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At least 1,153 records · Page 64Linked to original sources

PubMed1990

Fluid volume deficit: validating the indicators. The Research Committee, Greater Milwaukee Area Chapter of the American Association of Critical-Care Nurses.

A validation of the nursing diagnosis "fluid volume deficit related to active isotonic loss" was completed by using the diagnostic content validity method. A validation tool containing 72 clinical indicators was mailed to a national sample of critical care experts. The study sample rated the clinical indicators on a scale from one to five, evaluating their relevancy to this diagnosis. The Delphi survey technique was used. Of the 72 clinical indicators on the validation tool, 17 were categorized as critical indicators and 29 were categorized as defining characteristics.

Dehydration↗

PubMed1990

Competencies for directors of allied health programs in academia.

In this three-round Delphi study, a panel of allied health educators and administrators in academia validated 114 competency statements for directors of academic allied health programs. The statements were grouped into six administrator role categories and rated on a five-position scale, ranging from essential to not important. Statements were ranked according to their mean and median. High importance and consensus (means = greater than 4.00, SD = 0.75) were reached on 42 statements. Results showed that program directors must be competent fiscal officers, teachers, and faculty leaders. As resource developers, they should be competent managers of people, and they should be competent evaluators of their programs, faculty, and staff. Program directors should demonstrate competent organizational and interpersonal skills and should be receptive to both internal and external constituencies. This study was a first step in determining generic competencies appropriate for hiring, developing, and promoting directors of academic allied health programs.

Administrative Personnel↗

PubMed1990

Identifying clinical nursing research priorities.

This paper describes a project conducted by a nursing research committee to identify and prioritize nursing research questions or topics that are most significant to the welfare of patients at a Southern university hospital. Ninety-seven nurses representing clinical staff, administration, and education were invited to participate in three rounds using the Delphi survey technique. Group consensus was reached on priority areas for nursing research at this particular institution. The purpose of this article is to outline the process of developing the project and discuss recommendations resulting from the survey.

Clinical Nursing Research↗

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↗

PubMed1990

Expert opinions on nutrition issues in clinical dentistry.

Diet assessment and counseling are essential components of comprehensive preventive dental care programs. However, the lack of consensus on what constitutes appropriate nutrition services has resulted in diversity in the level and quality of such services to dental patients. Seventy nine nationally recognized experts in dental nutrition were surveyed using the Delphi method to seek consensus on the appropriate scope of nutrition in clinical dentistry.

Chi-Square Distribution↗

PubMed1990

Looking to the 21st century in schools of allied health.

During 1989, the members of the College of Health Deans participated in a Delphi study to identify objectives for schools of allied health professions now planning to meet the health care needs in the year 2000. There was consensus among the participating deans that 21 potential developments in health and health care are likely to occur by the year 2000 and that 16 objectives related to these developments are important for schools of allied health.

Allied Health Occupations↗

PubMed1990

Expert assessment of the national coaching certification program (NCCP) theory component.

The purpose of this study was to determine if the educational objectives of the revised national coaching certification theory program (NCCP) represent the important and necessary skills needed to be an effective coach in both contemporary and future Canadian society. A study sample of experts in coach education in Canada (n = 75) agreed to participate in the investigation which was based on a research protocol known as the Delphi technique. Results of the study indicate that coach education experts in Canada generally agreed with the educational objectives at each level of the program in both the present and the futures data. Further, the experts seemed to favour a socio-psychological orientation to the curriculum content at level 1 and level 2 and a balance between the biophysical and the socio-psychological sports science areas at level 3.

Canada↗

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↗

PubMed1989

Attributes and qualifications that employers seek when hiring dietitians in business and industry.

