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Original Article | Open Access

Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence—taking stroke as an example

Xuejing Lia,b,c,1, Ke Penga,b,c,1, Meiqi Menga,b,c, Liu Hand, Dan Yanga,b,c, Junqiang Zhaoe,f, Yufang Haoa,b,c( )
School 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
Department of Nursing, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
School of Nursing, University of Ottawa, Ottawa, Ontario, K1N 6N5, Canada
Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, K1N 6N5, Canada

Peer review under responsibility of Beijing University of Chinese Medicine.

1 These authors have contributed equally to this work.

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Abstract

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.

Keywords

Traditional Chinese medicine nursingEvidenceStrokeHemiplegiaExpert consensusDelphi method

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Journal of Traditional Chinese Medical Sciences
Volume 9 Issue 2,
April 2022
Pages 128-134
DOI: 10.1016/j.jtcms.2022.03.003
Cite this article:
Li X, Peng K, Meng M, et al. 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, 2022, 9(2): 128-134. https://doi.org/10.1016/j.jtcms.2022.03.003

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Received: 29 September 2021
Revised: 10 March 2022
Accepted: 19 March 2022
Published: 22 March 2022
© 2022 Beijing University of Chinese Medicine.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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