澳大利亚和新西兰辅助医疗的研究议程和优先事项:德尔菲共识研究

R. Pap, Nigel Barr, Amy Hutchison, Peter O’Meara, Paul Simpson, M. Reardon, Harry Reeves, Louise Reynolds, Michelle Thomson, Linda Ross
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引用次数: 0

摘要

导言:系统地制定研究议程对于任何学科的协调、合作和高效研究工作都至关重要。本研究旨在为澳大利亚和新西兰制定一份由利益相关者提供信息、达成共识的辅助医疗研究议程,并确定其优先次序。研究方法:本研究采用经修改的德尔菲共识法,包括三个阶段。第 1 阶段是对澳大利亚和新西兰辅助医疗利益相关者进行调查,为随后的共识过程提供信息,调查结果已于之前公布。第 2 阶段包括三轮德尔菲法,由辅助医疗行业的主要利益相关者参与,以制定研究议程。小组成员被要求使用 5 点李克特量表对是否同意纳入每个项目进行评分。以 "非常同意 "和 "同意 "的回答表示 80% 的同意即为达成共识。第 3 阶段包括另外一轮投票,以确定重要性,从而确定最终议程项目清单的优先次序。结果:第 1 阶段的调查共收到 341 份回复,通过主题分析得出了由 109 个研究重点组成的临时议程。63 名辅助医疗专业的主要利益相关者应邀参加了第 2 和第 3 阶段的调查,其中 56 人(88.9%)完成了第 2 阶段的所有三轮调查,43 人(68.3%)完成了第 3 阶段的最终调查。有 37 个项目达成了共识,并随后确定了优先次序,构成了最终的研究议程。小组成员最优先考虑 "辅助医务人员在更广泛的医疗保健系统中的作用"、"辅助医务人员的新角色和新兴角色"、"患者安全"、"系统改进 "和 "临床推理过程和模型"。结论利用修改后的德尔菲共识法,并从广泛的利益相关者中汲取经验,制定了包含 37 个项目的澳大利亚和新西兰辅助医务人员研究议程,并对项目进行了优先排序。该议程旨在为行业和其他主要利益相关者提供信息,以指导他们的研究工作,最终在辅助医疗专业领域产生有意义的实际影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research agenda and priorities for Australian and New Zealand paramedicine: A Delphi consensus study
Introduction: The systematic development of a research agenda is essential for coordinated, collaborative, and efficient research endeavours in any discipline. The aim of this study was to create and prioritise a stakeholder-informed, consensus-derived paramedicine research agenda for Australia and New Zealand. Methods: The study utilised a modified Delphi consensus method consisting of three phases. Phase 1, the findings of which were previously published, consisted of a survey of Australian and New Zealand paramedicine stakeholders to inform the subsequent consensus process. Phase 2 contained three Delphi rounds involving key paramedicine profession stakeholders to generate a research agenda. Panellists were asked to rate their agreement with the inclusion of each item using a 5-point Likert scale. Consensus was defined as 80% agreement signalled by ‘ Strongly Agree’ and ‘ Agree’ responses. Phase 3 involved one additional round of voting to determine the importance and thus establish priorities amongst the final list of agenda items. Results: There were 341 responses to the survey in Phase 1 and thematic analysis produced a provisional agenda consisting of 109 perceived research priorities. Sixty-three key paramedicine profession stakeholders were invited to Phases 2 and 3, of which 56 (88.9%) completed all three rounds in Phase 2, and 43 (68.3%) completed the final Phase 3. Thirty-seven items achieved consensus and were subsequently prioritised constituting the final research agenda. Panellists gave the highest priority to ‘Paramedics role in broader healthcare system’, ‘New and emerging roles in for paramedics’, ‘Patient safety’, ‘System improvement’, and ‘Clinical reasoning processes and models’. Conclusion: Using a modified Delphi consensus method and drawing from a broad range of stakeholders, a 37-item Australian and New Zealand paramedicine research agenda with item prioritisation was developed. The agenda serves to inform industry and other key stakeholders to guide their research endeavours ultimately leading to meaningful and tangible impact within the paramedicine profession.
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