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Bulletin of the World Health... Apr 2024
Topics: Humans; Public Health; Delphi Technique; Global Health
PubMed: 38562196
DOI: 10.2471/BLT.24.010424 -
Respiratory Care Dec 2022Delphi survey techniques are a common consensus method used to collect feedback from an expert panel to inform practices, establish guidelines, and identify research... (Review)
Review
Delphi survey techniques are a common consensus method used to collect feedback from an expert panel to inform practices, establish guidelines, and identify research priorities. Collecting respiratory therapists' (RT) expertise and experiences as part of consensus-building methodologies is one way to ensure that they align with RT practices and to better influence respiratory care practice. This narrative review aimed to report the RT representation in expert panels of Delphi studies focused on respiratory therapy practices and research priorities. The research question that guided this review is: to what extent are RTs included as expert participants among published Delphi studies relate to respiratory therapy and research topics? We conducted a structured search of the literature and identified 23 papers that reported Delphi studies related to respiratory care practices and 15 that reported on respiratory-related research priorities. Delphi studies that focused on reporting consensus on respiratory care practices included the following: (1) mechanical ventilation, (2) high-flow nasal cannula therapy, (3) COVID-19 respiratory management, (4) home oxygen therapy, (5) cardiopulmonary monitoring, and (6) disease-specific guidelines. Delphi studies that focused on establishing respiratory research priorities included the following: (1) theory and practice-orientated knowledge gaps, and (2) priority research topics for empirical investigation. The results of this review suggest that RTs were rarely included as expert participants and, when involved, were minimally represented (5% to 33%). Given RTs' diverse and relevant experience in respiratory care, incorporating their perspectives to inform future education, respiratory care practices, and research priorities would allow evidence to better align with knowledge gaps deemed important for the respiratory therapy profession.
Topics: Humans; Delphi Technique; COVID-19; Respiratory System; Research; Allied Health Personnel
PubMed: 36442987
DOI: 10.4187/respcare.10012 -
Journal of Health Organization and... 2003The last 20 years have seen increasing interest in the use of Delphi in a wide range of health-care applications. However, this use has been accompanied by attempts to...
The last 20 years have seen increasing interest in the use of Delphi in a wide range of health-care applications. However, this use has been accompanied by attempts to codify and define a "true Delphi". Many authors take a narrow view of the purpose of Delphi and/or advocate a single prescriptive approach to the conduct of a Delphi study. However, as early as 1975, Linstone and Turoff pointed to the danger of attempting to define Delphi as one would immediately encounter a study that violated that definition. Through critical examination of some of the controversies and misunderstandings that surround Delphi, this paper aims to dispel some of the myths and demonstrates the wide scope and potential of this versatile approach.
Topics: Delphi Technique; Health Services Research; United Kingdom
PubMed: 12800279
DOI: 10.1108/14777260310469319 -
Journal of Oral Rehabilitation Oct 2010The classification of temporomandibular disorders (TMD) is still controversial. Consensus methods such as the Delphi technique, a method that polls experts' anonymous...
The classification of temporomandibular disorders (TMD) is still controversial. Consensus methods such as the Delphi technique, a method that polls experts' anonymous opinion in an iterative process with controlled feedback and statistical aggregation of group response, could be valuable to improve this challenging topic. The article illustrates the application of the Delphi technique for deciding whether the terms myalgia or myofascial pain should be used in a TMD classification system and discusses the technique's potential for TMD classification in general. In three Delphi rounds, 14 TMD experts from the Division of TMD and Orofacial Pain of the University of Minnesota reached a consensus about which TMD diagnoses should be included in a TMD classification system. They preferred the term myofascial pain over myalgia. The Delphi technique has the potential to provide answers to complex questions in TMD classification, e.g., TMD nomenclature and range as well as scope of conditions included in a future TMD classification system.
Topics: Consensus; Delphi Technique; Facial Pain; Humans; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Terminology as Topic
PubMed: 20500546
DOI: 10.1111/j.1365-2842.2010.02109.x -
Hepatology (Baltimore, Md.) Mar 2024
Topics: Humans; Delphi Technique; Non-alcoholic Fatty Liver Disease; Consensus
PubMed: 37983836
DOI: 10.1097/HEP.0000000000000695 -
Revue D'epidemiologie Et de Sante... Nov 2021
Topics: Delphi Technique; Humans; Interdisciplinary Studies; Suicide
PubMed: 34642046
DOI: 10.1016/j.respe.2021.09.006 -
BMC Emergency Medicine Oct 2023Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians, researchers and...
BACKGROUND
Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians, researchers and policymakers due to the deleterious outcomes older adults experience due to prolonged exposure to such an environment. This study aimed to develop a set of expert consensus-based statements underpinning operational design, outcome measurement and evaluation of a Frailty at the Front Door (FFD) model of care for older adults within an Irish context.
METHODS
A modified real-time Delphi method was used. Facilitation of World Café focus groups with an expert panel of 86 members and seperate advisory groups with a Public and Patient Involvement panel of older adults and members of the Irish Association of Emergency Medicine generated a series of statements on the core elements of the FFD model of care. Statements were analysed thematically and incorporated into a real-time Delphi survey, which was emailed to members of the expert panel. Members were asked to rank 70 statements across nine domains using a 9-point Likert scale. Consensus criteria were defined a priori and guided by previous research using 9-point rating scales.
