Smith Barbara A, Lee Hyeon-Joo, Lee Ju Hee, Choi Mona, Jones Deborah E, Bausell R Barker, Broome Marion E
University of Maryland School of Nursing, Baltimore, MD 21201-1579, USA.
Nurs Outlook. 2008 Jan-Feb;56(1):31-37. doi: 10.1016/j.outlook.2007.09.002.
In the era of evidence-based practice (EBP), Randomized Controlled Trials (RCTs) may provide the best evidence of the efficacy of nursing interventions and yet the quality of RCT reporting in nursing literature has not been evaluated. The purposes of this study were to apply the Consolidated Standards of Reporting Trials (CONSORT) statement to published reports of nursing science, examine how adequately the published reports adhere to the statement, and examine the effect of the adoption of CONSORT on the quality of the RCT published reports. One hundred RCTs from 2002-2005 were identified from 4 nursing journals. Articles were randomly assigned to 4 reviewers and the quality of the published reports was evaluated using a modified CONSORT checklist. There was no difference between the 4 journals in the quality of the published reports of RCTs based on the modified CONSORT checklist employed (F = 1.27, P =.29). The quality of reporting of RCTs improved significantly in the only journal, Nursing Research, to adopt the CONSORT statement during the study period (t =-2.70, P =.01). Adoption of CONSORT is recommended as it may lead to an overall improvement in quality of reporting of RCTs in nursing journals. The profession may also wish to explore the use or development of standards similar to CONSORT but ones more appropriate for the types of research typical of that published by nurse scientists.
在循证实践（EBP）时代，随机对照试验（RCT）可能为护理干预效果提供最佳证据，但护理文献中RCT报告的质量尚未得到评估。本研究的目的是将《报告试验的统一标准》（CONSORT）声明应用于已发表的护理科学报告，检查已发表报告对该声明的遵守程度，并研究采用CONSORT对RCT已发表报告质量的影响。从4种护理期刊中识别出2002年至2005年的100项RCT。文章被随机分配给4名评审员，并使用修改后的CONSORT清单评估已发表报告的质量。根据所采用的修改后的CONSORT清单，4种期刊在RCT已发表报告的质量方面没有差异（F = 1.27，P =.29）。在研究期间，唯一采用CONSORT声明的期刊《护理研究》中，RCT报告的质量有显著提高（t = -2.70，P =.01）。建议采用CONSORT，因为它可能会使护理期刊中RCT报告的质量整体得到提高。该行业也不妨探索使用或制定类似于CONSORT但更适合护理科学家所发表的典型研究类型的标准。
