scholarly journals Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration

2017 ◽  
Vol 3 (4) ◽  
pp. 380-388 ◽  
Author(s):  
Eva Segelov ◽  
David Chan ◽  
Ben Lawrence ◽  
Nick Pavlakis ◽  
Hagen F. Kennecke ◽  
...  
Keyword(s):  
Health Care ◽  
Neuroendocrine Tumor ◽  
Health Care Providers ◽  
Action Plan ◽  
Research Priorities ◽  
Delphi Process ◽  
Care Providers ◽  
Curative Surgery ◽  
Modified Delphi ◽  
Research Action

Purpose Neuroendocrine tumors (NETs) are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS) was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. Methods A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. Results The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander), of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. Conclusion This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans reflect unmet needs and priorities in the field.

Nutrition in Primary Health Care: Using a Delphi Process To Design New Interdisciplinary Services

2006 ◽  
Vol 67 (S1) ◽  
pp. S14-S29 ◽  
Author(s):  
Paula Brauer ◽  
Linda Dietrich ◽  
Bridget Davidson ◽  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Administrative Support ◽  
Care Service ◽  
Delphi Process ◽  
Care Providers ◽  
Modified Delphi ◽  
Nutrition Services ◽  
Key Features

Purpose: A modified Delphi process was used to identify key features of interdisciplinary nutrition services, including provider roles and responsibilities for Ontario Family Health Networks (FHNs), a family physician-based type of primary care. Methods: Twenty-three representatives from interested professional organizations, including three FHN demonstration sites, completed a modified Delphi process. Participants reviewed evidence from a systematic literature review, a patient survey, a costing analysis, and key informant interview results before undertaking the Delphi process. Statements describing various options for services were developed at an in-person meeting, which was followed by two rounds of e-mail questionnaires. Teleconference discussions were held between rounds. Results: An interdisciplinary model with differing and complementary roles for health care providers emerged from the process. Additional key features addressing screening for nutrition problems, health promotion and disease prevention, team collaboration, planning and evaluation, administrative support, access to care, and medical directives/delegated acts were identified. Under the proposed model, the registered dietitian is the team member responsible for managing all aspects of nutrition services, from needs assessment to program delivery, as well as for supporting all providers’ nutrition services. Conclusions: The proposed interdisciplinary nutrition services model merits evaluation of cost, effectiveness, applicability, and sustainability in team-based primary care service settings.

scholarly journals Understanding How to Support Family Caregivers of Seniors with Complex Needs

2017 ◽  
Vol 20 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Lesley Charles ◽  
Suzette Brémault-Phillips ◽  
Jasneet Parmar ◽  
Melissa Johnson ◽  
Lori-Ann Sacrey
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Research Priorities ◽  
Care Providers ◽  
Community Based ◽  
Caregiver Support ◽  
Complex Needs ◽  
Participant Engagement

Purpose of the StudyThe purpose of this study was to describe the experiences and challenges of supporting family caregivers of seniors with complex needs and to outline support strategies and research priorities aimed at supporting them.Design and MethodsA CIHR-funded, two-day conference entitled “Supporting Family Caregivers of Seniors: Improving Care and Caregiver Outcomes” was held. An integrated knowledge translation approach guided this planning conference. Day 1 included presentations of research evidence, followed by participant engagement Qualitative data was collected regarding facilitators, barriers/gaps, and recommendations for the provisionof caregiver supports. Day 2 focused on determination of research priorities.ResultsIdentified facilitators to the provision of caregiver support included accessibility of health-care and community-based resources, availability of well-intended health-care providers, and recognition of caregivers by the system. Barriers/gaps related to challenges with communication, access to information, knowledge of what is needed, system navigation, access to financial resources, and current policies. Recommendations regarding caregiver services and research revolved around assisting caregivers to self-identify and seek support, formalizing caregiver supports, centralizing resources, making system navigation available, and preparing the next generation for caregiving.Implication A better understanding of the needs of family caregivers and ways to support them is critical to seniors’ health services redesign.

scholarly journals Smoking as a method of coping for medical workers

2021 ◽  
Vol 64 (3) ◽  
pp. 16-24
Author(s):  
Lilia Grati ◽  
◽  
◽  
Keyword(s):  
Health Care ◽  
Harm Reduction ◽  
Perceived Stress ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Role Models ◽  
Health Workers ◽  
Action Plan ◽  
Entire Group ◽  
Care Providers

