Clinical Practice Guideline Policy

Clinical Practice Guideline Policy

1. Guideline Summary

Best evidence statement (BEST) aims at assessing nurses providing care or education in healthcare facilities. The directive examines if the participation in the mentoring program as well as team building enhances satisfaction and retention of nurses. The target population of the BEST guideline is the registered nurses providing care or education in care settings (NGC, 2013). The guideline was obtained from the electronic database and was reviewed by two independent reviewers to determine its validity. BEST examines primary points of care and does not preclude care modalities of studies published after the current revision of the guideline. The document is applicable in management and staff collaboration to facilitate the establishment of the criteria that allows one to become a mentor and the process of formulating a mentorship program. Conflicts of interests, as well as financial disclosures, are also presented in the guideline whereby dispute of interest forms are filed with no financial conflicts of interest (NGC, 2013). The direction offers multiple sessions that are crucial for the nurses to support the sustainability of the mentoring program.

2. Methodology Used to Develop BEST Guideline

The electronic databases that include Medline, CINAHL, Google Scholar and OhioLink were used to obtain credible information sources to develop the guideline. The search keywords were used such as nurse relationships, team building, nurse retention, and healthy work environment. The results were filtered in the English language with no date limit. The inclusion and exclusion criteria were based on the table of evidence levels that indicated the strength of the evidence presented in each source.  The guideline does not specify the number of the source documents obtained after the search. However, 13 references were selected to support the recommendation.  Review of published meta-analysis and systematic review approaches were used to analyze the articles, while expert consensus strategy was used to formulate a proposal (NGC, 2013). The statement for external review for validity indicates that two independent reviewers have reviewed the BEST against quality from CCHMC Evidence Collaboration.

3. Recommendations  

 4. Appraising BEST Guideline

1. Quality and Purpose: The overall objective, clinical question, and patient population are accurately described.

 2.  Stakeholders: Development group has appropriate credentials, users of the guideline are identified appropriately, and users of the guideline have provided a peer review.

 3.  The rigor of Development: The method used to search for evidence is clearly described, including key terms and databases used, inclusion and exclusion criteria, the process for selecting articles, and a final number of articles considered.

4.  The rigor of Development: Method for formulating recommendations is clearly described, recommendations are specific and clearly linked to the evidence, each recommendation is supported by an appropriate rating scheme, and proposals have undergone external review.

5.  Implementation: Barriers to implementation and cost implications are explicitly considered.

 6.  Editorial independence: Guideline developers are independent of the funding organization and any conflicts of interest of developers clearly described.

 5. How to use the Guideline to Recommend for Changes Nursing

            The BEST guideline is essential in nursing collaboration and management through the establishment of the criteria followed by a nurse to become a mentor as well as formulating the framework of the mentorship program (NGC, 2013). The guideline may also be used to match new nurses with a mentor and to specify duration within which the new nurses should work under a mentor. The directive is also helpful in designing team building sessions. As articulated by Pipe et al. (2012), the process incorporates identifying the appropriate location and schedule for the sessions as well as the convenient nurses to attend.  The BEST guideline can also be used to change the current mentoring program for the new nurses by utilizing hospital human resource department to oversee the mentorship and team building interventions. The use of BEST strategy will ensure that nurses receive directions from their respective mentors to carry out their day to day care activities. 

References

National Guideline Clearinghouse (NGC). (2013, Mar. 25). Best evidence statement (BESt). Team building and mentoring for increased satisfaction and retention. Retrieved from https://www.guidelines.gov/summaries/summary/44353/best-evidence-statement-best-team-building-and-mentoring-for-increased-satisfaction-and-retention?q=guidelines+for+nurse+educators

Pipe, T. B., Buchda, V. L., Launder, S., Hudak, B., Hulvey, L., Karns, K. E., & Pendergast, D. (2012). Building personal and professional resources of resilience and agility in the healthcare workplace. Stress and Health, 28(1), 11-22.