2013-2018年国内外护理临床实践指南的质量评价
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摘要
目的评价并比较2013-2018年国外安大略注册护士专业协会及国内护理临床实践指南(Nursing clinical practice guidelines,N-CPGs)的质量。方法计算机检索中国生物医学文献数据(CBM)、中国期刊全文数据库(CNKI)、万方数据库(WanFang)、维普中文科技期刊数据库(VIP)、复旦大学循证护理中心循证实践资源、安大略注册护士专业协会循证指南数据库,根据纳入排除标准筛选公开发表的有关的N-CPGs,检索时限为2013年1月1日-2018年7月16日。由2位评价员按照纳入与排除标准独立筛选文献和提取资料后,采用指南质量评价工具第2版(AGREE II)对纳入指南的质量进行评价。结果共纳入指南26篇,两名评价员在AGREE II评分表各所有领域的ICC值均>0.75,评价结果的一致性较高。指南在AGREE II各领域的得分分别为:范围和目的:83.33%(80.56%,86.11%);参与人员80.56%(77.78%,83.33%);严谨性78.13%(73.96%,79.17%);清晰性75.00%(72.22%,77.78%);应用性75.00%(70.31%,77.60%);编辑的独立性79.17%(79.17%,79.17%)。RNAO和国内N-CPGs在参与人员与应用性两个领域得分间差异有统计学意义(P<0.05)。结论近年来国内N-CPGs的质量整体较高,但在对指南参与人员的介绍及指南推荐意见实施建议两个方面仍需规范报告和补充完善。
Objective To evaluate and compare the quality of nursing clinical practice guidelines(N-CPGs) of in worldwide from 2013 to 2018. Methods N-CPGs published in academic journals were screened and retrieved from CBM, CNKI, WanFang, VIP, Fudan university of science and technology resources, evidence-based practice evidence-based nursing center Ontario registered nurses professional association evidence-based guidelines for database, according to published in exclusion standard screening of N-CPGs, The retrieval period is 1 January 2013 to July 16, 2018. After two reviewers independently screened the literature and extracted the data in accordance with inclusion and exclusion criteria.Appraisal of guidelines research and evaluation II(AGREE II) was adopted to evaluate the quality of inclusion guide. Results A total of 26 guidelines were included. The ICC values of the two reviewers in all areas of AGREE II were more than 0.75, and the evaluation results were highly consistent. The scores of 6 domains of AGREE Ⅱ were: 83.33%(80.56%, 86.11%) on scope and purpose; 80.56%(77.78%, 83.33%) on stakeholder involvement;78.13%(73.96%, 79.17%)) on rigour of development; 75.00%(72.22%, 77.78%) on clarity of presentation; 75.00%(70.31%, 77.60%) on applicability; 79.17%(79.17%, 79.17%) on editorial independence. RNAO and domestic N-CPGs showed statistically significant differences in scores between participants and applicability(P<0.05). Conclusion The overall quality of N-CPGs in China in recent years is relatively high. However, there are still two aspects to be improved: the introduction of guideline participants and the implementation of recommendations.
Objective To evaluate and compare the quality of nursing clinical practice guidelines(N-CPGs) of in worldwide from 2013 to 2018. Methods N-CPGs published in academic journals were screened and retrieved from CBM, CNKI, WanFang, VIP, Fudan university of science and technology resources, evidence-based practice evidence-based nursing center Ontario registered nurses professional association evidence-based guidelines for database, according to published in exclusion standard screening of N-CPGs, The retrieval period is 1 January 2013 to July 16, 2018. After two reviewers independently screened the literature and extracted the data in accordance with inclusion and exclusion criteria.Appraisal of guidelines research and evaluation II(AGREE II) was adopted to evaluate the quality of inclusion guide. Results A total of 26 guidelines were included. The ICC values of the two reviewers in all areas of AGREE II were more than 0.75, and the evaluation results were highly consistent. The scores of 6 domains of AGREE Ⅱ were: 83.33%(80.56%, 86.11%) on scope and purpose; 80.56%(77.78%, 83.33%) on stakeholder involvement;78.13%(73.96%, 79.17%)) on rigour of development; 75.00%(72.22%, 77.78%) on clarity of presentation; 75.00%(70.31%, 77.60%) on applicability; 79.17%(79.17%, 79.17%) on editorial independence. RNAO and domestic N-CPGs showed statistically significant differences in scores between participants and applicability(P<0.05). Conclusion The overall quality of N-CPGs in China in recent years is relatively high. However, there are still two aspects to be improved: the introduction of guideline participants and the implementation of recommendations.
