临床实践指南的透明度和方法质量在息治疗. 范围审查 范围审查
Julio Cesar Torres-Cuellar1, Daniel Alejandro Pérez-Muñoz1, Ivan D Florez2,3
1Department of Anesthesiology, Universidad del Cauca, Popayán, Colombia.
Journal of evaluation in clinical practice
|March 1, 2026
概括
这项研究评估了息治疗 (PC) 和终身护理 (EOLC) 的临床实践指南 (CPG),发现了适用性和透明度方面的重大差距. 需要改进,以提高这些基本的CPG在临床实践中的相关性和影响.
科学领域:
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
- 临床指南 临床指南
背景情况:
- 息治疗 (PC) 和终身护理 (EOLC) 对于改善患者生活质量至关重要.
- 临床实践指南 (CPG) 标准化了护理,但需要对质量和透明度进行评估.
- 对PC和EOLC CPG的系统评估是有限的.
研究的目的:
- 评估成人PC和EOLCCPG的方法质量和透明度.
- 用RIGHT检查清单来评估报告的完整性.
- 确定在CPG开发和报告方面需要改进的领域.
主要方法:
- 范围审查确定了来自主要数据库和存储库的相关CPG.
- 两位独立审查员使用AGREE-II工具和RIGHT检查清单评估了CPG.
- 描述性分析和评价者之间的协议是为了确保可靠性而计算的.
主要成果:
- 包括23个CPG;52.2%专注于PC,并由政府开发.
- 根据AGREE-II的评估结果显示,60.9%的"建议"和30.4%的"建议修改".
- 适用性得分最低 (25%),范围和目的 (89%) 和陈述清晰度 (83%) 得分最高.
结论:
- 在PC和EOLC中,CPG在适用性和透明度方面存在明显的差距.
- 在应对现实世界的实施方面需要进行改进.
- 需要对方法,资金和利益冲突进行更清晰的报告.
相关概念视频
Ethical Issues
2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.3K
Nursing Ethical Principles II
2.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.3K
Ethical Dilemmas II
2.6K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.6K
Guidelines for Writing Outcome
4.2K
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...
4.2K
Continuing Care
2.0K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
2.0K
Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
