Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
J Clin Nurs. 2024 May;33(5):1786-1797. doi: 10.1111/jocn.17042. Epub 2024 Jan 29.
To establish consensus on items to be included in an instrument to measure person-centred teamwork in a hospital setting. The objective was to identify the items through a methodological literature review. Refine the items and obtain consensus on the items.
A definition and related attributes of person-centred teamwork have been agreed upon. An instrument is needed to measure and monitor person-centred teamwork in hospital settings.
Consensus, electronic Delphi design.
Items were identified through a methodological literature review. These items were included in three electronic Delphi rounds. Using purposive and snowball sampling, 16 international experts on person-centred care, teamwork and/or instrument development were invited to participate in three electronic Delphi rounds via Google Forms. Descriptive statistics were used to demonstrate their agreement on the relevance and clarity of each item. Items were included if consensus was 0.75. Content analysis was used to analyse written feedback from experts.
The response rate was 56% (n = 9/16). Nine experts participated over an 8-week period to reach consensus on the items to be included in an instrument to measure person-centred teamwork in hospital settings. The experts' responses and suggestions for rephrasing, removing and adding items were incorporated into each round.
A Delphi consensus exercise was completed, and experts reached agreement on 38 items to be included in an instrument that can be used to evaluate person-centred teamwork in hospital settings.
We engaged with nine international experts in the academic and clinical field of person-centeredness, teamwork and/or instrument development. An online platform was used to allow the experts to give input into the study. The experts engaged from their own environment with full autonomy and anonymity. Person-centred teamwork, aimed at improving practice is now measurable. Person-centred teams improve outcomes of patients. Person-centred teamwork was specifically developed to assist low compliance areas in hospitals.
旨在就用于衡量医院环境中以患者为中心的团队合作的工具中包含的项目达成共识。目的是通过方法学文献回顾确定项目。完善项目并就项目达成共识。
已经就以患者为中心的团队合作的定义和相关属性达成一致。需要一种工具来衡量和监测医院环境中的以患者为中心的团队合作。
共识,电子德尔菲设计。
通过方法学文献回顾确定项目。这些项目被纳入三个电子德尔菲轮次。通过有针对性和滚雪球抽样,邀请 16 名国际以患者为中心的护理、团队合作和/或仪器开发方面的专家通过 Google 表格参加三轮电子德尔菲调查。使用描述性统计来展示他们对每个项目的相关性和清晰度的共识程度。如果共识为 0.75,则纳入项目。使用内容分析对专家的书面反馈进行分析。
回复率为 56%(n=16)。9 名专家在 8 周的时间内参与了达成共识的过程,确定了用于衡量医院环境中以患者为中心的团队合作的工具中应包含的项目。专家的回复和对重新措辞、删除和添加项目的建议被纳入每一轮。
德尔菲共识练习完成,专家就用于评估医院环境中以患者为中心的团队合作的工具中应包含的 38 个项目达成一致。
我们与九名在以患者为中心、团队合作和/或仪器开发领域具有学术和临床背景的国际专家合作。使用在线平台允许专家为研究提供意见。专家在完全自主和匿名的情况下从自己的环境中参与。以患者为中心的团队合作,旨在改善实践,现在是可衡量的。以患者为中心的团队可以改善患者的结局。以患者为中心的团队合作专门开发用于协助医院中低合规领域。