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You searched for subject:(Delphi consensus study). Showing records 1 – 2 of 2 total matches.

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1. Helms, Christopher. Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners.

Degree: PhD, 2017, Australian Catholic University

<h2>Background</h2> The Australian nurse practitioner (NP) role is represented by over 1,400 endorsed NPs practising in over 50 different specialty areas. Generic standards have broadly supported the role’s behavioural, professional and expanded practice expectations since 2006, and have been used for the accreditation of NP Masters programmes nationally. The need for consistent and flexible specialty clinical education for NP students has been described in the Australian literature. The clinical learning and teaching of Australian NP specialty roles has traditionally occurred in the student’s workplace, within a specified area of practice. Jurisdictional differences at state/territory and local levels have influenced how NP students develop and enact their roles once endorsed. Factors such as the student’s clinical supervisor, local legislation and policy, role ambiguity, restrictive local clinical guidelines and protocols influence what NP students learn in their clinical learning environments. These factors contribute to a highly differentiated NP workforce, with differing clinical skills, knowledge and abilities noted within the same specialty area. Similar difficulties have led to the development of broad specialty areas in the United States of America. To better complement the generic learning and teaching students receive through their academic programmes, this research aims to validate a specialist clinical learning and teaching framework for Australian nurse practitioners. This framework will not only enhance consistency in their specialty clinical learning and teaching, but create greater workforce flexibility. A consensus-based research methodology was needed to validate the specialty clinical learning and teaching framework. Delphi Technique is a consensus-based research methodology commonly employed in nursing research to explore solutions to questions that have unclear or indeterminate answers. It aims to achieve a pre-determined level of consensus on a research question, using content experts through an anonymous and iterative process. Critical to the method’s validity is the participation of a heterogeneous group of experts with advanced knowledge of the content area, and whose feedback to other panelists is controlled to minimise social influence. Individual participant characteristics, such as experience level and confidence in decision-making, and the influence of these upon consensus are poorly described in the Delphi literature. There was little previous empirical research to inform how to best describe heterogeneity of opinion informing the specialty clinical learning and teaching framework using nurse practitioners. <h2>Aims</h2> <ol> To validate a specialty clinical learning and teaching framework for Australian NP students. </ol> Specific objectives that addressed this aim were: <ol> To validate a previously developed Australian NP metaspecialty taxonomy. To validate supporting clinical practice standards used for the metaspecialty…

Subjects/Keywords: Delphi Technique research methodology; CLLEVER (CLinical LEarning goVERnance) study; Consensus Development Conference methodology; metaspecialty taxonomy.; Nursing; Nursing Midwifery; Vocational Education

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Helms, C. (2017). Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners. (Doctoral Dissertation). Australian Catholic University. Retrieved from https://researchbank.acu.edu.au/theses/691

Chicago Manual of Style (16th Edition):

Helms, Christopher. “Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners.” 2017. Doctoral Dissertation, Australian Catholic University. Accessed November 28, 2020. https://researchbank.acu.edu.au/theses/691.

MLA Handbook (7th Edition):

Helms, Christopher. “Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners.” 2017. Web. 28 Nov 2020.

Vancouver:

Helms C. Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners. [Internet] [Doctoral dissertation]. Australian Catholic University; 2017. [cited 2020 Nov 28]. Available from: https://researchbank.acu.edu.au/theses/691.

Council of Science Editors:

Helms C. Consensus on a Specialist Clinical Learning and Teaching Framework for Australian Nurse Practitioners. [Doctoral Dissertation]. Australian Catholic University; 2017. Available from: https://researchbank.acu.edu.au/theses/691

