gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Ethical principles in guidelines and their evaluation

Meeting Abstract

  • R. Licenik - Centre for Clinical Practice Guidelines, Faculty of Medicine, Palacky University, Olomouc, Czech Republic; Northwick Park Hospital, London, United Kingdom
  • A.P. Nauta - Delft, The Netherlands
  • K. Ivanova - Centre for Clinical Practice Guidelines, Faculty of Medicine, Palacky University, Olomouc, Czech Republic
  • J. Precek - Centre for Clinical Practice Guidelines, Faculty of Medicine, Palacky University, Olomouc, Czech Republic
  • D. Osinova - Centre for Clinical Practice Guidelines, Faculty of Medicine, Palacky University, Olomouc, Czech Republic
  • K. Klikova - Centre for Clinical Practice Guidelines, Faculty of Medicine, Palacky University, Olomouc, Czech Republic

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocO22

DOI: 10.3205/12gin054, URN: urn:nbn:de:0183-12gin0542

Veröffentlicht: 10. Juli 2012

© 2012 Licenik et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Bioethical and decision-analytic principles both are guides to medical decision making, which is essential part of health care. Clinical practice guidelines are important strategic tools for medical decision making and bioethical principles should be their integral part. Ethical principles should be explicit in CPGs and have to be systematically evaluated.

Objectives: We have developed an instrument for evaluation of ethical principles in guidelines based on the AGREE II instrument. Ethical issues in CPGs has been discussing within GINETHICS, an informal platform established to share ideas and experiences worldwide.

Methods: The first drafts of the instrument and the User`s guide has been developed, tested followed by the second draft. The questionnaire covers basic ethical principles, i.e. respect for autonomy, beneficence, nonmaleficence and justice, as well as other very important issues such as health professional-patient relationship and interprofessional collaboration. The last question is whether a particular CPG contains examples of ethical dilemmas. The user's manual offers definitions and descriptions of each problem and suggestions where the ethical issues can be found in CPGs. An integral part of the manual will be case reports for each item. The instrument will be disseminated, implemented, evaluated and updated if needed.

Results: Instrument for evaluation of ethical principles in guidelines and pilot version of case reports.

Discussion: Useful instrument for the evaluation of ethical principles in guidelines has been developing.

Implications for guideline developers/users: The instrument can be use during guideline development process as well as during implementation and for evaluation of the quality.