A study was conducted to assess the employment trends of dietitians in business and industry and to identify attributes and qualifications essential to succeed in this segment of the industry. Results of the delphi process were utilized in the design of a questionnaire which would identify attributes and qualifications essential for success. The questionnaire was administered to a random sample of 300 members of the Dietitians in Business and Industry Practice Group and 300 prospective and current employers of dietitians. Response rates of 45.7% (no. = 137) and 29.0% (no. = 87) were attained for the dietitians and employers, respectively. The majority of current employers (72%) and prospective employers (62%) and dietitians (73%) responded that the trend of hiring dietitians in business and industry was increasing. Both dietitians (53%) and employers (41%) reported that new positions were being created for dietitians in their organizations. Operational experience was more important for positions in sales, whereas clinical experience was more important for positions in manufacturing organizations. Employers ranked a master's degree in business administration (MBA) as the second most important qualification; dietitians rated the MBA as fifteenth in importance. Dietitians ranked registration status (RD) as, fourth in importance; however, employers rated registration status as least important of the qualifications. Both employers and dietitians ranked communication skills as essential to succeed in business and industry positions.

Commerce↗

PubMed1988

Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills. A randomized control trial.

The journal club is an established teaching modality in many house-staff training programs. To determine if a journal club improves house-staff reading habits, knowledge of epidemiology and biostatistics, and critical appraisal skills, we randomized 44 medical interns to receive either a journal club or a control seminar series. A test instrument developed by the Delphi method was administered before and after the interventions (mean, five journal club sessions). By self-report, 86% of the house staff in the journal club group improved their reading habits vs 0% in the control group. Knowledge scores increased more in the journal club group than in the control group, and a trend was found toward more knowledge gained as more sessions were attended. Ability to appraise critically a test article increased slightly in each group, but there was no significant difference between the groups. We conclude that a journal club is a powerful motivator of critical house-staff reading behavior and can help teach epidemiology and biostatistics to physicians-in-training.

Biometry↗

PubMedDate not supplied

Clarification and standardization of substance abuse terminology.

A four-stage Delphi survey of substance abuse experts was conducted to help achieve greater clarity and uniformity in terminology associated with alcohol and other drug-related problems. This multidisciplinary group of experts was asked to reach a consensus on alcohol and other drug-related terms and definitions. Results produced a list of 50 substance abuse terms deemed important, along with the most agreed on definition for each term.

American Medical Association↗

PubMedDate not supplied

Delineation of nursing administration research priorities.

The purposes of this national study were to determine: (a) a definition of nursing administration research and (b) priority nursing administration research questions. Brainstorming was used initially with Council on Graduate Education for Administration in Nursing (CGEAN) members in 1984, to delineate concepts for definitions. Definitions and research questions were generated and rated in a three-round Delphi survey by 129 experts from nursing and health administration. According to the most widely supported definition, nursing administration research is concerned with establishing costs of nursing care, examining the relationships between nursing services and quality patient care, and viewing problems of nursing service delivery within the broader context of policy analysis and delivery of health services. The research question of most importance was: What are the cost-effective components of clinical nursing care that yield high patient satisfaction, decrease the number of complications, and shorten hospital stay for identified groups of patients? In a scenario exercise at the 1985 CGEAN meeting, additional priorities identified were vulnerable populations and equity.

Administrative Personnel↗

PubMed1986

Physician satisfaction with patient encounters. Reliability and validity of an encounter-specific questionnaire.

While patient satisfaction has been studied extensively and considered an outcome measure of physician-patient encounters, physician satisfaction has received limited consideration. The reliability and validity of an "encounter-specific" physician satisfaction scale were examined. The Delphi technique was used to develop a 39-item questionnaire comprising four hypothesized domains of physician satisfaction: interactive, personal, professional, and contextual. Factor analysis supported two of the four hypothesized categories. Exclusion of all items not contributing to the reliability of the two subscales or differentiating between high and low scores in an item analysis allowed a condensation of the scale. This 16-item scale was tested in a second phase of the study, which supported the reliability and validity of the two-dimension encounter-specific physician satisfaction scale. Further use of the scale may prove useful in exploring this neglected component of physician-patient encounters.

