Identifying neonatal transport research priorities: a modified Delphi consensus.

IF 3.9 2区 医学 Q1 PEDIATRICS
Aarti Mistry, Andrew Leslie, Shalini Ojha, Don Sharkey
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引用次数: 0

Abstract

Objectives: With increasing advances in neonatal transport, a focused research strategy is required to increase the evidence base towards providing optimal care. We aimed to identify the most important neonatal transport research questions as prioritised by parents and healthcare professionals (HCPs).

Design: Key stakeholders participated in a modified three-stage Delphi consensus process. Research questions were identified and submitted through two survey stages before the final priority setting workshop.

Participants: Parents of babies who received neonatal care, neonatal HCPs and stakeholders.

Outcome: Identify the top 10 research priorities for neonatal transport.

Results: Overall, 269 survey responses from HCPs/stakeholders (n=161) and parents (n=108) were analysed from two survey rounds. Consensus was reached on 22 of 43 research priorities for the final priority setting workshop. The agreed top research priorities covered the domains of: (1) Pain assessment and management, (2) Long-term neurological outcomes, (3) Impact of transfer on birth-related brain injury, (4) Investigating risk of transport, (5) Safety restraints for infants, (6) Optimal temperature management, (7) Respiratory management and outcomes, (8) Benchmarking of important of transport measures, (9) Understanding transport environmental exposures, (10) Mental health and burden of transfer on families.

Conclusion: We have identified the top research questions for neonatal transport through an extensive process actively engaging parents, HCPs and key stakeholders. Targeted funding and research resources, directed towards addressing these prioritised research areas, will inform evidence-based practices and international frameworks specific to neonatal transport, helping minimise research waste and ultimately improve outcomes for these high-risk infants and their families.

确定新生儿转运研究的优先事项:修改后的德尔菲共识。
目的:随着新生儿转运技术的不断进步,需要制定一项重点突出的研究战略,以增加提供最佳护理的证据基础。我们旨在确定家长和医护人员(HCPs)优先考虑的最重要的新生儿转运研究问题:设计:主要利益相关者参与了经过修改的三阶段德尔菲共识过程。在最后的优先级确定研讨会之前,通过两个调查阶段确定并提交了研究问题:参与人员:接受新生儿护理的婴儿家长、新生儿保健专业人员和利益相关者:结果:确定新生儿转运的 10 大研究重点:两轮调查共分析了 269 份调查问卷,分别来自保健专业人员/利益相关者(n=161)和家长(n=108)。在 43 个优先研究事项中,有 22 个在最后的优先事项确定研讨会上达成了共识。商定的首要研究重点涵盖以下领域(1) 疼痛评估和管理,(2) 长期神经系统结果,(3) 转运对出生相关脑损伤的影响,(4) 调查转运风险,(5) 婴儿安全约束,(6) 最佳体温管理,(7) 呼吸管理和结果,(8) 重要转运措施基准,(9) 了解转运环境暴露,(10) 心理健康和转运对家庭造成的负担:通过家长、医疗保健人员和主要利益相关者的广泛参与,我们确定了新生儿转运的首要研究问题。针对这些优先研究领域的有针对性的资金和研究资源将为新生儿转运的循证实践和国际框架提供信息,有助于最大限度地减少研究浪费,并最终改善这些高风险婴儿及其家庭的预后。
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来源期刊
CiteScore
9.00
自引率
4.50%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.
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