Background: This article analyzes the professional stress at healthcare professionals (HCP), related to their job. Health care providers can serve as role models in promoting healthy lifestyles; however, HCP commitment to help individuals to quit smoking may be influenced by their own smoking behavior. Material and methods: In order to determine the level of perceptual stress, the Perceived Stress Questionnaire (PSQ) was applied, PSQ developed by Levenstein et al. In order to determine the level of addiction to smoking, the Fagerstorm nicotine addiction test was applied. The research was attended by 210 subjects from 5 medical institutions: doctors, nurses, and resident doctors. Confidentiality is maintained. Results: The doctors accumulated 32% on the scale of severe dependence, 8% moderate dependence and only 9% mild dependence, after calculating the score and interpreting the data. The resident doctors have accumulated the maximum score on the scale of mild dependence, 7% moderate dependence and only 3% severe dependence, which speaks of the fact that they are the youngest category of medical workers at the beginning of their careers and still do not have good defense mechanisms. The nurses, who represent 9% of the entire group of subjects, accumulated 0% on the scale of severe dependence, 8% moderate dependence and 1% mild dependence. Conclusions: Comparative data on smoking dependence levels in doctors of 32% according to the perceived stress level 71% confirm this. Stressed health workers are more likely to smoke, have different social problems and are males. The results of research have shown that the prevalence of smokers among health care professionals is high (51%), implying the ineffectiveness of the current government anti-tobacco strategy. Introducing new pillar – Harm Reduction in National Antismoking Action Plan, along with prevention, cessation and protection from second-hand smoking, can improve current smoking situation in general. It would be helpful to implement training programs about Tobacco Harm Reduction for healthcare workers to improve their ability in smoking cessation counselling techniques to provide active support to their patients.

LBPS 02–21 HYPERTENSION MANAGEMENT RESEARCH PRIORITIES FROM PATIENTS, CARE-GIVERS AND HEALTH CARE PROVIDERS

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e511
Author(s):  
Nadia Khan ◽  
Felicia Flowett ◽  
Simon Bacon ◽  
Samia Khan ◽  
Carling Gerlinsky ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Research Priorities ◽  
Hypertension Management ◽  
Care Providers ◽  
Management Research ◽  
Care Givers

scholarly journals A RAND-Modified Delphi on Key Indicators to Measure the Efficiency of Living Kidney Donor Candidate Evaluations

2020 ◽  
Vol 15 (10) ◽  
pp. 1464-1473 ◽  
Author(s):  
Steven Habbous ◽  
Lianne Barnieh ◽  
Kenneth Litchfield ◽  
Susan McKenzie ◽  
Marian Reich ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Kidney Donor ◽  
Living Kidney Donor ◽  
Outcome Indicators ◽  
Modified Delphi ◽  
Transplant Center ◽  
Process And Outcome ◽  
Process And Outcome Indicators

Background and objectivesMany patients, providers, and potential living donors perceive the living kidney donor evaluation process to be lengthy and difficult to navigate.Design, setting, participants, & measurementsWe sought consensus on key terms and process and outcome indicators that can be used to measure how efficiently a transplant center evaluates persons interested in becoming a living kidney donor. Using a RAND-modified Delphi method, 77 participants (kidney transplant recipients or recipient candidates, living kidney donors or donor candidates, health care providers, and health care administrators) completed an online survey to define the terms and indicators. The definitions were then further refined during an in-person meeting with ten stakeholders.ResultsWe identified 16 process indicators (e.g., average time to evaluate a donor candidate), eight outcome indicators (e.g., annual number of preemptive living kidney donor transplants), and two measures that can be considered both process and outcome indicators (e.g., average number of times a candidate visited the transplant center for the evaluation). Transplant centers wishing to implement this set of indicators will require 22 unique data elements, all of which are either readily available or easily collected prospectively.ConclusionsWe identified a set of indicators through a consensus-based approach that may be used to monitor and improve the performance of a transplant center in how efficiently it evaluates persons interested in becoming a living kidney donor.

scholarly journals Development of a framework for increasing asthma awareness in Chitungwiza, Zimbabwe

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Pisirai Ndarukwa ◽  
Moses J. Chimbari ◽  
Elopy N. Sibanda
Keyword(s):  
Health Care ◽  
Public Relations ◽  
Health Care Providers ◽  
Health Professionals ◽  
Care Providers ◽  
The Public ◽  
Modified Delphi ◽  
Lack Of Information ◽  
Care Costs

