开发和验证患者报告的结果指标的指导方针:一个范围审查
Andres Jung1,2, Dimitris Challoumas3, Larissa Pagels4
1Institute of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), Universität zu Lübeck, Lübeck, Germany andres.jung@posteo.de.
BMJ evidence-based medicine
|May 23, 2024
概括
大多数关于制定患者报告结果指标 (PROM) 的指南缺乏全面性,错过了关键步骤. 然而,至少有15条指南,包括三个全面的指南,建议用于PROM的开发和验证.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 医学研究方法学 医学研究方法学
- 心理测量 心理测量 心理测量
背景情况:
- 患者报告的结果测量 (PROM) 是临床研究和实践中的重要工具.
- 开发和验证PROM需要遵守严格的方法标准.
- 现有的指导方针旨在标准化PROM的开发和验证,但它们的全面性各不相同.
研究的目的:
- 对PROM开发和验证的现有指南进行范围审查.
- 评估这些准则的全面性和清晰性.
- 根据开发人员的目标,为指南的使用提供建议.
主要方法:
- 在主要数据库 (PubMed,Scopus,PsycInfo,Google Scholar) 进行了全面的文献搜索,截至2023年6月.
- 两个独立审查员选了记录并提取了数据.
- 使用映射合成方法将指南内容与PROM开发和验证的20步框架进行比较.
主要成果:
- 审查中包括了40条指导方针.
- 虽然大多数指导方针 (98%) 提供了统计建议,许多指导方针 (88%) 提供了例子,但很大一部分指导方针 (78%) 不是全面的.
- 两个关键步骤",测量模型的考虑和阐述"和"响应性",分别在80%和72%的指南中缺失.
结论:
- 目前大多数关于PROM开发和验证的指南都是不完整的,忽略了基本的方法步骤.
- 尽管有局限性,但许多指南为特定的PROM应用提供了宝贵的支持.
- 为各种PROM开发和验证目的,推至少15条指南,其中包括三个非常全面的指南.
更多相关视频
相关概念视频
Guidelines 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
Methods of Documentation II: POMR
939
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
939
Data Validation
5.0K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.0K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Role of Communication in the Nursing Process III: Evaluation and Documentation
1.3K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.3K
Introduction to Documentation and Reporting
2.0K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
2.0K


