Education and Ethics In Nursing
ISSN: 2322-5300
نوع مقاله : پروتکل مطالعه (protocol study)
نویسندگان
1 مرکز تحقیقات مراقبت‌های پرستاری و مامایی، گروه پرستاری سلامت جامعه و سالمندی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، ایران
2 مرکز تحقیقات مراقبت‌های پرستاری و مامایی، گروه پرستاری سلامت جامعه و سالمندی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3 مرکز تحقیقات مراقبت‌های پرستاری و مامایی، گروه پرستاری مراقبت ویژه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
4 مدیر کتابخانه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
کلیدواژه‌ها
عنوان مقاله English
نویسندگان English
Introduction:
Heart failure is associated with frequent hospital readmissions and high mortality. In Iran, there is a gap between international guidelines and local practice, particularly in home care and self care education, which emphasizes the need to adapt clinical practice guidelines. This study aimed to design an integrated framework to adapt a clinical guideline for heart failure management, with a focus on structured self care education in home care for older adults and on strengthening the role of nurses in post discharge education.
Methods:
This mixed methods study was developed based on a ten step framework for guideline adaptation. The steps included forming an expert team, defining the scope and key questions using the PIPOH framework, conducting a systematic search for relevant guidelines, and assessing their quality with the AGREE II tool. Selected recommendations were reviewed using the GRADE ADOLOPMENT approach and Evidence to Decision tables to decide whether to adopt, adapt, or develop new recommendations. Expert consensus was achieved using the RAND/UCLA Appropriateness Method, and barriers and facilitators to implementation were analyzed with the Theoretical Domains Framework.
Results:
A clear, step-by-step protocol for selection, evaluation, and adaptation of heart failure guidelines in the Iranian health system is presented. This includes a custom implementation package, structured educational programs for nurses, patients, and caregivers, and standardized home monitoring tools. This approach is expected to enhance knowledge, skills, and self-care among older adults with heart failure.
Conclusions:
By combining guideline adaptation, expert consensus, and implementation science frameworks, this protocol offers a practical tool to reduce the gap between evidence and practice and improve the quality of care. Standardizing self care education, designing nurse led educational programs, and integrating education into the home care pathway after discharge may help reduce rehospitalizations and increase health system efficiency. Applying this protocol in future studies and real clinical settings will allow evaluation of its impact on patient outcomes and health system performance.
کلیدواژه‌ها English
