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Can the Critical Appraisal Skills Programme check‐lists (CASP) be used alongside GRADE (Grading of Recommendations Assessment, Development and Evaluation) to improve transparency and decision‐making?

Purssell, E. ORCID: 0000-0003-3748-0864 (2020). Can the Critical Appraisal Skills Programme check‐lists (CASP) be used alongside GRADE (Grading of Recommendations Assessment, Development and Evaluation) to improve transparency and decision‐making?. Journal of Advanced Nursing, doi: 10.1111/jan.14303

Abstract

Aims: The Grading of Recommendations Assessment, Development and Evaluation Working Group Guidance is widely used to increase the transparency by which evidence is turned into recommendations. However, although the process is clearly defined, it may be difficult to use in nursing education and practice because it uses separate terminology and tools to those sometimes used in education, such as those devised by the Critical Appraisal Skills Programme. This paper aims to show how these tools can be used together.

Design: Discussion paper.

Data Sources: Documentation from the Grading of Recommendations Assessment, Development and Evaluation Working Group and the Critical Appraisal Skills Programme, as of 14 June 2019.

Implications for Nursing: All of the items from the Critical Appraisal Skills Programme check‐list can be incorporated into GRADE which might allow for wider use of its principles in nursing education and practice. Some additions are required however to complete the outcome‐level assessment, these being the consistency of the results and possible publication bias. More detail on the extent to which the benefits are worth any harms and costs and different types of inconsistency (heterogeneity) would also be useful. This approach is consistent with the Group’s Criteria for determining whether the GRADE approach was used.

Conclusion: The Critical Appraisal Skills Programme tool can be used with minor modification to in a GRADE‐like manner. This would allow for GRADE to be taught and used in nursing education and transferred to practice.

Publication Type: Article
Additional Information: This is the peer reviewed version of the following article: Purssell, E. (2020). Can the Critical Appraisal Skills Programme check‐lists (CASP) be used alongside GRADE (Grading of Recommendations Assessment, Development and Evaluation) to improve transparency and decision‐making?. Journal of Advanced Nursing, which has been published in final form at https://doi.org/10.1111/jan.14303. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Publisher Keywords: CASP; Guideline; GRADE approach [MeSH]; Nursing practice; Nursing theory; Practice Guideline [MeSH], Randomized controlled trial [MeSH]
Subjects: R Medicine > RT Nursing
Departments: School of Health Sciences > Nursing
URI: https://openaccess.city.ac.uk/id/eprint/23529
[img] Text - Accepted Version
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