Original Article
Quality evaluation and content analysis of practice guidelines for hospice care of cancer patients based on AGREE Ⅱ
Hou Xiaoting, Yu Wenhua, Kang Dongqin, Ma Xiaoxiao, Yang Hong, Lu Yuhan
Published 2022-03-26
Cite as Chin J Mod Nurs, 2022, 28(9): 1158-1166. DOI: 10.3760/cma.j.cn115682-20210817-03641
Abstract
ObjectiveTo evaluate the quality of domestic and foreign hospice care practice guidelines for cancer patients, so as to provide a basis for the future development of scientific and systematic hospice care guidelines for cancer patients or the formulation of evidence-based nursing practice plans for hospice care of cancer patients in China.
MethodsPractice guidelines on hospice care for cancer patients were systematically retrieved from domestic and foreign databases, guidelines and professional society websites from the establishment of the database to July 25, 2020. Two investigators screened the guidelines strictly according to the inclusion and exclusion criteria, and evaluated the methodological quality of the included guidelines by using the currently internationally recognized guideline evaluation tool, the Appraisal of Guidelines for Research and Evaluation version Ⅱ (AGREE Ⅱ) .
ResultsA total of 14 guidelines were included for quality analysis, 9 guidelines were Grade A, 1 guidelines was Grade B, and 4 guidelines were Grade C. The average standardized scores of the 6 areas in AGREEⅡ of the 14 guidelines from high to low were scope and purpose (91.87%) , clarity (83.73%) , stakeholder (72.82%) , applicability (66.81%) , rigor (63.84%) and independence (58.04%) . The subject content analysis of 9 Grade A guidelines showed that common topics in the practice guidelines for hospice care of cancer patients included forming interdisciplinary teams, identification of end-of-life patients, assessment of end-of-life needs, end-of-life communication, providing of individualized nursing, end-of-life symptom management, bereavement support, support and training for nurses.
ConclusionsEvidence-based guidelines for hospice care of cancer patients are lacking in China. The existing practice guidelines for hospice care of cancer patients in foreign countries are of high quality and cover a comprehensive range of topics, which can provide a reference for our country to formulate hospice care guidelines in line with national conditions or to transform the best evidence into our country's hospice care practice.
Key words:
Neoplasms; Hospice care; Practice guideline; Appraisal of guidelines for research and evaluation; Quality evaluation
Contributor Information
Hou Xiaoting
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Department of Thoracic OncologyⅠ, Peking University Cancer Hospital &
Institute, Beijing 100142, China
Yu Wenhua
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Department of Thoracic SurgeryⅡ, Peking University Cancer Hospital &
Institute, Beijing 100142, China
Kang Dongqin
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Department of Integrative Medicine &
Geriatric Oncology, Peking University Cancer Hospital &
Institute, Beijing 100142, China
Ma Xiaoxiao
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Nursing Department, Peking University Cancer Hospital &
Institute, Beijing 100142, China
Yang Hong
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Nursing Department, Peking University Cancer Hospital &
Institute, Beijing 100142, China
Lu Yuhan
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) , Nursing Department, Peking University Cancer Hospital &
Institute, Beijing 100142, China
