Bucyibaruta Joy Blaise, Doriccah Mmapheko, Bamford Lesley, Elizabeth van der Wath Annatjie, Dyer Thomas Anthony, Murphy Andrea, Gatabazi Paul, Ajoke Anokwuru Rafiat, Muhire Innocent, Anna Coetzee Clarissa, Coetzee Helene, Musekiwa Alfred
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, South Africa.
Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, South Africa.
Public Health Nurs. 2023 Mar;40(2):273-282. doi: 10.1111/phn.13153. Epub 2022 Dec 7.
The concept of healthcare acceptability is important for nursing staff spending most of their time with patients. Nevertheless, acceptability remains confusing without a collective definition in existing literature.
This study aimed to create a consensus among experts on definition and conceptual framework of healthcare acceptability.
We conducted two rounds of Delphi surveys to collect opinions from experts on definition and conceptual framework of healthcare acceptability proposed following thematic content analysis. We calculated the consensus among experts using the modified Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument and followed the guidance on conducting and reporting Delphi studies (CREDES) best practices.
A total of 34 experts completed two rounds of Delphi survey. The definition was validated through consensus as: "a multi-construct concept describing the nonlinear cumulative combination in parts or in whole of experienced or anticipated specific healthcare from the relevant patients/participants, communities, providers/researchers or healthcare systems' managers and policy makers' perspectives in a given context." The overall quality rating was 92.6% and 95.1% for the proposed definition and conceptual framework respectively.
Opinions collected from experts provided significant insights to build a consensus on healthcare acceptability advancing public health nursing.
医疗保健可接受性的概念对于大部分时间都与患者相处的护理人员来说很重要。然而，在现有文献中，若没有一个统一的定义，可接受性仍然令人困惑。
本研究旨在就医疗保健可接受性的定义和概念框架在专家之间达成共识。
我们进行了两轮德尔菲调查，以收集专家对在主题内容分析后提出的医疗保健可接受性的定义和概念框架的意见。我们使用修改后的《研究与评价指南评估II》（AGREE II）工具计算专家之间的共识，并遵循进行和报告德尔菲研究（CREDES）最佳实践的指导方针。
共有34位专家完成了两轮德尔菲调查。该定义经共识验证为：“一个多结构概念，描述了在给定背景下，从相关患者/参与者、社区、提供者/研究人员或医疗保健系统的管理者及政策制定者的角度，对经历或预期的特定医疗保健部分或整体的非线性累积组合。” 对于所提出的定义和概念框架，总体质量评级分别为92.6%和95.1%。
从专家那里收集到的意见为就推进公共卫生护理的医疗保健可接受性达成共识提供了重要见解。