引文
[1]Institute of Medicine(US)Committee to Advise the Public Health Service on Clinical Practice Guidelines.Clinical Practice Guidelines:Directions for a New Program[J].Annals of Oncology,1990,60(9):343-8.
[2]胡雁.循证护理学(研究生护理/配光盘)[M].北京:人民卫生出版社,2018.
[3]韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREE II)工具实例解读[J].中国循证儿科杂志,2013,8(4):316-319.
[4]王行环.循证临床实践指南的研发与评价[M].北京:中国协和医科大学出版社,2016:281-303.
[5]李春波,何燕玲,张明园.一致性检验方法的合理应用[J].上海精神医学,2000,12(4):228-230.
[6]Registered Nurses’Association of Ontario(RNAO).Adult asthma care:Promoting control of asthma 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[7]Registered Nurses’Association of Ontario(RNAO).Assessment and management of pain 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[8]Registered Nurses’Association of Ontario(RNAO).Assessment and management of foot ucers for people with diabetes2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[9]Registered Nurses’Association of Ontario(RNAO).Care transitions[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[10]Registered Nurses’Association of Ontario(RNAO).Primary prevention of childhood obesity 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[11]Registered Nurses’Association of Ontario(RNAO).Crisis intervention for adults using a trauma-informed approach:Initial four weeks of management 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[12]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining interprofessional health care:Optimizing patient,organizational and system outcomes[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[13]Registered Nurses’Association of Ontario(RNAO).Engaging clients who use substances[S].Toronto,ON:Registered Nurses’Association of Ontario,2015.
[14]Registered Nurses’Association of Ontario(RNAO).Preventing falls and reducing injury from falls[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[15]Registered Nurses’Association of Ontario(RNAO).Integrating tobacco interventions into daily practice[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[16]Registered Nurses’Association of Ontario(RNAO).Personand family-centred care[S].Toronto,ON:Registered Nurses’Association of Ontario,2015.
[17]Registered Nurses’Association of Ontario(RNAO).Implementing supervised injection services[S].Toronto,ON:Registered Nurses’Association of Ontario,2018.
[18]Registered Nurses’Association of Ontario(RNAO).Intraprofessional collaborative practice among nurses[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[19]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining nursing leadership best practice guideline3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[20]Registered Nurses’Association of Ontario(RNAO).Assessment and management of pressure injuries for the interprofessional team 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[21]Registered Nurses’Association of Ontario(RNAO).Preventing and addressing abuse and neglect of older adults:Personcentred,collaborative,system-wide approaches[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[22]Registered Nurses’Association of Ontario(RNAO).Working with families to promote safe sleep for infants 0-12months of age[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[23]Registered Nurses’Association of Ontario(RNAO).Delirium,dementia,and depression in older adults:Assessment and care 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[24]Registered Nurses’Association of Ontario(RNAO).Practice education in nursing[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[25]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining safe,effective staffing and workload practices 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[26]李庆印,李峥,康晓凤.成人急性心力衰竭护理实践指南[J].中国护理管理,2016,16(9):1179-1188.
[27]蔡文智,孟玲,李秀云.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志,2017,32(24):1-7.
