Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Center for Evidence-Based and Translational Medicine, Wuhan University, Wuhan, China.
J Nurs Manag. 2020 May;28(4):976-997. doi: 10.1111/jonm.13007. Epub 2020 Apr 27.
To appraise the quality of current nursing clinical practice guidelines (N-CPGs) in China and explore the methodology for N-CPGs development.
Implementation of quality improvement projects based on N-CPGs has becoming an hot topic for nursing with proliferation in the number of N-CPGs in China in recent years. The methodology for developing N-CPGs is worthy of exploration.
A systematic literature search was performed using PubMed, CINAHL, Web of Science, CNKI, Wanfang, VIP and CBM and relevant representative guidelines repositories from inception to July 31, 2019. Two authors independently selected eligible guidelines and performed data extraction. Four appraisers independently assessed the quality of the N-CPGs using the AGREE II tool.
20 N-CPGs were eventually included in this review. After AGREE II appraisal, the final domain scores ranged between 0.00 and 83.33%. When comparing the total domain scores, "Scope and purpose" and "Clarity of presentation" scored highest with a total of 63.89 (59.37-69.79) (%, median, interquartile range (IQR)), and 63.89 (58.33-75.70) (%), respectively. "Editorial independence" obtained the lowest ranking with a total score of 0 (0-81.25) (%). The total scores of "Stakeholder involvement", "Rigour of development", "applicability" and "editorial independence" were lower than 50%.
The quality of N-CPGs in China is not very high and the process of guideline development still needs to improve.
N-CPGs are important documents used to guide nursing quality improvement. High quality N-CPGs are beneficial for nursing management.
评价中国现行护理临床实践指南（N-CPGs）的质量，并探讨 N-CPGs 制定的方法。
近年来，随着中国 N-CPG 数量的增加，基于 N-CPG 的质量改进项目的实施已成为护理领域的一个热点。N-CPG 制定方法值得探索。
系统检索 PubMed、CINAHL、Web of Science、CNKI、万方、VIP 和 CBM 以及相关有代表性的指南库，从建库至 2019 年 7 月 31 日。两名作者独立选择合格的指南并进行数据提取。四名评估者独立使用 AGREE II 工具评估 N-CPG 的质量。
最终有 20 项 N-CPG 纳入本综述。经过 AGREE II 评估，最终各领域评分范围在 0.00 至 83.33%之间。在比较总领域评分时，“范围和目的”和“表述清晰度”得分最高，总分分别为 63.89（59.37-69.79）（%，中位数，四分位间距（IQR））和 63.89（58.33-75.70）（%）。“编辑独立性”的评分最低，总分为 0（0-81.25）（%）。“利益相关者参与”“制定严谨性”“适用性”和“编辑独立性”的总分均低于 50%。
中国 N-CPG 的质量不是很高，指南制定过程仍有待改进。
N-CPG 是指导护理质量改进的重要文件。高质量的 N-CPG 有利于护理管理。
