Published online Nov 6, 2019. doi: 10.12998/wjcc.v7.i21.3505
Peer-review started: May 23, 2019
First decision: August 1, 2019
Revised: August 27, 2019
Accepted: September 9, 2019
Article in press: September 9, 2019
Published online: November 6, 2019
Processing time: 175 Days and 21.1 Hours
As a significantly important part of clinical practice, the professional nursing process can be advanced in many ways. Although case reports are regarded as lower grade in the hierarchy of evidence, they are still important in the nursing field. However, the evidence on reporting characteristics of case reports in nursing field is deficient.
Information provided in the higher quality case reports could assist nurses with the opportunity to deal with intractable cases or rare diseases. Clinical nursing practice must continue to accumulate knowledge of new methods and experience in the context of state-of-the-art nursing care to improve the well-being of patients.
The aim of this study was to identify factors influencing the quality of case reports and to explore the applicability of the CARE guidelines to nursing case reports by assessing the reporting quality of case reports published in nursing science citation indexed journals according to the CARE guidelines.
Twenty-one sub-items on the CARE checklist were recorded as “YES”, “PARTLY”, or “NO” according to information reported by the included studies. The responses were assigned corresponding scores of 1, 0.5, and 0, respectively. The overall scores were the sum of the 21 sub-items and were defined as “high” (more than 15), “medium” (10.5 to 14.5), and “low” (less than 10). The means, standard deviations, and odds ratios and the associated 95% confidence intervals were determined using Stata 12.0 software.
The overall quality of nursing case reports is not high. Of the 21 items, only five items (11d, 9, 8c, 6, 5a) were reported in more than 90% of the included case reports, and three items (5c, 8d, 10) were reported less than 10%.
The reporting quality of case reports in the nursing field apparently has not improved since the publication of the CARE guidelines.
There are some differences between nursing and medicine. Therefore, more research on the extended version of the CARE guidelines suited for the nursing field can be conducted in the future.