[28]马丙祥,肖农,张丽华,等.中国脑性瘫痪康复指南(2015):第十一部分[J].中国康复医学杂志,2016,31(5):602-610.
[29]复旦大学附属儿科医院,复旦大学护理学院,复旦大学JBI循证护理中心,等.住院新新生儿母乳喂养临床实践指南[EB/OL].[2018-08-22].http://nursing.ebn.fudan.edu.cn/WebContentlist.aspx?BID=263&ShowID=10422&SID=279&SID1=0&SID2=0.
[30]上海市公共卫生临床中心,复旦大学护理学院,复旦大学JBI循证护理中心,等.艾滋病临床护理实践指南证据汇总信息册[EB/OL].[2017-08-20].http://nursing.ebn.fudan.edu.cn/Search.asp?Keyword=%B1%C7%CE%B8%B9%DC.
[31]鼻饲临床护理实践指南构建小组.成人患者经鼻胃管喂养临床实践指南[EB/OL].[2017-08-26].http://nursing.ebn.fudan.edu.cn/Search.asp?Keyword=%B1%C7%CE%B8%B9%DC.
[32]WHO.Handbook for guideline development.2014[EB/OL].[2018-08-11].http://www.who.int/publications/guidelines/handbook_2nd_ed.pdf?ua=1.
[33]NICE.Developing Nice Guidelines the Manual.2017[EB/OL].[2018-08-11].https://www.nice.org.uk/process/pmg20/chapter/introduction-andoverview.
[34]Toolkit:implementation of best practice guidelines[EB/OL].[2018-08-25].http://rnao.ca/bpg/resources/toolkit-implementationbest-practice-guidelines-second-edition.
[35]Jin Y,Wang Y,Zhang Y,et al.Nursing practice guidelines in China do need reform:A critical appraisal using the AGREEII instrument.[J].Worldviews on Evidence-based nursing/Sigma Theta Tau International,Honor Society of Nursing,2016,13(2):124-138.
[36]王云云,靳英辉,梅晓凤,等.2014年-2016年中国临床护理实践指南的质量评价[J].护理研究,2018,32(5):665-673.
[37]Graham I D,Jo Logan RN PhD,Margaret B,et al.Lost in knowledge translation:Time for a map?[J].Journal of Continuing Education in the Health Professions,2010,26(1):13-24.
[2]胡雁.循证护理学(研究生护理/配光盘)[M].北京:人民卫生出版社,2018.
[3]韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREE II)工具实例解读[J].中国循证儿科杂志,2013,8(4):316-319.
[4]王行环.循证临床实践指南的研发与评价[M].北京:中国协和医科大学出版社,2016:281-303.
[5]李春波,何燕玲,张明园.一致性检验方法的合理应用[J].上海精神医学,2000,12(4):228-230.
[6]Registered Nurses’Association of Ontario(RNAO).Adult asthma care:Promoting control of asthma 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[7]Registered Nurses’Association of Ontario(RNAO).Assessment and management of pain 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[8]Registered Nurses’Association of Ontario(RNAO).Assessment and management of foot ucers for people with diabetes2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[9]Registered Nurses’Association of Ontario(RNAO).Care transitions[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[10]Registered Nurses’Association of Ontario(RNAO).Primary prevention of childhood obesity 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[11]Registered Nurses’Association of Ontario(RNAO).Crisis intervention for adults using a trauma-informed approach:Initial four weeks of management 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[12]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining interprofessional health care:Optimizing patient,organizational and system outcomes[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[13]Registered Nurses’Association of Ontario(RNAO).Engaging clients who use substances[S].Toronto,ON:Registered Nurses’Association of Ontario,2015.
[14]Registered Nurses’Association of Ontario(RNAO).Preventing falls and reducing injury from falls[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[15]Registered Nurses’Association of Ontario(RNAO).Integrating tobacco interventions into daily practice[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[16]Registered Nurses’Association of Ontario(RNAO).Personand family-centred care[S].Toronto,ON:Registered Nurses’Association of Ontario,2015.