2. Spierings, Julia. Optimizing outcomes of patients with systemic sclerosis.

Degree: 2020, University Utrecht

Despite improved health care standards and better understanding of pathophysiology, systemic sclerosis (SSc) has an increased mortality and high morbidity. Management of SSc can be challenging due to its heterogeneous nature, multi-organ involvement and limited therapeutic options. This thesis zooms in on organisation of health care and autologous stem cell transplantation (SCT) as potential targets to improve outcomes. The organization of Dutch SSc care was investigated and evaluated from different perspectives. Ways to improve quality of care were explored. Our large cross-sectional study including 650 Dutch SSc patients from thirteen hospitals, showed that patients are generally satisfied with their care. Most important points for improvement from the patient' perspective were education, clear and transparant definitions of SSc expert centers accesible for patients, and collaboration between doctors. Also, patients prioritized good patient-doctor interaction and structural multidisciplinary collaboration as the most relevant quality indicators for SSc care. In addition to the perspective of patients on health care organization, recommendations were formulated in a multidisciplinary study among doctors, nurses and paramedics. Five domains in need for improvement (shared care and multidisciplinary collaboration, exchange of medical data, education, patient empowerment and non-pharmacological care) were identified and discussed in this meeting. Furthermore, in order to support collaboration and referral structures on a regional and national level, a Delphi consensus study was done, resulting in requirements for two types of SSc centres with different levels of expertise. Another neglected area in SSc care is the perspective of caregivers. In an exploratory study the impact of SSc on caregivers and their unmet needs are described. Caregivers reported that their relationship, social lives and emotional wellbeing were affected by the disease of their loved-one. Moreover, supporting their partner or friend was sometimes hindered by a lack of knowledge about the disease, insight in the overall treatment strategy and skills to optimise communication. The importance of support and information for patients, also provided by health care professionals and peers was emphasized in this thesis. This is particularly true in the context of a complex treatment modality such as SCT. SCT is increasingly used in severe form of SSc. This treatment has demonstrated to greatly improve long-term outcomes in the diffuse subset of SSc. However, treatment-related mortality is relatively high. In the absence of strong evidence on the exact place of SCT in the course of the disease, treatment decision-making rests on the shoulders of patients and their doctors. Patient reported that this process can be very difficult and strongly guided by the physician. Also, a study on the experiences of patients during and after SCT showed that this therapy has a major physical and psychosocial impact, and that post-treatment counseling should… Advisors/Committee Members: Laar, J.M. van, Vonk, M..

Subjects/Keywords: systemic sclerosis; scleroderma; quality indicators; health care organization; patient education; multidisciplinary care; autologous stem cell transplantation; shared decision making; qualitative research; Delphi consensus study

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Spierings, J. (2020). Optimizing outcomes of patients with systemic sclerosis. (Doctoral Dissertation). University Utrecht. Retrieved from https://dspace.library.uu.nl/handle/1874/399735 ; URN:NBN:NL:UI:10-1874-399735 ; 10.33540/168 ; 1874/399735 ; urn:isbn:9789463326780 ; URN:NBN:NL:UI:10-1874-399735 ; https://dspace.library.uu.nl/handle/1874/399735

Chicago Manual of Style (16th Edition):

Spierings, Julia. “Optimizing outcomes of patients with systemic sclerosis.” 2020. Doctoral Dissertation, University Utrecht. Accessed November 28, 2020. https://dspace.library.uu.nl/handle/1874/399735 ; URN:NBN:NL:UI:10-1874-399735 ; 10.33540/168 ; 1874/399735 ; urn:isbn:9789463326780 ; URN:NBN:NL:UI:10-1874-399735 ; https://dspace.library.uu.nl/handle/1874/399735.

MLA Handbook (7th Edition):

Spierings, Julia. “Optimizing outcomes of patients with systemic sclerosis.” 2020. Web. 28 Nov 2020.

Vancouver:

Spierings J. Optimizing outcomes of patients with systemic sclerosis. [Internet] [Doctoral dissertation]. University Utrecht; 2020. [cited 2020 Nov 28]. Available from: https://dspace.library.uu.nl/handle/1874/399735 ; URN:NBN:NL:UI:10-1874-399735 ; 10.33540/168 ; 1874/399735 ; urn:isbn:9789463326780 ; URN:NBN:NL:UI:10-1874-399735 ; https://dspace.library.uu.nl/handle/1874/399735.

Council of Science Editors:

Spierings J. Optimizing outcomes of patients with systemic sclerosis. [Doctoral Dissertation]. University Utrecht; 2020. Available from: https://dspace.library.uu.nl/handle/1874/399735 ; URN:NBN:NL:UI:10-1874-399735 ; 10.33540/168 ; 1874/399735 ; urn:isbn:9789463326780 ; URN:NBN:NL:UI:10-1874-399735 ; https://dspace.library.uu.nl/handle/1874/399735

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