scholarly journals Research priorities for respiratory nursing: a UK-wide Delphi study

2018 ◽  
Vol 4 (2) ◽  
pp. 00003-2018 ◽  
Author(s):  
Carol Ann Kelly ◽  
Andrew J. Kirkcaldy ◽  
Melissa Pilkington ◽  
Matthew Hodson ◽  
Lindsay Welch ◽  
...  

Respiratory nurses make a significant contribution to the delivery of respiratory healthcare, but there is a dearth of nurse-led, practice-focused, published research.Using a modified three-round Delphi, this study sought to identify research priorities for respiratory nursing to inform a national research strategy. Study information and the survey link were sent electronically to members of UK professional respiratory organisations. Round 1 had 78 items across 16 topics, informed by a systematic literature review. Respondents suggested additional items which were content analysed to inform Round 2. Respondents rated all items and ranked the topics in all rounds. To ensure rigour, rounds had an explicit focus with pre-determined criteria for consensus (70%).In total, 363 responses were received across Rounds 1, 2 and 3 (n=183, 95 and 85, respectively). The top five research priorities were: 1) “Patient understanding of asthma control”; 2) “The clinical and cost-effectiveness of respiratory nurse interventions”; 3) “The impact of nurse-led clinics on patient care”; 4) “Inhaler technique”; and 5) two topics jointly scored: “Prevention of exacerbations” and “Symptom management”.With potential international significance, this is the first UK study to identify research priorities for respiratory nursing, providing direction for those planning or undertaking research.

Author(s):  
Sarah McLachlan ◽  
Hilary Bungay

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.


2019 ◽  
Vol 29 (1) ◽  
pp. 1-15
Author(s):  
Pau Pérez-Sales

Documenting torture in children and young adults (ChYA) is a challenge. Less than 3% of academic papers on documentation and rehabilitation of torture victims are focused on children and youth. In the Delphi study on research priorities in the sector (Pérez-Sales, Witcombe, & Otero Oyague, 2017), five lines were proposed regarding torture in children, which covered: developmental disruptions related to the torture of relatives; developmental deficits related to infant torture; the effect on caregivers of torture/kidnapping of their children; the impact of torture on identity and worldviews among adolescents; and transgenerational trauma. The latter was considered among the 40 top research priorities. In this editorial, we briefly review: aspects related to the notion of torture as applied to ChYA; specific ethical problems in forensic documentation; and challenges in consistency statements. By doing so, we aim to outline key challenges that researchers and practitioners ought to pursue.


Author(s):  
Ambereen K. Mehta ◽  
Rishi Patel ◽  
Dheer Patel ◽  
Mellar P. Davis

Background: There has been a call for palliative care (PC) published research to support the impact and need for more specialty PC services. Objective: The purpose of this study was to characterize research in PC over a 15-year period in 3 PC journals published in the United States. Design: The authors reviewed every issue of the Journal of Pain and Symptom Management, Journal of Palliative Medicine, and American Journal of Hospice and Palliative Medicine from 2004 through 2018. Studies included were original articles and brief reports. Study type (qualitative, quantitative), author (first and last), gender, and professional degree of the author (first and last) were recorded. Results: A total of 4881 articles were included in this study. The proportion of quantitative papers significantly increased across 3 time points from 63% to 67% to 78%. The proportion of women first authors increased across all 3 time points (54%, 2004-2008; 57%, 2009-2013; 60%, 2014-2018), and the proportion of women last authors increased across all time points (38%, 2004-2008; 44%, 2009-2013; 46%, 2014-2018). More than 40% of authors were physicians. Conclusions: Published PC studies are increasingly quantitative in design. Gender authorship is female dominant for the first authors and increasingly equal across genders for the last authors.


2002 ◽  
Vol 18 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Linda H Edwards

As a follow-up to an Invitational Summit Conference in 1999, 27 nurse leaders representing school nursing and nursing research in child health were requested to participate in a Delphi study for purposes of prioritizing research issues in school nursing. The issues to be prioritized were identified during the Invitational Summit meeting. A three-round Delphi process was used to arrive at consensus on the most important research issues affecting school nurses today. Criteria for the rankings included policy support for the research, ability to be funded, magnitude and severity of the problem, likelihood of making a difference, and potential for partnership. The overall response rate for participation in all three rounds was 61%. Consensus was reached on the top-10 most important research issues. The two most important were consistent through all three rounds. These were (a) the impact of school nurse services on student health, and (b) the relationship between school nurse practice and educational outcomes.


Author(s):  
Touba Hosseinzadeh ◽  
Atefeh Ghanbari ◽  
Ezzat Paryad ◽  
Shahrokh Maghsoudi ◽  
Moluk Pour Alizadeh

Introduction: Determining the research priorities in Evidence-Based Nursing Care is considered as a regular method to provide substantive information for developing the nursing science and taking evidence-based practical steps but such research is currently minimal. Therefore, a Delphi survey was conducted to determine the research priorities in Evidence-Based Nursing Care in the North of Iran. Methods: A three-round Delphi study was conducted to identify research priorities in Evidence-Based Nursing Care. The study comprised of research nurses, who have attended a Research Methodology course and did have published research. A Delphi expert panel consists of a group of credible experts within the field attending in consensus meetings to determine the nursing research top priorities. Open-ended questions were analyzed using thematic content analysis. Analysis of questionnaires 2 and 3 entailed an examination of the mean scores for each priority ranked on the five-point Likert scale. Results: Round 1 had 42 themes across 174 topics, identified by analyzing the data. In Round 2, respondents ranked all themes and 30 themes were selected. Finally, in Round 3, the top five research priorities emerged as the following: Assurance in health care, nurse-patient communication, pain management, taking care of the patients under mechanical ventilation and drug care. Conclusions: Determining research priorities in the Evidence-Based Nursing Care would optimize the level of utilization of the results of the studies by nurses and subsequently could improve the delivery of evidence-based nursing services; Prioritization will also help in directing resources to the essential research needs.  


