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Refining My Focus and Exploring Methodologies

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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  1. Angie Lim NURS 622 November 26, 2012 Refining My Focus and Exploring Methodologies

  2. 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.

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

  4. Transition of care: health care professionals’ view

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

  6. 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

  7. 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

  8. Delphi Methodology: Process

  9. Delphi Methodology: Success

  10. 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

  11. 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

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

  13. 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

  14. 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

  15. Delphi Methodology?

  16. Final Thoughts

  17. 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

  18. 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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