Spiby Helen, Munro Jane
Department of Health Sciences, University of York, York YO10 5DD, UK.
Midwifery. 2009 Apr;25(2):163-71. doi: 10.1016/j.midw.2007.01.018. Epub 2007 May 23.
to describe the development and peer review process for the third edition of evidence-based guidelines to support the provision of midwifery led care in labour.
the process of guideline development including identifying aspects of care for inclusion in the guidelines, the literature search strategy, bibliographic databases used, types of literature reviewed and rationale for inclusion are detailed. The process of formulating recommendations for practice is described. The peer review process, involving the principal stakeholders in the guidelines (midwives and representatives of maternity service users), the appraisal instrument used and issues identified during peer review are included. The third edition of the guidelines was commissioned in 2003 and completed during 2004.
the development of the evidence-based guidelines is discussed in the context of contemporary debate related to guideline development and evidence-based practice including issues related to the nature and hierarchy of evidence, stakeholder involvement and sociological discourses of evidence-based medicine.
描述第三版循证指南的制定及同行评审过程，以支持分娩期间由助产士主导的护理服务。
详细介绍了指南制定过程，包括确定纳入指南的护理方面、文献检索策略、所使用的书目数据库、所审查文献的类型以及纳入理由。描述了制定实践建议的过程。包括同行评审过程，涉及指南的主要利益相关者（助产士和产妇服务使用者代表）、所使用的评估工具以及同行评审期间发现的问题。第三版指南于2003年委托制定，并于2004年完成。
在与指南制定和循证实践相关的当代辩论背景下，讨论了循证指南的制定，包括与证据的性质和等级、利益相关者参与以及循证医学的社会学论述相关的问题。
