Guidelines review and update

摘要

The dynamic environment of critical care nursing is both interesting and challenging. Research findings, new medications, technological advances, and, yes, even new diseases are discovered with amazing frequency. The challenge to do the right thing at the bedside is made easier with clinical practice guidelines that are evidence based. According to the Institute of Medicine (IOM), more than 3700 clinical practice guidelines are available from 39 countries. The IOM outlined standards for the best practices of guideline development in Clinical Practice Guidelines We Can Trust. These standards include transparency, management of conflict of interest, guideline development group composition, systematic review processes, rating recommendations using levels of evidence, and external review and updating. This symposium includes reviews of recently released guidelines to assist clinicians in providing and implementing evidence-based care to vulnerable, and frequently unstable, acute and critically ill patients.