Angie lim nurs 622 november 26 2012
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Angie Lim NURS 622 November 26, 2012. Refining My Focus and Exploring Methodologies. Back to the Literature. How can nurses facilitate patient’s transitions from intensive care? Häggström, M., Asplund, K., & Kristiansen, L. (2012). Intensive and Critical Care Nursing , 28 (4), 224–233 .

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Refining My Focus and Exploring Methodologies

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Angie lim nurs 622 november 26 2012

Angie Lim

NURS 622

November 26, 2012

Refining My Focus and Exploring Methodologies


Back to the literature

Back to the Literature

  • How can nurses facilitate patient’s transitions from intensive care?

    Häggström, M., Asplund, K., & Kristiansen, L. (2012). Intensive and Critical Care Nursing, 28(4), 224–233.

  • Transition of care: health care professionals’ view.

    Por, J.,Golber, B., Lennox, V., Burr, P., Barrow, J., & Dennard, L. (2004). Journal of Nursing Management, 12(5), 354–361.


How can nurses facilitate patient s transitions from intensive care

How can nurses facilitate patient’s transitions from intensive care?


Transition of care health care professionals view

Transition of care: health care professionals’ view


The canadian paediatric society care of adolescents with chronic conditions position statement

The Canadian Paediatric Society:“Care of Adolescents with Chronic Conditions” Position Statement


Refining my focus and exploring methodologies

Hi Angie,

I wonder if you have looked at Delphi methodologies to gather information from nurses?  We used a Delphi to understand next steps in transition to adult care. But a Delphi might not gain you the detail you want.  It depends on how much you want to know from nurses and how much you want to know from adolescents. - Best, Sheila


Delphi methodology

Delphi Methodology

  • Objective is to synthesize varying expert opinions about a topic until an acceptable level of consensus is achieved

  • Structured method that involves a series of steps to collect information from a purposive panel of experts

  • Epistemologically: can be seen as derived from constructionism where the findings represent a shared meaning developed from an Iterative process whereby responses are adapted over time


Delphi methodology process

Delphi Methodology: Process


Delphi methodology success

Delphi Methodology: Success


Delphi methodology strengths

Delphi Methodology: Strengths

  • Elimination of interpersonal problems

  • Permits access to geographically diverse sample

  • Diversity of ideals

  • Accuracy of solutions & predictions

  • Efficient use of expert's time


Delphi methodology limitations

Delphi Methodology: Limitations

  • Potential low response rate

  • Lack of accountability for responses

  • Correct issues have been identified and prioritized not guaranteed

  • Members must be skilled in written communication and interpretation of basic statistical averaging

  • Can be time consuming

  • Anonymity cannot be guaranteed


Refining my focus and exploring methodologies

Healthcare transitions for adolescents with chronic life-threatening conditions using a Delphi method to identify research priorities for clinicians and academics in Canada


Key findings

Key Findings

  • Engagement of youth and HCPs within research process is essential to understanding skills & knowledge required to manage transition and how youth want to learn these skills

    • Gap in the knowledge base of clinicians and researchers


Key findings1

Key Findings

  • Little research on what young adults who have experienced transition define as successful transition

  • It is important for HCPs to have an understanding and clear framework of a successful transition process to critically evaluate practice and develop supportive programs

    • Gap in the knowledge base of clinicians and researchers


Delphi methodology1

Delphi Methodology?


Final thoughts

Final Thoughts


References

References

  • Fletcher-Johnston, M., Marshall, S. K., & Straatman, L. (2011). Healthcare transitions for adolescents with chronic life-threatening conditions using a Delphi method to identify research priorities for clinicians and academics in Canada. Child: care, health and development, 37(6), 875–882. doi:10.1111/j.1365-2214.2011.01318.x

  • Häggström, M., Asplund, K., & Kristiansen, L. (2012). How can nurses facilitate patient’s transitions from intensive care? Intensive and Critical Care Nursing, 28(4), 224–233. doi:10.1016/j.iccn.2012.01.002

  • Hasson, F., Keeney, S., & McKenna, H. (2000). Research guidelines for the Delphi survey technique. Journal of advanced nursing, 32(4), 1008–1015.

  • Keeney, S., Hasson, F., & McKenna, H. (2006). Consulting the oracle: ten lessons from using the Delphi technique in nursing research. Journal of advanced nursing, 53(2), 205–212. doi:10.1111/j.1365-2648.2006.03716.x


References1

References

  • Kennedy, H. P. (2004). Enhancing Delphi research: methods and results. Journal of Advanced Nursing, 45(5), 504–511. doi:10.1046/j.1365-2648.2003.02933.x

  • Mcilfatrick, S. J., & Keeney, S. (2003). Identifying cancer nursing research priorities using the Delphi technique. Journal of advanced nursing, 42(6), 629–636.

  • Por, J., Golberg, B., Lennox, V., Burr, P., Barrow, J., & Dennard, L. (2004). Transition of care: health care professionals’ view. Journal of Nursing Management, 12(5), 354–361. doi:10.1111/j.1365-2834.2004.00428.x

  • Riis Olsen, P., & Harder, I. (2011). Caring for teenagers and young adults with cancer: A grounded theory study of network-focused nursing. European Journal of Oncology Nursing, 15(2), 152–159. doi:10.1016/j.ejon.2010.07.010

  • Schmidt, K., Montgomery, L. A., Bruene, D., & Kenney, M. (1997). Determining research priorities in pediatric nursing: a Delphi study. Journal of pediatric nursing, 12(4), 201–207. doi:10.1016/S0882-5963(97)80002-4


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