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Journal of Public Health (Oxford,... Dec 2022In 2010, 240 billion US dollars was invested worldwide to conduct research for health; unfortunately, 200 billion was misused in the production and reporting of the... (Review)
Review
BACKGROUND
In 2010, 240 billion US dollars was invested worldwide to conduct research for health; unfortunately, 200 billion was misused in the production and reporting of the evidence researched. Universities could facilitate students to acquire leadership competencies to move well-conducted research findings into practical use; this could be an essential move to reduce the misuse of investment.
METHODS
A literature review was done based on the Equator Network and Cochrane guidelines, followed by three Delphi rounds to select competencies.
RESULTS
Eleven papers were analysed out of 1121 items and 39/78 identified competencies were prioritized to be presented in the Delphi. Four out of 12 participants accepted to be involved in this project, and 22 competencies reached consensus and stability after three rounds. This framework conceptualizes competencies as the knowledge, skills, attitudes and values. The competencies were framed in four domains: knowledge management, engage diverse others in public health initiatives, training and capacity building/change management and communication.
CONCLUSION
This framework offers guidance to universities when instructing students with leadership competencies for KT. This project emphasizes that effective leadership should include personal conscience and self-determination values.
Topics: Humans; Leadership; Public Health; Delphi Technique; Professional Competence; Translational Science, Biomedical
PubMed: 34313301
DOI: 10.1093/pubmed/fdab286 -
BMC Health Services Research Aug 2021Hospital accreditation (HA) is an external evaluation of a hospital's structures, processes and results by an independent professional accreditation body using... (Review)
Review
BACKGROUND
Hospital accreditation (HA) is an external evaluation of a hospital's structures, processes and results by an independent professional accreditation body using pre-established optimum standards. The Iranian hospital accreditation system faces several challenges. The overall aim of this study was to develop a model for Iran national hospital accreditation program.
METHODS
This research uses the modified Delphi technique to develop and verify a model of hospital accreditation. The first draft of the HA model was introduced through a critical review of 20 pioneer accreditation models and semi-structured interviews with 151 key informants from Public, private, semi-public, charity and military hospitals in Iran. Three rounds of Delphi were conducted with 28 experts of hospital accreditation to verify the proposed model. Panel members were selected from authors of research articles and key speakers in the area of hospital accreditation, senior managers of the country's health system, university professors in the fields of health policy and management across the country.
RESULTS
A comprehensive model for hospital accreditation was introduced and verified in this study. The HA model has ten constructs of which seven are enablers ("Management and leadership", "Planning", "Education and Research", "employee management", "patient management", "resource management", and "process management") and three are the results ("employee results", "patient and society results" and "hospital results"). These constructs were further broken into 43 sub-constructs. The enablers and results scored 65 and 35% of the model's total scores respectively. Then, about 150 accreditation standards were written and verified.
CONCLUSIONS
A comprehensive hospital accreditation model was developed and verified. Proper attention to structures, processes and outcomes and systemic thinking during the development of the model is one of the advantages of the hospital accreditation model developed in this study. Hospital accreditation bodies can use this model to develop or revise their hospital accreditation models.
Topics: Accreditation; Delphi Technique; Health Policy; Hospitals, Military; Humans; Iran; United States
PubMed: 34445975
DOI: 10.1186/s12913-021-06904-4 -
Seminars in Reproductive Medicine Jul 2022Preconception health affects fertility, pregnancy, and future health outcomes but public awareness of this is low. Our aims were to rank priorities for preconception... (Review)
Review
Preconception health affects fertility, pregnancy, and future health outcomes but public awareness of this is low. Our aims were to rank priorities for preconception care (PCC), develop strategies to address these priorities, and establish values to guide future work in preconception healthcare in Australia. A Delphi technique involved two rounds of online voting and mid-round workshops. Inputs were a scoping review of PCC guidelines, a priority setting framework and existing networks that focus on health. During July and August, 2021, 23 multidisciplinary experts in PCC or social care, including a consumer advocate, completed the Delphi technique. Ten priority areas were identified, with health behaviors, medical history, weight, and reproductive health ranked most highly. Six strategies were identified. Underpinning values encompassed engagement with stakeholders, a life course view of preconception health, an integrated multi-sectorial approach and a need for large scale collaboration to implement interventions that deliver impact across health care, social care, policy and population health. Priority populations were considered within the social determinants of health. Health behaviors, medical history, weight, and reproductive health were ranked highly as PCC priorities. Key strategies to address priorities should be implemented with consideration of values that improve the preconception health of all Australians.
