scholarly journals Content Validation of a Chrononutrition Questionnaire for the General and Shift Work Populations: A Delphi Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4087
Author(s):  
Yan Yin Phoi ◽  
Maxine P. Bonham ◽  
Michelle Rogers ◽  
Jillian Dorrian ◽  
Alison M. Coates
Keyword(s):  
Chronic Disease ◽  
Delphi Study ◽  
Temporal Patterns ◽  
Content Validation ◽  
Shift Workers ◽  
Future Studies ◽  
Eating Occasion ◽  
Meal Timing ◽  
Final Round ◽  
Main Meals

Unusual meal timing has been associated with a higher prevalence of chronic disease. Those at greater risk include shift workers and evening chronotypes. This study aimed to validate the content of a Chrononutrition Questionnaire for shift and non-shift workers to identify temporal patterns of eating in relation to chronotype. Content validity was determined using a Delphi study of three rounds. Experts rated the relevance of, and provided feedback on, 46 items across seven outcomes: meal regularity, times of first eating occasion, last eating occasion, largest meal, main meals/snacks, wake, and sleep, which were edited in response. Items with greater than 70% consensus of relevance were accepted. Rounds one, two, and three had 28, 26, and 24 experts, respectively. Across three rounds, no outcomes were irrelevant, but seven were merged into three for ease of usage, and two sections were added for experts to rate and comment on. In the final round, all but one of 29 items achieved greater than 70% consensus of relevance with no further changes. The Chrononutrition Questionnaire was deemed relevant to experts in circadian biology and chrononutrition, and could represent a convenient tool to assess temporal patterns of eating in relation to chronotype in future studies.

scholarly journals The Verdict is In: Pharmacists Do Have a Role in Disasters and It is Not Just Logistics

2019 ◽  
Vol 34 (s1) ◽  
pp. s63-s63
Author(s):  
Kaitlyn E. Watson ◽  
Judith A. Singleton ◽  
Vivienne Tippett ◽  
Lisa M. Nissen
Keyword(s):  
Chronic Disease ◽  
Delphi Study ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Management ◽  
Care Services ◽  
Access To Health ◽  
Response And Recovery ◽  
Final Round

Introduction:The pharmacist’s role in disasters is just as important as in everyday practice. Lack of access to health care services and interruptions to continuity of medication care are the major concerns for chronic disease patients during disasters. Pharmacists’ responsibilities during crises is undefined and their skills and knowledge are underutilized.Aim:To convene an expert panel to discuss the role of pharmacists in disasters and the specific roles they could be undertaking in a disaster, prioritizing the roles in order of importance.Methods:There were 15 key opinion leaders identified as experts in their knowledge of pharmacists’ roles and the disaster health management field who agreed to participate in the three rounds of surveys. The first round provided the panelists with a list of 46 roles identified from previous research conducted and the literature. The panelists were asked to rank their opinion of pharmacist’s capability of undertaking each role on a 5-point Likert scale and consensus was set at 80%. There were three rounds of surveys with the final round presenting the results for the panel to provide qualitative comments on the results and roles. The roles were broken up into the four phases of disaster management – prevention, preparedness, response, and recovery (PPRR).Results:Out of the 46 roles provided to the panelists, consensus was reached on 43 roles with 80% of panelists being in agreement. The experts identified pharmacists had roles across the entire PPRR cycle. The roles included pharmacists being further integrated into disaster teams and managing low-acuity patients requiring chronic disease medications.Discussion:This Delphi study begins the process of defining roles for pharmacists in disasters. It can assist policymakers in providing changes to legislative frameworks to allow pharmacists to undertake the roles identified as being beneficial to a community in a disaster.

scholarly journals National Competencies for Registered Nurses in Primary Care: A Delphi Study

2020 ◽  
Vol 42 (12) ◽  
pp. 1078-1087
Author(s):  
Julia Lukewich ◽  
Michelle Allard ◽  
Lisa Ashley ◽  
Kris Aubrey-Bassler ◽  
Denise Bryant-Lukosius ◽  
...  
Keyword(s):  
Primary Care ◽  
Registered Nurses ◽  
Delphi Study ◽  
Delphi Consensus ◽  
Care Experience ◽  
Role Integration ◽  
Partnership Quality ◽  
Research Leadership ◽  
Team Functioning ◽  
Final Round

A Delphi (consensus) process was used to obtain national agreement on competencies for registered nurses (RNs) in primary care. A draft of competencies was developed by key informants. Following this, nurses with primary care experience/expertise completed a Delphi survey to rate the importance of competency statements on a six-point Likert scale. Statements not reaching consensus (agreement ≥80%) were modified and included in a second (final) round. The first survey was completed by 63% ( n = 86/137) of participants and 84% ( n = 72/86) of these participants completed the second survey. Most statements ( n = 45) achieved agreement after the first survey; one statement was dropped and two were combined following the second round. The final list of competencies consists of 47 statements across six domains (professionalism; clinical practice; communication; collaboration and partnership; quality assurance, evaluation, and research; leadership). National competencies will help strengthen the RN workforce within primary care, improve team functioning, and support role integration/optimization.

