比较巴西正常分娩护理指南与其他国家和国际指南。

Nursing for Women''s Health Pub Date : 2025-06-01 DOI:10.1016/j.nwh.2025.02.003

Eneida Patrícia Teixeira, Rita de Cassia Teixeira Rangel, Anna Carolina Raduenz Huf Souza, Cristina M.G. de L. Parada, Fiona A. Lynn, Maria de Lourdes de Souza

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引用次数: 0

摘要

目的：比较巴西国家正常分娩护理指南与国家卫生和护理卓越研究所（NICE）和世界卫生组织（WHO）的指南在预防孕产妇死亡的证据水平、质量和适用性方面的差异。设计：使用为巴西葡萄牙语翻译和验证的研究和评估指南评估II工具对指南进行审查和评估。设定：根据国家或国际使用和兴趣、范围以及它们是否为其他临床指南的来源等标准选择指南。审查和评价包括三项准则和与准则制定有关的支持文件。方法：在四个维度下对数据进行叙述性综合：(a)指南的质量和适用性，(b)指南中每个领域的得分，(c)翻译人员一致性指数，(d)考虑孕产妇死亡风险和预防的证据。结果：巴西准则在两个领域存在弱点：(a)发展的准确性和(b)适用性。对巴西指南的总体评价评分为33%，低于NICE和WHO指南的评分。这些分数反映了系统证据收集、建议透明度以及缺乏实际实施工具和指导方面的局限性。结论：巴西的指导方针应经过与国际标准相一致的适当规划和发展过程后重新制定。

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Comparing Brazilian Guidelines for Normal Birth Care to Other National and International Guidelines

Objective

To compare the Brazilian national guidelines for normal birth care to guidelines from the National Institute for Health and Care Excellence (NICE) and the World Health Organization (WHO) on levels of evidence, quality, and applicability for the prevention of maternal mortality.

Design

A review and evaluation of guidelines was conducted using the Appraisal of Guidelines for Research & Evaluation II instrument translated and validated for Brazilian Portuguese.

Setting

Guidelines were selected using criteria such as national or international use and interest, scope, and whether they were a source for other clinical guidelines. Three guidelines and supporting documents related to the guidelines’ development were included in the review and evaluation.

Methods

Data were narratively synthesized under four dimensions: (a) quality and applicability of the guidelines, (b) score of each domain in the guidelines, (c) interrater agreement index, and (d) evidence on the consideration of risk and prevention of maternal mortality.

Results

The Brazilian guidelines presented weaknesses in two domains: (a) Accuracy in Development and (b) Applicability. The overall evaluation of the Brazilian guidelines had a rating of 33%, which is lower than the rating for the NICE and WHO guidelines. These scores reflect limitations in systematic evidence gathering, the transparency of recommendations, and the lack of tools and guidance for practical implementation.

Conclusion

The Brazilian guidelines should be reformulated following a process of appropriate planning and development that aligns with international standards.

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来源期刊

Nursing for Women''s Health Nursing-Nursing (all)

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.