Procedures for Using Clinical Practice Guidelines

  • Hargrove P
  • Griffer M
  • Lund B
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Abstract

PURPOSE: This article provides information about clinical practice guidelines (CPGs) to facilitate their application to the practice of speech-language pathology. CPGs are sets of recommendations based on evidence, including expert clinical opinion, that have been developed by a panel of reviewers. In this article, CPGs are defined and their components and rationale for use are discussed. A guide for analyzing CPGs critically and recommendations for applying them to clinical practice are also described., METHOD: Two of the authors and 1 graduate student in speech-language pathology independently evaluated a CPG from the early intervention literature using the guide described in the article. An illustrative evaluation of a CPG is presented to facilitate application of the proposed critiquing guide., RESULTS: The guide was revealed to have high interrater reliability. However, analysis of the raters' responses to the individual items revealed problems with 3 items. The authors present possible resolutions and/or explanations for the problems., CONCLUSION: By using the proposed guide, speech-language pathologists can increase their application of research to clinical practice, thereby enhancing their skills in informed clinical decision making.

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Authors

  • Patricia Hargrove

  • Mona Griffer

  • Bonnie Lund

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