RESPOND TO ONE STUDENT IN 16 HOURS – THE INSTRUCTIONS ARE:

  YOU MUST USE REFERENCES TO SUPPORT

Response to a classmate

· Respond to your classmate’s post on CPGs. Address their definition, development, and uses of CPGs. 

· Support your discussion with as many scholarly articles as necessary. Your textbook can be used as additional support. 

· There is a 200-word limit. Citations are counted, references are not counted.

· Be mindful of your APA as it relates to proper grammar, spelling, citations, and references. Hanging indents and double spacing are not required. 

· The links to your references must be active to get credit for the assignment. Check your links before posting. 

MAGGIE’S POST:

Clinical practice guidelines (CPGs) are statements consisting of recommendations from systematic reviews of evidence for practice (Melnyk and Fineout-Overholt, 2019). CPGs also include benefits and harms of interventions that should better patient-care and outcomes. CPGs include anything that will benefit or be a detriment to clinical practice. CPGs are developed through systematic reviews that help rule out variations in practice to keep clinicians up to date on the best, most current practices and provide clear guidelines for practice (Melnyk and Fineout-Overholt, 2019). 

CPGs are used in every healthcare setting that strives to use evidence-based practices consistently. However, CPGs are only recommendations, and, at times, clinicians may choose not to use the recommended practice. If a clinician chooses a route different than recommended by a CPG, it must be justified. For instance, it is no longer recommended in maternal-fetal medicine to create an episiotomy (Tsakiridis et al., 2020). However, some instances, such as shoulder dystocia, justify an episiotomy (Beyene et al., 2020). The use of CPGs is to guide practice. Evidence must have been proven for the guidelines to have been developed. 

In the case of episiotomies, it was found that allowing a woman to develop a laceration naturally during birth was better than creating an episiotomy (Beyene et al., 2020). Natural lacerations can be better approximated and heal better with less scar tissue. As the evidence was gained and research conducted, maternal-fetal medicine boards conducted systematic reviews and decided an updated CPG would be established (Tsakiridis et al., 2020). 

 By continuing research with evidence, CPGs can be updated regularly and with the best practices for clinicians to follow. However, as these are guidelines, there are always exceptions to the standard practice.