Abstract
BackgroundMeta-analysis is often regarded as one of the best sources of evidence for clinical nurses due to its rigorous design and scientific reflection of the true results of nursing interventions. The quality of a meta-analysis is critical to the work of clinical decision-makers. Therefore, the objective of this study was to use the JBI guidelines to summarize the quality of RCT-based meta-analyses of reports published in domestic nursing professional journals, with a view to standardizing the research process and reporting methods.MethodsWe performed a comprehensive literature search for RCT-based meta-analyses published in Chinese professional nursing journals, from their inception to December 31, 2015, using bibliographic databases (e.g. CNKI, WanFang Database). March 1, 2017, supplementary search 2016 literature. Candidate reviews were assessed for inclusion by two independent reviewers using pre-specified eligibility criteria. We evaluated the quality of reporting of the included meta-analyses using the systematic review literature reporting specification of JBI. Analyses were performed using Excel and STATA 12.0 software.ResultsThree hundred and twenty-two meta-analyses were included. According to the JBI guidelines, the overall quality of the meta-analysis report was poor. The quality of core journal reports and the implementation of retrieval were better than those of non-core journals. The nature of the authors and the availability of funding support had no significant impact on the quality of the meta-analyses. Multi-unit and multi-author collaboration can help improve the quality of meta-analyses with significant impact.ConclusionThe understanding and implementation of systematic evaluation and meta-analyses in domestic nursing professional journals is worthy of recognition, and there is more work that can be done to improve the quality of these reports. Systematic review / Meta-analysis (SR / MA) makers should include the findings of this study. Multi-institutional and multi-author collaborations appear to improve research capacity and provide more reliable evidence support for clinicians.
Highlights
Evidence-based nursing is one branch of evidence-based medicine, in which caregivers conscientiously and judiciously combine scientific findings with clinical experience and patient desires in the clinical care decision-making process[1]
We evaluated the quality of reporting of the included meta-analyses using the systematic review literature reporting specification of Joanna Briggs Institute (JBI)
Meta-analyses that met the requirements of this study were published after 2004, published in 2010 before the number of small and basically the same, after 2010, the number of published gradually increased5and faster. 83 (25.8%) of the studies were funded, but only one study was registered; 255 (79.2%) of the studies had !3 authors; 133 (41.3%) of the authors were from hospitals, 95 (29.5%) of the authors were from universities, 93 (28.9%) of the authors were multidisciplinary collaborations between
Summary
Evidence-based nursing is one branch of evidence-based medicine, in which caregivers conscientiously and judiciously combine scientific findings with clinical experience and patient desires in the clinical care decision-making process[1]. As the most important part of evidence-based nursing, clinical care evidence can be divided into four levels, of which, systematic reviews/ meta-analyses (SR/ MA) represent the first-level evidence, where the research design is more rigorous and can reflect the actual results of nursing intervention and are often regarded as one of the best evidence sources by clinicians[2,3]. Systematic reviews systematically evaluate a series of published and unpublished studies on a specific problem, using rigorous principles and methods of document evaluation, selecting documents that meet quality standards and conducting qualitative or quantitative synthesis, to draw the best conclusions. Meta-analysis is often regarded as one of the best sources of evidence for clinical nurses due to its rigorous design and scientific reflection of the true results of nursing interventions. The objective of this study was to use the JBI guidelines to summarize the quality of RCTbased meta-analyses of reports published in domestic nursing professional journals, with a view to standardizing the research process and reporting methods
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