Jonathan Taylor, Thais Caprioli, Jacqueline Damant, Yuri Hamashima, Nick Smith, Madalina Toma, Michele Peters
{"title":"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。","authors":"Jonathan Taylor, Thais Caprioli, Jacqueline Damant, Yuri Hamashima, Nick Smith, Madalina Toma, Michele Peters","doi":"10.1111/hex.70433","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The study aimed to develop a set of key principles for care planning in older adult care homes in England.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A set of key principles, comprising 81 items, were developed. One-hundred participants completed Round 1, and 80 participated in Round 2. Three percent (<i>n</i> = 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 (<i>n</i> = 78/78) in Round 2.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Reporting Method</h3>\n \n <p>Study reporting was guided by the Conducting and REporting of DElphi Studies (CREDES) framework.</p>\n </section>\n \n <section>\n \n <h3> Patient or Public Contribution</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"28 5","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477624/pdf/","citationCount":"0","resultStr":"{\"title\":\"Developing a Set of Key Principles for Care Planning Within Older Adult Care Homes: A Modified Delphi Survey\",\"authors\":\"Jonathan Taylor, Thais Caprioli, Jacqueline Damant, Yuri Hamashima, Nick Smith, Madalina Toma, Michele Peters\",\"doi\":\"10.1111/hex.70433\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>The study aimed to develop a set of key principles for care planning in older adult care homes in England.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A set of key principles, comprising 81 items, were developed. One-hundred participants completed Round 1, and 80 participated in Round 2. Three percent (<i>n</i> = 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 (<i>n</i> = 78/78) in Round 2.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Substantial agreement was achieved regarding the document's content. 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Developing a Set of Key Principles for Care Planning Within Older Adult Care Homes: A Modified Delphi Survey
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.
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.
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