Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Graz, Austria.
Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Graz, Austria
BMJ Open. 2024 Mar 8;14(3):e078414. doi: 10.1136/bmjopen-2023-078414.
Task-shifting from primary care physicians (PCPs) to nurses is one option to better and more efficiently meet the needs of the population in primary care and to overcome PCP shortages. This protocol outlines an overview of systematic reviews to assess the effects of delegation or substitution by nurses of PCPs' activities regarding clinical, patient-relevant, professional and health services-related outcomes.
We will conduct a systematic literature search for secondary literature in PubMed/MEDLINE, EMBASE, CINAHL and Cochrane databases. Systematic reviews, meta-analyses and Health Technology Assessments in German and English comprising randomised controlled trials and prospective controlled trials will be considered for inclusion. Search terms will include Medical Subject Headings combined with free text words. At least one-third of abstracts and full-text articles are reviewed by two independent reviewers. Methodological quality will be assessed using the Overview Quality Assessment Questionnaire. We will only consider reviews if they include controlled trials, if the profession that substituted or delegated tasks was a nurse, if the profession of the control was a PCP, if the assessed intervention was the same in the intervention and control group and if the Overview Quality Assessment Questionnaire score is ≥5. The corrected covered area will be calculated to describe the degree of overlap of studies in the reviews included in the study. We will report the overview according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
The overview of secondary literature does not require the approval of an Ethics Committee and will be published in a peer-reviewed journal.
CRD42020183327.
将任务从初级保健医生（PCP）转移到护士是更好、更有效地满足初级保健人群需求并克服 PCP 短缺的一种选择。本方案概述了系统评价的概述，以评估护士对 PCP 活动的临床、患者相关、专业和卫生服务相关结果进行的委托或替代的效果。
我们将在 PubMed/MEDLINE、EMBASE、CINAHL 和 Cochrane 数据库中进行二次文献的系统文献检索。纳入的研究类型包括随机对照试验和前瞻性对照试验的系统评价、荟萃分析和卫生技术评估。检索词将包括医学主题词与自由文本词相结合。至少有三分之一的摘要和全文文章由两名独立审查员进行审查。使用概述质量评估问卷评估方法学质量。只有当综述包括对照试验时，当替代或委托任务的专业人员是护士时，当对照组的专业人员是 PCP 时，当干预措施在干预组和对照组中相同，并且概述质量评估问卷得分为≥5 时，我们才会考虑综述。将计算校正后的涵盖面积，以描述纳入研究的综述中研究的重叠程度。我们将根据系统评价和荟萃分析的首选报告项目报告概述。
二次文献综述不需要伦理委员会的批准，并将在同行评议的期刊上发表。
PROSPERO 注册号：CRD42020183327。
