Taylor Jonathan, Caprioli Thais, Damant Jacqueline, Hamashima Yuri, Jasim Sarah, Smith Nick, Toma Madalina
Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
BMJ Open. 2025 Jan 28;15(1):e090243. doi: 10.1136/bmjopen-2024-090243.
Older adult care homes in England are required to develop care plans on behalf of each of their residents and to make these documents available to those who provide care. However, there is a lack of formal agreement around the key principles that should inform the development of care plans in care homes for older adults. Using a modified Delphi survey, we intend to generate consensus on a set of key principles that should inform the care planning process.
A two-stage modified Delphi survey will be used to try to reach a consensus on a set of key principles to inform care planning within older adult care homes in England. An interdisciplinary panel of approximately 50 people with experience in care planning will be convened and invited to provide feedback on a set of key principles. We will use an iterative, quasi-anonymous, multistage approach with controlled feedback. In the first round, panellists will be asked to provide feedback on a draft document whose contents have been informed by a systematic scoping review and consultations with care home staff. The first round will be administered and subsequently analysed. The results from the first round will be fed back to the panel members and panellists will be asked to complete a second survey. In each round, panel members will use a 5-point unipolar scale to rate their agreement with the item. Consensus will be considered if ≥75% of participants rate an item as 4-5.
This study to which this protocol relates has been granted ethical approval by the University of Kent's Division for the Study of Law, Society and Social Justice Research Committee Ethics Panel (reference: 1006) on 9 April 2024. The results of this project will be disseminated through conferences and one or more peer-reviewed journals. In a subsequent research phase, the research team plans to share the key principles document developed through this modified Delphi survey with care home residents and their families and friends. We plan to invite their feedback through a series of focus groups with a view to developing a related document for the family and friends of care home residents.
英国的老年护理院需要为每位居民制定护理计划，并将这些文件提供给提供护理服务的人员。然而，对于指导老年护理院护理计划制定的关键原则，目前缺乏正式的共识。我们打算通过一项经过改进的德尔菲调查，就一系列指导护理计划制定过程的关键原则达成共识。
将采用两阶段的改进德尔菲调查，试图就一套指导英格兰老年护理院护理计划制定的关键原则达成共识。将召集一个由约50名具有护理计划经验的人员组成的跨学科小组，并邀请他们对一套关键原则提供反馈。我们将采用一种迭代、准匿名、多阶段且有控制反馈的方法。在第一轮中，将要求小组成员对一份文件草案提供反馈，该草案的内容是通过系统的范围审查以及与护理院工作人员的磋商确定的。第一轮调查将进行管理并随后进行分析。第一轮的结果将反馈给小组成员，并要求他们完成第二次调查。在每一轮中，小组成员将使用5点单极量表对他们对该项目的同意程度进行评分。如果≥75%的参与者将某一项目评为4 - 5分，则视为达成共识。
本方案所涉及的这项研究已于2024年4月9日获得肯特大学法律、社会与社会正义研究委员会伦理小组（参考编号：1006）的伦理批准。本项目的结果将通过会议和一本或多本同行评审期刊进行传播。在随后的研究阶段，研究团队计划将通过这项改进的德尔菲调查制定的关键原则文件与护理院居民及其家人和朋友分享。我们计划通过一系列焦点小组邀请他们提供反馈，以期为护理院居民的家人和朋友制定一份相关文件。
