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Clinical Practice Guidelines

Clinical Practice Guidelines

Schizophrenia is a common mental health illness among the elderly groups. The American Psychiatric Association (APA) outlines the guidelines for managing schizophrenia and other schizoaffective disorders. A practice guideline of interest in managing schizophrenia is the use of performance-in-practice assessment tools. This clinical guideline was developed to optimize patient care in schizophrenia management. This guideline is domiciled in the APA database and adopted from the resource Performance in Practice: Practice Assessment Tool for the Care of Patients With Schizophrenia by Fochtmann et al. (2020).

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The strength of this guideline is its influence on overall psychiatric care. It gives due consideration to the role of healthcare providers in enhancing the quality of psychiatric care. As per the guidelines, psychiatrists play a role in optimizing the care provided to patients with schizophrenia. It aims to enhance knowledge of the disorder, the appropriate use of intervention tools, and the quality of care provided to these patients. This guideline aligns with the quality improvement measures in psychiatric care postulated by Samartzis & Talias (2019), which implore caregivers to be knowledgeable about mental healthcare. The guideline also demonstrates the need to improve the overall quality of care provided to patients presenting with mental health disorders in community wellness, as detailed by Boland (2019).

The guideline’s developers are the American Psychiatric Association (APA). The developers represented all interdisciplinary psychiatric management team stakeholders, including nurses, psychiatrists, pharmacists, and psycho-educators. It adopted study findings from funded research. APA funded the research processes. The team had a valid developmental strategy. A sensible, impartial, and explicit process was followed when developing the guideline. The guideline developers carried out a comprehensive literature review and came up with resources that informed the guideline. All important outcomes and options were considered during the development of the guideline. The recommendation on the guideline was informed by research that is Level 1 in the level of evidence chart. These were mostly evidence from systematic reviews and meta-analysis studies. The guideline makes explicit recommendations on psychiatric care. Per the guideline, performance in practice assessment tools is necessary for optimizing the quality of schizophrenic management. The guideline is currently under peer review. The intent of the guideline is national and is to optimize care for people with schizophrenia. The recommendations are clinically relevant and are necessary for optimizing nursing psychiatric care. They are also practical and adopt available resources. They are also not a variation from the current practice.

An article that utilizes the Agree II tool is Mental Health and Well-being of Healthcare Workers during the COVID-19 Pandemic in the UK: Contrasting Guidelines with Experiences in Practice by Vera San Juan et al. (2020) (See the article’s full citation below). The article assessed the applicability of well-being guidelines in healthcare practice. Per the article, well-being guidelines are aligned with the socio-ecological conceptualization of well-being and apply to all caregivers. The review was not rated. Assessment of the guideline revealed its applicability in conventional mental health care. Its recommendations can be applied to all caregivers handling mental health illnesses. It also clearly represented the author’s recommendations for enhancing the well-being of mental health providers.


Boland, B. (2019). Quality Improvement in Mental Health Services. BJPsych Bulletin44(1), 30–35.

Fochtmann, L. J., Medicus, J., & Hong, S.-H. (2020). Performance in Practice: Practice Assessment Tool for the Care of Patients with Schizophrenia. FOCUS18(4), 402–423.

Samartzis, L., & Talias, M. A. (2019). Assessing and improving the quality of mental health services. International Journal of Environmental Research and Public Health17(1), 249.

Vera San Juan, N., Aceituno, D., Djellouli, N., Sumray, K., Regenold, N., Syversen, A., Mulcahy Symmons, S., Dowrick, A., Mitchinson, L., Singleton, G., & Vindrola-Padros, C. (2020). Mental health and well-being of healthcare workers during the COVID-19 pandemic in the UK: Contrasting guidelines with experiences in practice. BJPsych Open7(1).


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The Melnyk (2019) describes how to access guidelines. Review the databases and search for one clinical practice guideline that interests you. If your identified clinical problem and PICOT lend themselves to a clinical practice guideline, you may want to choose a clinical practice guideline related to your clinical problem and PICOT.

Clinical Practice Guidelines

Clinical Practice Guidelines

It may be more than possible that there is not a clinical practice guideline that is related to your identified clinical problem and PICOT…..that is more than fine……then choose a clinical practice guideline that is simply of interest to you.

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