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Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach

Authors Vähäniemi A, Välimäki M, Pekurinen V, Anttila M, Lantta T

Received 30 October 2018

Accepted for publication 20 February 2019

Published 9 May 2019 Volume 2019:15 Pages 1239—1248

DOI https://doi.org/10.2147/NDT.S192752

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder


Anu Vähäniemi,1,2 Maritta Välimäki,1,3,4 Virve Pekurinen,1 Minna Anttila,1 Tella Lantta1

1Department of Nursing Science, University of Turku, Turku, Finland; 2Mental Health and Substance Abuse Services, City of Tampere, Tampere, Finland; 3Turku University Hospital, Turku, Finland; 4School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China

Purpose: This study aims to evaluate the quality of the Finnish clinical practice guideline related to schizophrenia care and how it can be utilized in psychiatric services.
Participants and methods: The data were collected from one psychiatric ward and seven psychiatric outpatient units situated in two cities in Southern Finland. A total of 49 professionals working in these sites participated in this study. A descriptive study design was adopted. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument with six domains including 23 items was used to assess the quality of the guideline, whereas a vignette was implemented to describe how staff would use the guideline in hypothetical cases in daily practice. The analysis of AGREE II was based on rating each of the 23 items on a seven-point scale and calculating a quality score for the six domains. To describe the utilization of the guideline, eight key recommendations of the guideline were deductively rated out of the respondents’ answers.
Results: The results showed that the “scope and purpose” of the guideline were well described, but “applicability” was insufficient. The overall quality of the guideline was high (73%). Almost one fifth of the respondents were in agreement with key recommendations.
Conclusion: The overall quality of Guideline for Schizophrenia was good, but its “applicability” and utilization should be improved.

Keywords: mental health, psychiatric care, care quality, inpatient, outpatient, professionals



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