Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach

Anu Vähäniemi,1,2 Maritta Välimäki,1,3,4 Virve Pekurinen,1 Minna Anttila,1 Tella Lantta1 1Department of Nursing Science, University of Turku, Turku, Finland; 2Mental Health and Substance Abuse Services, City of Tampere, Tampere, Finland; 3Turku University Hospita...

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Autores principales:	Vähäniemi A, Välimäki M, Pekurinen V, Anttila M, Lantta T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	mental health psychiatric care care quality inpatient outpatient professionals Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/299d8fe70ccd4ad28dde12c3dfbfd858
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spelling	oai:doaj.org-article:299d8fe70ccd4ad28dde12c3dfbfd8582021-12-02T07:05:08ZQuality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach1178-2021https://doaj.org/article/299d8fe70ccd4ad28dde12c3dfbfd8582019-05-01T00:00:00Zhttps://www.dovepress.com/quality-and-utilization-of-the-finnish-clinical-practice-guideline-in--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Anu Vähäniemi,1,2 Maritta Välimäki,1,3,4 Virve Pekurinen,1 Minna Anttila,1 Tella Lantta1 1Department of Nursing Science, University of Turku, Turku, Finland; 2Mental Health and Substance Abuse Services, City of Tampere, Tampere, Finland; 3Turku University Hospital, Turku, Finland; 4School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China Purpose: This study aims to evaluate the quality of the Finnish clinical practice guideline related to schizophrenia care and how it can be utilized in psychiatric services. Participants and methods: The data were collected from one psychiatric ward and seven psychiatric outpatient units situated in two cities in Southern Finland. A total of 49 professionals working in these sites participated in this study. A descriptive study design was adopted. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument with six domains including 23 items was used to assess the quality of the guideline, whereas a vignette was implemented to describe how staff would use the guideline in hypothetical cases in daily practice. The analysis of AGREE II was based on rating each of the 23 items on a seven-point scale and calculating a quality score for the six domains. To describe the utilization of the guideline, eight key recommendations of the guideline were deductively rated out of the respondents’ answers. Results: The results showed that the “scope and purpose” of the guideline were well described, but “applicability” was insufficient. The overall quality of the guideline was high (73%). Almost one fifth of the respondents were in agreement with key recommendations. Conclusion: The overall quality of Guideline for Schizophrenia was good, but its “applicability” and utilization should be improved. Keywords: mental health, psychiatric care, care quality, inpatient, outpatient, professionalsVähäniemi AVälimäki MPekurinen VAnttila MLantta TDove Medical Pressarticlemental healthpsychiatric carecare qualityinpatientoutpatientprofessionalsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 1239-1248 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	mental health psychiatric care care quality inpatient outpatient professionals Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	mental health psychiatric care care quality inpatient outpatient professionals Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Vähäniemi A Välimäki M Pekurinen V Anttila M Lantta T Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
description	Anu Vähäniemi,1,2 Maritta Välimäki,1,3,4 Virve Pekurinen,1 Minna Anttila,1 Tella Lantta1 1Department of Nursing Science, University of Turku, Turku, Finland; 2Mental Health and Substance Abuse Services, City of Tampere, Tampere, Finland; 3Turku University Hospital, Turku, Finland; 4School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China Purpose: This study aims to evaluate the quality of the Finnish clinical practice guideline related to schizophrenia care and how it can be utilized in psychiatric services. Participants and methods: The data were collected from one psychiatric ward and seven psychiatric outpatient units situated in two cities in Southern Finland. A total of 49 professionals working in these sites participated in this study. A descriptive study design was adopted. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument with six domains including 23 items was used to assess the quality of the guideline, whereas a vignette was implemented to describe how staff would use the guideline in hypothetical cases in daily practice. The analysis of AGREE II was based on rating each of the 23 items on a seven-point scale and calculating a quality score for the six domains. To describe the utilization of the guideline, eight key recommendations of the guideline were deductively rated out of the respondents’ answers. Results: The results showed that the “scope and purpose” of the guideline were well described, but “applicability” was insufficient. The overall quality of the guideline was high (73%). Almost one fifth of the respondents were in agreement with key recommendations. Conclusion: The overall quality of Guideline for Schizophrenia was good, but its “applicability” and utilization should be improved. Keywords: mental health, psychiatric care, care quality, inpatient, outpatient, professionals
format	article
author	Vähäniemi A Välimäki M Pekurinen V Anttila M Lantta T
author_facet	Vähäniemi A Välimäki M Pekurinen V Anttila M Lantta T
author_sort	Vähäniemi A
title	Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
title_short	Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
title_full	Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
title_fullStr	Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
title_full_unstemmed	Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach
title_sort	quality and utilization of the finnish clinical practice guideline in schizophrenia: evaluation using agree ii and the vignette approach
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/299d8fe70ccd4ad28dde12c3dfbfd858
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Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach

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