[17]Registered Nurses’Association of Ontario(RNAO).Implementing supervised injection services[S].Toronto,ON:Registered Nurses’Association of Ontario,2018.
[18]Registered Nurses’Association of Ontario(RNAO).Intraprofessional collaborative practice among nurses[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[19]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining nursing leadership best practice guideline3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2013.
[20]Registered Nurses’Association of Ontario(RNAO).Assessment and management of pressure injuries for the interprofessional team 3rd[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[21]Registered Nurses’Association of Ontario(RNAO).Preventing and addressing abuse and neglect of older adults:Personcentred,collaborative,system-wide approaches[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[22]Registered Nurses’Association of Ontario(RNAO).Working with families to promote safe sleep for infants 0-12months of age[S].Toronto,ON:Registered Nurses’Association of Ontario,2014.
[23]Registered Nurses’Association of Ontario(RNAO).Delirium,dementia,and depression in older adults:Assessment and care 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[24]Registered Nurses’Association of Ontario(RNAO).Practice education in nursing[S].Toronto,ON:Registered Nurses’Association of Ontario,2016.
[25]Registered Nurses’Association of Ontario(RNAO).Developing and sustaining safe,effective staffing and workload practices 2nd[S].Toronto,ON:Registered Nurses’Association of Ontario,2017.
[26]李庆印,李峥,康晓凤.成人急性心力衰竭护理实践指南[J].中国护理管理,2016,16(9):1179-1188.
[27]蔡文智,孟玲,李秀云.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志,2017,32(24):1-7.
[28]马丙祥,肖农,张丽华,等.中国脑性瘫痪康复指南(2015):第十一部分[J].中国康复医学杂志,2016,31(5):602-610.
[29]复旦大学附属儿科医院,复旦大学护理学院,复旦大学JBI循证护理中心,等.住院新新生儿母乳喂养临床实践指南[EB/OL].[2018-08-22].http://nursing.ebn.fudan.edu.cn/WebContentlist.aspx?BID=263&ShowID=10422&SID=279&SID1=0&SID2=0.
[30]上海市公共卫生临床中心,复旦大学护理学院,复旦大学JBI循证护理中心,等.艾滋病临床护理实践指南证据汇总信息册[EB/OL].[2017-08-20].http://nursing.ebn.fudan.edu.cn/Search.asp?Keyword=%B1%C7%CE%B8%B9%DC.
[31]鼻饲临床护理实践指南构建小组.成人患者经鼻胃管喂养临床实践指南[EB/OL].[2017-08-26].http://nursing.ebn.fudan.edu.cn/Search.asp?Keyword=%B1%C7%CE%B8%B9%DC.
[32]WHO.Handbook for guideline development.2014[EB/OL].[2018-08-11].http://www.who.int/publications/guidelines/handbook_2nd_ed.pdf?ua=1.
[33]NICE.Developing Nice Guidelines the Manual.2017[EB/OL].[2018-08-11].https://www.nice.org.uk/process/pmg20/chapter/introduction-andoverview.
[34]Toolkit:implementation of best practice guidelines[EB/OL].[2018-08-25].http://rnao.ca/bpg/resources/toolkit-implementationbest-practice-guidelines-second-edition.
[35]Jin Y,Wang Y,Zhang Y,et al.Nursing practice guidelines in China do need reform:A critical appraisal using the AGREEII instrument.[J].Worldviews on Evidence-based nursing/Sigma Theta Tau International,Honor Society of Nursing,2016,13(2):124-138.
[36]王云云,靳英辉,梅晓凤,等.2014年-2016年中国临床护理实践指南的质量评价[J].护理研究,2018,32(5):665-673.
[37]Graham I D,Jo Logan RN PhD,Margaret B,et al.Lost in knowledge translation:Time for a map?[J].Journal of Continuing Education in the Health Professions,2010,26(1):13-24.
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