Analysis of key steps in the development of nursing clinical practice guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

JIN Yinghui ¹ , WANG Yunyun ¹ , ZENG Tieying ² , CAO Yingjuan ³ , HUANG Di ¹ ,  ZENG Xiantao ¹

1. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University; Department of Evidence-Based Medicine and Clinical Epidemiology, The Second Clinical College of Wuhan University; Center for Evidence-Based and Translational Medicine, Wuhan University, Wuhan, 430071, P.R.China;
2. Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R.China;
3. Department of Nursing, Qilu Hospital of Shandong University, Jinan, 250012, P.R.China;

Corresponding?author：

ZENG Xiantao, Email: zengxiantao1128@163.com

Keywords：

Nursing clinical practice guidelines; Evidence; Recommendation; Primary step

DOI：

10.7507/1672-2531.201807041

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With the development of evidence-based medicine, an increasing amount of clinical care experts are paying attention to recommendations in the guidelines and the application of guidelines in clinical nursing practice. The demand for clinical practice guidelines is becoming increasingly important. Based on characteristics of nursing, this paper focuses on primary steps in the formulation of nursing-clinical practice guideline, such as clinical problems, outcomes, nursing evidence retrieval and selection, evidence and recommendations classification, methods from evidence to recommendations, patients' preference and value, and provides suggestions for development of nursing-clinical practice guidelines.

Citation： JIN Yinghui, WANG Yunyun, ZENG Tieying, CAO Yingjuan, HUANG Di, ZENG Xiantao. Analysis of key steps in the development of nursing clinical practice guidelines. Chinese Journal of Evidence-Based Medicine, 2019, 19(4): 490-497. doi: 10.7507/1672-2531.201807041 Copy

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6.	周英鳳, 秦薇, 劉睿艷. 成年住院患者用藥差錯預防及管理實踐指南的構建. 護理學雜志, 2014, 29(10): 1-4.
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10.	WHO. WHO handbook for guideline development (2nd edition), 2014. Available from http://www.who.int/publications/guidelines/guidelines_review_committee/en/.
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12.	Kirwan JR, Hewlett SE, Heiberg T, et al. Incorporating the patient perspective into outcome assessment in rheumatoid arthritis: progress at OMERACT 7. J Rheumatol, 2005, 32(11): 2250-2256.
13.	Gandhi GY, Murad MH, Fujiyoshi A, et al. Patient-important outcomes in registered diabetes trials. JAMA, 2008, 299(21): 2543-2549.
14.	王行環, 主編. 循證臨床實踐指南的研發與評價. 北京: 中國協和醫科大學出版社, 2016.
15.	Sinha IP, Williamson PR, Smyth RL. Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focused on short term disease activity. PLoS One, 2009, 4(7): e6276.
16.	萬霞, 劉建平, 張宏偉, 等. 臨床干預研究中結局指標的選擇方法. 中西醫結合醫學學報, 2007, 5(1): 11-14.
17.	Stewart LA, Tierney JF, Clarke M. Cochrane handbook for systematic reviews of intervention version 5.1.4. Cochrane Database of Systematic Reviews, 2011: 78.
18.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19.	Glasziou P, Vandenbroucke JP, Chalmers I. Assessing the quality of research. BMJ, 2004, 328(7430): 39-41.
20.	Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Chicago, IL: Rand McNally College, 1963.
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24.	李幼平, 主編. 循證醫學. 第 3 版. 北京: 高等教育出版社, 2013.
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28.	Balshem H, Helf M, Schünemann HJ, et al. GRADE: guidelines: 3. Rating the quality of evidence of evidence. J Clin Epidemiol, 2011, 64(4): 401-406.
29.	王春青, 胡雁. JBI 證據預分級及證據推薦級別系統. 護士進修雜志, 2015, 30(11): 964-967.
30.	Lewin S, Glenton C, Noyes J, et al. CerQual approach: assessing how much certainty to place in findings from qualitative evidence syntheses. The 21st Cochrane Colloquium. Quebec, Canada, 2013.
31.	拜爭剛, 劉少堃, 黃崇斐, 等. 定性系統評價證據分級工具—CERQual 簡介. 中國循證醫學雜志, 2015, 15(12): 1465-1470.
32.	USPSTF. US preventive services task force procedure manual, 2015. Available at: https://www.uspreventiveservicestaskforce.org/Page/Name/procedure-manual.
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34.	Alonso-Coello P, Schünemann HJ, Moberg J, et al. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 2: Clinical practice guidelines. BMJ, 2016, 353: i2089.
35.	Moberg J, Alonso-Coello P, Oxman AD. GRADE Evidence to Decision (EtD) frameworks guidance. Version 1.1 [update May 2015]. The GRADE Working Group, 2015. Available from https://ietd.epistemonikos.org/#/help/guidance.
36.	王云云, 靳英輝, 陳耀龍, 等. 循證臨床實踐指南推薦意見形成的方法分析. 中國循證醫學雜志, 2017, 17(9): 1-8.
37.	陳耀龍. GRADE 在系統評價和實踐指南中的應用. 蘭州: 蘭州大學出版社, 2017: 167-180.
38.	Neumann I, Brignardellopetersen R, Wiercioch W, et al. The GRADE evidence-to-decision framework: a report of its testing and application in 15 international guideline panels. Implementation Science, 2015, 11(1): 1-8.
39.	Eccles M, Clapp Z, Grimshaw J, et al. North of England evidence-based guidelines development project: methods of guideline development. BMJ, 1996, 312(7033): 760-762.
40.	廖星, 謝雁鳴. 共識法在傳統醫學臨床實踐指南制定過程中的應用探討. 結合醫學學報, 2008, 6(6): 555-560.
41.	Eikelboom JW, Hirsh J, Spencer FA, et al. Executive summary: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians evidence-based clinical practice guidelines. Chest, 2012, 141(2 Suppl): 7S-47S.
42.	解染, 陳耀龍, 陳昊, 等. 循證指南制定中患者價值觀和偏好的研究方法. 中國循證醫學雜志, 2015, 15(5): 586-591.
43.	Lin OS, Kozarek RA, Gluck M, et al. Preference for colonoscopy versus computerized tomographic colonography: a systematic review and meta-analysis of observational studies. J Gen Intern Med, 2012, 27(10): 1349-1360.
44.	Mohiuddin S, Payne K. Utility values for adults with unipolar depression: systematic review and meta-analysis. Med Decis Mak, 2014, 34(5): 666-685.
45.	Peeters Y, Stiggelbout AM. Health state valuations of patients and the general public analytically compared: a meta-analytical comparison of patient and population health state utilities. Value Health, 2010, 13(2): 6-9.
46.	Sadique MZ, Legood R. Women’s preferences regarding options for management of atypical, borderline or low-grade cervical cytological abnormalities: a review of the evidence. Cytopathology, 2012, 23(3): 161-166.
47.	Zhang Y, Alonso-Coello P, Bro?ek J, et al. Using patient values and preferences to inform the importance of health outcomes in practice guideline development following the GRADE approach. Health Qual Life Outcomes, 2017, 15(1): 52.

