Consensus for statements regarding a definition for spinal osteoarthritis for use in research and clinical practice: A Delphi study

2021 ◽  
Author(s):  
Katie Luca ◽  
Alessandro Chiarotto ◽  
Flavia Cicuttini ◽  
Laura Creemers ◽  
Evelien Schepper ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Delphi Study ◽  
Spinal Osteoarthritis

scholarly journals Development of a screening tool for pelvic floor dysfunction in female athletes: protocol of a Delphi consensus

2022 ◽  
Author(s):  
Silvia Giagio ◽  
Andrea Turolla ◽  
Tiziano Innocenti ◽  
Stefano Salvioli ◽  
Giulia Gava ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Pelvic Floor ◽  
Delphi Study ◽  
Sports Medicine ◽  
Screening Tool ◽  
Female Athletes ◽  
Pelvic Floor Dysfunction ◽  
Negative Influence ◽  
Delphi Consensus

Background/aim: Several epidemiological studies have found a high prevalence of Pelvic Floor Dysfunction (PFD) among female athletes. However, according to several authors, these data could even be underestimated, both in research and clinical practice. Screening for potential PFD is often delayed and risk factors are not often evaluated. As a consequence, withdrawal from sport, negative influence on performance, worsening symptoms and unrecognized diagnosis may occur. The aim of our research is to develop a screening tool for pelvic floor dysfunction in female athletes useful for clinicians (musculoskeletal/sport physiotherapists, sports medicine physicians, team physicians) to guide referral to a PFD expert (e.g. pelvic floor/women's health physiotherapist, gynecologist, uro-gynecologist, urologist). Methods: A 2-round modified Delphi study will be conducted to ascertain expert opinion on which combination of variables and risk factors should be included in the screening tool. Conclusion: The implementation of the present screening tool into clinical practice may facilitate the referral to a PFD expert for further assessment of the pelvic floor and therefore, to identify potential dysfunction and, eventually, the related treatment pathway.

Adaptation and validation of a nursing competencies framework for clinical practice on a continuum of care from childhood to adulthood: A Delphi study

2020 ◽  
Vol 93 ◽  
pp. 104530
Author(s):  
Louise Boyer ◽  
Jacinthe Pepin ◽  
Sylvie Dubois ◽  
Renée Descôteaux ◽  
Louise Robinette ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Delphi Study ◽  
Continuum Of Care ◽  
Nursing Competencies

scholarly journals Schizophrenia and “unmet needs”: From diagnosis to care in Italy

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Silvana Galderisi ◽  
Marco A. Riva ◽  
Paolo Girardi ◽  
Mario Amore ◽  
Bernardo Carpiniello ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Delphi Study ◽  
Unmet Needs ◽  
Early Recognition ◽  
Accurate Identification ◽  
Integration Of Care ◽  
Delphi Approach ◽  
Essential Components ◽  
Strong Consensus ◽  
Barriers And Challenges

Abstract Background. Schizophrenia is a leading cause of disability. People living with schizophrenia (PLWS) present unemployment, social isolation, excess mortality and morbidity, and poor quality of life. Early recognition and appropriate treatment reduce the risk of chronicity and comorbidity. Personalization and integration of pharmacological and psychosocial interventions, as well as accurate identification and management of psychiatric and somatic comorbidities, can significantly improve mental and physical health of PLWS, promoting recovery. Methods. A three-step Delphi approach was used to explore consensus on the essential components of early recognition and intervention, personalization, and integration of care to improve schizophrenia outcome, and on barriers and challenges to close treatment gaps. The consensus involved 8 Italian experts of schizophrenia, 100 psychiatrists from academic and nonacademic settings, including representatives of Italian Society of Psychiatry, and 65 trainees in psychiatry. Results. A strong consensus (from mostly agree to totally agree) emerged on the importance of early diagnosis (97%), standardized assessments (91%), correct management of somatic and psychiatric comorbidities (99%), and personalization and integration of care (94%). Lack of time, human resources, and training were identified as the main barriers and challenges to the translation of knowledge into clinical practice. Conclusions. The results of this Delphi study demonstrated a strong consensus on main components of schizophrenia care, as well as on unmet needs to promote best practice and gaps between knowledge and clinical practice. The involvement of a large group of professionals and trainees in this in-depth consensus process might contribute to raise awareness and stimulate innovative strategies to improve the outcome of PLWS.

scholarly journals Performance indicators for clinical practice management in primary care in Portugal: Consensus from a Delphi study

2014 ◽  
Vol 21 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Miguel Basto-Pereira ◽  
Sara Isabel Félix Furtado ◽  
Ricardo Jorge Pereira Silva ◽  
Francisco Fachado González ◽  
Tito Manuel Vara Fernandes ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Performance Indicators ◽  
Delphi Study ◽  
Practice Management

What Are the Research Needs for the Field of Disaster Nursing? An International Delphi Study