2018 ◽  
Vol 75 (11) ◽  
pp. 830-836 ◽  
Author(s):  
Drushca Lalloo ◽  
Evangelia Demou ◽  
Julia Smedley ◽  
Ira Madan ◽  
Kaveh Asanati ◽  
...  

ObjectivesStudies identifying national occupational health (OH) research priorities have been conducted in several countries to establish where OH research should be focused and where funding should be targeted. However, the UK findings are now over 20 years old, and OH practice is continuously evolving. The aim of this study was to identify current research priorities for UK occupational physicians (OPs) and occupational health researchers (OHRs).MethodsCurrent research priorities in OH were identified using a modified Delphi technique. This was conducted in two rounds to achieve consensus. Research priorities were rated, and then ranked using questionnaires developed from expert panel discussions, key research topics identified from the medical literature and participant feedback. Overall and intergroup comparisons were completed for the ranking scores.ResultsConsensus among OPs and OHRs was high with almost all (9/10) primary domains rated as ‘very important’ or ‘absolutely necessary’ by more than 54% of respondents. The research priority areas ranked highest were jointly economic evaluation/cost effectiveness studies and disability management followed by occupational disease/injury/illness. Occupational health policy was ranked lowest after sickness absence management and health promotion. The secondary domain analysis identified priority emphasis on mental health and psychosocial hazards within the workplace and the need to further develop evidence-based guidance for clinical OH practice.ConclusionsWe identified the current research priorities for UK OPs and OHRs. The findings will inform future national OH research strategy and support research that addresses important knowledge gaps within OH and other interdisciplinary specialties.


2002 ◽  
Vol 19 (2) ◽  
pp. 72-73
Author(s):  
Jami S. Gattuso ◽  
Elizabeth A. Gilger ◽  
Georgette Chammas ◽  
Samuel Maceri ◽  
Nancy K. West ◽  
...  

1998 ◽  
Vol 21 (1) ◽  
pp. 1-28
Author(s):  
John A Atkinson ◽  
Camilla Dickson ◽  
Jane Downes ◽  
Paul Robins ◽  
David Sanderson

Summary Two small burnt mounds were excavated as part of the programme to mitigate the impact of motorway construction in the Crawford area. The excavations followed a research strategy designed to address questions of date and function. This paper surveys the various competing theories about burnt mounds and how the archaeological evidence was evaluated against those theories. Both sites produced radiocarbon dates from the Bronze Age and evidence to suggest that they were cooking places. In addition, a short account is presented of two further burnt mounds discovered during the construction of the motorway in Annandale.


Author(s):  
Artem Lapenkov ◽  
Artem Lapenkov ◽  
Yury Zuyev ◽  
Yury Zuyev ◽  
Nadezhda Zuyeva ◽  
...  

Coastal zones have great diversity of resources. The shallow water zones contain the most of plant and benthic communities. A description of relief and type of ground is needed for the rigorous monitoring of biota and environmental condition of coastal zone. Generally, on the basis of these data the investigation methods of the coastal zone are selected. The shallows research strategy has been developed by us for northern part of the Lake Ladoga. If the coastal areas are characterized by great depth and flat topography, then sonar’s can be used to describe them and samples of ground can be taken by bottom grabs. In the Lake Ladoga these methods don’t operate correctly by reason of the compound bottom relief and the fact that a sizeable part of the bottom is occupied by hard ground. Therefore, our investigations base on the diving transect method of Golikov and Skarlato (1965). A diver moves along transects. He registers the depth, length to coastline, water temperature, relief and ground, edificators and records video. In the laboratory all these data are decoded and used for mapping of bays. Studies of plant communities have been performed and strategy for research of benthic communities in complex relief and hard ground conditions has been developed based on the descriptions of shallow waters. Description of the Malay Nikonovskia Bay bottom has given an opportunity to estimate changes in the bottom of the bay under the influence of the trout farm.


2018 ◽  
Vol 4 (4) ◽  
pp. 19-24
Author(s):  
Anam Bhatti ◽  
Sumbal Arif ◽  
Marium Marium ◽  
Sohail Younas

CSR has become one of the imperative implements in satisfying customers. The impartial of this research is to calculate CSR, relationship marketing, and customer satisfaction. There is no more study accompanied in Pakistan to quantify the effect of CSR and relationship marketing on the relationship maintainer and customer loyalty. To find out deductive approach and survey method is used as research approach and research strategy respectively. This research design is descriptive and quantitative study. For data, collection questionnaire method with semantic differential scale and seven point scales are adopted. Data has been collected by adopting the non-probability convenience technique as sampling technique and the sample size is 400. For factor confirmatory factor analysis, structure equation modeling and medication analysis, regression analysis Amos software were used. Strong empirical evidence supports that the customer’s perception of CSR performance is highly influenced by the values


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