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Protocol for the Development of the Fourth Edition of the Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline Using GRADE Methods. | LitMetric
Emily Haesler, PhD, BN, PGDip Adv Nurs (Gerontics), is Adjunct Professor, Curtin University, Perth, Australia, and Adjunct Associate Professor, La Trobe University, Melbourne, Victoria. Janet Cuddigan, PhD, RN, FAAN, is Professor, University of Nebraska Medical Center, Omaha, Nebraska, United States. Also at Curtin University, Keryln Carville, PhD, RN, STN (Cred), is Professor, Primary Health Care and Community. Zena Moore, PhD, is Chair in Nursing, Head of the School of Nursing & Midwifery, and Director of the Skin Wounds and Trauma Research Centre, Research College of Surgeons in Ireland, Dublin, Ireland. Jan Kottner, PhD, is Professor of Nursing Science, Charité-Universitäts Medizin Berlin, Germany. Elizabeth A. Ayello, PhD, RN, CWON, FAAN, is Faculty Emeritus, Excelsior University School of Nursing, Albany, New York and President, Ayello Harris & Associates, Inc, Copake, New York. Dan Berlowitz, MD, MPH, is Professor, University of Massachusetts Lowell. Althea Carruth, PhD, MBA, BSc (Hons), DPM, is Principle Podiatrist, Lake Dunstan Podiatry, Cromwell, Otago, New Zealand. Chang Yee Yee, WOCN, is Nurse Clinician, Dover Park Hospice, Singapore. Jill Cox, PhD, RN, APN-c, CWOCN, FAAN, is Clinical Professor, Rutgers University School of Nursing, Newark, New Jersey, and Wound, Ostomy, and Continence Advanced Practice Nurse, Englewood Health, Englewood, New Jersey. Sue Creehan, MSN, RN, CWON, is Independent Wound Nurse Consultant, Midlothian, Virginia. Jane Nixon, MBE, PhD, MA, RGN, is Professor of Tissue Viability and Clinical Trials Research, University of Leeds, West Yorkshire, England. Hau Lan Ngan, MN, RN, ET, CLT, is Nurse Consultant, Stoma and Wound Care, Kowloon East Cluster, Hospital Authority, Hong Kong. Katrin Balzer, PhD, is Full Professor, Evidence-based Nursing, and Head of Nursing Research Unit, Institute for Social Medicine and Epidemiology, University of Lübeck, Germany. Acknowledgments: Development of this protocol and the guideline work are supported by the National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance. The authors have disclosed no other financial relationships related to this article. Submitted July 31, 2023; accepted in revised form October 6, 2023.
Published: March 2024
AI Article Synopsis
Article Abstract
The National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, and the Pan Pacific Pressure Injury Alliance are commencing a new (fourth) edition of the Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline . The fourth edition of the International Pressure Injury (PI) Guideline will be developed using GRADE methods to ensure a rigorous process consistent with evolving international standards. Clinical questions will address prevention and treatment of PIs, identification of individuals at risk of PIs, assessment of skin and tissues, and PI assessment. Implementation considerations supporting application of the guidance in clinical practice will be developed. The guideline development process will be overseen by a guideline governance group and methodologist; the guideline development team will include health professionals, educators, researchers, individuals with or at risk of PIs, and informal carers.This article presents the project structure and processes to be used to undertake a systematic literature search, appraise risk of bias of the evidence, and aggregate research findings. The methods detail how certainty of evidence will be evaluated; presentation of relative benefits, risks, feasibility, acceptability, and resource requirements; and how recommendations will be made and graded. The methods outline transparent processes of development that combine scientific research with best clinical practice. Strong involvement from health professionals, educators, individuals with PIs, and informal carers will enhance the guideline's relevance and facilitate uptake. This update builds on previous editions to ensure consistency and comparability, with methodology changes improving the guideline's quality and clarity.
