Abstract:

Objective To evaluate the scientificity，transparency and applicability of Chinese guidelines and expert consensuses on nursing published in 2022，in order to improve the quality of guidelines and consensuses. Methods Databases including Medline，Embase，Web of Science，CBM，CNKI，WanFang database，Chinese Medical Journal，and related websites were electronically searched，as well as China Hong Kong，Macao and Taiwan medical journals，to collect Chinese guidelines and expert consensuses on nursing from January to December 2022. STAR tool was used to evaluate the quality of each guidelines and consensuses by 3 assessors independently. Total score，scoring rate of each domain and item were adopted to analyze the outcomes. Results A total of 3 guidelines and 33 expert consensuses were included. The total guidelines and expert consensuses STAR score（33.5±14.3）. The quality of guidelines and consensuses was low. The quality of guidelines was moderate with average score of 55.1，and the quality of consensuses was low with average score of 31.5. The included guidelines and consensuses had a highest score rate （52.4%） in the domain of recommendation. Among 39 items of STAR tool，the top 4 items including listing participants and institutions，explaining additional instructions for implementation，describing consensus method，and listing references for recommendations had a high score rate of 100%，83.3%，77.8%，75.0% respectively. However，the items of registration，providing registration information，protocols being searched on public platforms and explaining the role of funding had a low score rate，urgent need for attention and upgrading. Conclusion The overall quality of the Chinese guidelines and expert consensuses on nursing published in 2022 was low. As a medical and nursing practice guidance document，the quality of guidelines and expert consensuses should be improved by encouraging registration，strengthening management of interest conflict，enhancing the rigor of guideline developing process，and expanding the dissemination.

Key words: Evidence-Based Nursing, Clinical Practice Guideline, Expert Consensus, Quality Appraisal

摘要：

目的 对2022年期刊发表的中国护理领域指南及共识的科学性、透明性和适用性进行评价，为提升指南和共识的质量提供依据。方法 计算机检索Medline、Embase、Web of Science、中国知网、万方数据库、中国生物医学文献服务系统、中华医学期刊网，补充检索中国港澳台地区期刊网站，检索时限为2022年1月—12月。每篇指南或共识由3名评价者采用指南科学性、透明性和适用性的评级（STAR）工具进行独立评价，使用总分、各领域及条目得分率对评价结果进行描述性分析。结果 共纳入36篇文献，其中，33篇共识、3篇指南。指南和共识STAR总分为8.7~65.4（33.5±14.3）分，处于低水平。其中，指南的平均分为55.1分，处于中等水平；共识的平均分为31.5分，处于低水平。纳入文献“推荐意见”领域得分率最高，为52.4%。在各条目中，“说明了参与人员的机构”“说明了推荐意见实施过程中的注意事项”“说明了推荐意见共识方法”“主要推荐意见有明确的参考文献”得分率较高，分别为100%、83.3%、77.8%、75.0%；“进行了注册”“提供注册的平台和注册号信息”“计划书能够在公开平台获取”“说明了资助在指南制订中的作用”得分率最低，亟需关注与提升。结论 2022年期刊发表的中国护理领域指南和共识的总体质量为低水平。指南和共识作为临床护理决策的指导性文件，未来应倡导注册、明确利益冲突管理、提高指南制订各环节的严谨性、拓展传播途径，提升护理领域指南和共识的质量。

关键词: 循证护理学, 临床实践指南, 专家共识, 质量评价