Whalen Madeleine, Bissett Kim, Ascenzi Judy, Budhathoki Chakra
The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
Worldviews Evid Based Nurs. 2024 Dec;21(6):634-643. doi: 10.1111/wvn.12748. Epub 2024 Oct 4.
Evidence-based practice (EBP) is the cornerstone of sound patient care. Despite the known importance of disseminating EBP, of the 600 reporting guidelines registered with the EQUATOR network, none exist on reporting an EBP project. This lack of guidance leads to publications that lack rigor and discourages more novice writers who may not know where to begin.
The purpose of this study was to establish Reporting Guidelines for EBP projects by achieving consensus among subject matter experts (SMEs) regarding the required components for a high-quality report.
This study followed a modified Delphi technique. The first round solicited free-text responses regarding reporting sections and sub-sections. The team analyzed these results and incorporated information from the literature to generate items for the second round. In the second and third rounds, participants ranked each section on a Likert scale of 1-4 (not relevant to extremely relevant) and provided free-text revision suggestions. Items that reached a 70% consensus moved from one round to the next.
SMEs reached consensus on 6 sections and 30 sub-sections. Sections address the process for determining best practice recommendations as well as implementation into practice. Headers include (1) "Introduction," (2) "EBP Design," (3) "Methods to Generate Recommendations," (4) "Evidence Findings," (5) "Implementation," and (6) "Conclusion." All items are unaffiliated with specific EBP models, hierarchies, or question formats.
The Reporting Guidelines for EBP Projects is a checklist of items with associated descriptors that should be addressed in articles reporting an EBP project. The intention is to provide a roadmap of the items required to publish EBP efforts. It is meant to create a set of expectation for journal editors to provide concrete guidance for authors and elevate the quality and quantity of EBP projects in the literature.
循证实践（EBP）是优质患者护理的基石。尽管已知传播循证实践很重要，但在向EQUATOR网络注册的600条报告指南中，尚无关于报告循证实践项目的指南。这种指导的缺乏导致出版物缺乏严谨性，并使更多可能不知道从何处入手的新手作者望而却步。
本研究的目的是通过在主题专家（SME）之间就高质量报告所需的组成部分达成共识，来制定循证实践项目的报告指南。
本研究采用了改良的德尔菲技术。第一轮征求了关于报告章节和子章节的自由文本回复。研究团队分析了这些结果，并纳入文献中的信息，以生成第二轮的项目。在第二轮和第三轮中，参与者按照1-4级李克特量表（从“不相关”到“极其相关”）对每个章节进行排序，并提供自由文本的修订建议。达成70%共识的项目进入下一轮。
主题专家就6个章节和30个子章节达成了共识。这些章节涉及确定最佳实践建议以及将其应用于实践的过程。标题包括：（1）“引言”，（2）“循证实践设计”，（3）“生成建议的方法”，（4）“证据发现”，（5）“实施”，以及（6）“结论”。所有项目均与特定的循证实践模型、层次结构或问题格式无关。
循证实践项目报告指南是一份包含相关描述符的项目清单，在报告循证实践项目的文章中应涵盖这些内容。其目的是提供一份发布循证实践工作所需项目的路线图。旨在为期刊编辑设定一系列期望，为作者提供具体指导，并提高文献中循证实践项目的质量和数量。
