Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts
African Journal of Emergency Medicine
Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts
Subject
Prehospital
Alternative guideline development
Expert review
Clinical practice guidelines
Qualitative research
Alternative guideline development
Expert review
Clinical practice guidelines
Qualitative research
Description
Introduction: De novo (new) guideline development methods are well described and supported by numerous
examples, including comprehensive checklists. However, alternative guideline development methods, which
draw from existing up to date, high quality clinical practice guidelines instead of re-inventing the wheel, have not
been adopted so readily, despite the potential efficiencies of such methods compared to de novo development. In
Africa, guideline quality and rigour of development, especially for prehospital care, remains poor. This paper
firstly describes the opinions of international guideline experts on the African Federation for Emergency Medicine
guideline project, and secondly updates a framework for South African prehospital guideline development.
Methods: We conducted a qualitative study of expert reviews of an evidence-based guideline development project
led by the African Federation for Emergency Medicine in 2016 for prehospital care in South Africa. We purposefully
sampled key international and regional guideline experts from a range of organisations. Comments and
voice memos, following a terms of reference guide, were thematically analysed through manual coding.
Results: A total of seven experts gave feedback. Key themes revolved around existing international clinical
practice guidelines not being enough to cover context specific evidence, blurring of guideline responsibilities and
output, and transparency of guideline decisions and conflicts of interest. We showcase three fit-for-purpose
guideline development approaches and provide an updated alternative guideline development roadmap for
low-resource settings.
Conclusion: In order to create clinical practice guidelines that clinicians trust and use on a daily basis to change
lives, guideline developers need rigorous yet pragmatic approaches that are responsive to end-user needs.
Reflecting on the African Federation for Emergency Medicine prehospital guideline development project in 2016,
this paper presents key guiding themes to strengthen guideline development in low- and middle-income countries
and other low-resource settings and provides an updated hybrid guideline development approach
examples, including comprehensive checklists. However, alternative guideline development methods, which
draw from existing up to date, high quality clinical practice guidelines instead of re-inventing the wheel, have not
been adopted so readily, despite the potential efficiencies of such methods compared to de novo development. In
Africa, guideline quality and rigour of development, especially for prehospital care, remains poor. This paper
firstly describes the opinions of international guideline experts on the African Federation for Emergency Medicine
guideline project, and secondly updates a framework for South African prehospital guideline development.
Methods: We conducted a qualitative study of expert reviews of an evidence-based guideline development project
led by the African Federation for Emergency Medicine in 2016 for prehospital care in South Africa. We purposefully
sampled key international and regional guideline experts from a range of organisations. Comments and
voice memos, following a terms of reference guide, were thematically analysed through manual coding.
Results: A total of seven experts gave feedback. Key themes revolved around existing international clinical
practice guidelines not being enough to cover context specific evidence, blurring of guideline responsibilities and
output, and transparency of guideline decisions and conflicts of interest. We showcase three fit-for-purpose
guideline development approaches and provide an updated alternative guideline development roadmap for
low-resource settings.
Conclusion: In order to create clinical practice guidelines that clinicians trust and use on a daily basis to change
lives, guideline developers need rigorous yet pragmatic approaches that are responsive to end-user needs.
Reflecting on the African Federation for Emergency Medicine prehospital guideline development project in 2016,
this paper presents key guiding themes to strengthen guideline development in low- and middle-income countries
and other low-resource settings and provides an updated hybrid guideline development approach
Creator
Michael McCaul , Taryn Young , Mike Clarke
Source
www.elsevier.com/locate/afjem
Publisher
elsevier
Date
7 September 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Michael McCaul , Taryn Young , Mike Clarke, “Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts,” Repository Horizon University Indonesia, accessed April 19, 2025, https://repository.horizon.ac.id/items/show/2508.
African Journal of Emergency Medicine
Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts,” Repository Horizon University Indonesia, accessed April 19, 2025, https://repository.horizon.ac.id/items/show/2508.