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BMC Medical Education Mar 2021Being pharmaceutical care one of the four areas defined by the International Pharmaceutical Federation's Global Competence Framework, the curriculum redesigned scheme is...
BACKGROUND
Being pharmaceutical care one of the four areas defined by the International Pharmaceutical Federation's Global Competence Framework, the curriculum redesigned scheme is a priority task to perform a pharmaceutical workforce capable to contribute significantly to the appropriate use of medicines. Therefore, the pharmacy curriculum should be adapted, in order to provide pharmacists with new knowledge and skills to provide pharmaceutical care services. This study used a modified Delphi technique to define objectives and topical outlines for a pharmaceutical care course on a pharmacy curriculum.
METHODS
A modified Delphi process was used to determine a consensus among proposed course objectives and topical outlines. The preliminary phase of the study included a compilation of prospective objectives and outline topics on which to structure informational flow through the Delphi. A two-round modified Delphi process were completed by the participants in the study. The Delphi questionnaire was organized using six domains: the theoretical program foundation; recommended for teaching literature; instructional and educational objectives of the program (course structure); teaching methods; knowledge, skills and professional values considered; and students' performance assessments. Nineteen items for evaluation within the referred domains were considered.
RESULTS
Consensus was achieved among 15 participants regarding 10 objectives, and eleven topical outlines related to pharmaceutical care teaching in an undergraduate pharmacy course. Despite this favorable valuation and considering the qualitative evaluations provided by the participants, it was believed appropriate to analyze the recommendation for the inclusion of literature for the teaching of the course in Spanish language (73%). It resulted in a project proposal for the elaboration of a book by a group of authors from all the faculties of pharmacy in the country.
CONCLUSION
A Delphi expert panel achieved consensus on topical outline and objectives for a pharmaceutical care course. The results of this study can be used to underline the didactic guidance for pharmaceutical care teaching and learning useful for future pharmacy curriculum upgrades.
Topics: Curriculum; Delphi Technique; Education, Pharmacy; Humans; Pharmaceutical Services; Prospective Studies; Students, Pharmacy
PubMed: 33726748
DOI: 10.1186/s12909-021-02583-1 -
International Journal of Environmental... Jan 2022Consumers access health professionals with varying levels of diabetes-specific knowledge and training, often resulting in conflicting advice. Conflicting health messages...
Consumers access health professionals with varying levels of diabetes-specific knowledge and training, often resulting in conflicting advice. Conflicting health messages lead to consumer disengagement. The study aimed to identify capabilities required by health professionals to deliver diabetes education and care to develop a national consensus capability-based framework to guide their training. A 3-staged modified technique was used to gain agreement from a purposefully recruited panel of Australian diabetes experts from various disciplines and work settings. The Delphi technique consisted of (Stage I) a semi-structured consultation group and pre- pilot, (Stage II) a 2-phased online survey, and (Stage III) a semi-structured focus group and appraisal by health professional regulatory and training organisations. Descriptive statistics and central tendency measures calculated determined quantitative data characteristics and consensus. Content analysis using emergent coding was used for qualitative content. Eighty-four diabetes experts were recruited from nursing and midwifery ( = 60 [71%]), allied health ( = 17 [20%]), and pharmacy ( = 7 [9%]) disciplines. Participant responses identified 7 health professional practice levels requiring differences in diabetes training, 9 capability areas to support care, and 2 to 16 statements attained consensus for each capability-259 in total. Additionally, workforce solutions were identified to expand capacity for diabetes care. The rigorous consultation process led to the design and validation of a that addresses workforce enablers identified by the . It recognises diversity, creating shared understandings of diabetes across health professional disciplines. The findings will inform diabetes policy, practice, education, and research.
Topics: Australia; Delivery of Health Care; Delphi Technique; Diabetes Mellitus; Humans; Workforce
PubMed: 35055832
DOI: 10.3390/ijerph19021012 -
Histopathology Aug 2022The Delphi method is a well-established research tool, used for consensus building across a number of fields. Despite its widespread use, and popularity in many medical... (Review)
Review
The Delphi method is a well-established research tool, used for consensus building across a number of fields. Despite its widespread use, and popularity in many medical specialities, there is a paucity of literature on the use of the Delphi method in Histopathology. This literature review seeks to critique the Delphi methodology and explore its potential applications to histopathology-based clinical and research questions. We review those published studies that have utilized the Delphi methodology in Histopathology settings and specifically outline the advantages and limitations of this technique, highlighting situations where its application can be most effective.
Topics: Consensus; Delphi Technique; Humans; Surveys and Questionnaires
PubMed: 35322456
DOI: 10.1111/his.14650 -
Journal of Nursing Care QualityThere is no identified set of nursing-sensitive, emergency department (ED)-specific quality indicators.
BACKGROUND
There is no identified set of nursing-sensitive, emergency department (ED)-specific quality indicators.
PURPOSE
The purpose of this study was to address the gap in quality indicators specific to the emergency care environment and identify a list of nursing-sensitive, ED-specific quality indicators across ED populations and phases of the ED visit for further development and testing.
METHODS
A modified Delphi technique was used to reach initial consensus.
RESULTS
Four thematic groups were identified, and quality indicators within each were rank ordered. Of the 4 groups, 21 quality indicators were identified: triage (6) was ranked highest, followed by special populations (4), transitions of care (4), and medical/surgical (7).
CONCLUSIONS
Many of the recommended metrics were questionable because they are nonspecific to the ED setting or subject to influences in the emergency care environment. Some identified priorities for quality indicator development were unsupported; we recommend that alternate methodologies be used to identify critical areas of quality measurement.
