From equity to power: Critical Success Factors for Twinning between midwives, a Delphi study

Cadée, Franka; Nieuwenhuijze, Marianne; Lagro-Janssen, Antoine L. M.; Vries, Raymond De

doi:10.1111/jan.13560

Cited by 7 publications

(8 citation statements)

References 26 publications

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“…Because no recent standardized guidelines for reporting a Delphi study are available, this article followed the proposed areas for reporting a Delphi survey by Hasson and Keeney and other more recent literature. [13][14][15][16] Participants For a heterogeneous group, larger groups of participants are recommended in a Delphi study. Therefore, we aimed for the participation of approximately 15 experts.…”

Section: Designmentioning

confidence: 99%

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High-Risk Medication in Home Care Nursing: A Delphi Study

Dumitrescu¹,

Casteels

Vliegher³

et al. 2022

J Patient Saf

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The aims of the study were to reach consensus on which medications in home care nursing should be considered high-risk medication (HRM) and to obtain recommendations about which interventions home care nurses can perform to improve quality of care and safety in managing these HRM.Design: This is an international Delphi study with 13 purposively selected experts from 4 different countries.Methods: A 3-round iterative Delphi survey was conducted from May 2018 to October 2018, based on a list of 32 medications previously reported as HRM in community care. A proposal for HRM was based on this literature search, and experts were asked to reflect on which (groups of ) medications should be considered HRM by home care nurses (completeness of the list, risk assessment per [group of] medication, the need for home care nurse interventions, and the need for an HRM care procedure). The cutoff point for consensus was set at 80% of expert agreement. Results:The panel assessed the initial list and added 30 (groups of ) medications. In the last round, consensus of 80% or more was reached for 27 (groups of ) medications to be considered HRM by home care nurses. For 28 medications, additional interventions by a home care nurse were considered warranted. A procedure or protocol for home care nurses was deemed necessary for 12 medications. Conclusions:We identified a set of (groups of ) medications that should primarily be considered HRM by home care nurses.Impact:• What problem did the study address? This study clarified which medications should be considered HRM by home care nurses.• What were the main findings? Experts identified a set of 27 (groups of ) medications that should primarily be considered HRM by home care nurses.• Where and on whom will the research have an impact? The results provide essential information for home care agencies when setting up an HRM policy.

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Section: Designmentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

High-Risk Medication in Home Care Nursing: A Delphi Study

Dumitrescu¹,

Casteels

Vliegher³

et al. 2022

J Patient Saf

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“…Facilitating the process remotely without direct interaction between participants mitigated against group dynamics, politics and the domination of individuals during the process which is a risk factor when conducting research at the group level (Hasson et al, 2000). Content and face validity is supported by drawing the initial recommendations from the findings of a systematic review as well as nursing and midwifery stakeholders from a variety of backgrounds and experience (Cadée et al, 2018).…”

Section: Validity and Reliabilitymentioning

confidence: 99%

“…The widely distributed and anonymous nature of online Delphi studies allows panels to be more inclusive with regard to location, representation and power dynamics (Keeney et al, 2001; Powell, 2003). The value of Delphi studies is reflected in its growing use in nursing research (Button et al, 2019; Cadée et al, 2018; Massaroli et al, 2017; Meskell et al, 2014). For consistency, in this study, we report the findings using the Delphi reporting guideline checklist (Appendix S1) (Jünger et al, 2017).…”

Section: The Studymentioning

confidence: 99%

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

Teoh

Kinman

Harriss

et al. 2022

Journal of Advanced Nursing

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Aim:To use the Delphi technique to identify and prioritize recommendations for research and practice to improve the mental wellbeing of nurses and midwives in the United Kingdom (UK).Background: Although there is evidence that self-reported mental wellbeing among nurses and midwives in the UK is poor, interventions have not adequately considered the wider context in which they work. The wide range of individual, organizational, occupational and wider sector-level factors that can influence wellbeing requires the involvement of different stakeholders to identify the most pressing actions required. Design: A three-round Delphi technique was conducted in 2019.Methods: In the first round, 16 subject matter experts generated, reviewed and discussed recommendations from a review of the research evidence with potential to support the mental wellbeing of nurses. A second group with 23 stakeholder representatives then rated and provided feedback on the developed recommendations through two additional rounds. Recommendations that received an 'essential' or 'important' rating from at least 80% of participants were retained and prioritized. Results:In total, 45 recommendations met the consensus agreement and were retained. More than half (57%) involved action at the organizational level, 27% to public policy and 13% to research. Only one recommendation is related to the individual.Collectively, these recommendations highlight the importance of taking direct action to tackle poor mental wellbeing among the workforce and initiating change at the policy and organizational level. Conclusion:Our findings emphasize the need to take a systemic approach to improving the mental health of nurses and midwives in the UK with input from different stakeholders. There is a clear consensus that action is needed at the organization and policy levels, rather than at the individual level as is current practice. Impact:This study provides a framework, alongside a set of practical recommendations, that provides a starting point for different stakeholders to understand, address and support the mental wellbeing of nurses and midwives. Although UK-focused, it has relevance to healthcare workforces internationally.

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“…His approach to culture helps explain, for example, why one twin may be less confrontational or the other more direct in their feedback, which allows us to contextualize certain comments by twins (Meyer, 2016). An understanding of the way the culture directs behavior is important for successful twinning (Cadée et al, 2018;Cadée et al, 2016). Adler and Gundersen (2007) are critical about any attempt to define culture because, they believe, the effort results in overgeneralizations that are meaningless when we refer to individuals within a culture.…”

Section: The Place Of Culture In the Dynamics Of Twinningmentioning

confidence: 99%

Embrace the Complex Dynamics of Twinning!

et al. 2021

Self Cite

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The professional growth of midwives, essential for optimizing midwifery leadership globally, can be enhanced through twinning collaborations. How twinning promotes growth is unclear. This case study explores how professional growth is affected by cultural differences between twins. We used a longitudinal qualitative design including data from open-ended questionnaires and focus groups. These data were analyzed using a content analysis. Our findings show that cultural differences were capable of both hindering and facilitating professional growth. Within the complex dynamics of twinning, professional growth was facilitated by twins’ preparedness to bridge cultural differences. Common goals positively influenced this process. Friction was more likely, and professional growth was hindered, when midwives were unprepared to bridge cultural differences. To optimize professional growth through twinning, we recommend a clear focus on common goals and consideration of the interaction between the length of a project and the extent of the cultural differences between twins.

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From equity to power: Critical Success Factors for Twinning between midwives, a Delphi study

Cited by 7 publications

References 26 publications

High-Risk Medication in Home Care Nursing: A Delphi Study

High-Risk Medication in Home Care Nursing: A Delphi Study

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

Embrace the Complex Dynamics of Twinning!

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