Prognostic indicators for children and young people at the end of life: A Delphi study

Shaw, Karen L.; Brook, Lynda; Cuddeford, Lisa; Fitzmaurice, Nicki; Thomas, Claire; Thompson, Angela; Wallis, MG

doi:10.1177/0269216314521852

Cited by 13 publications

(12 citation statements)

References 47 publications

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“…The modified approach adopted in this Delphi survey is considered superior to the original approach because it is highly effective and less time consuming [50,51]. Having an "expert panel" is central to the process of the Delphi technique, although there are no standard criteria for determining expertise [52]. In the current study, the panel of experts comprised people from seven countries/cities who are in diverse professions, such as university academics, physicians, and nurses.…”

Section: Discussionmentioning

confidence: 99%

Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study

Mao

Loke

2020

Scand J Trauma Resusc Emerg Med

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Background Disaster resilience is an essential personal characteristics of health rescue workers to respond to disasters in an effective manner, and maintain a state of adaptation after deployment. It is essential for disaster managers to recruit, assess, and prepare healthcare rescuers with this characteristic. A specific tool for measuring the disaster resilience of healthcare rescuers has yet to be devised. Objective The purpose of this study was to establish the content validity of a tool for measuring the disaster resilience of disaster rescue workers. Methods A modified Delphi approach was employed. Experts in disaster work and research were invited to rate the domains and items of a prototype tool for measuring disaster resilience in healthcare rescue workers. The panel of experts rated the relevance of the items using a 4-point Likert scale. The median and interquartile range, as well as the level of agreement, were calculated for each item using the Kendall coefficient W, to assess the consensus of the experts. The content validity index (CVI) was calculated to assess the content validity of this tool. Results A total of 22 and 21 experts were involved in the first and second rounds of this modified Delphi study (response rate of 91.7 and 95.5%), respectively. After two rounds of expert query, an eight-domain and 27-item disaster resilience measuring tool was established. The median range of all of the included items was 3.50 to 4.00 and the interquartile range was 0.00 to 1.00, and all items achieved ≥85% agreement. The Kendall coordination coefficient W was 0.21 and 0.33 in the first and second rounds, respectively, with P < 0.01. The I-CVI ranged from 0.85 to 1.0, while the S-CVI/UA and S-CVI /Ave were 0.69 and 0.97, respectively. Conclusion Consensus was reached on a disaster resilience measuring tool covering 27 items. The content validity of this tool for measuring the disaster resilience of healthcare rescuers was excellent. This tool is validated and ready to be tested in a pilot study to assess its psychometric properties.

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Section: Discussionmentioning

confidence: 99%

Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study

Mao

Loke

2020

Scand J Trauma Resusc Emerg Med

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“…A total of 30 panelists completed Round 1, 761 responses were recorded, and 32 new PGPs were generated. Consistent with procedures described in previous Delphi studies,43‐45 PGPs were modified by the principal author (M.G.M.) in response to qualitative recommendations made by panelists in Round 1.…”

Section: Resultsmentioning

confidence: 99%

Achieving Consensus on Principles of Good Practice for School Health in Independent Schools: A Delphi Study

Marshall¹,

Allegrante

2017

Journal of School Health

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“…Typically this iterative process continues until consensus is reached, for a maximum of three Delphi rounds [ 26 ]. Consistent with the strategies used by others [ 27 ], our process was modified from the traditional Delphi technique, which starts by soliciting open-ended questions to generate ideas around the topic of interest (i.e., asking participants to generate an initial list of dignity-conserving care markers. Like others however, during each Delphi round we encouraged participants to provide suggestions of additional dignity conserving care markers to be considered in our analysis.…”

Section: Methodsmentioning

confidence: 99%

Identifying Markers of Dignity-Conserving Care in Long-Term Care: A Modified Delphi Study

2016

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Ensuring that people living in nursing homes (NHs) are afforded with dignity in their daily lives is an essential and humane concern. Promoting dignity-conserving care is fundamentally important. By nature, however, this care is all-encompassing and holistic, and from current knowledge it is challenging to create explicit strategies for measuring dignity-conserving care. In practice the majority of current NH indicators of quality care are derived from information that is routinely collected on NH residents using the RAI-Minimum Data Set (MDS). In this regard, issues that are more tangible to resident dignity such as being treated with respect, compassion, and having opportunities to engage with others are not adequately captured in current NH quality of care indicators. An initial set of markers was created by conducting an integrative literature review of existing markers and indicators of dignity in the NH setting. A modified Delphi process was used to prioritize essential dignity-conserving care markers for use by NH providers, based on factors such as the importance to fostering a culture of dignity, the impact it may have on the residents, and how achievable it is in practice. Through this consensus building technique, we were able to develop a comprehensive set of markers that capture the range and diversity of important dignity-conserving care strategies for use in NHs. The final 10 markers were judged as having high face validity by experts in the field and have explicit implications for enhancing the provision of daily dignified care to NH residents. These markers make an important addition to the traditional quality indicators used in the NH setting and as such, bridge an important gap in addressing the psychosocial and the less easily quantified needs of NH residents.

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Prognostic indicators for children and young people at the end of life: A Delphi study

Abstract: This study provides important insight into which signs and symptoms are considered most valuable in identifying children approaching the end of the life.

Cited by 13 publications

References 47 publications

Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study

Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study

Achieving Consensus on Principles of Good Practice for School Health in Independent Schools: A Delphi Study

Identifying Markers of Dignity-Conserving Care in Long-Term Care: A Modified Delphi Study

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