Topics: Australia; Delivery of Health Care; Delphi Technique; Female; Humans; Preconception Care; Pregnancy; Reproductive Health
PubMed: 35760312
DOI: 10.1055/s-0042-1749683 -
Frontiers in Public Health 2022To construct humanistic nursing practice guidelines suitable for stroke patients. (Randomized Controlled Trial)
Randomized Controlled Trial
PURPOSE
To construct humanistic nursing practice guidelines suitable for stroke patients.
DESIGN
This study was a development and validation study of guidelines using multiple methods, including literature review, qualitative research, questionnaire survey, thematic discussion, and Delphi expert consultation.
METHODS
Twenty-five experts from seven provinces and municipalities in China were interviewed over two rounds from December 2020 to February 2021. The first-level index was scored for importance and rationality, while the second-level index was scored for importance and feasibility using a five-point Likert scale. Delphi data was collected a paper version of the questionnaire. The coefficients of variation and coordination were used to represent the degree of dispersion of expert opinions.
FINDINGS
In the two rounds of letter consultation, the questionnaire's recovery and effective rates were both 100%, while the opinion submission rates of the two rounds were 84 and 52%, respectively. Moreover, the expert authority coefficient was 0.91, and the coordination coefficients of expert opinions in the first round were as follows: importance of 0.03 and rationality of 0.07 for the first-level index; importance of 0.09 and feasibility of 0.11 for the secondary index. In round two, the coordination coefficients of expert opinions were as follows: importance of 0.04 and rationality of 0.05 for the first-level indicators; importance of 0.12 and feasibility of 0.10 for the secondary index. The results for the secondary index were < 0.001 for the two rounds. The humanistic nursing practice guidelines for stroke patients that were ultimately formed included five first-level indicators (physiological care, safety care, emotional care, dignity care, and rehabilitation needs) and 46 s-level indicators.
CONCLUSION
Our results show that the "Practice Guidelines for Humanistic Nursing for Stroke" established by experts adopts Maslow's hierarchy of needs as its structural framework. It meets people's basic needs and can provide a reference for the construction of a humanistic nursing specialty practice for stroke patients.
CLINICAL RELEVANCE
Humanistic nursing guidelines for stroke could provide a reference for the construction of humanistic nursing practice in the stroke specialty.
CLINICAL RESOURCES
Copeptin and long-term risk of recurrent vascular events after transient ischemic attack and ischemic stroke: population-based study https://pubmed.ncbi.nlm.nih.gov/26451023/. Effectiveness and usage of a decision support system to improve stroke prevention in general practice: a cluster randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/28245247/. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association https://pubmed.ncbi.nlm.nih.gov/27145936/.
Topics: Adult; China; Delphi Technique; Humans; Referral and Consultation; Stroke; Surveys and Questionnaires; United States
PubMed: 36016905
DOI: 10.3389/fpubh.2022.915472 -
Bulletin of the World Health... Nov 2022
Topics: Humans; Public Health; Delphi Technique; Global Health
PubMed: 36324549
DOI: 10.2471/BLT.22.011122 -
Bulletin of the World Health... Oct 2022
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 36188013
DOI: 10.2471/BLT.22.011022 -
Bulletin of the World Health... Sep 2022
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 36062240
DOI: 10.2471/BLT.22.010922 -
Bulletin of the World Health... May 2022
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 35521032
DOI: 10.2471/BLT.22.010522 -
Bulletin of the World Health... Mar 2022
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 35261403
DOI: 10.2471/BLT.22.010322 -
Bulletin of the World Health... Feb 2022
Topics: Delphi Technique; Global Health; Humans; Public Health
PubMed: 35125531
DOI: 10.2471/BLT.22.010222