We Agree, Don’t We? The Delphi Method for Health Environments Research

Objective: This overview is intended to provide the process framework for built environment researchers to use the Delphi method. The article outlines the methodological criteria originally established for the Delphi method, as well as commonly accepted modifications, to advance guidance for evidence-based built environment considerations. Background: Increasingly used in healthcare research, the Delphi method is a process for gaining consensus through controlled feedback from a panel—a group made up of experts or individuals knowledgeable on the subject. The method is often used where there is limited or conflicting evidence, where participants may be geographically dispersed, and where anonymity is desired to control for dominant individuals. The Delphi method consists of panel selection, development of content surveys, and iterative stages of anonymous responses to gain consensus. Panelists receive feedback after each round in the form of a statistical representation of the overall group’s response. The goal of multiple iterations in the Delphi method is to reduce the range of responses and gain expert consensus, which is often seen as more credible than conjecture or individual opinion. Conclusion: With a geographic diversity of healthcare design expertise, and with so many aspects of healthcare design lacking a robust body of supporting empirical research, the Delphi method is well-suited to developing evidence-based design recommendations and considerations for healthcare built environments.

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Essential Dental Public Health

10.1093/oso/9780199679379.001.0001 ◽

2013 ◽

Cited By ~ 7

Author(s):

Blánaid Daly ◽

Paul Batchelor ◽

Elizabeth Treasure ◽

Richard Watt

Keyword(s):

Public Health ◽

Health Promotion ◽

Vital Role ◽

Evidence Based ◽

Dental Public Health ◽

Oral Health Promotion ◽

Dental Practitioners ◽

The World ◽

The Subject ◽

Based Medicine

Public health is a key concern of modern dental practitioners as they continue to play a vital role in the health of populations across the world. The second edition of Essential Dental Public Health identifies the links between clinical practice and public health with a strong emphasis on evidence-based medicine. Fully revised and updated for a second edition, this textbook is split into four parts covering all the need-to-know aspects of the subject: the principles of dental public health, oral epidemiology, prevention and oral health promotion, and the governance and organization of health services. Essential Dental Public Health is an ideal introduction to the field for dentistry undergraduates, as well as being a helpful reference for postgraduates and practitioners.

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A novel combination method for conflicting evidence based on inconsistent measurements

Information Sciences ◽

10.1016/j.ins.2016.05.039 ◽

2016 ◽

Vol 367-368 ◽

pp. 125-142 ◽

Cited By ~ 25

Author(s):

Yuxin Zhao ◽

Renfeng Jia ◽

Peng Shi

Keyword(s):

Combination Method ◽

Evidence Based ◽

Conflicting Evidence

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A comparative study of urban resilience in coping with the crisis in the metropolises of Tehran and Mashhad

International Journal of Disaster Resilience in the Built Environment ◽

10.1108/ijdrbe-11-2020-0114 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Amin Nedaei ◽

Mirali Seyednaghavi ◽

Marzieh Firouzfar ◽

Nahid Zamani

Keyword(s):

Comparative Study ◽

Delphi Method ◽

Rockefeller Foundation ◽

Urban Resilience ◽

Content Type ◽

Two Cities ◽

The Subject ◽

Spss Software ◽

Resilience Indicators ◽

First Time

Purpose In recent years, cities have been facing economic, social and environmental crises that need to be prevented and dealt with. The new subject that has been brought up to improve city resistance to crises is urban resilience. The purpose of this study is to compare the resilience of Tehran and Mashhad to identify the strengths and weaknesses of these two cities for better planning in critical situations. Design/methodology/approach The research methodology is a comparative survey. The importance of the subject was manifested through a literature review. A questionnaire is designed using “the Rockefeller Foundation and ARUP’s model” and the Delphi method for testing 21 research hypotheses to evaluate resilience in the two cities (12 Delphi questionnaires and 232 urban resilience questionnaires). The data is analyzed using independent samples t-test by SPSS software. Findings The results show that both the cities are weak in terms of resilience indicators and sub-indicators, but Mashhad is more resilient than Tehran. Originality/value This paper compares urban resilience in Iran for the first time through a comparative study between two metropolises in the country. The Delphi method also is used for the first time (in Iranian case studies) to obtain the dimensions of urban resilience. By comparing the two cities, we can better understand their strengths and weaknesses.

