title: Development of an inter-professional clinical practice guideline for vocational evaluation following severe burn.
abstract: OBJECTIVE
  To develop an inter-professional clinical practice guideline for vocational evaluation following severe burn.
  
  
  METHODS
  The Canadian Medical Association's (CMA) handbook on clinical practice guideline and the appraisal of guidelines for research and evaluation (AGREE) were used to develop the guideline. The following steps from the CMA handbook were followed: (1) identifying the guideline's objective and questions; (2) systematic literature review; (3) study selection and quality appraisal and (4) development of clear recommendations by key stakeholders. The international classification of function and disability was used as a guiding theoretical framework.
  
  
  RESULTS
  The guideline includes recommendations within seven domains: (1) establishing evaluation purpose and consent; (2) history taking and information gathering; (3) assessment of functional systems: body systems and structures; (4) assessment of functional systems: activity limitations and participation restrictions; (5) identification of key personal and environmental factors; (6) analysis and synthesis; (7) development of evaluation recommendations.
  
  
  CONCLUSIONS
  This guideline insures that vocational evaluators use an evidence-based approach to systematically assess elements within the individual, the work, workplace, personal and environmental facilitators and barriers to work participation. The guideline may be useful to clinicians, healthcare teams, employers and individuals with severe burns. Future steps will include guideline pilot testing and endorsement.
authors.affiliation: Department of Occupational Science and Occupational Therapy, Room 914, University of Toronto, 16-500 University Ave, Toronto, Ontario, Canada; University of Toronto, Department of Occupational Science and Occupational Therapy, and Graduate Department of Rehabilitation Science, Toronto, Ontario, Canada. Electronic address: mary.kita@utoronto.ca.
authors.forename: Mary
authors.initials: M
authors.lastname: Stergiou-Kita
authors.affiliation: St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
authors.forename: Alisa
authors.initials: A
authors.lastname: Grigorovich
authors.affiliation: St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; University of Toronto, Department of Surgery, Division of Plastic & Reconstructive Surgery, Graduate Department of Rehabilitation Science, Toronto, Ontario, Canada.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gomez
mesh_terms: D002056:Burns / Q000534:rehabilitation*; D002170:Canada; D004651:Employment; D055317:Evidence-Based Practice; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D017410:Practice Guidelines as Topic; D012050:Rehabilitation, Vocational / Q000592:standards*; D014481:United States; D014938:Work Capacity Evaluation
keywords: Burn injuries; Clinical practice guideline; Employment; Rehabilitation; Return to work; Vocational