A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions.
A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions.
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DOI：
10.1111/j.1524-475x.2004.04006.x
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发表时间：
2004-01-01
影响因子：
4.3
通讯作者：
Micucci, S
中科院分区：
文献类型：
--
作者：
Thomas, B H;Ciliska, D;Micucci, S
背景：几个小组已经概述了干预措施有效性的系统文献综述的方法。有效公共卫生实践项目（EPHPP）始于1998年。其任务是提供研究证据，指导和支持安大略省卫生部概述该省公共卫生服务的最低要求。此外，该项目预计将在省、全国和国际上传播结果。大多数评论与公共卫生护理实践有关。目的：本文描述了与公共卫生护理干预措施有效性的系统文献综述相关的四个问题：(1)系统回顾文献的过程，(2)质量评估工具的开发，(3)迄今为止EPHPP的结果，以及(4)所使用的传播策略的一些结果。方法：概述了系统评价过程的八个步骤，包括问题制定、文献检索、建立相关性标准、评估研究的相关性、评估相关研究的方法学质量、数据提取和综合、撰写报告和传播。并介绍了在此过程中所使用的质量评估问卷的内容、结构效度和内部信度的开发与评估。结果：共完成20余篇系统评价。内容效度是确定使用一些专家审查问卷在其发展过程中。通过与另一个高评价工具的比较来证明结构效度。采用Cohen's Kappa建立了内部信度。所使用的传播战略看来是有效的，因为专业人员报告说他们了解审查情况，并在方案规划/决策中加以利用。结论：EPHPP已经证明有能力适应最新的系统文献综述方法的有效性，以解决与公共卫生护理相关的问题。这一进程的其他积极成果包括培养了一批能够积极参与这一进程的公共卫生研究人员和从业人员，宣传工作也成功地吸引了外部资金。这个领域的一个研究计划正在制定中。
BACKGROUND: Several groups have outlined methodologies for systematic literature reviews of the effectiveness of interventions. The Effective Public Health Practice Project (EPHPP) began in 1998. Its mandate is to provide research evidence to guide and support the Ontario Ministry of Health in outlining minimum requirements for public health services in the province. Also, the project is expected to disseminate the results provincially, nationally, and internationally. Most of the reviews are relevant to public health nursing practice.AIMS: This article describes four issues related to the systematic literature reviews of the effectiveness of public health nursing interventions: (1) the process of systematically reviewing the literature, (2) the development of a quality assessment instrument, (3) the results of the EPHPP to date, and (4) some results of the dissemination strategies used.METHODS: The eight steps of the systematic review process including question formulation, searching and retrieving the literature, establishing relevance criteria, assessing studies for relevance, assessing relevant studies for methodological quality, data extraction and synthesis, writing the report, and dissemination are outlined. Also, the development and assessment of content and construct validity and intrarater reliability of the quality assessment questionnaire used in the process are described.RESULTS: More than 20 systematic reviews have been completed. Content validity was ascertained by the use of a number of experts to review the questionnaire during its development. Construct validity was demonstrated through comparisons with another highly rated instrument. Intrarater reliability was established using Cohen's Kappa. Dissemination strategies used appear to be effective in that professionals report being aware of the reviews and using them in program planning/policymaking decisions.CONCLUSIONS: The EPHPP has demonstrated the ability to adapt the most current methods of systematic literature reviews of effectiveness to questions related to public health nursing. Other positive outcomes from the process include the development of a critical mass of public health researchers and practitioners who can actively participate in the process, and the work on dissemination has been successful in attracting external funds. A program of research in this area is being developed.