Facilitating the Use of Evidence in Practice: Evaluating and Adapting Clinical Practice Guidelines for Local Use by Health Care Organizations

  1. Ian D. Graham PhD1,*,
  2. Margaret B. Harrison RN, PhD2,
  3. Melissa Brouwers PhD3,
  4. Barbara L. Davies RN, PhD4,
  5. Sandra Dunn RN, BNSc, MEd, IBCLC5

Article first published online: 9 MAR 2006

DOI: 10.1111/j.1552-6909.2002.tb00086.x

Issue

Journal of Obstetric, Gynecologic, & Neonatal Nursing

Journal of Obstetric, Gynecologic, & Neonatal Nursing

Volume 31, Issue 5, pages 599–611, September 2002

Additional Information

How to Cite

Graham, I. D., Harrison, M. B., Brouwers, M., Davies, B. L. and Dunn, S. (2002), Facilitating the Use of Evidence in Practice: Evaluating and Adapting Clinical Practice Guidelines for Local Use by Health Care Organizations. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 31: 599–611. doi: 10.1111/j.1552-6909.2002.tb00086.x

Author Information

  1. 1

    Ian D. Graham is a Canadian Institutes of Health Research New Investigator, a senior social scientist at the Ottawa Health Research Institute, and an associate professor at the University of Ottawa, Ontario, Canada.

  2. 2

    Margaret B. Harrison is an Ontario Ministry of Health scientist at the Ottawa Health Research Institute and Queen's University, Kingston, Ontario, Canada.

  3. 3

    Melissa Brouwers is an Ontario Ministry of Health scientist at McMaster University, Hamilton, Ontario, Canada.

  4. 4

    Barbara L. Davies is an Ontario Ministry of Health scientist at the University of Ottawa, Ontario, Canada.

  5. 5

    Sandra Dunn is an Ontario Ministry of Health Scientist at the University of Ottawa, Ontario, Canada.

*Address for correspondence: Ian D. Graham, PhD, CEU, Ottawa Health Research Institute, The Ottawa Hospital, Civic Campus, ASB, Room 200, 1053 Carling Ave., Ottawa, K1Y 4E9 Canada. E-mail: igraham@ohri.ca.

Publication History

  1. Issue published online: 9 MAR 2006
  2. Article first published online: 9 MAR 2006
  3. Accepted: March 2002

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Keywords:

  • Breastfeeding;
  • Clinical practice guidelines

This article describes a framework for evaluating and adapting existing practice guidelines for local use by health care organizations and groups. The framework presents the major issues related to guideline adaptation and breaks them down into manageable steps. Many steps of the framework are illustrated using the process used by the Registered Nurses Association of Ontario to develop best practice guidelines for breastfeeding.

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