Department of Medical Surgical Nursing Faculty of Nursing and Midwifery Sina Hospital Tabriz University of Medical Sciences Tabriz Iran.
Department of Basic sciences Paramedical Faculty Tabriz University of Medical Sciences Tabriz Iran.
Nurs Open. 2020 Mar 20;7(4):907-927. doi: 10.1002/nop2.475. eCollection 2020 Jul.
To develop an evidence-based guideline to care for hand-burned patients.
An integrative review.
The search was conducted of EMBASE, PubMed, Web of Science, SCOPUS, Clinical Key, Iranmedex, Magiran, Scientific Information Database (SID), Cochran, CINAHL and Google Scholar databases from January 2000-August 2019. Following the formation of the research team, two researchers independently selected the eligible studies. The initial search resulted in 2,230 records; ultimately, 40 articles were identified to be the review after screening the records based on the study's inclusion and exclusion criteria. Quality of selected studies was evaluated with the MMAT method.
Data syntheses of selected studies, coded by highlighting the relevant parts of the text, and assigning code words to these areas were done. Following this, a constant comparison was used to develop categories by combining codes. Finally, hand burns nursing care guideline was developed by categorizing descriptive themes in two main phases.
This review results have shown that evidence-based guidelines present high-quality recommendations for the healthcare team, which improves the quality of clinical care. Due to a lack of established guidelines in our context, it seems to be helpful to use evidence-based guidelines in managing burned hands.
制定手部烧伤患者护理循证指南。
综合回顾。
从 2000 年 1 月至 2019 年 8 月,对 EMBASE、PubMed、Web of Science、SCOPUS、Clinical Key、Iranmedex、Magiran、科学信息数据库(SID)、Cochrane、CINAHL 和 Google Scholar 数据库进行了检索。在形成研究团队后,两名研究人员独立选择合格的研究。最初的搜索产生了 2230 条记录;最终,根据研究的纳入和排除标准筛选记录后,确定了 40 篇文章作为综述。采用 MMAT 方法评估选定研究的质量。
对选定研究进行数据综合,突出文本的相关部分,并为这些区域分配代码词。在此基础上,通过合并代码对代码进行恒等比较,以形成类别。最后,通过对两个主要阶段的描述性主题进行分类,制定手部烧伤护理指南。
本综述结果表明,循证指南为医疗保健团队提供了高质量的建议,从而提高了临床护理质量。由于我们的背景中缺乏既定的指南,因此在管理手部烧伤时使用循证指南似乎是有帮助的。