Using Appraisal of Guidelines for Research & Evaluation II (AGREE II) Tool to Evaluate the Sepsis Resuscitation Bundle Practice Guideline

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Hdl Handle:
http://hdl.handle.net/10755/304375
Category:
Full-text
Type:
Presentation
Title:
Using Appraisal of Guidelines for Research & Evaluation II (AGREE II) Tool to Evaluate the Sepsis Resuscitation Bundle Practice Guideline
Author(s):
Pinelle, Michelle A.; Roney, Jamie K.
Lead Author STTI Affiliation:
Iota Mu
Author Details:
Michelle A. Pinelle, BSN, RN, CCRN, michellepinelle@yahoo.com; Jamie K. Roney, BSN, RN, CCRN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: Nurses should detail clinical significance of practice guidelines, identify research criteria considered for clinical guideline development, synthesize literature used for the practice guideline's recommendation for use, and summarize results of clinical guideline evaluation including recommendations for clinical implementation and appropriateness for use in practice.The purpose of this research was to appraise guidelines developed by the Surviving Sepsis Campaign (SSC) Sepsis Resuscitation Bundle (SRB) to treat patients with severe sepsis/septic shock using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool.

Methods: The AGREE II tool was used to evaluate development of the SRB clinical guidelines and effectiveness in application to practice by four clinicians. The AGREE II tool contained 23 items organized under six domains: scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, and editorial independence. Furthermore, the instrument included two final assessment questions to allow the rater to judge the practice guideline as a whole. The AGREE II instrument allowed for the scoring of the SSC SRB by four clinicians using a 7-point likert scale for statistical comparison/inter-rater reliability.

Results: The AGREE II tool evaluation results demonstrated that the Sepsis Resuscitation Bundle was developed from sound research, expert collaboration, and with rigour. The SRB interventions recommended for the treatment of severe sepsis/septic shock found in the practice guidelines increase survival, improve outcomes, lower costs to treat, and decrease length of hospital stay are supported from solid research methodologies.

Conclusions: After reviewing the evidence produced by research and using the AGREE II tool to analyze the guideline development methodology, the SRB remains an appropriate practice guideline that addresses the increased incidence of severe sepsis and septic shock in the clinical setting. The AGREE II tool was a simple tool for use in evaluating current sepsis practice guidelines by clinicians.

Keywords:
Appraisal of Guidelines for Research & Evaluation II Tool; AGREE II; Sepsis Resuscitation Bundle
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleUsing Appraisal of Guidelines for Research & Evaluation II (AGREE II) Tool to Evaluate the Sepsis Resuscitation Bundle Practice Guidelineen
dc.contributor.authorPinelle, Michelle A.en
dc.contributor.authorRoney, Jamie K.en
dc.contributor.departmentIota Muen
dc.author.detailsMichelle A. Pinelle, BSN, RN, CCRN, michellepinelle@yahoo.com; Jamie K. Roney, BSN, RN, CCRN;en
dc.identifier.urihttp://hdl.handle.net/10755/304375-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose:</b> Nurses should detail clinical significance of practice guidelines, identify research criteria considered for clinical guideline development, synthesize literature used for the practice guideline's recommendation for use, and summarize results of clinical guideline evaluation including recommendations for clinical implementation and appropriateness for use in practice.The purpose of this research was to appraise guidelines developed by the Surviving Sepsis Campaign (SSC) Sepsis Resuscitation Bundle (SRB) to treat patients with severe sepsis/septic shock using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. <p><b>Methods:</b> The AGREE II tool was used to evaluate development of the SRB clinical guidelines and effectiveness in application to practice by four clinicians. The AGREE II tool contained 23 items organized under six domains: scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, and editorial independence. Furthermore, the instrument included two final assessment questions to allow the rater to judge the practice guideline as a whole. The AGREE II instrument allowed for the scoring of the SSC SRB by four clinicians using a 7-point likert scale for statistical comparison/inter-rater reliability. <p><b>Results:</b> The AGREE II tool evaluation results demonstrated that the Sepsis Resuscitation Bundle was developed from sound research, expert collaboration, and with rigour. The SRB interventions recommended for the treatment of severe sepsis/septic shock found in the practice guidelines increase survival, improve outcomes, lower costs to treat, and decrease length of hospital stay are supported from solid research methodologies. <p><b>Conclusions:</b> After reviewing the evidence produced by research and using the AGREE II tool to analyze the guideline development methodology, the SRB remains an appropriate practice guideline that addresses the increased incidence of severe sepsis and septic shock in the clinical setting. The AGREE II tool was a simple tool for use in evaluating current sepsis practice guidelines by clinicians.en
dc.subjectAppraisal of Guidelines for Research & Evaluation II Toolen
dc.subjectAGREE IIen
dc.subjectSepsis Resuscitation Bundleen
dc.date.available2013-10-22T20:34:37Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:34:37Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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