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An Innovative Approach to Clinical Practice Guideline Adaptation in the Nursing Profession in a Developing Country

Authors Salarvand S, Hemati S, Adibi P, Taleghani F, Saleki M

Received 5 October 2019

Accepted for publication 21 February 2020

Published 25 March 2020 Volume 2020:12 Pages 2255—2264

DOI https://doi.org/10.2147/CMAR.S233542

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Chien-Feng Li


Video abstract presented by Shahin Salarvand.

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Shahin Salarvand,1 Simin Hemati,2 Payman Adibi,3 Fariba Taleghani,4 Mohammad Saleki5

1Hepatitis Research Center, Community Health Nursing Department, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran; 2Radiotherapy and Oncology Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran; 3Gastroenterology and Hepatology Department of Internal Medicine, School of Medicine, Integrative Functional Gastroenterology Research Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran; 4Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran; 5Department of Sport Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence: Shahin Salarvand
Hepatitis Research Center, Community Health Nursing Department, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
Tel +989161590560
Fax +986633120140
Email shsalarvand@lums.ac.ir

Introduction: Healthcare professionals should seek the necessary resources to improve the quality of care. Given the cultural, social, and economic differences, in every health care system, there are increasing needs for the adapted versions of clinical practice guidelines (CPGs). This study aimed to introduce an innovative CPG adaptation approach for nurses working in a developing country.
Methods: This study is comprised of three sections: a. An extensive systematic search of the literature, b. The adaptation process, c. Interviews, which were held with stakeholders, users and/or the target population. We applied all of the stages of guideline adaptation process according to Adaptation Resource Toolkit, with the integration of the findings of a systematic literature search and a qualitative content analysis in an “adolopted” new CPG.
Results: In this study, we applied a mix of three methods namely adoption, adaptation and development (adolopment) of recommendations to save time, cost, and manpower efficiently. Moreover, we integrated the utilized qualitative research method and literature review with the adolopment approach to develop the recommendations.
Conclusion: Given there is a paucity of nursing clinical practice guidelines (NCPGs) in the nursing management of cancer therapy-induced mucositis and to save time and costs, the findings emerging from the adoption, adaptation, and de novo guideline development by a panel of experts and qualitative content analysis (QCA) method were integrated to achieve a more comprehensive nursing practice guideline.

Keywords: guideline adaptation, developing country, nursing

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