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Response-The Role of Clinical Practice Guidelines in Enhancing Healthcare Practice

Response-The Role of Clinical Practice Guidelines in Enhancing Healthcare Practice

Responding to Candace Brown

Hello,

Great work with your post. I agree with your assessment of the significance of clinical practice guidelines (CPGs) in modern healthcare. Clinical guidelines are indeed valuable in helping healthcare professionals, especially, NPs, MDs, and PAs, in making evidence-based clinical decisions effectively. Guerra-Farfan et al. (2023) note that clinical practice guidelines diminish the uncertain aspects of healthcare decisions, allowing caregivers to select, from multiple choices, healthcare interventions that produce optimum clinical and healthcare outcomes. In this respect, clinical practice guidelines establish standards of care that caregivers can refer to while making important clinical decisions.

It is also accurate that diverse clinical practice guidelines exist to ensure that recommendations produced by various guidelines are trustable. The American College of Cardiology and the American Academy of Pediatrics are some of the renowned disease-specific guideline-governing bodies in the US. CPGs are elaborate tools that guide clinical decision-making processes. As captured in your post, CPGs used in patient management explicitly detail the “hows” of disease management in a stepwise approach. These provisions give recommendations intended to optimize clinical outcomes, backing the recommendation with research evidence. Your post also articulates a specific CPG relatable to the comprehensive management of STIs.

The CDC is indeed an invaluable guideline used in managing diverse STIs. The WHO guidelines are other elaborate guidelines that can aid caregivers in managing STIs. CPGs are jurisdictional, varying across healthcare setups and systems (Yao et al., 2020). As evident in the post, ACOG, USPSTF, and ACS differ in several provisions, including cancer screening initiation age and frequency. Notwithstanding, it is important to note that guidelines are clinical aids and not absolute treatment tools. Caregivers should be able to discern which aspect of the guidelines applies to the presenting clinical scenario.

References

Guerra-Farfan, E., Garcia-Sanchez, Y., Jornet-Gibert, M., Nuñez, J. H., Balaguer-Castro, M., & Madden, K. (2023). Clinical practice guidelines: The good, the bad, and the ugly. Injury54. https://doi.org/10.1016/j.injury.2022.01.047

Yao, X., Vella, E. T., & Sussman, J. (2020). More thoughts than answers: What distinguishes evidence-based clinical practice guidelines from non-evidence-based clinical practice guidelines? Journal of General Internal Medicine36(1), 207–208. https://doi.org/10.1007/s11606-020-05825-y

Responding to Alexa Mae Carey

Hello,

This is a great post. It elaborately articulates diverse aspects of Clinical Practice Guidelines (CPGs). I agree with your assessment that CPGs form the basis for evidence-based practice. This is because these guidelines are founded in diverse, relevant clinical research on specific aspects of disease management. CPGs are thus important because they give step-to-step recommendations on how to manage specific clinical presentations (Correa et al., 2020). NICE and WHO are some of the reputable CPGs currently used within various healthcare systems across the globe, as highlighted in your post. Notwithstanding, there are over 3700 guidelines in as many as 39 counties (Lunny et al., 2021). This shows that guidelines are jurisdictional and differ across healthcare setups and systems. I also agree with your reporting on the details of CPG. CPGs contain correct, evidence-based recommendations that aid the diagnosis, treatment, and care processes for various patient presentations. They are also a care standardization tool that brings some uniformity in disease management.

It is also true that the CDC is a valuable guideline that informs the management of STIs. Guidelines from the CDC can help inform specific diagnostics requests and treatment procedures for patients presenting with STIs. The WHO is another important guideline in this respect. It is considerably used in resource-limited settings, such as developing countries. Your post also articulates the differences in mammogram screening guidelines. As evident in the post, ACOG, USPSTF, and ACS differ in their recommendations on the initiation age for mammogram screening and frequency. Patients presenting with allergic rhinitis (AR) and in which there is no suspicion of asthma can be managed using AR-specific guidelines. Whereas ARIA may be effective in managing the patient, its use is limited in non-asthmatic patients.

References

Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J. A., Borrero, A. M., Patiño-Lugo, D. F., & Valencia, D. A. (2020). Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: A systematic metareview. Health Research Policy and Systems18(1). https://doi.org/10.1186/s12961-020-00588-8

Lunny, C., Ramasubbu, C., Puil, L., Liu, T., Gerrish, S., Salzwedel, D. M., Mintzes, B., & Wright, J. M. (2021). Over half of clinical practice guidelines use non-systematic methods to inform recommendations: A methods study. PLOS ONE16(4). https://doi.org/10.1371/journal.pone.0250356

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Question 


Discuss the importance of Clinical Practice Guidelines and how they are used by nurse practitioners, physician assistants, and medical doctors in clinical practice.

Response-The Role of Clinical Practice Guidelines in Enhancing Healthcare Practice

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