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The Diagnostic Assessment of Suspected Pulmonary Embolism on the Acute Medical Take: An Evidence Based Guide

Acute Medicine Journal ◽

10.52964/amja.0148 ◽

2007 ◽

Vol 6 (1) ◽

pp. 20-26

Author(s):

Alastair Proudfoot ◽

◽

Derek Bell ◽

Keyword(s):

Risk Factors ◽

Pulmonary Embolism ◽

Venous Thromboembolism ◽

Clinical Presentation ◽

Diagnostic Assessment ◽

Evidence Based ◽

Suspected Pulmonary Embolism ◽

The Subject ◽

Adjusted Incidence ◽

Age And Sex

Pulmonary Embolism is a common cardiopulmonary illness with an age and sex adjusted incidence of around 117 cases per 100 000 person years. The clinical presentation is extremely heterogeneous and non specific. Risk factors for venous thromboembolism are well established. When combined with presenting features and investigations. a multimodality algorithm has led to significant changes in the diagnostic approach of suspected PE. While the best combination of tests for any individual patient remains the subject of controversy this article aims to rationalise the acute physician’s approach to diagnosis and use of available investigations.

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Analysis of sustainability insertion in materials selection courses of engineering undergraduate programmes

International Journal of Sustainability in Higher Education ◽

10.1108/ijshe-04-2021-0134 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Jeniffer Fonseca Zanitt ◽

Izabela Simon Rampasso ◽

Osvaldo Luiz Gonçalves Quelhas ◽

Milena Pavan Serafim ◽

Walter Leal Filho ◽

...

Keyword(s):

Higher Education ◽

Sustainable Development ◽

Content Analysis ◽

Delphi Method ◽

Design Methodology ◽

Sustainable Development Goals ◽

Materials Selection ◽

Content Type ◽

Development Goals ◽

The Subject

Purpose This study aims to analyse how the materials selection courses of engineering undergraduate programmes can be better aligned with the United Nations Sustainable Development Goals (SDGs). Design/methodology/approach Initially, a content analysis was performed in 39 materials selection course descriptions from 40 engineering undergraduate programmes of Brazilian higher education institutions, and subsequently, Delphi method procedures were conducted with professors that teach or have taught the course and are knowledgeable in the subject of sustainability. Findings Considering the analysed course descriptions, it was shown that most of the materials selection courses do not consider or present little emphasis on sustainability aspects. Regarding the Delphi method, eight items were evidenced to consider sustainability aspects in the analysed courses. Originality/value This study contributes to the debates about sustainability insertion in engineering undergraduate programmes. More specifically, the findings presented consolidated information that professors and coordinators can use to align materials selection courses with the SDGs better.

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Apprehensions of nurse managers on evidence-based practice

Escola Anna Nery ◽

10.1590/2177-9465-ean-2017-0109 ◽

2017 ◽

Vol 22 (1) ◽

Author(s):

Fernanda Carolina Camargo ◽

Mayla Borges Goulart ◽

Helena Hemiko Iwamoto ◽

Maria Rizoneide Negreiros de Araújo ◽

Divanice Contim

Keyword(s):

Teaching Hospital ◽

Diffusion Of Innovations ◽

Nurse Managers ◽

Evidence Based Practice ◽

Scientific Production ◽

Evidence Based ◽

Semantic Categories ◽

Timely Access ◽

The Subject ◽

Textual Records

Abstract Objective: To analyze the apprehensions of nurse managers in the implementation of the Evidence Based Practice in a Teaching Hospital of Triângulo Mineiro. Method: Qualitative research guided by the Theory of the Diffusion of Innovations. Five workshops were conducted per focal group (n = 18 participants), conducted by hermeneutic-dialectic interactions between August and September/2016. Textual records resulting from each workshop were analyzed by semantic categories. Results: Aspects conditioning to the implementation of the Evidence Based Practice permeate from elements related to the fragmentation of the care network to the necessary expansion of the governability of the nurse managers to put changes into practice in their sectors. Most importantly, timely access to the results of research conducted at the teaching hospital was mentioned as crucial to guide better practices. Final considerations: The approach allowed the recognition of contextual conditions for the implementation of the Evidence-Based Practice, which may coincide with similar scenarios, as well as increase the national scientific production on the subject, which is still scarce.

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The internet racing ahead of the scientific evidence: the case of "liberation treatment" for multiple sclerosis

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2011000400022 ◽

2011 ◽

Vol 69 (3) ◽

pp. 525-527 ◽

Cited By ~ 9

Author(s):

Yára Dadalti Fragoso

Keyword(s):