Evaluation of Technical Competency in Healthcare Simulation (E-TeCHS) tool: a modified Delphi study

2018 ◽  
Vol 6 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Patrick G Hughes ◽  
Steven Scott Atkinson ◽  
Mira F Brown ◽  
Marjorie R Jenkins ◽  
Rami A Ahmed
Keyword(s):  
Delphi Study ◽  
Survey Methodology ◽  
Assessment Tool ◽  
Technical Skills ◽  
Content Validation ◽  
Delphi Methodology ◽  
Modified Delphi ◽  
Curricular Content ◽  
Technical Competency ◽  
Healthcare Simulation

BackgroundGraduates of simulation fellowship programmes are expected to have the ability to perform a variety of simulation specific skills at the time of graduation. Currently, simulation fellowship directors have access to tools to assess the ability of a fellow to debrief learners. However, there is no tool to assess a simulation fellow’s competency in technical skills. The purpose of our manuscript was to develop and obtain content validation of a novel instrument designed to assess a simulation fellow’s ability to perform the five core simulation technical skills.MethodsThe study protocol was based on a methodology for content validation of curriculum consensus guidelines. This approach involves a three-step process, which includes the initial delineation of the curricular content. This was then followed by the validation of the curricular content using survey methodology and lastly obtaining consensus on modifications using Delphi methodology.ResultsTwo rounds of modified Delphi methodology were performed. Seventy-four respondents provided feedback on the round 1 survey and 45 respondents provided feedback on round 2. The final assessment tool has five elements and 16 subitems with four optional subitems.ConclusionThe Evaluation of Technical Competency in Healthcare Simulation tool provides an instrument developed from a national consensus of content experts. This tool provides simulation fellowship directors a method to evaluate fellows’ competency in technical skills.

Tiredness, Fatigue, and Exhaustion as Perceived by Recreational Marathon Runners

2018 ◽  
Vol 28 (13) ◽  
pp. 1997-2010 ◽  
Author(s):  
Karin Olson ◽  
Oksana Zimka ◽  
Ashley Pasiorowski ◽  
Sandra Iregbu ◽  
Normand G. Boulé
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Support Systems ◽  
Chronic Fatigue ◽  
Development Project ◽  
Concept Development ◽  
Marathon Runners ◽  
Shift Workers ◽  
Future Studies ◽  
Energy Expenditures ◽  
Fatigue Syndrome

In this article, we report the results of a study that was part of a five-study concept development project. Our goal was to learn about the nature of illness by exploring variations in the manifestations of fatigue, a symptom that is prevalent in both ill (cancer, depression, chronic fatigue syndrome) and selected nonill (recreational marathon runners, shift workers) populations. In this article, we report results of our study of recreational marathon runners, obtained from unstructured interviews with 13 runners between the ages 19 and 49 years using ethnoscience as the design. Key findings with implications for practice are the importance of planning recovery periods following large energy expenditures, the value of using dissociative strategies to manage tiredness, and the usefulness of associative strategies and support systems to manage fatigue. Future studies could explore whether these strategies would be useful for management of tiredness and fatigue in other populations.

scholarly journals Telerehabilitation assessment domains and process in chronic diseases: a scoping meta-review

2021 ◽  
Author(s):  
Blandine Chapel ◽  
François Alexandre ◽  
Nelly Heraud ◽  
Roxana Ologeanu-Taddei ◽  
Anne-Sophie Cases ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Search Strategy ◽  
Keyword Search ◽  
Recent Literature ◽  
Behavioral Changes ◽  
Social Aspect ◽  
Inclusion Criteria ◽  
Future Studies ◽  
Meta Review

Abstract Background Telerehabilitation (TR) interventions are receiving increasing attention. They have been evaluated in various scientific areas through systematic reviews. However, there is a lack of data on how to standardize assessment and report on their domains to guide researchers across studies and bring together the best evidence to assess TR for chronic diseases.Aims and Objectives The aim of this study is to identify domains of assessment in TR and to qualitatively and quantitatively analyze how they are examined to gain an overview of assessment in chronic disease and understand the complexity of TR interventions.Methods A scoping meta-review was carried out on 9 databases and gray literature from 2009 to 2019. The keyword search strategy was based on "telerehabilitation", “evaluation", “chronic disease" and their synonyms. All articles were subjected to qualitative analysis using the Health Technology Assessment (HTA) Core Model prior to further analysis and narrative synthesis.Results Among the 7412 identified articles, 80 studies met the inclusion criteria. Regarding the domains of assessment, the most frequently occurring were “social aspect” (n = 63, 79%) (e.g., effects on behavioral changes) and “clinical efficacy” (n = 53, 66%), and the least frequently occurring was “safety aspects” (n= 2, 3%). We also identified the phases of TR in which the assessment was conducted and found that it most commonly occurred in the pilot study and randomized trial phases and least commonly occurred in the design, pretest, and postintervention phases.Conclusions Through the HTA model, this scoping meta-review highlighted the multidisciplinarity and comprehensiveness of TR assessment in the recent literature. Future studies will benefit from approaches that leverage the best evidence regarding the assessment of TR interventions, and it will be interesting to extend this assessment framework to other chronic diseases.

