Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example
Objective: To explore the methodology of the evidence-based expert consensus formulation process of traditional Chinese medicine (TCM) nursing taking stroke as an example. Methods: First, preliminary and comprehensive presentation of all stroke-related symptoms and corresponding TCM nursing techniqu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Journal of Traditional Chinese Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095754822000230 |
| _version_ | 1797756668728049664 |
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| author | Xuejing Li Ke Peng Meiqi Meng Liu Han Dan Yang Junqiang Zhao Yufang Hao |
| author_facet | Xuejing Li Ke Peng Meiqi Meng Liu Han Dan Yang Junqiang Zhao Yufang Hao |
| author_sort | Xuejing Li |
| collection | DOAJ |
| description | Objective: To explore the methodology of the evidence-based expert consensus formulation process of traditional Chinese medicine (TCM) nursing taking stroke as an example. Methods: First, preliminary and comprehensive presentation of all stroke-related symptoms and corresponding TCM nursing techniques involved were revealed through bibliometric analysis. Then, selection of stroke symptoms and TCM nursing techniques for inclusion in the consensus was performed using an expert consultation method. Next, we determined the search strategy for a precise evidence search; conducted an evaluation of evidence quality and the grade of the evidence; and completed evidence extraction, evidence analysis, and evidence synthesis based on the included symptoms and TCM nursing techniques. The Delphi method was then applied to determine the strength of each recommendation and the choice of nursing care points by referring to the Grading of Recommendations, Assessment, Development, and Evaluations grid. Finally, we conducted an external expert validation of the Delphi results to form an expert consensus guideline. Results: Through the bibliometric analysis, 22 stroke symptoms and 18 TCM nursing techniques were identified in the literature. Then, after expert consultation, 22 symptoms and 111 pairs of symptoms combined with TCM nursing techniques were selected for the evidence search. Evidence integration yielded 10 stroke symptoms corresponding to 29 bodies of evidence; these 10 symptoms were retained through the Delphi consultation, and recommendation strength results for 26 recommendations were obtained. A total of 9 symptoms were further retained for expert external validation to form 24 recommendations, with a recommendation process score range of 7.64–9.99 points and a more scientific and standardized recommendation-formation process. Conclusion: Owing to the current limited conditions of evidence-based resources for TCM nursing, the present consensus-building process represents only a preliminary exploration of an evidence-based expert consensus for TCM nursing to provide a reference for a more scientific and standardized methodology. |
| first_indexed | 2024-03-12T18:04:50Z |
| format | Article |
| id | doaj.art-d3b9a231caac49958b53dacb7cef772f |
| institution | Directory Open Access Journal |
| issn | 2095-7548 |
| language | English |
| last_indexed | 2024-03-12T18:04:50Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Traditional Chinese Medical Sciences |
| spelling | doaj.art-d3b9a231caac49958b53dacb7cef772f2023-08-02T09:31:22ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482022-04-0192128134Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an exampleXuejing Li0Ke Peng1Meiqi Meng2Liu Han3Dan Yang4Junqiang Zhao5Yufang Hao6School of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China; Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, 102488, China; Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, 102488, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China; Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, 102488, China; Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, 102488, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China; Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, 102488, China; Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, 102488, ChinaDepartment of Nursing, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China; Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, 102488, China; Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, 102488, ChinaSchool of Nursing, University of Ottawa, Ottawa, Ontario, K1N 6N5, Canada; Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, K1N 6N5, CanadaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China; Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, 102488, China; Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, 102488, China; Corresponding author. School of Nursing, Beijing University of Chinese Medicine, Beijing, 102488, China.Objective: To explore the methodology of the evidence-based expert consensus formulation process of traditional Chinese medicine (TCM) nursing taking stroke as an example. Methods: First, preliminary and comprehensive presentation of all stroke-related symptoms and corresponding TCM nursing techniques involved were revealed through bibliometric analysis. Then, selection of stroke symptoms and TCM nursing techniques for inclusion in the consensus was performed using an expert consultation method. Next, we determined the search strategy for a precise evidence search; conducted an evaluation of evidence quality and the grade of the evidence; and completed evidence extraction, evidence analysis, and evidence synthesis based on the included symptoms and TCM nursing techniques. The Delphi method was then applied to determine the strength of each recommendation and the choice of nursing care points by referring to the Grading of Recommendations, Assessment, Development, and Evaluations grid. Finally, we conducted an external expert validation of the Delphi results to form an expert consensus guideline. Results: Through the bibliometric analysis, 22 stroke symptoms and 18 TCM nursing techniques were identified in the literature. Then, after expert consultation, 22 symptoms and 111 pairs of symptoms combined with TCM nursing techniques were selected for the evidence search. Evidence integration yielded 10 stroke symptoms corresponding to 29 bodies of evidence; these 10 symptoms were retained through the Delphi consultation, and recommendation strength results for 26 recommendations were obtained. A total of 9 symptoms were further retained for expert external validation to form 24 recommendations, with a recommendation process score range of 7.64–9.99 points and a more scientific and standardized recommendation-formation process. Conclusion: Owing to the current limited conditions of evidence-based resources for TCM nursing, the present consensus-building process represents only a preliminary exploration of an evidence-based expert consensus for TCM nursing to provide a reference for a more scientific and standardized methodology.http://www.sciencedirect.com/science/article/pii/S2095754822000230Traditional Chinese medicine nursingEvidenceStrokeHemiplegiaExpert consensusDelphi method |
| spellingShingle | Xuejing Li Ke Peng Meiqi Meng Liu Han Dan Yang Junqiang Zhao Yufang Hao Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example Journal of Traditional Chinese Medical Sciences Traditional Chinese medicine nursing Evidence Stroke Hemiplegia Expert consensus Delphi method |
| title | Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example |
| title_full | Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example |
| title_fullStr | Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example |
| title_full_unstemmed | Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example |
| title_short | Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example |
| title_sort | methodological exploration on the construction of a traditional chinese medicine nursing expert consensus based on evidence taking stroke as an example |
| topic | Traditional Chinese medicine nursing Evidence Stroke Hemiplegia Expert consensus Delphi method |
| url | http://www.sciencedirect.com/science/article/pii/S2095754822000230 |
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