中国护理临床实践指南质量评价标准的信效度评价

Evaluation of reliability and validity on quality criteria for clinical nursing practice guidelines in China

目的评价中国护理临床实践指南质量评价标准的信度和效度。方法由不同评价者采用中国护理领域临床实践指南质量评价标准和AGREEⅡ工具对两份护理领域内的临床实践指南分别进行质量评价,采用组内相关系数测量评价工具的信度,采用一致性检验测量评价工具的效度。结果 5名评价者采用中国护理领域临床实践指南质量评价标准对艾滋病指南及静脉输液指南进行评价,组内相关系数(ICC)分别为0.979及0.890,采用AGREEⅡ对艾滋病指南及静脉输液指南进行质量评价,组内相关系数(ICC)分别为0.957及0.887。评价者采用中国护理领域临床实践指南质量评价标准及AGREEⅡ对艾滋病指南评价的一致性系数为0.880,呈高度一致性,对静脉输液指南评价的一致性系数为0.886,也呈高度一致性。结论中国护理领域临床实践指南质量评价标准具有较好的信度和效度,可作为中国护理领域指南的质量评价工具,在使用该工具前,应对其进行详细解读,或进行统一培训,以减少因评价者理解不同导致的偏倚。

Objectives To evaluate the reliability and validity on quality criteria for clinical nursing practice guidelines. Methods Five appraisers were included to assess two clinical nursing practice guidelines using the quality criteria for clinical nursing practice guidelines and AGREE Ⅱ. ICC and coefficient of consistency were adopted to assess the reliability and validity of the appraisal tools. Results ICC for two guidelines of AIDS and infusion by the quality criteria for clinical nursing practice guidelines were 0.979 and 0.890. ICC for two guidelines of AIDS and infusion byAGREE Ⅱ were 0.957 and 0.887. The coefficient of consistency for guidelines of AIDS and infusion by the two appraisal tools were 0.880 and 0.886, both were highly consistent. Conclusions The quality criteria for clinical nursing practice guidelines has good reliability and validity and can be used as appraisal tool for quality evaluation of clinical nursingpractice guidelines. It is strongly recommended that the users should understand the appraisal tool or should be trained to decrease the bias.