Consensus on Hypotonia via Delphi Process

Naidoo, Panjasaram; Joubert, Robin

doi:10.1007/s12098-013-1018-7

Cited by 12 publications

(32 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A checklist , provided on the left, indicates those aspects that are deemed imperative as part of the history taking. These inclusions have been transposed from the Delphi process in the preliminary stage (Naidoo & Joubert 2013), in which panellists concurred with a high level of agreement that these aspects should be included. This is followed by another mono-directional action in which the clinical assessment is initiated.…”

Section: Resultsmentioning

confidence: 99%

“…This is followed by another mono-directional action in which the clinical assessment is initiated. The hierarchy of inclusion of the clinical characteristic clusters that follow were based on the ranking orders gauged from the consensus process (Naidoo & Joubert 2013). One change was made to this hierarchy, in that hypotonic facies and excessive drooling were combined as the first characteristic under consideration and placed at the top of the hierarchy, given that these signs would be overt and noticeable to the clinician on first presentation at the clinical assessment.…”

Section: Resultsmentioning

confidence: 99%

“…This decision symbol has play within parenthesis, as this was indicated as being an important component from the preceding study (Naidoo & Joubert 2013). A checklist is once more provided for quantification of the impairment.…”

Section: Resultsmentioning

confidence: 99%

“…As this study was part of an ongoing larger project, the data from initial stages (Naidoo 2013a, 2013b; Naidoo & Joubert 2013) assisted in framing the stance that was to be taken in the development of the algorithm. The details of these phases are described in the respective papers.…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

‘Toning’ up hypotonia assessment: A proposal and critique

Govender

Joubert

2016

AJOD

View full text Add to dashboard Cite

BackgroundClinical assessment of hypotonia is challenging due to the subjective nature of the initial clinical evaluation. This poses dilemmas for practitioners in gaining accuracy, given that the presentation of hypotonia can be either a non-threatening or malevolent sign. The research question posed was how clinical assessment can be improved, given the current contentions expressed in the scientific literature.ObjectivesThis paper describes the development and critique of a clinical algorithm to aid the assessment of hypotonia.MethodsAn initial exploratory sequential phase, consisting of a systematic review, a survey amongst clinicians and a Delphi process, assisted in the development of the algorithm, which is presented within the framework of the International Classification of Functioning, Disability and Health. The ensuing critique followed a qualitative emergent–systematic focus group design with a purposive sample of 59 clinicians. Data were analysed using semantical content analysis and are presented thematically with analytical considerations.ResultsThis study culminated in the development of an evidence-based clinical algorithm for practice. The qualitative critique of the algorithm considered aspects such as inadequacies, misconceptions and omissions; strengths; clinical use; resource implications; and recommendations.ConclusionsThe first prototype and critique of a clinical algorithm to assist the clinical assessment of hypotonia in children has been described. Barriers highlighted include aspects related to knowledge gaps of clinicians, issues around user-friendliness and formatting concerns. Strengths identified by the critique included aspects related to the evidence-based nature of the criteria within the algorithm, the suitability of the algorithm in being merged or extending current practice, the potential of the algorithm in aiding more accurate decision-making, the suitability of the algorithm across age groups and the logical flow. These findings provide a starting point towards ascertaining the clinical utility of the algorithm as an essential step towards evidence-based praxis.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

‘Toning’ up hypotonia assessment: A proposal and critique

Govender

Joubert

2016

AJOD

View full text Add to dashboard Cite

show abstract

“…Previous researchers have considered this threshold to be acceptable for small panels. [18,20] In the third round, topics and concepts containing items on which agreement had not been settled were highlighted. Feedback to each expert panelist included the percentages of agreement on each item.…”

Section: Data Collectionmentioning

confidence: 99%

Using the Delphi process to attain expert consensus on bioscience concepts, topics, and skills in undergraduate nursing curricula

Andersen

Moralejo

2015

JNEP

View full text Add to dashboard Cite

Although many nurse scholars agree that biosciences are lacking in nursing curricula, it is difficult to determine exactly which bioscience concepts, topics, and skills are most important and relevant for undergraduate nursing students. The aim of this study was to gain expert consensus on pharmacologic and microbiologic concepts, topics, and skills necessary to prepare nurse graduates who are able to practice in a safe and professional manner. Five experienced clinical nurse educators familiar with undergraduate nursing programs and knowledgeable about undergraduate nursing students were invited to participate as expert panelists in a three-round electronic Delphi process. Two panelists were external to the university, and three were internal. The opinions of the expert panelists converged on the necessity of 20 pharmacological concepts and/or lecture topics, 18 microbiological concepts and/or lecture topics, seven pharmacological and 16 microbiological procedural skills. Top ranking pharmacology lecture topics included applied pharmacology as well as disease and symptom management (cardiovascular disease, respiratory disease, and diabetes most prominent). Top ranking microbiology lecture topics included hepatitis A, B, and C, as well as tuberculosis and nosocomial infections. The results of this study are relevant to Schools of Nursing who wish to offer core bioscience courses in order to improve curriculum quality and meet the needs of industry partners and accreditation bodies.

show abstract