PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand

2017 ◽  
Vol 35 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Heather Carol Deane ◽  
Catherine L Wilson ◽  
Franz E Babl ◽  
Stuart R Dalziel ◽  
John Alexander Cheek ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
New Zealand ◽  
Delphi Study ◽  
Research Question ◽  
Research Priorities ◽  
Spine Injury ◽  
Paediatric Emergency ◽  
Paediatric Emergency Medicine ◽  
Research Questions ◽  
Multicentre Research

BackgroundThe Paediatric Research in Emergency Departments International Collaborative (PREDICT) performs multicentre research in Australia and New Zealand. Research priorities are difficult to determine, often relying on individual interests or prior work.ObjectiveTo identify the research priorities of paediatric emergency medicine (PEM) specialists working in Australia and New Zealand.MethodsOnline surveys were administered in a two-stage, modified Delphi study. Eligible participants were PEM specialists (consultants and senior advanced trainees in PEM from 14 PREDICT sites). Participants submitted up to 3 of their most important research questions (survey 1). Responses were collated and refined, then a shortlist of refined questions was returned to participants for prioritisation (survey 2). A further prioritisation exercise was carried out at a PREDICT meeting using the Hanlon Process of Prioritisation. This determined the priorities of active researchers in PEM including an emphasis on the feasibility of a research question.ResultsOne hundred and six of 254 (42%) eligible participants responded to survey 1 and 142/245 (58%) to survey 2. One hundred and sixty-eight (66%) took part in either or both surveys. Two hundred forty-six individual research questions were submitted in survey 1. Survey 2 established a prioritised list of 35 research questions. Priority topics from both the Delphi and Hanlon process included high flow oxygenation in intubation, fluid volume resuscitation in sepsis, imaging in cervical spine injury, intravenous therapy for asthma and vasopressor use in sepsis.ConclusionThis prioritisation process has established a list of research questions, which will inform multicentre PEM research in Australia and New Zealand. It has also emphasised the importance of the translation of new knowledge.

scholarly journals Research priorities for European paediatric emergency medicine

2019 ◽  
Vol 104 (9) ◽  
pp. 869-873 ◽  
Author(s):  
Silvia Bressan ◽  
Luigi Titomanlio ◽  
Borja Gomez ◽  
Santiago Mintegi ◽  
Alain Gervaix ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Healthcare Delivery ◽  
Research Priorities ◽  
Practice Variation ◽  
Collaborative Group ◽  
Research Topics ◽  
Priority List ◽  
Paediatric Emergency ◽  
Paediatric Emergency Medicine ◽  
European Paediatric

ObjectiveResearch in European Paediatric Emergency Medicine (REPEM) network is a collaborative group of 69 paediatric emergency medicine (PEM) physicians from 20 countries in Europe, initiated in 2006. To further improve paediatric emergency care in Europe, the aim of this study was to define research priorities for PEM in Europe to guide the development of future research projects.Design and SettingWe carried out an online survey in a modified three-stage Delphi study. Eligible participants were members of the REPEM network. In stage 1, the REPEM steering committee prepared a list of research topics. In stage 2, REPEM members rated on a 6-point scale research topics and they could add research topics and comment on the list for further refinement. Stage 3 included further prioritisation using the Hanlon Process of Prioritisation (HPP) to give more emphasis to the feasibility of a research topic.ResultsBased on 52 respondents (response rates per stage varying from 41% to 57%), we identified the conditions ‘fever’, ‘sepsis’ and ‘respiratory infections’, and the processes/interventions ‘biomarkers’, ‘risk stratification’ and ‘practice variation’ as common themes of research interest. The HPP identified highest priority for 4 of the 5 highest prioritised items by the Delphi process, incorporating prevalence and severity of each condition and feasibility of undertaking such research.ConclusionsWhile the high diversity in emergency department (ED) populations, cultures, healthcare systems and healthcare delivery in European PEM prompts to focus on practice variation of ED conditions, our defined research priority list will help guide further collaborative research efforts within the REPEM network to improve PEM care in Europe.

scholarly journals Establishing the research priorities of paediatric emergency medicine clinicians in the UK and Ireland

2015 ◽  
Vol 32 (11) ◽  
pp. 864-868 ◽  
Author(s):  
Stuart Hartshorn ◽  
Ronan O'Sullivan ◽  
Ian K Maconochie ◽  
Catherine Bevan ◽  
Francesca Cleugh ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Research Priorities ◽  
Paediatric Emergency ◽  
Paediatric Emergency Medicine ◽  
The Uk

scholarly journals A Delphi study on research priorities for trauma nursing

1994 ◽  
Vol 3 (3) ◽  
pp. 208-216 ◽  
Author(s):  
EW Bayley ◽  
T Richmond ◽  
EL Noroian ◽  
LR Allen
Keyword(s):  
Trauma Care ◽  
Delphi Study ◽  
Rank Order ◽  
Research Question ◽  
Research Priorities ◽  
Lifestyle Changes ◽  
Postoperative Phase ◽  
Trauma Patients ◽  
Care Providers ◽  
Research Questions

