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Results for “Delphi Technique”

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PubMed1998

[A system of patient classification: construction and validation of an instrument].

This study had in its aim the construction and the validation of a patient classification instrument which has been based on the patient's individual necessities that require the nursing care. It was considered in the instrument 13 critical indicators: Mental State and Level of Consciousness. Breathing, Vital Signs, Nutrition and Hydration, Movement, Locomotion, Corporeal Hygiene, Eliminations, Therapy, Health Teaching, Behavior, Communication and Skin Integrety. Each one of these indicators has a 1 to 5 gradation denoting an increasing level in the nursing care complexity. The patient is classified in all the indicators in one of the five levels, in the option that better describes his/her situation. The content validation of the instrument was done by the Delphi Technique application through 2 rounds. A team of 15 nursing experts who attend patients or teach in the Medical School in São José do Rio Preto were participants in this research. The obtained results have showed the experts' agreement concerned to: the maintenance of the 13 critical indicators in the instrument; property and intelligibility of the critical indicator contents and the presence of an increasing level in the nursing care complexity.

Activities of Daily Living↗

PubMed1993

Priorities for understanding and managing occupational allergy: a Delphi consensus.

Limiting factors in the understanding, clinical management, and prevention of occupationally related allergic disease should be identified, since these dictate the tasks that need to be undertaken and/or important research questions that warrant an answer. Through an adaptation of the Delphi technique, a working group of the Special Interest Group on Occupational Allergy of the British Society of Allergy and Clinical Immunology addressed these issues. The consensus categorized and ranked the limiting factors and tasks needed in relation to epidemiology and natural history, mechanisms, clinical diagnosis, statute and education, and the workplace environment. This report should help focus the debate regarding which issues are perceived to be most relevant and timely for research and good practice in the field of occupational allergy.

Delphi Technique↗

PubMed2002

Best practice treatment algorithm for primary open-angle glaucoma: implications for U.S. ophthalmology practice.

The objective of this study was to develop a "best-practice" treatment algorithm for the management of primary open-angle glaucoma in patients receiving initial medical therapy, to serve as a consideration for future ophthalmology practice. For comparison, a baseline, "common-practice" treatment algorithm was also created that reflects current ophthalmology practice patterns. Survey instruments were developed based on a comprehensive review of relevant literature, along with input from a general ophthalmologist. A panel of eight ophthalmologists subspecialized in glaucoma management was surveyed. Consensus was achieved using a modified Delphi technique. A comparison of common- and best-practice treatment algorithms suggests that in contrast with expert opinion, nonselective beta blockers are currently used more often, and alpha-2 agonists less often, as first-line therapy for the treatment of primary open-angle glaucoma.

Adrenergic alpha-Agonists↗

PubMed1989

Research priorities for the care of the veteran patient.

The purpose of this project was to identify research priorities for the care of the veteran patient as identified by 367 various members of the Veterans Administration Nursing Service using the Delphi technique. A total of 1558 items were obtained and these were classified into categories from which 73 specific statements were written. Highest mean scores were obtained for items relating to interventions to decrease repeated admissions, care of the terminally ill, patient compliance, patient education, staffing, care planning, continuity post-hospitalization, quality nursing care, staff satisfaction, health promotion, and nursing intervention to assist patients and family in coping with illnesses.

Clinical Nursing Research↗

PubMedDate not supplied

[Communication barriers with the HIV+ patient perceived by health personnel].

The purpose of this study was to identify major communication barriers between health professionals and patients infected with HIV. Information from 17 experts on AIDS across Spain was gathered using the Delphi technique. A total of 24 barriers were identified and compounded into groups in relation to the provider, the patient, the message and the context wherein the communication process takes place. Major communication barriers were associated to the lacking of specific skills on the provider's side and to certain health professional's and patient attitudes towards each other and from both towards some emotional aspects related to AIDS.

Attitude of Health Personnel↗

PubMed1991

Clinical nursing research priorities: a Delphi study.

Using the delphi technique, a group of clinical nurse specialists was surveyed regarding delineation of clinical nursing research priorities. Upon completion of the four-round survey, the results suggested that the top priorities for nursing research are: (1) factors which influence longevity in clinical nursing practice, (2) patient care delivery systems as related to nurse satisfaction, and (3) indicators of quality nursing care.

Attitude of Health Personnel↗

PubMedDate not supplied

Management competencies required in ambulatory care settings.

