Knowledge elicitation for validation of a neonatal ventilation expert system utilising modified Delphi and focus group techniques

2010 ◽  
Vol 68 (6) ◽  
pp. 344-354 ◽  
Author(s):  
Kenneth Tan ◽  
Gordon Baxter ◽  
Simon Newell ◽  
Steve Smye ◽  
Peter Dear ◽  
...  
1992 ◽  
Vol 16 ◽  
pp. S345-S352 ◽  
Author(s):  
E. Martinez ◽  
L. Beltramini ◽  
H. Leone ◽  
C.A. Ruiz ◽  
E. Huete

2021 ◽  
Author(s):  
Peterson Kato Kikomeko ◽  
Sophie Ochola ◽  
Archileo N. Kaaya ◽  
Irene Ogada ◽  
Tracy Lukiya Birungi ◽  
...  

Abstract Background: Competency-based education (CBE) equips health professionals with the requisite competencies for health systems performance. This study aimed to develop and validate a CBE model suitable for teaching Human Nutrition/Human Nutrition and Dietetics (HN/HND) at the undergraduate level in Uganda. Methods: The study was undertaken in two main phases, (1) competency needs assessment and (2) model development and content validation. The later had three iterative stages: a needs assessment results validation workshop; an expert focus group discussion to develop a draft CBE model framework; and consensus development-itself undertaken in two modified Delphi rounds to ascertain participant consensus on the relevance and suitability of the competency domains, subdomains, and statements comprised in the developed draft CBE framework for undergraduate HN/HND training in Uganda. In the modified Delphi process, participants indicated the degree to which they agreed or disagreed with each of the given statements on five-point Likert-type items of strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree as well as the level of training they recommended the given competency statement to be learned. The workshop had 31 participants, the focus group eight, while the first and second Delphi rounds had 70 and 55 participants respectively. Results: In total, seven competency domains, 24 subdomains, and 190 competency statements were developed. Content analysis and analysis of percentage responses for each competency statement were done with participant consensus set at ≥80%. All the seven domains (100%); 22 (91.7%) of the 24 subdomains; and 153 (87.9%) of the 174 analysed competency statements were evaluated as both relevant and suitable for undergraduate HN/HND training and hence included in the validated CBE model. Conclusion: This study evaluated the relevancy and suitability of seven competency domains prevention and management of malnutrition; nutrition in the lifecycle; food security, food safety, agriculture, and livelihoods promotion; ethics and professionalism in nutrition and dietetics; research and data analysis; policy, advocacy, and social and behaviour change communication; and nutrition leadership and management for undergraduate HN/HND training in Uganda. The study recommends translating the developed CBE model into a standard curriculum that can be taught and evaluated.


2021 ◽  
Author(s):  
Peterson Kato Kikomeko ◽  
Sophie Ochola ◽  
Archileo N. Kaaya ◽  
Irene Ogada ◽  
Tracy Lukiya Birungi ◽  
...  

Abstract Background Competency-based education (CBE) equips health professionals with the requisite competencies for health systems performance. This study aimed to develop and validate a CBE model suitable for teaching Human Nutrition/Human Nutrition and Dietetics (HN/HND) at the undergraduate level in Uganda. Methods The study was undertaken in two main phases, (1) competency needs assessment and (2) model development and content validation. The later had three iterative stages: a needs assessment results validation workshop; an expert focus group discussion to develop a draft CBE model framework; and consensus development-itself undertaken in two modified Delphi rounds to ascertain participant consensus on the relevance and suitability of the competency domains, subdomains, and statements comprised in the developed draft CBE framework for undergraduate HN/HND training in Uganda. In the modified Delphi process, participants indicated the degree to which they agreed or disagreed with each of the given statements on five-point Likert-type items of strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree as well as the level of training they recommended the given competency statement to be learned. The workshop had 31 participants, the focus group eight, while the first and second Delphi rounds had 70 and 55 participants respectively. Results In total, seven competency domains, 24 subdomains, and 190 competency statements were developed. Content analysis and analysis of percentage responses for each competency statement were done with participant consensus set at ≥80%. All the seven domains (100%); 22 (91.7%) of the 24 subdomains; and 153 (87.9%) of the 174 analysed competency statements were evaluated as both relevant and suitable for undergraduate HN/HND training and hence included in the validated CBE model. Conclusion This study evaluated the relevancy and suitability of seven competency domains prevention and management of malnutrition; nutrition in the lifecycle; food security, food safety, agriculture, and livelihoods promotion; ethics and professionalism in nutrition and dietetics; research and data analysis; policy, advocacy, and social and behaviour change communication; and nutrition leadership and management for undergraduate HN/HND training in Uganda. The study recommends translating the developed CBE model into a standard curriculum that can be taught and evaluated.


