scholarly journals Nursing research priorities in critical care in Brazil: Delphi Study

2020 ◽  
Vol 28 ◽  
Author(s):  
Adriano da Silva Acosta ◽  
Sayonara de Fátima Faria Barbosa ◽  
Grace Teresinha Marcon Dal Sasso
Keyword(s):  
Critical Care ◽  
Delphi Study ◽  
Research Priorities ◽  
Final Analysis ◽  
Future Research ◽  
Care Practice ◽  
Nursing Research ◽  
Research Topics ◽  
Polytrauma Patients ◽  
Kappa Agreement

Objective: to analyze the nursing research priorities in critical care in Brazil identified by specialists and researchers in the area, as well as to establish the consensus of the topics suggested by the experts. Method: a descriptive study, using the e-Delphi technique in three rounds. The research participants were 116 Brazilian nurses who are experts in critical care in the first round, ending up with 68 participants in the third round of the study. Descriptive statistics were used to analyze the demographic variables and the results of the research topics in the second round. In the final analysis, the Kappa agreement coefficient was calculated, comparing the answers between rounds two and three. Results: 63 research topics were generated, grouped into 14 domains of intensive care practice in the first round, and consensus was settled in the subsequent rounds. Topics such as humanization of care (0.56), bloodstream infection control (0.54), and nursing care for polytrauma patients (0.51) were items rated above 0.50 in the agreement analysis between the topics in the two rounds using the Kappa coefficient. Conclusion: this study provides an important guideline for nursing research in critical care in Brazil, guiding for future research efforts in the area.

Applications of 3D printing in critical care medicine: A scoping review

2021 ◽  
pp. 0310057X2097665
Author(s):  
Natasha Abeysekera ◽  
Kirsty A Whitmore ◽  
Ashvini Abeysekera ◽  
George Pang ◽  
Kevin B Laupland
Keyword(s):  
Critical Care ◽  
Scoping Review ◽  
A Priori ◽  
Three Dimensional ◽  
Critical Care Medicine ◽  
Future Research ◽  
Care Practice ◽  
Three Dimensional Printing ◽  
Wide Range ◽  
Dimensional Printing

Although a wide range of medical applications for three-dimensional printing technology have been recognised, little has been described about its utility in critical care medicine. The aim of this review was to identify three-dimensional printing applications related to critical care practice. A scoping review of the literature was conducted via a systematic search of three databases. A priori specified themes included airway management, procedural support, and simulation and medical education. The search identified 1544 articles, of which 65 were included. Ranging across many applications, most were published since 2016 in non – critical care discipline-specific journals. Most studies related to the application of three-dimensional printed models of simulation and reported good fidelity; however, several studies reported that the models poorly represented human tissue characteristics. Randomised controlled trials found some models were equivalent to commercial airway-related skills trainers. Several studies relating to the use of three-dimensional printing model simulations for spinal and neuraxial procedures reported a high degree of realism, including ultrasonography applications three-dimensional printing technologies. This scoping review identified several novel applications for three-dimensional printing in critical care medicine. Three-dimensional printing technologies have been under-utilised in critical care and provide opportunities for future research.

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.

scholarly journals Identifying research priorities for patient safety in mental health: an international expert Delphi study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e021361 ◽  
Author(s):  
Lindsay H Dewa ◽  
Kevin Murray ◽  
Bethan Thibaut ◽  
Sonny Christian Ramtale ◽  
Sheila Adam ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Safety ◽  
Delphi Study ◽  
Service User ◽  
Patient Perspective ◽  
Research Priorities ◽  
Mental Healthcare ◽  
Field Research ◽  
Future Research ◽  
A Priority

ObjectivePhysical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health.DesignSemistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements.Setting and participantsAcademic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included.Main outcome measuresAgreement in research priorities on a five-point scale.ResultsSeventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important.ConclusionsThis is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this.

scholarly journals Expert consensus statement to guide research into evidence-based classification of athletes for Para-Taekwondo -- A Delphi study

2021 ◽  
Keyword(s):  
Cerebral Palsy ◽  
Delphi Study ◽  
Research Priorities ◽  
Round Table ◽  
Future Research ◽  
Online Questionnaire ◽  
Expert Opinions ◽  
Select Group ◽  
Research Initiatives

