护理医学研究中的共识方法的兴起:一个文献分析分析
Rachael Vella1, Amy Hutchison2, Paul Simpson1
1School of Health Sciences, Western Sydney University, Sydney, Australia.
医疗保健领域的共识研究正在增长,主要使用德尔菲技术. 然而,研究显示了大量的方法多样性和不经常使用指南,这表明需要改进研究标准.
科学领域:
- 护理医学的研究研究.
- 卫生科学 卫生科学
- 方法论研究研究方法论研究.
背景情况:
- 基于共识的研究在护理医学研究中越来越普遍.
- 虽然存在四种主要的共识方法,但在实践中注意到了显著的多样性和修改.
- 这种多样性反映了其他学科所观察到的趋势.
研究的目的:
- 系统地描述在护理医疗领域的共识研究方法的应用和特征.
- 确定公布的准医疗研究中使用共识方法的趋势.
- 评估对准医药共识研究中的方法和报告准则的遵守情况.
主要方法:
- 利用共识方法论对已发表的研究进行文献分析.
- 来自主要数据库的数据:MEDLINE,EMBASE和CINAHL.
- 严格的抽象选,全文审查和两个独立研究人员的数据提取,随后进行描述性分析.
主要成果:
- 在1997年至2024年期间,共发表了161项护理医学共识研究.
- 德尔菲技术是占主导地位的方法 (83%),其次是名义组技术 (NGT) (12%).
- 在54%的研究中报告了方法的修改,只有31%的Delphi研究遵守了公布的指导方针.
结论:
- 在护理医学中,共识研究的使用量大幅增加,很大程度上依赖Delphi方法.
- 有相当大的方法异质性存在,遵守既定指南是不常见的.
- 建议加强方法指南,以提高准医疗领域的共识研究的质量和一致性.
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