背景:系统评价被认为是最高水平的证据,可以帮助指导护理实践中的循证决策,教育,甚至卫生政策。系统审查出版物已从1980年代的零星出版物增加到每年出版的10,000多次系统审查,并在预期的登记册中注册了约30,000。
方法:对横断面设计和各种数据源进行了三角测量,以确定将评估系统评价的期刊是否符合系统评价和荟萃分析(PRISMA)2020报告指南和范围的首选报告项目。具体来说,这项研究使用了PRISMA2020报告指南来评估引言的报告,方法,信息来源和搜索策略,研究选择过程,质量/偏见评估,以及所包括的系统综述的结果和讨论方面。
结果:在回顾了2019年和2020年在10种护理领域顶级期刊上发表的215篇系统评价后,这项研究发现了在2020年PRISMA声明的背景下改善系统评价报告的几个机会。报告的优先领域包括以下关键领域:(1)信息来源,(2)搜索策略,(3)研究选择过程,(4)偏见报告,(5)明确讨论对政策的影响,最后,(6)前瞻性协议注册的必要性。
结论:作者对PRISMA2020指南的使用,同行审稿人,和编辑可以帮助确保在护理文献中发布的系统综述的透明和详细的报告。
结论:系统评价被认为是强有力的研究证据,可以指导循证实践甚至临床决策。本文讨论了系统综述中一些常见的方法和过程问题,这些问题可以指导临床医生和从业人员在评估可以塑造护理实践的研究证据时更加重要。
BACKGROUND: Systematic reviews are considered the highest level of evidence that can help guide evidence-informed decisions in nursing practice, education, and even health policy. Systematic review publications have increased from a sporadic few in 1980s to more than 10,000 systematic reviews published every year and around 30,000 registered in prospective registries.
METHODS: A cross-sectional design and a variety of data sources were triangulated to identify the journals from which systematic reviews would be evaluated for adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 reporting
guidelines and scope. Specifically, this study used the PRISMA 2020 reporting
guidelines to assess the reporting of the introduction, methods, information sources and search strategy, study selection process, quality/bias assessments, and results and discussion aspects of the included systematic reviews.
RESULTS: Upon review of the 215 systematic reviews published in 10 top-tier journals in the field of nursing in 2019 and 2020, this study identified several opportunities to improve the reporting of systematic reviews in the context of the 2020 PRISMA statement. Areas of priority for reporting include the following key areas: (1) information sources, (2) search strategies, (3) study selection process, (4) bias reporting, (5) explicit discussion of the implications to policy, and lastly, the need for (6) prospective protocol registration.
CONCLUSIONS: The use of the PRISMA 2020
guidelines by authors, peer reviewers, and editors can help to ensure the transparent and detailed reporting of systematic reviews published in the nursing literature.
CONCLUSIONS: Systematic reviews are considered strong research evidence that can guide evidence-based practice and even clinical decision-making. This paper addresses some common methodological and process issues among systematic reviews that can guide clinicians and practitioners to be more critical in appraising research evidence that can shape nursing practice.