OBJECTIVES. To identify and prioritize research questions of importance to trauma patient care and of interest to trauma nurses. METHOD. A three-round Delphi technique was used to solicit, identify, and prioritize problems for trauma nursing research. In round 1, experienced trauma nurses (N = 208) generated 513 problems, which were analyzed, categorized, and collapsed into 111 items for subsequent rounds. Round 2 participants rated each research question on a 1 to 7 scale on two criteria: impact on patient welfare and value for practicing nurses. Group median scores provided by 166 round 2 respondents and respondents' individual round 2 scores were indicated on the round 3 questionnaire. Subjects rated the questions again on the same criteria and indicated whether nurses, independently or in collaboration with other health professionals, should assume responsibility for that research. Median and mean scores and rank order were determined for each item. RESULTS. Respondents who completed all three rounds (n = 137) had a mean of 8.3 years of trauma experience. Nine research questions ranked within the top 20 on both criteria. The two research questions that ranked highest on both criteria were: What are the most effective nursing interventions in the prevention of pulmonary and circulatory complications in trauma patients? and What are the most effective methods for preventing aspiration in trauma patients during the postoperative phase? The third-ranked question regarding patient welfare was: What psychological and lifestyle changes result from traumatic injury? Regarding value for practicing nurses, What are the most effective educational methods to prepare and maintain proficiency in trauma care providers? ranked third. CONCLUSION. These research priorities provide impetus and direction for nursing and collaborative investigation in trauma care.

scholarly journals Identifying research priorities in newborn medicine: a Delphi study of parents’ views

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e044836
Author(s):  
Abbey L Eeles ◽  
Alice C Burnett ◽  
Jeanie LY Cheong ◽  
Alex Aldis ◽  
Louise Pallot ◽  
...  
Keyword(s):  
New Zealand ◽  
Delphi Study ◽  
Research Priorities ◽  
Well Being ◽  
Neonatal Care ◽  
Parental Mental Health ◽  
Parent Child Relationship ◽  
Child Relationship ◽  
Research Questions

ObjectiveNeonatal conditions can have lifelong implications for the health and well-being of children and families. Traditionally, parents and patients have not been included in shaping the agenda for research and yet they are profoundly affected by the neonatal experience and its consequences. This study aimed to identify consensus research priorities among parents/patients of newborn medicine in Australia and New Zealand.DesignParents/patients with experience of neonatal care in Australia and New Zealand completed an online Delphi study to identify research priorities across four epochs (neonatal admission, early childhood, childhood/adolescence and adulthood). Parents/patients first generated key challenges in each of these epochs. Through inductive thematic analysis, recurring topics were identified and research questions generated. Parents/patients rated these questions in terms of priorities and a list of questions consistently rated as high priority was identified.Participants393 individuals participated, 388 parents whose children had received neonatal care and 5 adults who had received neonatal care themselves.ResultsMany research questions were identified as high-priority across the lifespan. These included how to best support parental mental health, relationships between parents and neonatal clinical staff (including involvement in care and communication), bonding and the parent–child relationship, improving neonatal medical care and addressing long-term impacts on child health and neurodevelopment.ConclusionsParents with experience of newborn medicine have strong, clear and recurring research priorities spanning neonatal care practices, psychological and other impacts on families, and impacts on child development. These findings should guide neonatal research efforts. In addition to generating new knowledge, improved translation of existing evidence to parents is also needed.

scholarly journals A qualitative study of the barriers to procedural sedation practices in paediatric emergency medicine in the UK and Ireland

2016 ◽  
Vol 33 (8) ◽  
pp. 527-532 ◽  
Author(s):  
Siobhán McCoy ◽  
Mark D Lyttle ◽  
Stuart Hartshorn ◽  
Philip Larkin ◽  
Maria Brenner ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Qualitative Study ◽  
Procedural Sedation ◽  
Paediatric Emergency ◽  
Paediatric Emergency Medicine ◽  
The Uk

scholarly journals Consensus on research priorities for Essex & Herts Air Ambulance: a Delphi study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Sarah McLachlan ◽  
Hilary Bungay
Keyword(s):  
Critical Care ◽  
Delphi Study ◽  
Local Level ◽  
Research Priorities ◽  
Clinical Work ◽  
Research Strategy ◽  
Consensus Methods ◽  
Care Providers ◽  
Air Ambulance ◽  
Research Questions

Abstract Background Consensus methods such as the Delphi technique have been used widely for research priority setting in health care. Within pre-hospital emergency medicine, such approaches have helped to establish national and international research priorities. However, in a dynamic field such as pre-hospital critical care, it is necessary to regularly review the continued relevance of findings. Further, considering the variability between pre-hospital critical care providers, it is also important to determine priorities at the local level. Essex & Herts Air Ambulance (EHAAT) sought to develop a five-year research strategy that aligns with their clinical work streams and organisational priorities. Methods All staff and Trustees were invited to participate in an online Delphi study with three Rounds. The Delphi was administered via email and Online Surveys software. The first Round invited participants to submit up to five research questions that they felt were of greatest importance to EHAAT  to advance the care provided to patients. In Round 2, participants were asked to rate the importance of questions from Round 1, while Round 3 required participants to rank questions that were prioritised in Round 2 in order of importance. Results 22 participants submitted a total of 86 research questions in Round 1, which were reduced to 69 questions following deduplication and refinement. 11 participants rated the importance of the questions in Round 2, resulting in 14 questions being taken forward to Round 3. Following the ranking exercise in Round 3, completed by 12 participants, a top five research priorities were identified. The question deemed most important was “How does a pre-hospital doctor-paramedic team affect the outcome of patients with severe head injuries?”. Conclusions The top five research priorities identified through the Delphi process will inform EHAAT’s research strategy. Findings suggest that there is still work to be done in addressing research priorities described in previous literature.

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