1995 ◽  
Vol 17 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Jean Côté ◽  
John Saimela ◽  
Pierre Trudel ◽  
Abderrahim Baria ◽  
Storm Russell

An expert system approach (Buchanan et al., 1983) was used to identify and conceptualize the knowledge of 17 Canadian expert high-performance gymnastic coaches. The knowledge elicitation process consisted of open-ended questions and various questioning methods to unveil, explore, and prove important information (Patton, 1987; Spradley, 1979) about coaching. All coaches’ interviews were transcribed verbatim, and the unstructured qualitative data were inductively analyzed following the procedures and techniques of grounded theory (Strauss & Corbin, 1990). The inductive analysis process allowed the meaning units of the interview transcripts to be regrouped into properties, categories, and components. The components emerging from the analysis consisted of (a) competition, (b) training, (c) organization, (d) coach’s personal characteristics, (e) gymnast’s personal characteristics and level of development, and (f) contextual factors. These components were further developed into a model representing coaches’ knowledge.


2019 ◽  
Vol 51 (3) ◽  
pp. 227-233 ◽  
Author(s):  
Matt Martin ◽  
Leslie Allison ◽  
Elizabeth Banks ◽  
David Bauman ◽  
Jennifer Harsh ◽  
...  

Background and Objectives: There are several trends compelling physicians to acquire team-based skills for interprofessional care. One underdeveloped area of team-based skills for physicians is integrated behavioral health (IBH) in primary care. We used a Delphi method to explore what skills were needed for residents to practice integrated behavioral health. Methods: We conducted a literature review of IBH competencies and found 41 competencies across seven domains unique to physicians. Using a modified Delphi technique, we recruited family medicine educators to rate each competency as “essential,” “compatible,” or “irrelevant.” We also shared findings from the Delphi study with a focus group for additional feedback. Results: Twenty-one participants (12 physicians, nine behavioral health providers) completed all three rounds of the Delphi survey resulting in a list of 21 competencies. The focus group gave additional feedback. Conclusions: Participants chose skills that required physicians to share responsibilities across the entire care team, were not redundant with standard primary care, and necessitated strong communication ability. Many items were revised to reflect team-based care and a prescribed physician role as a team facilitator. Next steps include determining how these competencies fit with a variety of medical providers and creating effective training programs that develop competency in IBH.


2021 ◽  
Vol 12 ◽  
pp. 215013272110440
Author(s):  
Jean A.C. Triscott ◽  
Bonnie Dobbs ◽  
Lesley Charles ◽  
James Huang ◽  
David Moores ◽  
...  

Introduction: The Evidence-Based Care of the Elderly Health Guide is a clinical guide with cross-references for care recommendations. This guide is an innovative adaptation of the Rourke Baby Record to support elderly care. In 2003, the guide was published with an endorsement from the Health Care-of-the-Elderly Committee of the College of Family Physicians of Canada. Since then, physicians have used the guide as a checklist and a monitoring tool for care to elderly patients. Objective: We will update the 2003 Care-of-the-Elderly Health Guide with current published evidence-based recommendations. Methods: This was a mixed methods study consisting of (1) the creation of a list of topics and corresponding guidelines or recommendations, (2) two focus group discussions among family physicians (n = 12) to validate the list for relevance to practice, and (3) a modified Delphi technique in a group of ten experts in Care of the Elderly and geriatrics to attain consensus on whether the guidelines/recommendations represent best practice and be included. Results: The initial list contained 43 topics relevant to family practice, citing 49 published guidelines or recommendations. The focus group participants found the list of topics and guidelines potentially useful in clinical practice and emphasized the need for user-friendliness and clinical applicability. In the first online survey of the modified Delphi technique, 93% (63/66) of the references attained consensus that these represented standards of care. The other references (3/66) attained consensus in the second online survey. The final list contained 47 topics, citing 66 references. Conclusion: The Care-of-the-Elderly Health Guide is a quick reference to geriatric care, reviewed for relevance by family physicians and a panel of experts. The Guide is intended to be used in primary care practice.


2015 ◽  
Vol 76 (14) ◽  
Author(s):  
Ahmed Mancy Mosa ◽  
Norfarah Nadia Ismail ◽  
Nur Izzi Md. Yusoff ◽  
Muhammad Ali Mubaraki ◽  
Naeem Aziz Memon ◽  
...  

Imperfections of plastic concrete can cause severe deteriorations in rigid pavements surface and structure and reduce its life and serviceability. Diagnosing these imperfections, identifying their causes, and applying effective remedies early can prevent costly repairs in rigid pavements. However, if these imperfections are not remedied in correct time, the deteriorations in rigid pavements shall be reminded as soon as possible to avoid worsening the pavement condition. This domain involves diagnostic nature which suitable to be modelled as an expert system to help practicing engineers to identify the causes of the problems and their expected effects on pavement as well as applying suitable remedies. This paper presents the stages of development of an expert system in this domain. The development process includes knowledge elicitation, knowledge representation, knowledge coding, system validation, verification and evaluation.


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