A study was conducted to identify the most important competencies physician executives in medical groups and other ambulatory settings will need to have in the next five years. The specific job skills, knowledge, and abilities (SKA) that physician executives will need to acquire these competencies were also explored. The Delphi techniques were used to analyze responses from two surveys from members of the American College of Medical Practice Executives. The most important competencies were grouped into 13 management domains, each with specific SKAs. "Managing health care resources to create quality and value" and "fundamentals of business and finance" were rated as the most important competencies. The most frequently rated SKA was the "ability to build and maintain credibility and trust."

Ambulatory Care Facilities↗

PubMedDate not supplied

Quality of care: a comparison of perceptions of health professionals in clinical areas in the United Kingdom and the United States.

A tool was developed, using the nominal group and Delphi techniques, to explore healthcare staff's perceptions of the quality of hospital care provided in the United Kingdom compared with a tool from the United States. Similarities were identified in many core areas; however, there were several differences between the UK and US tools. This article identifies the process and findings and discusses possible reasons for similarities and differences between the tools.

Attitude of Health Personnel↗

PubMed1979

An index of accessibility for ambulatory health services.

This paper discusses an Index developed and used to measure accessibility to health services provided on an outpatient basis at the Kaiser Community Health Foundation, Cleveland, Ohio. The Index is based on four levels of urgency or severity of illness and on the waiting times to get entry into the system. The parameters of the Index, initially established by task force members, were tested on a sample basis against the judgments of Kaiser outpatient facility users and finally refined through the consensus-seeking Delphi technique using a panel representing Kaiser members, gatekeepers, physicians and administrators. The actual times required to gain accessibility in the various process stages and in the various departments were obtained through simulated requests for appointments, by monitoring telephone calls to the various gate-keeping stations, by direct observations, and by the use of a telephone traffic computer. The paper discusses the Index developed, the data collection methodologies, and the data analyses performed.

Ambulatory Care Facilities↗

PubMed2005

[Rehabilitative elements for the treatment of patients with mental disorders: are they considered in the development of guidelines?].

OBJECTIVE: In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS: An expert-based consensus, especially results of expert ratings using a 46-item questionnaire (Delphi Technique; n = 16), shows that it is possible to specify rehabilitative elements, although there are still aspects which need further clarification. Analyses of current guidelines (using published guidelines for panic disorders) demonstrate that rehabilitative elements which are rated as important by the experts are only marginally mentioned in guidelines up to now. CONCLUSIONS: A considerable need for research exists for a further specification of rehabilitative elements and for the development of evidence based recommendations in the form of guidelines.

Consensus↗

PubMed1997

Health discussions between college students and parents: results of a Delphi study.

College students' perspectives on health discussions with parents were examined in a survey of students from 5 US universities. Topics important for promoting students' and parents' health as well as guidelines for promoting productive discussions between college students and their parents were identified, using the Delphi technique to reach consensus. Sex, drugs, alcohol, and HIV/AIDS ranked as the most important discussion topics related to students' health; family relationships, physical fitness, and stress management ranked as most important topics dealing with parental health. Guidelines for profitable discussion were that the individual be honest, open, respectful of others' opinions, and a good listener. Parent education, health education activities that promote student-parent discussion, and further research on the topic are suggested.

Adult↗

PubMedDate not supplied

Providing family care in hospital.

Using the delphi technique, this study aimed to identify supportive nursing behaviours and some factors that inhibit the effective provision of family-centred palliative care in a hospital. Supportive nursing behaviours were identified and priority was given to the issues of symptom control, privacy, time and communication. Factors that hinder effective provision of family care focused mainly on the problems involved in balancing priorities, issues of disclosure and managing family conflict. The findings identified key areas of family-centred palliative care that warrant further investigation.

Delphi Technique↗

PubMed2002

Personal and professional characteristics of exemplary school nurses.

This article describes a study conducted to identify the professional and personal characteristics of exemplary school nurses. During Phase 1 of the study, a content analysis was completed using nomination portfolios of 10 school nurses who were selected as School Nurse of the Year from 1986 to 1998 in the state of New York. Further content analyses were conducted using transcriptions of a focus group and individual open-ended interviews with exemplary school nurses. These analyses yielded 54 personal characteristics and 74 professional characteristics of exemplary school nurses. Using a Delphi technique in Phase 2 of the study, these characteristics were validated and refined by a national sample of exemplary school nurses who had been chosen to be their state nominees for the National Association of School Nurses' School Nurse of the Year award. Descriptive data were collected on the organizational/structural characteristics of the school systems in which these nurses practiced and on the nurses' individual characteristics. This article identifies areas for clinical and research use of the study's findings.

