中国护理临床实践指南质量评价标准的构建

Establishment of quality criteria for clinical nursing practice guidelines in China

目的制订我国护理临床实践指南的质量评价标准。方法采用团体焦点访谈法对全国26名临床护理专家和循证方法学专家进行两轮访谈以确定我国护理领域临床实践指南的质量评价标准。结果制订了我国护理领域临床实践指南的质量评价标准:涵盖五个维度,即科学性/严谨性、有效性/安全性、经济性、可用性/可行性、指南制订过程的利益冲突,包括15个条目,每个条目均采用0~5分制进行评分。依据不同条目对指南质量的影响不同,确定各条目权重为0.5~2,并对每个条目的评分标准进行了详细解读。结论我国护理领域临床实践指南质量评价标准既确保了与医疗领域指南质量评价标准在框架上的一致性,又充分考虑了护理学科特点,为提高我国护理临床实践指南的质量提供了标准和依据。

Objectives To establish the quality criteria for clinical nursing practice guidelines in China. Methods Two focus groups＇ interviews for 26 clinical nursing experts and methodological experts from China were adopted to build the quality criteria for clinical nursing practice guidelines. Results The quality criteria for clinical nursing practice guidelines in China covered 5 domains and 15 items, which included scientificity/rigor, effectiveness/safety, economy, availability/feasibility, and conflict of interest. All items were from 0 to 5 scale and weighted 0.5 to 2 based on their contributions to the quality of guidelines. Conclusions The quality criteria for clinical nursing practice guidelines adopt the same framework with the quality criteria of guidelines in medical field and also integrate features of nursing. It provides the quality standard for Chinese clinical nursing practice guidelines.