Background and Objective: The objective of this study was to investigate various issues surrounding participation in Para-Taekwondo Kyorugi (sparring), with the aim of focusing on future research initiatives to improve the classification system and safety for participation in Para-Taekwondo. Material and Methods: For this, a series of online questionnaires and in-person round-table discussions were conducted prior to the World Para-Taekwondo Championships (Antalya, Turkey, 2019), with a final online questionnaire thereafter. A select group of experts, such as athletes, coaches, administrators, classifiers, and athletes were invited to partake, with the main outcome measures being the expert opinions and ranking of importance for research into issues affecting Para Taekwondo athletes. Results: The results of the discuss provide suggestions and opinions for the following areas are provided for the aim of classification, minimum impairment criteria, fairness of classes, combination of classes, competition time, mixing of different impairments, safety of cerebral palsy athletes, weight classes, gender differences, intentional misrepresentation, personal protectors, time for re-classification, and research priorities. Conclusion: The most prevalent issue highlighted was the concern for athlete safety, especially for the K44 class, which has a mixture of neurological impairments, i.e. an athlete with mild cerebral palsy (CP) competing against an athlete with an amputation. Furthermore, on the issue of safety, developing protectors for athletes was another key issue raised. Therefore, in the future, we can strongly recommend research initiatives to examine the safety of athletes with various impairment types in the same class, and the development of protectors for Para Taekwondo athletes.

scholarly journals Barriers and Facilitators Perceived by Spanish Experts Concerning Nursing Research: A Delphi Study

2020 ◽  
Vol 17 (9) ◽  
pp. 3224
Author(s):  
Alberto González-García ◽  
Ana Díez-Fernández ◽  
Noelia Martín-Espinosa ◽  
Diana P. Pozuelo-Carrascosa ◽  
Rubén Mirón-González ◽  
...  
Keyword(s):  
Delphi Study ◽  
Online Survey ◽  
Research Work ◽  
Research Priorities ◽  
Barriers And Facilitators ◽  
Nursing Research ◽  
Continuous Training ◽  
Survey Tool ◽  
Management Positions ◽  
Two Phases

The identification of research priorities in line with current health needs and nursing competencies is a priority. Nevertheless, barriers and facilitators perceived by nurses to performing nursing research have scarcely been investigated. The main aim of this study was to explore the situation in nursing research in Spain, as perceived by Spanish experts. A Delphi study technique in two phases was applied using an online survey tool. A panel of 20 nursing experts in nursing, teaching and management positions participated. The strengths highlighted were the possibility of reaching the PhD level, the possibility of receiving continuous training in research methodology, and access to scientific knowledge through the Internet. The weaknesses identified were the lack of Spanish nursing journals in which to publish the research results, the lack of funding in nursing care research, and the lack of connection between the healthcare institutions and the university. According to the experts, elements that could enhance leadership in research are the creation of nursing research units in hospitals, the economic recognition of nurses with PhDs, and considering research work as part of their daily tasks in clinical settings. The idea of being subordinated to physicians still remains in nurses’ ways of thinking.

Reviews and summaries of research related to AACN 1980 research priorities: clinical topics

1993 ◽  
Vol 2 (5) ◽  
pp. 413-425 ◽  
Author(s):  
B Riegel ◽  
JL Banasik ◽  
J Barnsteiner ◽  
P Beecroft ◽  
L Kern ◽  
...  
Keyword(s):  
Critical Care ◽  
Clinical Research ◽  
American Association ◽  
Research Priorities ◽  
Critical Care Nurses ◽  
Future Research ◽  
Original Research ◽  
Measurement Issues ◽  
Included Review ◽  
Doctoral Dissertations

This article reviews and summarizes the research conducted following publication of the 1980s American Association of Critical-Care Nurses' clinical research priorities. Original research conducted on the clinical priority topics between 1981 and 1991 was included. Review articles, doctoral dissertations, theses and abstracts were excluded unless judged to provide important information on the topic. Following the statement of each priority, progress in the area is summarized. Limitations and measurement issues are discussed as appropriate. Recommendations for future research are provided, and progress in the area is summarized.

Determining AACN's research priorities for the 90s

1993 ◽  
Vol 2 (2) ◽  
pp. 110-117 ◽  
Author(s):  
R Lindquist ◽  
J Banasik ◽  
J Barnsteiner ◽  
PC Beecroft ◽  
S Prevost ◽  
...  
Keyword(s):  
Critical Care ◽  
Phase 1 ◽  
Research Priorities ◽  
Consensus Conference ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Research Topics ◽  
Research Committee ◽  
Priority Ranking ◽  
Care Nursing

The American Association of Critical-Care Nurses completed a three-phased process of priority identification for critical care nursing research. In phase 1, a 78-item survey was generated following a comprehensive review of potential research topics. In phase 2, approximately 1000 critical care nurses rated each item on the survey for importance to critical care nursing. Based on these results, the AACN Research Committee formulated a clinical and a nonclinical (contextual) list of research topics. Each list contained 25 topics. In phase 3, topics were given final rankings at a 1-day Consensus Conference on Research Priorities. Both Likert-type and magnitude estimation scaling were used to determine priority ranking of items on each list. As a result, both clinical and contextual research priorities were established for AACN.

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