Multiple Sclerosis ◽

Neurological Disease ◽

Venous Insufficiency ◽

Scientific Evidence ◽

The Internet ◽

Evidence Based ◽

The World ◽

Internet Discussion ◽

The Central Nervous System ◽

The Subject

Multiple sclerosis (MS) is a chronic neurological disease that typically affects young adults. A recent publication suggested that MS might originate from insufficient blood drainage in certain areas of the central nervous system. The condition was named chronic cerebrospinal venous insufficiency (CCSVI). Other papers have not confirmed these findings and, therefore, the matter remains controversial. Nineteen months after the original publication on CCSVI and MS, another 22 papers have been published addressing the matter. No clinical trials have been carried out on the subject and there is no evidence-based indication to perform surgical vascular procedures in MS patients. However, over the same nineteen-month period, the internet discussion on the subject of CCSVI and MS has led to countless websites advertising treatment using vascular surgery for patients with MS all over the world. The treatment based on the CCSVI theory has appealingly been called "liberation treatment", thus making it difficult to explain to patients why a treatment that has been highly praised (on the internet) cannot be recommended based on partial medical results that await confirmation.

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Development of an assessment and intervention protocol for postpartum hemorrhage in the mainland of China: an evidence-based method and Delphi consult

Frontiers of Nursing ◽

10.2478/fon-2019-0047 ◽

2019 ◽

Vol 6 (4) ◽

pp. 285-291

Author(s):

Ying Liu ◽

Ya-Jing Fan ◽

Wei Zhuang ◽

Qun Huang

Keyword(s):

Best Practices ◽

Delphi Method ◽

Postpartum Hemorrhage ◽

Selection Criteria ◽

Evidence Based ◽

Early Assessment ◽

Modified Delphi ◽

Intervention Protocol ◽

The Mainland Of China ◽

Assessment Questionnaire

Abstract Objective Postpartum hemorrhage (PPH) is a leading cause of maternal death. Although guidelines have been updated, those with detailed protocols are limited for nursing practice. This study aims at establishing an early assessment and intervention protocol as a toolkit for PPH for midwives and obstetrical nurses. Methods Employing the evidence-based method, a systematic Internet search of guidelines was conducted and appraisal of literatures was conducted with AGREE system and Oxman-Guyatt Overview Quality Assessment Questionnaire (OQAQ), according to which a protocol draft was therefore developed. Then, a two-round modified Delphi method was utilized to reach a consensus of the protocol built on best practices. Selection criteria for each intervention measure included consensus level with a threshold of 70%, mean of importance (M) >3.5, and coefficient of variation (CV) <0.25. Reliability of experts’ opinion was calculated by positive coefficient and authoritative coefficient. Items without consistency were enlisted in the second-round consult. When all items met the selection criteria, the protocol would be finally formulated. Results A 122-measure protocol was established, including prevention, assessment, and intervention of PPH. With a panel of 14 experts participated in the consult, the positivity coefficient was 0.93 and 1.00 for two rounds, respectively, and the authority coefficient was 0.88. After a two-round consult and revision of the draft, the final program was formulated, containing 5 first-level indexes and 14 second-level indexes with a total item of 120. Conclusions The PPH protocol, based on high-quality evidences, was formulated with a two-round Delphi method, which can provide insight for midwives and obstetrical nurses to effectively deal with PPH.

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Journal Clubs

Septentrio Conference Series ◽

10.7557/5.5377 ◽

2020 ◽

Author(s):

Cecilia Black Fylking ◽

Elin Opheim

Keyword(s):

Applied Sciences ◽

Nursing Students ◽

Evidence Based Practice ◽

Theory And Practice ◽

Research Articles ◽

Evidence Based ◽

Journal Clubs ◽

University Of Applied Sciences ◽

The Subject ◽

Academic Genre

Journal clubs are closely interlinked with evidence based practice. At Faculty of Social and Health Sciences at Inland Norway University of Applied Sciences our students are required to write literature reviews for their bachelor degree, and there is an increasing need for guiding the students into academic methodology through critically assessing research articles. The purposes of starting journal clubs at our faculty is to guide the students into the academic genre, to help them gain confidence in reading research articles, and to broaden the perspective between theory and practice. Better semester grade is a secondary goal to our aim as it probably is hard to operationalize. We wish to establish a cooperation with the faculty staff, especially the ones involved in teaching evidence based practice. Wilson & Deighton (2016) describes that students find it difficult to approach research articles, and that journal clubs are suitable and an activating manner to introduce the students to the academic genre. Deenadayalan et al. (2008) comments that using case studies as a basis for academic discussion, fills the gap between theory and practical approach to the subject. There are several elements to pay attention to if the journal clubs are to become a success, and Deenadayalan et al. (2008) emphasizes among other things a clear purpose for the students' involvement, as well as leadership, insentives and preparedness. In our project dating, we wish to discuss the possibility to do pilots for nursing students either in the last semesters of their courses, or with master students. We are interested in previous experiences with nursing students, and we want to look into which factors that makes the clubs function and how our aim might be reached.

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