Adult↗

PubMed1997

The establishment of current opinion within consultants in paediatric dentistry in the UK for the taking of dental radiographs of children.

There is an increasing realization that every effort should be made to minimize the exposure to ionizing radiation of patients and members of the dental team. There are, however, few published guidelines to assist the general practitioner in deciding whether or not radiographs are needed. There is even less information concerning the taking of dental radiographs of children. Using the Delphi Technique this study set out to seek a consensus amongst Consultant Paediatric Dentists (n = 36) working in the UK as to when dental radiographs should and should not be taken of children cared for within general dental services. A two-stage questionnaire was used and a response of 94% and 76% was obtained in the first and second questionnaire respectively. A consensus view was reached regarding whether or not radiographs should be taken in a series of 17 specific clinical situations.

Child↗

PubMed2005

Achieving consensus on leadership competencies and outcome measures: The Pediatric Pulmonary Centers' experience.

Pediatric Pulmonary Centers (PPCs) are federally funded interdisciplinary leadership training programs aiming to improve the health of families and children. This article describes the process PPCs used to efficiently and effectively achieve consensus on leadership training competencies and outcome measures among a large and diverse group of health professionals. Phase 1 used a modified Delphi technique to develop an initial set of competencies and outcome measures. Phase 2 used the nominal group technique and modified focus group strategies to refine and prioritize the competencies and outcomes measures. Participants reported being highly satisfied with the process and outcomes. In Phase 3, a formal program evaluation instrument was implemented, designed to measure the competency and describe the career paths and leadership accomplishments of previous trainees. The consensus process adopted can serve as a model for academic and public health entities seeking to achieve consensus on program goals, strategies, methods, priorities, and outcomes.

Child↗

PubMed1996

Swedish Health care personnel's perceptions of disease and treatment-related problems experienced by children with cancer and their families.

In recent decades, the intensification of treatment of children with cancer has resulted in a considerable increase in the number of those cured. The intensive treatment has also led to several problems for the children and their families. The aim of the present study was to identify the physical, psychological, social, and existential problems; symptoms and inconvenience caused by the disease and treatment or the hospital stay determined by Swedish health care personnel to be the most troublesome for children with cancer and their families. A modified three-round Delphi technique was used. In this way, 207 different problems were identified by 24 health care personnel. According to the personnel, the child is most troubled by physical symptoms, and family members are most troubled by feelings of anxiety about future events or possible events. The personnel interpreted the family members' problems as significantly worse than the child's. The results are related to the age and the diagnosis of the child.

Adult↗

PubMed2005

Factors associated with the effectiveness of continuing education in long-term care.

PURPOSE: This article examines factors within the long-term-care work environment that impact the effectiveness of continuing education. DESIGN AND METHODS: In Study 1, focus group interviews were conducted with staff and management from urban and rural long-term-care facilities in southwestern Ontario to identify their perceptions of the workplace factors that affect transfer of learning into practice. Thirty-five people were interviewed across six focus groups. In Study 2, a Delphi technique was used to refine our list of factors. Consensus was achieved in two survey rounds involving 30 and 27 participants, respectively. RESULTS: Management support was identified as the most important factor impacting the effectiveness of continuing education. Other factors included resources (staff, funding, space) and the need for ongoing expert support. IMPLICATIONS: Organizational support is necessary for continuing education programs to be effective and ongoing expert support is needed to enable and reinforce learning.

Delphi Technique↗

PubMedDate not supplied

Nursing research priorities related to HIV/AIDS.

To determine the nursing research priorities related to HIV/AIDS, a two-round Delphi technique survey was conducted. Registered nurses in clinical, administrative, academic, and research nursing positions identified a total of 208 topics. The highest-ranked items were patient-centered and lower-ranked items were provider-centered. Subjects in clinical practice identified the nutritional aspects of AIDS care and hospice care as being of higher priority than did subjects in administrative, academic, and research positions. Complementary therapies and healthcare providers' fears were ranked as higher priorities by the administrative, academic, and research nurses than by the clinical practice subjects.

Acquired Immunodeficiency Syndrome↗