Developing a Set of Key Principles for Care Planning Within Older Adult Care Homes: A Modified Delphi Survey

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-09-29 DOI:10.1111/hex.70433

Jonathan Taylor, Thais Caprioli, Jacqueline Damant, Yuri Hamashima, Nick Smith, Madalina Toma, Michele Peters

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引用次数: 0

Abstract

Background

Older adult care homes in England must develop care plans on behalf of their residents and make them available to care providers. There is currently a lack of formal agreement around the key principles that should inform the care planning process.

Objective

The study aimed to develop a set of key principles for care planning in older adult care homes in England.

Methods

We developed 78 evidence-based items and presented them to a panel of health and social care professionals with experience of care planning. We used two online rounds of Delphi to generate consensus (≥ 75%) on items to include in a set of key principles for care planning.

Results

A set of key principles, comprising 81 items, were developed. One-hundred participants completed Round 1, and 80 participated in Round 2. Three percent (n = 4/78) of the Round 1 statements did not reach agreement. Revisions primarily related to the terminology used, clarification of language and an increased emphasis on care home residents' consent and autonomy. Agreement was achieved on all statements (n = 78/78) in Round 2.

Conclusion

Substantial agreement was achieved regarding the document's content. Future research should (a) look to develop a resource for the family and friends of care home residents to enhance their participation in care planning and (b) explore how these principles can be put into practice.

Reporting Method

Study reporting was guided by the Conducting and REporting of DElphi Studies (CREDES) framework.

Patient or Public Contribution

Two public involvement advisers with lived experience of caring for a relative living in a care home worked with researchers to develop the key principles and Delphi survey, recruit panel members, interpret the results from the two rounds and assist with revising the items.

Abstract Image

查看原文本刊更多论文

发展一套关键原则的护理计划在老年人护理之家：一个修改德尔菲调查。

背景：英格兰的老年成人护理之家必须代表其居民制定护理计划，并使其可供护理提供者使用。目前缺乏关于护理规划过程应遵循的关键原则的正式协议。目的：该研究旨在制定一套关键原则的护理计划在老年成人护理之家在英格兰。方法：我们开发了78个循证项目，并将其提交给具有护理计划经验的健康和社会护理专业人员小组。我们使用了两轮在线德尔菲（Delphi）来产生共识（≥75%），这些共识包括在护理计划的一组关键原则中。结果：制定了一套包括81个项目的关键原则。100名参与者完成了第一轮，80名参与者参加了第二轮。第一轮声明中有3% （n = 4/78）没有达成协议。修订主要涉及使用的术语，语言的澄清和更加强调养老院居民的同意和自主权。在第2轮中，所有陈述（n = 78/78）达成一致。结论：就文件内容达成了实质性的一致。未来的研究应(a)为安老院的家人和朋友开发资源，以加强他们对护理计划的参与，以及(b)探讨如何将这些原则付诸实践。报告方法：研究报告以德尔菲研究的进行和报告（CREDES）框架为指导。患者或公众贡献：两位具有照顾住在养老院的亲属的生活经验的公众参与顾问与研究人员一起制定关键原则和德尔菲调查，招募小组成员，解释两轮调查的结果并协助修改项目。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.