Abstract Background Asthma accounts for significant global morbidity and health-care costs. It is still poorly understood among health professionals and the general population. Consequently, there are significant morbidity and mortality rates throughout the globe. The aim of this study was to develop a framework to increase asthma awareness at Chitungwiza Hospital, Zimbabwe. Methods A modified Delphi model was used to collect data to develop a framework for increasing asthma awareness. At baseline (round 1) in-depth interviews with 44 medical doctors were carried out to understand the level of asthma awareness. Round 2 data collection was in the form of a workshop involving a total of 15 doctors, 30 nurses, four public relations officers, and two health education and promotion officers. The same participants who were engaged in round 2 were also involved in the third round where consensus was achieved by the health professionals. Results Our study showed that awareness to asthma among health care providers was affected by mimicry of symptoms and lack of continuous education on asthma. Our study showed lack of Information Education and Communication (IEC) material and lack of use of bulk messages affected asthma awareness. Our study showed that clinical meetings on asthma, having asthma training manuals, (IEC) materials and guidelines for asthma diagnosis and management could improve health care providers’ awareness of asthma. Bulk messages on asthma through network providers, social media and bill boards, commemorating world asthma day, edutainment, asthma ambassadors and multimedia were suggested as means of improving awareness of asthma among the public. Conclusion We concluded that awareness of asthma can be improved using a framework. Such a framework ultimately improves the quality of asthma care.

Abstract 142: Partnering With Survivors and Families to Set Cardiac Arrest Research Priorities: Moving Towards More Patient-Oriented Resuscitation Research

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Katie N Dainty ◽  
Laurie J Morrison ◽  
Christian Vaillancourt ◽  
Doug Sinclair ◽  
Andreas Laupacis ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Arrest ◽  
Health Care Providers ◽  
Priority Setting ◽  
Health Care Professionals ◽  
Family Members ◽  
Research Priorities ◽  
Care Providers ◽  
James Lind Alliance ◽  
The Uk

Background: “Priority setting” is something that we do in research in order to get a range of opinions on what research questions are the most important or timely in a particular field. This is typically done with a group of expert health care providers and researchers and has not involved patients, family or the public. Methods: With funding from the Canadian Institutes of Health Research we partnered with the James Lind Alliance (JLA) in the UK to use their proven consensus methodology to build a Public Priority Setting Partnerships (PSP) on out-of-hospital Cardiac Arrest (OHCA). We developed and administered two rounds of online surveys with survivors, family members and health care professionals to create the initial priority lists. From there we held a full-day in-person workshop to come to consensus on the top 10 priorities from a short list of 25. The workshop also included survivors, family members and health care professionals. Results: The initial survey yielded more than 425 responses and 1500 “questions”/comments from survivors, family members, lay responders, physicians, nurses, rehabilitation specialists, paramedics, etc. The second survey asked participants to rank a narrowed list of 125 questions. The final top 25 questions were brought to the in-person consensus meeting and a top 10 were selected. The results will be revealed publicly for the first time at the ReSS meeting. Conclusions: The JLA methodology is world-renowned for its rigor and we now have an official PSP on OHCA. This type of inclusive research priority setting provides crucial information for the AHA and the international resuscitation research community about where to invest our limited research resources. The results will also drive our community to include questions that matter to SCA survivors and their families in all of our work.

44 It’s All About That Trach! Using a Modified Delphi Approach to Developing Pediatric Tracheostomy Teaching Tools

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e32-e32
Author(s):  
Prachi Shah ◽  
Tamizan Kherani ◽  
Elizabeth (Anne) Hicks
Keyword(s):  
Health Care ◽  
Home Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Home ◽  
Video Adaptation ◽  
Care Providers ◽  
Teaching Materials ◽  
Modified Delphi ◽  
Delphi Approach

