Gordon Morris, Gibbs Trevor
BMC Med. 2014 Sep 3;12:143. doi: 10.1186/s12916-014-0143-0.
Evidence synthesis techniques in healthcare education have been enhanced through the activities of experts in the field and the Best Evidence Medical Education (BEME) collaborative. Despite this, significant heterogeneity in techniques and reporting of healthcare education systematic review still exist and limit the usefulness of such reports. The aim of this project was to produce the STORIES (STructured apprOach to the Reporting In healthcare education of Evidence Synthesis) statement to offer a guide for reporting evidence synthesis in health education for use by authors and journal editors.
A review of existing published evidence synthesis consensus statements was undertaken. A modified Delphi process was used. In stage one, expert participants were asked to state whether common existing items identified were relevant, to suggest relevant texts and specify any items they feel should be included. The results were analysed and a second stage commenced where all synthesised items were presented and participants asked to state whether they should be included or amend as needed. After further analysis, the full statement was sent for final review and comment.
Nineteen experts participated in the panel from 35 invitations. Thirteen text sources were proposed, six existing items amended and twelve new items synthesised. After stage two, 25 amended consensus items were proposed for inclusion. The final statement contains several items unique to this context, including description of relevant conceptual frameworks or theoretical constructs, description of qualitative methodologies with rationale for their choice and presenting the implications for educators in practice of the results obtained.
An international expert panel has agreed upon a consensus statement of 25 items for the reporting of evidence synthesis within healthcare education. This unique set of items is focused on context, rather than a specific methodology. This statement can be used for those writing for publication and reviewing such manuscripts to ensure reporting supports and best informs the wider healthcare education community.
通过该领域专家的活动以及最佳证据医学教育（BEME）协作，医疗保健教育中的证据综合技术得到了改进。尽管如此，医疗保健教育系统评价的技术和报告仍存在显著异质性，限制了此类报告的实用性。本项目的目的是制定STORIES（医疗保健教育证据综合报告的结构化方法）声明，为健康教育中证据综合的报告提供指南，供作者和期刊编辑使用。
对现有的已发表证据综合共识声明进行了综述。采用了改良的德尔菲法。在第一阶段，要求专家参与者说明所确定的现有常见项目是否相关，提出相关文本，并指定他们认为应包括的任何项目。对结果进行了分析，并开始了第二阶段，在该阶段展示了所有综合项目，并要求参与者说明是否应将其包括在内或根据需要进行修改。经过进一步分析，完整的声明被送交进行最终审查和评论。
从35份邀请中，19位专家参加了该小组。提出了13个文本来源，修改了6个现有项目，综合了12个新项目。在第二阶段之后，提出了25个修改后的共识项目以供纳入。最终声明包含了一些针对此背景的独特项目，包括相关概念框架或理论结构的描述、定性方法及其选择理由的描述，以及阐述所获结果对教育工作者实践的启示。
一个国际专家小组已就医疗保健教育中证据综合报告的25项共识声明达成一致。这组独特的项目侧重于背景，而非特定方法。该声明可用于撰写发表文章和评审此类稿件的人员，以确保报告能为更广泛的医疗保健教育界提供支持并提供最佳信息。