2014 ◽  
Vol 29 (5) ◽  
pp. 448-454 ◽  
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Basseer Jeeawody ◽  
Rhonda Wilson
Keyword(s):  
Clinical Practice ◽  
Delphi Study ◽  
Single Case ◽  
Research Priorities ◽  
Psychosocial Aspects ◽  
Research Needs ◽  
Psychosocial Needs ◽  
Publication Type ◽  
The World ◽  
Education Training

AbstractBackgroundInternationally there is an increasing amount of peer-reviewed literature pertaining to disaster nursing. The literature includes personal anecdotes, reflections, and accounts of single case studies. Furthermore, issues such as the willingness of nurses to assist in disasters, the role of nurses in disasters, leadership, competencies, and educational preparedness for nurses have been the focus of the literature.AimThe aim of this research was to determine the international research priorities for disaster nursing.MethodThis research used a three-round Delphi technique. The first round used a face-to-face workshop to generate research statements with nursing members of the World Association for Disaster and Emergency Medicine (WADEM). The second and third rounds included the ranking of statements on a 5-point Likert scale with nursing members of WADEM and the World Society of Disaster Nursing (WSDN). Statements that achieved a mean of four or greater were considered a priority and progressed.ResultsParticipants were from multiple countries. Research statements were generated in the areas of: education, training, and curriculum; psychosocial; strategy, relationship, and networking; and clinical practice. Psychosocial aspects of disaster nursing ranked the highest, with five statements appearing in the top ten research areas, followed by statements relating to: education, training, and curriculum; clinical practice; and finally, strategy, relationship, and networking.ConclusionsFuture disaster nursing research should focus on the area of psychosocial aspects of disaster nursing, in particular, both the psychosocial needs of a disaster-affected community and the psychosocial wellbeing of nurses who assist in disaster health activities.RanseJ,HuttonA,JeeawodyB,WilsonR.What are the research needs for the field of disaster nursing? An international Delphi study.Prehosp Disaster Med.2014;29(5):1-7.

scholarly journals Operationalization of the learned non-use phenomenon - A Delphi study

2020 ◽  
Author(s):  
Theresa Hirsch ◽  
Maria Barthel ◽  
Pauline Aarts ◽  
Yi-An Chen ◽  
Susanna Freivogel ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Delphi Study ◽  
Clinical Decision Making ◽  
Negative Reinforcement ◽  
Brain Lesion ◽  
Clinical Decision ◽  
Diagnostic Process ◽  
Sources Of Information ◽  
Wide Range

AbstractThe discrepancy between residual functional capacity and reduced use of the contralesional hand, frequently observed after a brain lesion, has been termed Learned Non-Use (LNU) and is thought to depend on the interaction of neuronal mechanisms during recovery and learning-dependent mechanisms such as negative reinforcement. Despite the generally accepted existence of the LNU phenomenon among clinicians and researchers, no unequivocal and transdisciplinary definition exists to date. Furthermore, although therapeutic approaches are implemented in clinical practice to explicitly target LNU, no standardized diagnostic routine is described in the current literature.Based on a structured group communication following the Delphi method among clinical and scientific experts in the field of LNU, knowledge from both, the work with patient populations and with animal models, was synthesized and integrated to reach consensus regarding a transdisciplinary definition of the LNU phenomenon. Furthermore, the mode and strategy of the diagnostic process, as well as the sources of information and outcome parameters relevant for the clinical decision making, were described with a wide range showing the current lack of a consistent universal diagnostic approach. Building on these results, the need for the development of a structured diagnostic procedure and its implementation into clinical practice is emphasized. Moreover, it exists a striking gap between the prevailing hypotheses regarding the mechanisms underlying the LNU phenomenon and the actual evidence. Therefore, basic research is needed to bridge between bedside and bench and eventually improve clinical decision making and further development of interventional strategies beyond the field of stroke rehabilitation.

scholarly journals Development of a Breech-Specific Integrated Care Pathway for Pregnant Women: Protocol for a Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Sara Morris ◽  
Sadie Geraghty ◽  
Deborah Sundin
Keyword(s):  
Clinical Practice ◽  
Mixed Methods ◽  
Integrated Care ◽  
Western Australia ◽  
Delphi Study ◽  
Care Pathway ◽  
Breech Presentation ◽  
Mixed Methods Approach ◽  
Breech Birth ◽  
Integrated Care Pathway