RESULTS
Fifty members responded to the survey representing an overall response rate of 58%. Following analyses of the survey responses, the research team reviewed statements for content overlap and refined a final list of statements across the following domains: aims and objectives of the FFD model of care; target population; screening and assessment; interventions; technology; integration of care; evaluation and metrics; and research.
CONCLUSION
Development of a consensus derived FFD model of care represents an important step in generating national standards, implementation of a service model as intended and enhances opportunities for scientific impact. Future research should focus on the development of a core outcome set for studies involving older adults in the ED.
Topics: Humans; Aged; Frailty; Delphi Technique; Consensus
PubMed: 37858041
DOI: 10.1186/s12873-023-00893-9 -
Disaster Medicine and Public Health... Apr 2022The main objective of this research was to generate a consensus on the conceptual definition of household emergency preparedness from experts representing multiple...
OBJECTIVE
The main objective of this research was to generate a consensus on the conceptual definition of household emergency preparedness from experts representing multiple disciplines and countries, in order to facilitate the development of an all-hazards, comprehensive, valid, and reliable instrument.
METHODS
Questions were generated via 3 methods: literature search, using existing instruments, and expert panels using the Delphi technique.
RESULTS
Panelists (n = 154) representing 36 countries came to a consensus that household emergency preparedness is defined as the completion of several preparedness actions and assembling a kit that can be transported in an evacuation. The new 51-question instrument demonstrates face, content, and criterion validity and internal consistency reliability (α = 0.96). The instrument assesses whether specific preparedness actions have been taken, and the presence or absence of essential supplies that could enable households to safely endure conditions that disasters would likely present (loss of power, water limitations, and/or lack of access to additional supplies for a few days).
CONCLUSION
A valid and reliable instrument provides researchers with a replicable approach to assessment of preparedness levels, which is necessary to plan mitigation strategies, enhance health promotion, prevent injuries, and increase resilience for individuals and communities. The instrument can provide evidence to support interventions addressing health needs of community members following a disaster.
Topics: Civil Defense; Delphi Technique; Disaster Planning; Family Characteristics; Humans; Reproducibility of Results
PubMed: 33213596
DOI: 10.1017/dmp.2020.292 -
Nursing Open Aug 2023This study developed a set of competency evaluation indicators for shift work nurses in China. (Review)
Review
AIM
This study developed a set of competency evaluation indicators for shift work nurses in China.
BACKGROUND
Nurses on night shifts must deal with the treatment, nursing, and management work, which requires excellent competency of night shift nurses in their knowledge, skills, and ability. However, the competency evaluation index system for shift work nurses has not been established yet in China.
METHODS
This study performed a literature review and semi-structured interviews to draft the preliminary competency evaluation indicators for nursing shift work. The Delphi technique was adopted to administer two rounds of questionnaires on 21 nursing experts.
RESULTS
The positive coefficients of experts in the two rounds were 100% and 90.48%, respectively, whereas the authority coefficients were 0.974 and 0.971, respectively. The coefficients of variation were 0.00-0.26 and 0.00-0.16, respectively. The competency evaluation index system for shift work nurses consisted of 2 first-level indicators, 16 second-level indicators, and 67 third-level indicators.
CONCLUSION
The competency index system of shift work nurses is scientific and applicable.
IMPLICATIONS FOR NURSING MANAGEMENT
The competency evaluation index system of shift work nurses would provide an effective practical framework for shift nursing administration to evaluate, train, and assess the competency of shift work nurses.
Topics: Humans; Delphi Technique; China; Nurses
PubMed: 37194137
DOI: 10.1002/nop2.1809 -
International Emergency Nursing May 2021To examine the application and methodological quality of the Delphi method used in developing guidance for emergency nursing practice. (Review)
Review
AIM
To examine the application and methodological quality of the Delphi method used in developing guidance for emergency nursing practice.
BACKGROUND
Emergency nursing scope of practice has rapidly expanded in response to increasing patient acuity, complexity and technological innovation. Determining best practice is crucial for delivering high quality, safe and effective emergency nursing care. The Delphi method has been used to identify, prioritise complex issues and develop evidence-driven guidance in emergency nursing practice. The use and quality of the Delphi method in emergency nursing practice has not been examined.
DESIGN
Systematic literature review.
DATABASES AND DATA TREATMENT
A systematic literature search was conducted using the following databases: SCOPUS, EMBASE, Medline and ProQuest from date of inception to August 2019. The database search was limited to scholarly articles or peer-reviewed journals. No language restrictions were applied. The Cochrane Collaboration method and PRISMA checks were utilized to conduct the review.
RESULTS
Of 246 records identified 22 (8.9%) studies met the inclusion criteria. A modified Delphi method was commonly used (n = 15; 68.2%) and often conducted online (n = 11; 50.0%). Eight practice guidance themes were identified. Overall study quality was high (score 12/14; range 4-13), transparency of reporting varied.
CONCLUSION
Based on this review, the Delphi method is an appropriate method for exploring emergency nursing practice. The studies reviewed demonstrated that knowledge, skills and clinical expertise has progressively expanded in the specialty of emergency nursing. Variation in the application, conduct and transparency of reporting in Delphi studies developing guidance for emergency nursing practice is discussed.
Topics: Delphi Technique; Emergency Nursing; Humans
PubMed: 32238322
DOI: 10.1016/j.ienj.2020.100867