Attitude of Health Personnel↗

PubMed1987

Frequency and appropriateness of drug prescribing for unlabeled uses in pediatric patients.

The incidence and appropriateness of drug prescribing for unlabeled indications in a pediatric hospital were examined. During a 19-day period, the medical record of each discharged patient was reviewed to obtain information about the drugs administered during hospitalization. The package insert of each drug was consulted to determine whether the drug had a labeled indication for pediatric use. Using a Delphi group-opinion technique, nine experts in pediatric pharmacology were asked to determine whether or not the use of the drugs with no labeled pediatric indications was supported by the medical literature. A total of 62 (7%) of the 951 drug orders were for unlabeled pediatric indications. A consensus of appropriate use was achieved in 24 (39%) cases, and a consensus of inappropriate use was achieved in 10 (16%) instances. No consensus was reached in 45% of cases. The number of drugs prescribed for unlabeled indications in pediatric patients appears to be small, and sufficient evidence exists in the medical literature to support at least some of those uses.

Child, Preschool↗

PubMed1985

Acceptance of nurse practitioners: patient behavioral indicators.

Using the Delphi Technique, this study investigated the concept of acceptance and sought to identify behavioral indicators of patient acceptance of nurse practitioners. Thirty-four nurse practitioners participated in the study and came to consensus regarding 20 verbal and 16 nonverbal behaviors. This study was a step toward defining objective criteria of NP acceptance.

Behavior↗

PubMed1985

Linking clinical dietetic practice with educational development in Tennessee.

Does the setting for health care delivery affect the development of competence in clinical dietetics? A survey was conducted to compare clinical dietetic practice in hospitals and in public health agencies in Tennessee. It was found that the nature of practitioners--their demographic characteristics, credentials, and roles in practice--could not be differentiated. There was, however, a difference between groups when the high-priority counseling performance situations (problem-solving encounters) were compared, suggesting that there is a difference in competence needed for clinical dietetic practice. A Delphi probe was conducted among educators and practitioners in Tennessee to identify anticipated priorities among clients' needs and problems in future counseling intervention without regard to the setting for health care delivery. In clinical education, selecting a general set of performance situations representative of practice in a variety of settings enables practitioners to develop breadth of competence. Future practitioners need to be able to modify and create roles to address societal needs and expectations in systems not yet envisioned. The articulation of dietetic and public health nutrition education programs that have a common purpose is a step in that direction.

Adult↗

PubMed1984

Development of indices of effectiveness: a quantification of the accrediting process.

Two indices of effectiveness are described, one of instructional effectiveness and one of administrative effectiveness. Originally, 97 effectiveness measures were obtained from criteria published by national health professional organizations and other accrediting bodies. The Delphi survey process was used to analyze, refine, weight, and select 19 measures of instructional effectiveness and 15 measures of administrative effectiveness. A second article (May 1984) describes the operationalization and quantification of the selected measures and their application to 25 allied health departments in Texas junior and community colleges.

Accreditation↗

PubMed1984

The affective domain: behaviors important in entry-level practice.

Affective behaviors, those associated with attitudes, beliefs, and values, were identified by a Delphi panel of dietetic experts. Statements converged through four rounds into a set of behaviors categorized into five components: human, technical, conceptual, personal, and professional. One group of registered dietitians rated each of these statements from most to least important within each component. Another group rated each statement using the scale 1 = absolutely essential to 4 = not of concern. Mean rankings within each of the five components tended to have a small range. Mean ratings of the statements indicated respondents considered all of the behaviors to be essential or at least important. For an additional analysis, ratings of statements were subjected to principal components analysis. Inspection of the varimax-rotated factor matrix revealed that all but 1 of the 41 behavior statements could be grouped in an additional way to yield six internally consistent scales: initiative/flexibility, professional commitment, interpersonal, personal responsibility, leadership, and personal commitment. Additional research should be done to determine the practicality of utilizing these behavior statements to evaluate the performance of dietitians both at the entry level and at more advanced levels.

Attitude of Health Personnel↗