BACKGROUND The development of an integrated care pathway with multidisciplinary input to standardize and streamline care for pregnant women experiencing breech presentation at 36 or more weeks of gestation poses several challenges because of the divisive and contentious nature of the phenomenon. Although many clinicians are interested in obtaining the skills required to safely support women desiring a vaginal breech birth, the primary trend in most health care facilities is to recommend a cesarean section. OBJECTIVE This paper aims to discuss the mixed methods approach used in a doctoral study conducted to generate new knowledge regarding women’s experiences of breech birth in Western Australia and professional recommendations regarding the care of women experiencing breech presentation close to or at term. This study was designed to inform the development of an integrated care pathway for women experiencing a breech presentation. This mixed methods approach situated within the pragmatic paradigm was determined to be the optimal way for incorporating multidisciplinary recommendations with current clinical practice guidelines and consumer feedback. METHODS A mixed methods study utilizing semistructured interviews, an electronic Delphi (e-Delphi) study, and clinical practice guideline appraisal was conducted to generate new data. The interviews were designed to provide insights and understanding of the experiences of women in Western Australia who are diagnosed with a breech presentation. The e-Delphi study explored childbirth professionals’ knowledge, opinions, and recommendations for the care of women experiencing breech presentation close to or at term. The clinical practice guideline appraisal will examine the current national and professional breech management and care guidelines. This study has the potential to highlight areas in practice that may need improvement and enable clinicians to better support women through what can be a difficult time. RESULTS Data collection for this study began in November 2018 and concluded in March 2020. Data analysis is currently taking place, and the results will be disseminated through publication when the analysis is complete. CONCLUSIONS The results of this study will guide the development of an integrated care pathway for women experiencing a breech presentation close to or at term, with the hope of moving toward standardized breech care for women in Western Australia. This study protocol has the potential to be used as a research framework for future studies of a similar nature. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/23514

scholarly journals Barriers of Occupation-based Intervention

2016 ◽  
Vol 1 (4) ◽  
pp. 1
Author(s):  
Ahmad Zamir Che Daud ◽  
Jenni Judd ◽  
Matthew Yau ◽  
Fiona Barnett
Keyword(s):  
Clinical Practice ◽  
Open Access ◽  
Occupational Therapy ◽  
Service Delivery ◽  
Delphi Study ◽  
Publishing House ◽  
Delphi Round ◽  
International Publishing ◽  
Open Access Article ◽  
Therapy Service

A Delphi study with three rounds of inquiry was conducted to identify the barriers of implementing Occupation-based Intervention (OBI) in Malaysia. Fifteen occupational therapy practitioners and educators consented and completed all the Delphi rounds. The first Delphi round began with an open-ended questionnaire asking the participants a broad question on barriers for applying OBI into clinical practice. Data was qualitatively analysed to develop statements about the barriers of applying OBI were grouped under five categories. In the second and third round, the participants were asked to rank their agreement with the statements about the barriers in applying OBI. Twenty-seven statements finally achieved the consensus level.2398-4279 © 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK.. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Occupation, Clinical Practice, Occupational Therapy, Service Delivery

scholarly journals Development of a Breech-Specific Integrated Care Pathway for Pregnant Women: Protocol for a Mixed Methods Study

10.2196/23514 ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. e23514 ◽  
Author(s):  
Sara Morris ◽  
Sadie Geraghty ◽  
Deborah Sundin
Keyword(s):  
Clinical Practice ◽  
Mixed Methods ◽  
Integrated Care ◽  
Western Australia ◽  
Delphi Study ◽  
Care Pathway ◽  
Breech Presentation ◽  
Mixed Methods Approach ◽  
Breech Birth ◽  
Integrated Care Pathway

Background The development of an integrated care pathway with multidisciplinary input to standardize and streamline care for pregnant women experiencing breech presentation at 36 or more weeks of gestation poses several challenges because of the divisive and contentious nature of the phenomenon. Although many clinicians are interested in obtaining the skills required to safely support women desiring a vaginal breech birth, the primary trend in most health care facilities is to recommend a cesarean section. Objective This paper aims to discuss the mixed methods approach used in a doctoral study conducted to generate new knowledge regarding women’s experiences of breech birth in Western Australia and professional recommendations regarding the care of women experiencing breech presentation close to or at term. This study was designed to inform the development of an integrated care pathway for women experiencing a breech presentation. This mixed methods approach situated within the pragmatic paradigm was determined to be the optimal way for incorporating multidisciplinary recommendations with current clinical practice guidelines and consumer feedback. Methods A mixed methods study utilizing semistructured interviews, an electronic Delphi (e-Delphi) study, and clinical practice guideline appraisal was conducted to generate new data. The interviews were designed to provide insights and understanding of the experiences of women in Western Australia who are diagnosed with a breech presentation. The e-Delphi study explored childbirth professionals’ knowledge, opinions, and recommendations for the care of women experiencing breech presentation close to or at term. The clinical practice guideline appraisal will examine the current national and professional breech management and care guidelines. This study has the potential to highlight areas in practice that may need improvement and enable clinicians to better support women through what can be a difficult time. Results Data collection for this study began in November 2018 and concluded in March 2020. Data analysis is currently taking place, and the results will be disseminated through publication when the analysis is complete. Conclusions The results of this study will guide the development of an integrated care pathway for women experiencing a breech presentation close to or at term, with the hope of moving toward standardized breech care for women in Western Australia. This study protocol has the potential to be used as a research framework for future studies of a similar nature. International Registered Report Identifier (IRRID) DERR1-10.2196/23514

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