Nursing Care for Patients With Acute Mania: Exploring Experiential Knowledge and Developing a Standard of Good Care—Results of the Delphi Study

2020 ◽  
pp. 107839032096051
Author(s):  
Peter J. J. Goossens ◽  
Rita de Velde Harsenhorst ◽  
Jacobine E. van Lankeren ◽  
Annelies E. Testerink ◽  
Thea H. Daggenvoorde
Keyword(s):  
The Netherlands ◽  
Nursing Care ◽  
Delphi Study ◽  
Nursing Practice ◽  
Informal Caregivers ◽  
Acute Mania ◽  
Psychiatric Ward ◽  
Good Care ◽  
Involuntary Hospitalization ◽  
Final Round

Background: When patients diagnosed with bipolar disorder are suffering from acute mania (involuntary), hospitalization is often necessary. Patients are often quite disruptive, which makes it difficult to regulate their behavior and manage them in their current condition. The nursing team must also ensure the safety of the other patients on the ward. Nursing practice in this domain appears to draw primarily on tradition and experience. Objective: To achieve consensus on a standard for nursing practice for patients suffering from mania who are admitted to a closed psychiatric ward. Study Design: Previously, professionals, patients, and informal caregivers in the Netherlands were interviewed about the nursing care and their lived experiences. Based on these findings and on the results of a literature review, 89 statements were formulated. A three-round Delphi study among professionals, patients, and informal caregivers was carried out. The accepted statements were summarized. Results: In the first round, 71 statements were accepted, none were rejected, and for 18 statements, no consensus could be reached. These were reformulated and presented in a second round. Thirteen of these statements were accepted, none were rejected, and five statements needed to be reformulated and were presented in the third and final round of this Delphi study. In this final round, all statements were accepted. Conclusion: Consensus was reached among professionals, patients, and informal caregivers in the Netherlands about essential and valuable components of nursing care for patients suffering from acute mania who are admitted to a closed psychiatric ward.

scholarly journals Shift-work: is time of eating determining metabolic health? Evidence from animal models

2018 ◽  
Vol 77 (3) ◽  
pp. 199-215 ◽  
Author(s):  
Natalí N. Guerrero-Vargas ◽  
Estefania Espitia-Bautista ◽  
Ruud M. Buijs ◽  
Carolina Escobar
Keyword(s):  
Food Intake ◽  
Shift Work ◽  
Temporal Patterns ◽  
Experimental Models ◽  
Circadian Disruption ◽  
Metabolic Dysfunction ◽  
Light At Night ◽  
Shift Workers ◽  
Time Signals ◽  
Altered Metabolism

The circadian disruption in shift-workers is suggested to be a risk factor to develop overweight and metabolic dysfunction. The conflicting time signals given by shifted activity, shifted food intake and exposure to light at night occurring in the shift-worker are proposed to be the cause for the loss of internal synchrony and the consequent adverse effects on body weight and metabolism. Because food elicited signals have proven to be potent entraining signals for peripheral oscillations, here we review the findings from experimental models of shift-work and verify whether they provide evidence about the causal association between shifted feeding schedules, circadian disruption and altered metabolism. We found mainly four experimental models that mimic the conditions of shift-work: protocols of forced sleep deprivation, of forced activity during the normal rest phase, exposure to light at night and shifted food timing. A big variability in the intensity and duration of the protocols was observed, which led to a diversity of effects. A common result was the disruption of temporal patterns of activity; however, not all studies explored the temporal patterns of food intake. According to studies that evaluate time of food intake as an experimental model of shift-work and studies that evaluate shifted food consumption, time of food intake may be a determining factor for the loss of balance at the circadian and metabolic level.

