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      Effect of training programmes on nurses' ability to care for subjects with pressure injuries: A meta‐analysis

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          Abstract

          We performed a meta‐analysis to evaluate the education effects on nurses' ability to care for subjects with pressure injuries. A systematic literature search up to April 2021 was carried out, and 29 studies included 5704 nurses at the start of the study; 3800 of them were experiment or post‐training and 3804 were control or per‐training. They were reporting relationships between the education effects on nurses' ability to care for subjects with pressure injuries. We calculated the odds ratio (OR) or the mean difference (MD) with 95% confidence intervals (CIs) to assess the education effects on nurses' ability to care for subjects with pressure injuries using the dichotomous or continuous method with a random or fixed‐effect model. Experiment or post‐trained nurses had significantly higher knowledge score (MD, 10.00; 95% CI, 7.61‐12.39, P < .001), number of nurses with proper knowledge (OR, 20.70; 95% CI, 10.80‐39.67, P < .001), practice score (MD, 12.39; 95% CI, 5.37‐19.42, P < .001), and number of nurses with proper practice (OR, 3.56; 95% CI, 1.75‐7.25, P < .001), attitudes score (MD, 7.46; 95% CI, 2.94‐11.99, P < .001) compared with control or pertained nurses. Training may have a beneficial effect on improving the nurses' ability to care for subjects with pressure injuries, which was obvious in improving knowledge, practice, and attitudes post‐training. Further studies are required to validate these findings.

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          Measuring inconsistency in meta-analyses.

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            The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.

            Systematic reviews and meta-analyses are essential to summarize evidence relating to efficacy and safety of health care interventions accurately and reliably. The clarity and transparency of these reports, however, is not optimal. Poor reporting of systematic reviews diminishes their value to clinicians, policy makers, and other users. Since the development of the QUOROM (QUality Of Reporting Of Meta-analysis) Statement--a reporting guideline published in 1999--there have been several conceptual, methodological, and practical advances regarding the conduct and reporting of systematic reviews and meta-analyses. Also, reviews of published systematic reviews have found that key information about these studies is often poorly reported. Realizing these issues, an international group that included experienced authors and methodologists developed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) as an evolution of the original QUOROM guideline for systematic reviews and meta-analyses of evaluations of health care interventions. The PRISMA Statement consists of a 27-item checklist and a four-phase flow diagram. The checklist includes items deemed essential for transparent reporting of a systematic review. In this Explanation and Elaboration document, we explain the meaning and rationale for each checklist item. For each item, we include an example of good reporting and, where possible, references to relevant empirical studies and methodological literature. The PRISMA Statement, this document, and the associated Web site (http://www.prisma-statement.org/) should be helpful resources to improve reporting of systematic reviews and meta-analyses.
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              Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group.

              Because of the pressure for timely, informed decisions in public health and clinical practice and the explosion of information in the scientific literature, research results must be synthesized. Meta-analyses are increasingly used to address this problem, and they often evaluate observational studies. A workshop was held in Atlanta, Ga, in April 1997, to examine the reporting of meta-analyses of observational studies and to make recommendations to aid authors, reviewers, editors, and readers. Twenty-seven participants were selected by a steering committee, based on expertise in clinical practice, trials, statistics, epidemiology, social sciences, and biomedical editing. Deliberations of the workshop were open to other interested scientists. Funding for this activity was provided by the Centers for Disease Control and Prevention. We conducted a systematic review of the published literature on the conduct and reporting of meta-analyses in observational studies using MEDLINE, Educational Research Information Center (ERIC), PsycLIT, and the Current Index to Statistics. We also examined reference lists of the 32 studies retrieved and contacted experts in the field. Participants were assigned to small-group discussions on the subjects of bias, searching and abstracting, heterogeneity, study categorization, and statistical methods. From the material presented at the workshop, the authors developed a checklist summarizing recommendations for reporting meta-analyses of observational studies. The checklist and supporting evidence were circulated to all conference attendees and additional experts. All suggestions for revisions were addressed. The proposed checklist contains specifications for reporting of meta-analyses of observational studies in epidemiology, including background, search strategy, methods, results, discussion, and conclusion. Use of the checklist should improve the usefulness of meta-analyses for authors, reviewers, editors, readers, and decision makers. An evaluation plan is suggested and research areas are explored.
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                Author and article information

                Contributors
                mhyr1987@sina.com
                Journal
                Int Wound J
                Int Wound J
                10.1111/(ISSN)1742-481X
                IWJ
                International Wound Journal
                Blackwell Publishing Ltd (Oxford, UK )
                1742-4801
                1742-481X
                10 June 2021
                February 2022
                : 19
                : 2 ( doiID: 10.1111/iwj.v19.2 )
                : 262-271
                Affiliations
                [ 1 ] Department of Outpatient The Fourth Affiliated Hospital Zhejiang University School of Medicine Jinhua China
                [ 2 ] Department of Neurosurgery Ward Shaoxing People's Hospital Shaoxing China
                [ 3 ] Department of General Ward Shaoxing Central Hospital Shaoxing China
                Author notes
                [*] [* ] Correspondence

                Meng Xiangli, Department of General Ward, Shaoxing Central Hospital, Shaoxing, Zhejiang 312030, China.

                Email: mhyr1987@ 123456sina.com

                Author information
                https://orcid.org/0000-0002-5463-109X
                Article
                IWJ13627
                10.1111/iwj.13627
                8762546
                34114729
                a45e04a6-f954-47c8-8995-77b78d40c0ff
                © 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 12 May 2021
                : 19 April 2021
                : 16 May 2021
                Page count
                Figures: 6, Tables: 2, Pages: 10, Words: 5990
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                February 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.7.0 mode:remove_FC converted:17.01.2022

                Emergency medicine & Trauma
                knowledge,nurse,practice,pressure injury,training program
                Emergency medicine & Trauma
                knowledge, nurse, practice, pressure injury, training program

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