team should review similar clinical guidelines by appropriate keywords and select the best guidelines. Then, experts and stakeholders should be revised guideline based on cultural, economic, and social conditions and available facilities. So that they can be implemented in the country.
کلیدواژهها English
1.Heran M, Lindsay P, Gubitz G, Yu A, Ganesh A, Lund R, et al. Canadian stroke best practice recommendations: acute stroke management, practice guidelines update, 2022. Canadian Journal of Neurological Sciences 2024;51(1):1-31.
2.Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, et al. World Stroke Organization (WSO): global stroke fact sheet 2022. International Journal of Stroke 2022;17(1):18-29.
3.Ghandehari K. Epidemiology of stroke in Iran. Galen Medical Journal 2016;5(S1):3-9.
4.Soleimanzadeh-Ardabili N, Vahdat I, Abdollahi I, Rostami M. Evaluation of spasticity variations at the elbow joint of CVA patients according to the biomechanical indices. Archives of Rehabilitation 2013;14(3):96-106.
5.Schwarz A, Bhagubai MM, Nies SH, Held JP, Veltink PH, Buurke JH, et al. Characterization of stroke-related upper limb motor impairments across various upper limb activities by use of kinematic core set measures. Journal of neuroengineering and rehabilitation 2022;19:1-18.
6.Schindel D, Schneider A, Grittner U, Jöbges M, Schenk L. Quality of life after stroke rehabilitation discharge: a 12-month longitudinal study. Disability and Rehabilitation 2021; 43(16):2332-41.
7.Zhang X, Bi X. Post-stroke cognitive impairment: a review focusing on molecular biomarkers. Journal of Molecular Neuroscience 2020; 70:1244-54.
8.Medeiros GC, Roy D, Kontos N, Beach SR. Post-stroke depression: a 2020 updated review. General hospital psychiatry 2020;66:70-80.
9.Ytterberg C, Cegrell L, von Koch L, Wiklander M. Depression symptoms 6 years after stroke are associated with higher perceived impact of stroke, limitations in ADL and restricted participation. Scientific Reports 2022; 12(1):7816.
10.Marin S, Serra-Prat M, Ortega O, Clavé P. Healthcare-related cost of oropharyngeal dysphagia and its complications pneumonia and malnutrition after stroke: a systematic review. BMJ open 2020; 10(8):e031629.
11.Joundi RA, Smith EE, Yu AY, Rashid M, Fang J, Kapral MK. Temporal trends in case fatality, discharge destination, and admission to long-term care after acute stroke. Neurology 2021; 96(16):e2037-e47.
12.Vluggen TP, van Haastregt JC, Tan FE, Kempen GI, Schols JM, Verbunt JA. Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients. BMC geriatrics 2020;20:1-8.
13.Mountain A, Patrice Lindsay M, Teasell R, Salbach NM, de Jong A, Foley N, et al. Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. Part two: transitions and community participation following stroke. International Journal of Stroke 2020;15(7):789-806.
14.Siavashi E, Kavosi Z, Zand F, Amini M, Bordbar N. Inappropriate hospital stays and association with lack of homecare services. Eastern Mediterranean Health Journal 2021; 27(7):656-64.
15.Wani S, Sultan S, Qumseya B, Michalek J, Dewitt J, Edmundowicz SA, et al. The ASGE’S vision for developing clinical practice guidelines: the path forward. Gastrointestinal Endoscopy 2018;87(4):932-3.
16.Shekelle PG. Clinical Practice Guidelines: What’s Next?Key Issues in the Development of Clinical Practice GuidelinesKey Issues in the Development of Clinical Practice Guidelines. JAMA 2018;320(8):757-8.
17.Juckett LA, Wengerd LR, Faieta J, Griffin CE. Evidence-based practice implementation in stroke rehabilitation: a scoping review of barriers and facilitators. The American Journal of Occupational Therapy 2020; 74(1):7401205050p1-p14.
18.Teasell R, Salbach NM, Foley N, Mountain A, Cameron JI, Jong Ad, et al. Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; update 2019. International Journal of Stroke. 2020;15(7):763-88.
19.Harrison MB, Graham ID, Van Den Hoek J, Dogherty EJ, Carley ME, Angus V. Guideline adaptation and implementation planning: a prospective observational study. Implementation science 2013;8(1):49.
