scholarly journals Building consensus to enhance research: A study protocol to determine the top issues to improve outcomes of Silver Trauma

2019 ◽  
Vol 2 ◽  
Author(s):  
Abdullah Alshibani ◽  
Simon Conroy

Silver trauma research has several obstacles including complexity in determining research priorities and the lack of strong evidence to improve outcomes for injured older adults (especially evidence from the United Kingdom). Therefore, this study aims to identify, investigate, and prioritise the top research priorities to improve outcomes of injured older adults. The study will also highlight the current issues in trauma care for older people and contribute a collaborative and interdisciplinary work among experts who are interested in trauma care for older people.Methods and analysis: This study uses a three-step modified Delphi technique. The process consists of a divergent phase to elicit a broad range of views, a convergent ranking process in the second round (ranking the issues identified in round I), and a consensus meeting in the third round (determining to the top three issues of those met the predetermined consensus threshold in round II). Ethics and dissemination: The ethical approval of this study is currently underway with the University of Leicester, UK. The findings of this study will be published and presented in relevant conferences. 

2018 ◽  
Vol 20 (2) ◽  
pp. 118-131 ◽  
Author(s):  
Paul Twose ◽  
Una Jones ◽  
Gareth Cornell

Introduction Across the United Kingdom, physiotherapy for critical care patients is provided 24 h a day, 7 days per week. There is a national drive to standardise the knowledge and skills of physiotherapists which will support training and reduce variability in clinical practice. Methods A modified Delphi technique using a questionnaire was used. The questionnaire, originally containing 214 items, was completed over three rounds. Items with no consensus were included in later rounds along with any additional items suggested. Results In all, 114 physiotherapists from across the United Kingdom participated in the first round, with 102 and 92 completing rounds 2 and 3, respectively. In total, 224 items were included: 107 were deemed essential as a minimum standard of clinical practice; 83 were not essential and consensus was not reached for 34 items. Analysis/Conclusion This study identified 107 items of knowledge and skills that are essential as a minimum standard for clinical practice by physiotherapists working in United Kingdom critical care units.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdullah Alshibani ◽  
Jay Banerjee ◽  
Fiona Lecky ◽  
Timothy J. Coats ◽  
Rebecca Prest ◽  
...  

Abstract Background Emergency care research into ‘Silver Trauma’, which is simply defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues. This study aimed to determine the top research priorities to guide future research. Methods This consensus-based prioritization exercise used a three-stage modified Delphi technique. The study consisted of an idea generating (divergent) first round, a ranking evaluation in the second round, and a (convergent) consensus meeting in the third round. Results A total of 20 research questions advanced to the final round of this study. After discussing the importance and clinical significance of each research question, five research questions were prioritised by the experts; the top three research priorities were: What are older people’s preferred goals of trauma care? Beyond the Emergency Department (ED), what is the appropriate combined geriatric and trauma care? Do older adults benefit from access to trauma centres? If so, do older trauma patients have equitable access to trauma centre compared to younger adults? Conclusion The results of this study will assist clinicians, researchers, and organisations that are interested in silver trauma in guiding their future efforts and funding toward addressing the identified research priorities.


2017 ◽  
Vol 25 (1) ◽  
Author(s):  
Simon D. French ◽  
Peter J. H. Beliveau ◽  
Paul Bruno ◽  
Steven R. Passmore ◽  
Jill A. Hayden ◽  
...  

Neurology ◽  
2019 ◽  
Vol 93 (5) ◽  
pp. 208-216
Author(s):  
Arun Venkatesan ◽  
Felicia C. Chow ◽  
Allen Aksamit ◽  
Russell Bartt ◽  
Thomas P. Bleck ◽  
...  

ObjectiveTo delineate a comprehensive curriculum for fellowship training in neuroinfectious diseases, we conducted a modified Delphi approach to reach consensus among 11 experts in the field.MethodsThe authors invited a diverse range of experts from the American Academy of Neurology Neuro-Infectious Diseases (AAN Neuro-ID) Section to participate in a consensus process using a modified Delphi technique.ResultsA comprehensive list of topics was generated with 101 initial items. Through 3 rounds of voting and discussion, a curriculum with 83 items reached consensus.ConclusionsThe modified Delphi technique provides an efficient and rigorous means to reach consensus on topics requiring expert opinion. The AAN Neuro-ID section provided the pool of diverse experts, the infrastructure, and the community through which to accomplish the consensus project successfully. This process could be applied to other subspecialties and sections at the AAN.


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