Abstract Primary Subject area Medical Education Background Pediatric tracheostomy care is intimidating; regular and emergency care are critical skills. Tracheostomy care training is vital for pediatric patients who have multiple people involved in their care and are fully dependent on their tracheostomy tubes for breathing. An Alberta team is developing an informational tool, the “Tracheostomy Journey”, to help families and health care providers understand and communicate clearly about pediatric tracheostomy. A needs assessment identified consistent, universal, multimodal teaching and communication tools for families, trainees, and hospital and home care providers as a primary need. Consistency in training will also improve communication between caregivers and families. Objectives The main objective of this study was to develop shareable pediatric tracheostomy care and management teaching materials for health care professionals and families. The goals of such information are to ensure checks and balances, provide universal, consistent and cohesive teaching content to all caregivers, set expectations, and promote effective communication. Design/Methods A modified Delphi approach provided structured development of training modules using existing diverse teaching materials. Participants were asked to focus on safe, consistent pediatric tracheostomy care. Two components were to: 1) Update and consolidate basic hospital discharge checklists for families; 2) Formalize current unstructured emergency training while building new resources to teach families, staff, and trainees through goal-oriented simulations. Results We consolidated 7 Home Care tracheostomy care checklists and developed 24 simulations to teach specific care skills, incorporating input from multiple stakeholders to consolidate and unify content. Participants included primary care and subspecialty physicians (Respirology, Otolaryngology, Pediatric and Neonatal Intensive Care), home care, nursing, respiratory therapy, trainees, and families. The teaching materials emphasize inclusive, acceptable skill and confidence-building as well as mastery. Each module includes a scenario, preceptor script, and debriefing materials. Scripting is designed for future video adaptation, to allow review. Pilot evaluation with trainees included knowledge and confidence assessment before and after training, after training specifically addressed the question: “Do they address the goal?”. Conclusion Training materials were developed by an expert team via a modified Delphi process and met the intended goals of being accessible, acceptable, inclusive, and effective at teaching and consolidating the skills of those involved in pediatric tracheostomy care. These tools are ready to employ and are anticipated to improve teaching and communication for families and trainees caring for children with tracheostomy.

scholarly journals North American Neuroendocrine Tumor Society Guide for Neuroendocrine Tumor Patient Health Care Providers During COVID-19

Pancreas ◽  
2020 ◽  
Vol 49 (6) ◽  
pp. 723-728 ◽  
Author(s):  
Emily K. Bergsland ◽  
Daniel M. Halperin ◽  
Joseph S. Dillon ◽  
N. Arvind Dasari ◽  
Pamela L. Kunz ◽  
...  
Keyword(s):  
Health Care ◽  
Neuroendocrine Tumor ◽  
Health Care Providers ◽  
North American ◽  
Care Providers ◽  
Tumor Patient ◽  
Patient Health

scholarly journals Policy Options for Adapting Health Care Providers to New Situations in the Workplace During the Covid-19 Pandemic in Iran

2021 ◽  
Author(s):  
Nasib Babaei ◽  
Marziyeh Avazeh ◽  
Leila Doshmangir
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Providers ◽  
Action Plan ◽  
Rapid Change ◽  
National Health System ◽  
Sudden Onset ◽  
Policy Options ◽  
Care Providers ◽  
Policy Document

Abstract BackgroundThe rapid change in the situation of health care centers following the sudden onset of the Covid-19 pandemic led to working challenges, role changes, and the transfer of staff to a new and unfamiliar workplace. The aim of this study was to develop policy options to adapt health care providers to the new situation in the workplace during the Covid-19 pandemic as health system planners and policymakers prepare and implement an intervention action plan with more confidence in choosing the best and most effective strategies.MethodsTo identify the problem or issue and developing a policy document, first a comprehensive review of literature was carried out using national and international databases. The keywords used were "Health care provider", "Employees adaptation", "Professional adaptation", "Managing roles", "Covid-19", "SARS-Cov-‎‎2", and "Critical Care". The views of health care providers in the Covid-19 pandemic, personal observations and experiences were also used. Finally, in order to categorize the interventions and present policy options, seven national health system experts were consulted to comment on policy options until the interventions were substantiated and a policy document was developed and presented.ResultsAccording to the criteria of effectiveness, feasibility, appropriateness, sustainability, flexibility, cost-effectiveness compared to policy options, 31 interventions were found. After consulting experts to categorize the interventions and strategies, based on the defined criteria including appropriate to the target population, culturally and ethically acceptable, acceptable to the officials and stakeholders and context compatibility, three policy options were considered for implementation. These three policy options include; creating an activation system of flexible and efficient employees with adjustment of personnel roles, adequate training of health care personnel about working conditions with Covid-19 patients, and creating a supportive and motivational work environment.ConclusionsThe developed policy options in our study, while highlighting the potential benefits and challenges of each option, provide key policy directions for adapting healthcare providers to the new workplace situation during the Covid-19 pandemic and other future crises. None of the policy options are considered alone, but using options together will be effective.

Sign in / Sign up

Export Citation Format

Share Document