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Nursing Best Practice Guideline
The panel identified a total of eleven clinical practice guidelines related to venous leg
ulcers. An initial screening was conducted with the following criteria:
Guideline was in English.
Guideline was dated no earlier than 1998 as significant changes in venous leg ulcer
management occurred in that year.
Guideline was strictly about the topic area.
Guideline was evidence-based (e.g., contained references, description of evidence,
sources of evidence).
Complete guideline was available and accessible for retrieval.
Eight guidelines were short-listed for critical appraisal using the “Appraisal Instrument for
Clinical Practice Guidelines” (Cluzeau et al., 1997). This appraisal tool allowed for evaluation
in three key dimensions: rigour, content and context, and application.
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The panel, following the appraisal process, identified the following guidelines, and related
updates, to adapt and modify recommendations:
Clement, D. L. (1999). Venous ulcer reappraisal: Insights from an international task force.
Journal of Vascular Research, 36(Suppl.1), 42-47.
Clinical Resource Efficiency Support Team (CREST) (1998a). Guidelines for the assessment
and management of leg ulceration. CREST, Belfast, Northern Ireland [On-line].
Available: http://www.ni-nhs.uk/crest/index.htm
Compliance Network Physicians/Health Force Initiative, Inc. (1999). Guideline for the outpatient
treatment – venous and venous-arterial mixed leg ulcer. Compliance Network
Physicians/Health Force Initiative, Inc., Berlin, Germany [On-line]. Available:
http://www.cnhfi.de/index-engl.html
Kunimoto, B., Cooling, M., Gulliver, W., Houghton, P., Orsted, H., & Sibbald, R. G. (2001).
Best practices for the prevention and treatment of venous leg ulcers. Ostomy/Wound
Management, 47(2), 34-50.
New Zealand Guidelines Group (NZGG) (1999). Care of people with chronic leg ulcers:
An evidence based guideline. New Zealand Guidelines Group [On-line]. Available:
http://www.nzgg.org.nz/library.cfm