1. IOM (Institute of Medicine). Clinical practice guidelines we can trust. Washington, DC: The National Academies Press, 2011.
2. 靳英輝, 王丹琦, 李艷, 等. 臨床實踐指南制定方法—國內外臨床實踐指南制定手冊概要. 中國循證心血管醫學雜志, 2018, 10(1): 1-10.
3. WHO. Handbook for guideline development. 2014. Available at: http://www.who.int/publications/guidelines/handbook_2nd_ed.pdf?ua=1.
4. NICE. Developing nice guidelines the manual. 2017. Available at: https://www.nice.org.uk/process/pmg20/chapter/introduction-andoverview.
5. 傅亮. 艾滋病臨床護理實踐指南的構建研究. 上海: 復旦大學, 2014.
6. 周英鳳, 秦薇, 劉睿艷. 成年住院患者用藥差錯預防及管理實踐指南的構建. 護理學雜志, 2014, 29(10): 1-4.
7. 唐慧婷. 氣管插管危重患者口腔護理臨床實踐指南構建. 上海: 復旦大學, 2013.
8. 中華醫學會風濕病學分會. 2016 中國痛風診療指南. 中華內科雜志, 2016, 5(11): 892-899.
9. Richardson WS, Wilson MC, Nishikawa J, et al. The well-built clinical question: a key to evidence-based decisions. ACP J Club, 1995, 123: A12-13.
10. WHO. WHO handbook for guideline development (2nd edition), 2014. Available from http://www.who.int/publications/guidelines/guidelines_review_committee/en/.
11. Sinha IP, Gallagher R, Williamson PR, et al. Development of a core outcome set for clinical trials in childhood asthma: a survey of clinicians, parents, and young people. Trials, 2012, 13: 103.
12. Kirwan JR, Hewlett SE, Heiberg T, et al. Incorporating the patient perspective into outcome assessment in rheumatoid arthritis: progress at OMERACT 7. J Rheumatol, 2005, 32(11): 2250-2256.
13. Gandhi GY, Murad MH, Fujiyoshi A, et al. Patient-important outcomes in registered diabetes trials. JAMA, 2008, 299(21): 2543-2549.
14. 王行環, 主編. 循證臨床實踐指南的研發與評價. 北京: 中國協和醫科大學出版社, 2016.
15. Sinha IP, Williamson PR, Smyth RL. Outcomes in clinical trials of inhaled corticosteroids for children with asthma are narrowly focused on short term disease activity. PLoS One, 2009, 4(7): e6276.
16. 萬霞, 劉建平, 張宏偉, 等. 臨床干預研究中結局指標的選擇方法. 中西醫結合醫學學報, 2007, 5(1): 11-14.
17. Stewart LA, Tierney JF, Clarke M. Cochrane handbook for systematic reviews of intervention version 5.1.4. Cochrane Database of Systematic Reviews, 2011: 78.
18. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19. Glasziou P, Vandenbroucke JP, Chalmers I. Assessing the quality of research. BMJ, 2004, 328(7430): 39-41.
20. Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Chicago, IL: Rand McNally College, 1963.
21. Chalmers I, Hedges L, Cooper H. A brief history of research synthesis. Evaluat & the Heal Profes, 2002, 25(1): 12-37.
22. Canadian Task Force on the Periodic Health Examination. Canadian Task Force on the Periodic Health Examination: the periodic health examination. CMAJ, 1979, 121(19): 1193-1254.
23. Harbour R, Miller J. A new system for grading recommendations in evidence-based guidelines. BMJ, 2001, 323(7308): 334-336.
24. 李幼平, 主編. 循證醫學. 第 3 版. 北京: 高等教育出版社, 2013.
25. Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490-1494.
26. 陳耀龍, 李幼平, 杜亮, 等. 醫學研究中證據分級和推薦強度的演進. 中國循證醫學雜志, 2008, 8(2): 127-133.
27. The Joanna Briggs Institute. Supporting document for the Joanna Briggs institute levels of evidence and grade of recommendation, 2014. Available at: http://joannabriggs.org/jbi-approach.htmlhttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Levels-of-Evidencehttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Grades-of-Recommendation.
