Title: Evaluation of the quality of Chinese guidelines and expert consensuses on nursing published in 2024
Abstract:
Objective: To evaluate the scientificity, transparency and applicability of Chinese guidelines and expert consensuses on nursing published in 2024, 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 2024. The 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 point, and the quality of consensuses was low with average score of 31.5 points. 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 2024 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