Exploring the future workplace: results of the futures forum study

2018 ◽  
Vol 20 (3) ◽  
pp. 196-213 ◽  
Author(s):  
Evi De Bruyne ◽  
Doranne Gerritse
Keyword(s):  
Support Services ◽  
Delphi Study ◽  
Dynamic Environment ◽  
Facility Management ◽  
Work Processes ◽  
Literature Study ◽  
Content Type ◽  
Future Studies ◽  
New Ways Of Working ◽  
The Future

Purpose The purpose of this paper describes the set-up and results of the “futures forum” study. Through different methodological approaches, the future of work and its implications for the future (physical) workplace are explored. What will our office workplace look like in 2025 and how best to support future work, in alignment with the different organisational support services [human resources, information technology (IT), facility management and real estate]? Design/methodology/approach Different stakeholders were involved through different methods. First, a global literature study summed up some of the contemporary views on future directions and future studies. Second, focus groups were held with office end-users and employees of 11 participating organisations. Third, a Delphi study was applied to a multidisciplinary expert group. And finally, results were further developed in a “pre-design” workshop. The “forum” refers to the consortium of private and public partners that supported the study. The research involved large (>1,000 employees) knowledge-based and administrative organisations. Findings The fast-developing digitalisation will have substantial repercussions for work processes and environments. New types of work and work processes are appearing and need to be accommodated. Work will be organised in a more dynamic manner to adapt to the rapid changes in the market. Automation will lead to a continuous decrease of administrative processes which leaves more complex, knowledge-intensive work in organisations. Digitalisation and technology will lead to new ways of working and other necessary capabilities in the organisation with great emphasis on IT and technology-based activities. This dynamic environment brings the demand for an agile response of the support services in the organisation and a work environment that can accommodate changes easily. The main findings centre around eight themes for the future workplace that were considered to be the main, joint priorities of support services. These themes are changes in work, move towards digitalisation, adaptive potential of organisations, liberation of old structures, attract and retain employees, self-employment and self-marketing and future employee needs. Because of the dimensions of the research topic, a broad thematic perspective was applied so a further in-depth exploration might be valuable. The stakeholders that were involved in the data collection were mostly contacted through research partners, which might narrow research findings. Originality/value Many “future studies” have been taken place in the past, and they all apply a different research scope. This study aimed specifically at large office organisations in The Netherlands and on the implications for the future workplace that are to be addressed in a communal way by the organisations’ support services.

scholarly journals The impact of meal timing on cardiometabolic syndrome indicators in shift workers

2017 ◽  
Vol 34 (3) ◽  
pp. 337-348 ◽  
Author(s):  
Hylton E. Molzof ◽  
Michael D. Wirth ◽  
James B. Burch ◽  
Nitin Shivappa ◽  
James R. Hebert ◽  
...  
Keyword(s):  
Shift Workers ◽  
Cardiometabolic Syndrome ◽  
Meal Timing ◽  
The Impact

scholarly journals Non-Pharmacological Interventions to Improve Chronic Disease Risk Factors and Sleep in Shift Workers: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 3 (1) ◽  
pp. 132-178
Author(s):  
Meagan E Crowther ◽  
Sally A Ferguson ◽  
Grace E Vincent ◽  
Amy C Reynolds
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Chronic Disease ◽  
Health Outcomes ◽  
Disease Risk ◽  
Meta Analysis ◽  
Perceived Health Status ◽  
Pharmacological Interventions ◽  
Shift Workers ◽  
Chronic Disease Risk

Shift work is associated with adverse chronic health outcomes. Addressing chronic disease risk factors including biomedical risk factors, behavioural risk factors, as well as sleep and perceived health status, affords an opportunity to improve health outcomes in shift workers. The present study aimed to conduct a systematic review, qualitative synthesis, and meta-analysis of non-pharmacological interventions targeting chronic disease risk factors, including sleep, in shift workers. A total of 8465 records were retrieved; 65 publications were eligible for inclusion in qualitative analysis. Random-effects meta-analysis were conducted for eight eligible health outcomes, including a total of thirty-nine studies. Interventions resulted in increased objective sleep duration (Hedges’ g = 0.73; CI: 0.36, 1.10, k = 16), improved objective sleep efficiency (Hedges’ g = 0.48; CI: 0.20, 0.76, k = 10) and a small increase in both subjective sleep duration (Hedges’ g = 0.11; CI: −0.04, 0.27, k = 19) and sleep quality (Hedges’ g = 0.11; CI: −0.11, 0.33, k = 21). Interventions also improved perceived health status (Hedges’ g = 0.20; CI: −0.05, 0.46, k = 8), decreased systolic (Hedges’ g = 0.26; CI: −0.54, 0.02, k = 7) and diastolic (Hedges’ g = 0.06; CI: −0.23, 0.36, k = 7) blood pressure, and reduced body mass index (Hedges’ g = −0.04; CI: −0.37, 0.29, k = 9). The current study suggests interventions may improve chronic disease risk factors and sleep in shift workers; however, this could only be objectively assessed for a limited number of risk factor endpoints. Future interventions could explore the impact of non-pharmacological interventions on a broader range of chronic disease risk factors to better characterise targets for improved health outcomes in shift workers.

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