Campbell Jared M, Umapathysivam Kandiah, Xue Yifan, Lockwood Craig
Research Fellow, Joanna Briggs Institute, School of Translational Health Science, Faculty of Health Science, University of Adelaide, South Australia, Australia.
Associate Professor, Joanna Briggs Institute, School of Translational Health Science, Faculty of Health Science, University of Adelaide, South Australia, Australia.
Worldviews Evid Based Nurs. 2015 Dec;12(6):313-27. doi: 10.1111/wvn.12114. Epub 2015 Dec 2.
Clinicians and other healthcare professionals need access to summaries of evidence-based information in order to provide effective care to their patients at the point-of-care. Evidence-based practice (EBP) point-of-care resources have been developed and are available online to meet this need. This study aimed to develop a comprehensive list of available EBP point-of-care resources and evaluate their processes and policies for the development of content, in order to provide a critical analysis based upon rigor, transparency and measures of editorial quality to inform healthcare providers and promote quality improvement amongst publishers of EBP resources.
A comprehensive and systematic search (Pubmed, CINAHL, and Cochrane Central) was undertaken to identify available EBP point-of-care resources, defined as "web-based medical compendia specifically designed to deliver predigested, rapidly accessible, comprehensive, periodically updated, and evidence-based information (and possibly also guidance) to clinicians."
A pair of investigators independently extracted information on general characteristics, content presentation, editorial quality, evidence-based methodology, and breadth and volume.
Twenty-seven summary resources were identified, of which 22 met the predefined inclusion criteria for EBP point-of-care resources, and 20 could be accessed for description and assessment. Overall, the upper quartile of EBP point-of-care providers was assessed to be UpToDate, Nursing Reference Centre, Mosby's Nursing Consult, BMJ Best Practice, and JBI COnNECT+.
The choice of which EBP point-of-care resources are suitable for an organization is a decision that depends heavily on the unique requirements of that organization and the resources it has available. However, the results presented in this study should enable healthcare providers to make that assessment in a clear, evidence-based manner, and provide a comprehensive list of the available options.
临床医生和其他医疗保健专业人员需要获取循证信息摘要，以便在医疗现场为患者提供有效的护理。为满足这一需求，已经开发了循证实践（EBP）医疗现场资源并可在线获取。本研究旨在编制一份可用的EBP医疗现场资源综合清单，并评估其内容开发的流程和政策，以便基于严谨性、透明度和编辑质量衡量标准进行批判性分析，为医疗服务提供者提供信息，并促进EBP资源出版商提高质量。
进行了全面系统的检索（PubMed、CINAHL和Cochrane Central），以识别可用的EBP医疗现场资源，定义为“专门设计用于向临床医生提供预先消化、快速获取、全面、定期更新且基于证据的信息（可能还有指导）的基于网络的医学汇编”。
两名研究人员独立提取有关一般特征、内容呈现、编辑质量、循证方法以及广度和数量的信息。
识别出27种摘要资源，其中22种符合EBP医疗现场资源的预定义纳入标准，20种可用于描述和评估。总体而言，EBP医疗现场资源的上四分位数评估为UpToDate、护理参考中心、莫斯比护理咨询、BMJ最佳实践和JBI CONNECT+。
选择适合一个组织的EBP医疗现场资源在很大程度上取决于该组织的独特需求及其可用资源。然而，本研究给出的结果应能使医疗服务提供者以清晰、循证的方式进行评估，并提供可用选项的综合清单。