28. Balshem H, Helf M, Schünemann HJ, et al. GRADE: guidelines: 3. Rating the quality of evidence of evidence. J Clin Epidemiol, 2011, 64(4): 401-406.
29. 王春青, 胡雁. JBI 證據預分級及證據推薦級別系統. 護士進修雜志, 2015, 30(11): 964-967.
30. Lewin S, Glenton C, Noyes J, et al. CerQual approach: assessing how much certainty to place in findings from qualitative evidence syntheses. The 21st Cochrane Colloquium. Quebec, Canada, 2013.
31. 拜爭剛, 劉少堃, 黃崇斐, 等. 定性系統評價證據分級工具—CERQual 簡介. 中國循證醫學雜志, 2015, 15(12): 1465-1470.
32. USPSTF. US preventive services task force procedure manual, 2015. Available at: https://www.uspreventiveservicestaskforce.org/Page/Name/procedure-manual.
33. Alonso-Coello P, Schünemann HJ, Moberg J, et al. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: Introduction. BMJ, 2016, 353: i2016.
34. Alonso-Coello P, Schünemann HJ, Moberg J, et al. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 2: Clinical practice guidelines. BMJ, 2016, 353: i2089.
35. Moberg J, Alonso-Coello P, Oxman AD. GRADE Evidence to Decision (EtD) frameworks guidance. Version 1.1 [update May 2015]. The GRADE Working Group, 2015. Available from https://ietd.epistemonikos.org/#/help/guidance.
36. 王云云, 靳英輝, 陳耀龍, 等. 循證臨床實踐指南推薦意見形成的方法分析. 中國循證醫學雜志, 2017, 17(9): 1-8.
37. 陳耀龍. GRADE 在系統評價和實踐指南中的應用. 蘭州: 蘭州大學出版社, 2017: 167-180.
38. Neumann I, Brignardellopetersen R, Wiercioch W, et al. The GRADE evidence-to-decision framework: a report of its testing and application in 15 international guideline panels. Implementation Science, 2015, 11(1): 1-8.
39. Eccles M, Clapp Z, Grimshaw J, et al. North of England evidence-based guidelines development project: methods of guideline development. BMJ, 1996, 312(7033): 760-762.
40. 廖星, 謝雁鳴. 共識法在傳統醫學臨床實踐指南制定過程中的應用探討. 結合醫學學報, 2008, 6(6): 555-560.
41. Eikelboom JW, Hirsh J, Spencer FA, et al. Executive summary: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians evidence-based clinical practice guidelines. Chest, 2012, 141(2 Suppl): 7S-47S.
42. 解染, 陳耀龍, 陳昊, 等. 循證指南制定中患者價值觀和偏好的研究方法. 中國循證醫學雜志, 2015, 15(5): 586-591.
43. Lin OS, Kozarek RA, Gluck M, et al. Preference for colonoscopy versus computerized tomographic colonography: a systematic review and meta-analysis of observational studies. J Gen Intern Med, 2012, 27(10): 1349-1360.
44. Mohiuddin S, Payne K. Utility values for adults with unipolar depression: systematic review and meta-analysis. Med Decis Mak, 2014, 34(5): 666-685.
45. Peeters Y, Stiggelbout AM. Health state valuations of patients and the general public analytically compared: a meta-analytical comparison of patient and population health state utilities. Value Health, 2010, 13(2): 6-9.
46. Sadique MZ, Legood R. Women’s preferences regarding options for management of atypical, borderline or low-grade cervical cytological abnormalities: a review of the evidence. Cytopathology, 2012, 23(3): 161-166.
47. Zhang Y, Alonso-Coello P, Bro?ek J, et al. Using patient values and preferences to inform the importance of health outcomes in practice guideline development following the GRADE approach. Health Qual Life Outcomes, 2017, 15(1): 52.

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