Topics: Consensus; Delphi Technique; Emergency Medical Services; Emergency Service, Hospital; Humans; Quality Indicators, Health Care
PubMed: 35404876
DOI: 10.1097/NCQ.0000000000000627 -
Journal of Science and Medicine in Sport Sep 2023
Topics: Humans; Consensus; Delphi Technique
PubMed: 37793713
DOI: 10.1016/j.jsams.2023.09.007 -
Nursing Diagnosis : ND : the Official... 1992Official labeling of phenomena that nurses diagnose and treat requires that researchers validate the existence of proposed diagnoses. One part of the validation process...
Official labeling of phenomena that nurses diagnose and treat requires that researchers validate the existence of proposed diagnoses. One part of the validation process is the examination of content validity. The Delphi technique is a useful methodologic technique for such an examination. This article describes the characteristics, background, advantages, and disadvantages of the Delphi technique, as well as suggested strategies for using it to validate nursing diagnoses. In discussing strategies for using the Delphi technique to validate nursing diagnoses, the format, essential components, and steps of each round of the traditional and modified Delphi procedure are addressed. Round I of the traditional Delphi technique involves selection of a panel of content experts, developing and mailing questionnaires and content analysis, and generating a list of defining characteristics and operational definitions for a nursing diagnosis. Round II involves developing and mailing questionnaires, determining percentage of agreement, and providing statistical analysis. Round III includes developing and mailing questionnaires and providing statistical analysis of data. Round IV consists of developing and mailing the final report, which includes a statistical summary of individual and grouped responses in round III, as well as a minority report. The format and statistical analysis of the modified Delphi procedure is similar to rounds II, III, and IV of the traditional Delphi technique, except the modified technique usually will require only three rounds.
Topics: Delphi Technique; Humans; Nursing Diagnosis; Nursing Evaluation Research; Reproducibility of Results
PubMed: 1562392
DOI: 10.1111/j.1744-618x.1992.tb00193.x -
Journal of Clinical Nursing Jul 2022To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care. (Review)
Review
AIM AND OBJECTIVE
To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care.
BACKGROUND
Older people in hospital are vulnerable and at risk of harm, including indignity. The 10 Principles of Dignity in Care, which undergird the United Kingdom's Dignity in Care Campaign, have been used to promote dignified care for older people in hospital. A 2006 recommendation of the campaign was to survey people on their experiences of dignity in care. To undertake such a survey, a questionnaire based on the 10 Principles of Dignity is required.
DESIGN
Qualitative methods based on a modified Delphi technique, assessed against the CREDES checklist.
METHODS
A Delphi panel of experts was convened that included: consumers, carers, clinicians, academics, policy experts and representatives from the National Dignity Council in the UK, Aboriginal people and people from culturally and linguistically diverse backgrounds.
RESULTS
Fifty-seven experts consented to participate, over the three rounds of Delphi panel deliberations (response rate: R1 n = 49, R2 n = 47 and R3 n = 44). The Delphi panellists were asked to rank, rewrite, relocate or remove items and suggest additional items, under each of the 10 Principles of Dignity in Care. The initial list of 93 items, generated from a review of the literature, existing questionnaires and drafted by the authors, was reduced to 87 items in Round 2 and 69 items in Round 3.
CONCLUSIONS
A panel of experts were able to determine, based on their own judgement, and through consensus, the 69-items and response categories to be included in the patient and carer versions of the Dignity in Care questionnaire, to progress to a pilot study.
Topics: Aged; Consensus; Delphi Technique; Humans; Pilot Projects; Respect; Surveys and Questionnaires
PubMed: 32799400
DOI: 10.1111/jocn.15462 -
Nurse Researcher Jan 2014To describe the Policy Delphi technique and show how it was used in a research study in the Republic of Ireland.
AIM
To describe the Policy Delphi technique and show how it was used in a research study in the Republic of Ireland.
BACKGROUND
Policy Delphi is a variant of the Delphi technique, but differs in that its purpose is to explore consensus rather than aid it. It is an appropriate methodological tool for researching complex issues that benefit from the insights and consensus of a group of experts. It is useful in examining options and implications of policy and assessing their acceptability. Data sources A three-round policy Delphi study was the second phase of a sequential mixed-method design. The study was intended to examine stakeholders' perceptions of the clinical role of lecturers in nursing to identify supportive and limiting factors that affect the clinical role, with the purpose of determining a model for best practice.
REVIEW METHODS
A review of literature about Policy Delphi from its development to current use (1970-2013) was undertaken to explore the technique.
DISCUSSION
The complexities of using the Policy Delphi methodology to explore policy options are discussed.
CONCLUSION
Policy Delphi is an underused tool that would benefit nursing research. The output from a Policy Delphi study produces a substantial number of new ideas and an evaluation of those ideas for use in decision making.
IMPLICATIONS FOR RESEARCH/PRACTICE
Policy Delphi can offer researchers a means to explore levels of consensus on policy issues that have major effects on nursing developments. Practitioners may also benefit because it provides a useful way to assess and validate expert knowledge that could be contestable in a range of practice situations.
Topics: Consensus; Delphi Technique; Health Policy; Humans; Ireland; Nursing Research
PubMed: 24460564
DOI: 10.7748/nr2014.01.21.3.32.e342 -
The Journal of Arthroplasty Feb 2014
Topics: Delphi Technique; Humans; Prosthesis-Related Infections; Surgical Wound Infection
PubMed: 24140273
DOI: 10.1016/j.arth.2013.09.023 -
British Dental Journal Jun 2020
Topics: Consensus; Delphi Technique; Informed Consent
PubMed: 32541718
DOI: 10.1038/s41415-020-1740-2