根据AGREE II检查清单,对预防空的临床实践指南进行系统审查
Demetrio Lamloum1,2, Antonella Arghittu3, Pietro Ferrara4,5
1Department of Restorative, Pediatric and Preventive Dentistry, University of Bern, 3012 Bern, Switzerland.
Healthcare (Basel, Switzerland)
|July 14, 2023
概括
预防空的临床实践指南 (CPG) 显示了方法的严格性,但实际应用有限. 未来的CPG开发需要改进,特别是涉及公众的投入,以提高成人和儿童的有效性.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 基于证据的牙科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 未经治疗的口腔疾病会对健康产生负面影响,并产生社会经济后果.
- 基于证据的临床实践指南 (CPG) 对于有效的虫预防至关重要.
- 评估现有CPG的质量和适用性对于改善牙科护理至关重要.
研究的目的:
- 系统地评估CPGs对成人和儿童虫预防的重要性和质量.
- 通过评估研究和评估指南的评估 (AGREE II) 检查清单来评估CPG.
- 确定用于虫管理的CPG开发的方法改进领域.
主要方法:
- 在多个数据库 (EMBASE,SCOPUS,PubMed/Medline) 和指南库中进行系统的文献搜索.
- 通过My AGREE PLUS使用AGREE II检查清单对两个独立审查员对21条选定指南的评估.
- 对指南范围 (初级/二级预防),来源和AGREE II分数的分析.
主要成果:
- 平均AGREE II评分差异很大 (35.4%84.3%),其中12条指南被评为"推"和9条"建议修改".
- 大多数指导方针 (12/21) 来自美国;8个指导方针涵盖了初级和二级预防,而13个指导方针集中在一个单一的模型上.
- CPGs表现出方法严谨,但往往缺乏实际适用性,公众参与其发展有限.
结论:
- 现有的牙预防CPG在方法上有优势,但需要加强以更好地临床实施.
- 改善CPG开发流程,特别是通过增加公众参与,对于未来的高质量指南至关重要.
- 增强的CPG可以更好地支持牙科专业人员,并改善所有人群的口腔健康结果.
相关概念视频
01:19Standards of Care II
685
Nurses bear specific legal responsibilities under several federal statutes, including:
685
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:26Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
01:21Tooth Anatomy
563
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
563
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:26Assessment of the Mouth
266
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
266