A Delphi-based consensus study into planning for biological incidents

Brown, Nina; Crawford, Ian; Carley, Simon; Mackway‐Jones, Kevin

doi:10.1093/pubmed/fdl015

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…Figure 3 displays the range of consensus support achieved across statements. Following emerging convention in Delphi studies (Beattie & Mackway‐Jones, 2004; Brown, Crawford, Carley, & Mackway‐Jones, 2006; Crawford, Mackway‐Jones, Russel, & Carley, 2004; Duncan, 2006), 90% and 80% consensus were considered as potential thresholds to judge a statement as consensually agreed upon. With the gradient of this curve steepening beyond the 90% threshold, and then dropping sharply after the 80% threshold, the 90% threshold was taken as defining “clear consensus”, with statements in the 80%–89% range designated as “approaching consensus.”…”

Section: Resultsmentioning

confidence: 99%

Defining Best Practice in Care and Protection of Children in Crisis‐Affected Settings: A Delphi Study

et al. 2010

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Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level of consensus support was reached for 55 statements. These statements emphasized utilization of existing resources, participation, and inclusivity. The influences of resilience theory, social ecology, and cultural sensitivity were clearly evident. The utilization of developmental theory could be strengthened in relation to more differentiated understanding of the operation of protective influences and conceptualization of such influences in terms of "adaptive systems." Wider research engagement by development scientists in diverse cultural settings and clear formulation of findings for practitioners and policy makers would further support evidence-based humanitarian practice.

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Section: Resultsmentioning

confidence: 99%

Defining Best Practice in Care and Protection of Children in Crisis‐Affected Settings: A Delphi Study

et al. 2010

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“…Our approach to consensus is a variant on the Delphi method, a method that elicits expert opinion to establish best practices through emergent consensus. This method uses relatively small sample sizes and relies on lived experience of experts in the field for recommendations for which scientific evidence may be lacking [25–27]. Studies to date utilising this method use both 80% and 90% as levels of consensus; some cite the area between 80 and 90% as ‘approaching consensus’[28].…”

Section: Methodsmentioning

confidence: 99%

Baseline assessment of community knowledge and attitudes toward drug use and harm reduction in Kabul, Afghanistan

Stanekzai¹,

Todd

Orr

et al. 2011

Drug and Alcohol Review

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“…Biological incidents and outbreaks of infection are natural, accidental or deliberate (bioterrorism) events that involve the release and spread of biological agents or hazards [3]. Large events involving biological threats can have severe consequences on human health and require rapid and appropriate management to protect the public.…”

Section: Introductionmentioning

confidence: 99%

Two Years' Analysis of Environmental Recovery Training for Biological Incidents

Pena-Fernandez¹,

Peña²,

Lobo-Bedmar³

2018

EDULEARN Proceedings

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Environmental recovery in the aftermath of a biological incident is one of the key areas to consider when tailoring a response to protect human health and minimise the spread of the biological agent(s) involved. However, recent studies have highlighted general national and international emergency weaknesses including a lack of preparedness in health care professionals and emergency responders to tackle these events. We undertook a web-based, non-systematic search for biological response training in human health undergraduate programmes in the UK, by using the Google™ search engine. To the best of our knowledge, there are no undergraduate courses in the UK that directly address this topic. Only a few postgraduate programmes present some information about responding to biological incidents but they do not cover the different phases of a biological incident response, which are: preparedness and situation assessment; exposure assessment; acute health effects; long term health effects; and recovery phase. In order to develop appropriate training, academics from De Montfort University (DMU, Leicester, UK) and the University of Alcalá (Spain) in collaboration with first responders (biomedical scientists) to the 2014-16 Ebola outbreak in Sierra Leone, have developed specific training for undergraduate human health degree students to respond to biological incidents. We have created basic competences to develop this training and distributed them into six domains following the recommendations of the European Commission for medical responders to CBRN emergencies [1]: identification of the risk and risk analysis; toxicological effect of biological agents; planning and organisation of an intervention programme; environmental planning; communication and information management; safety and personal protective equipment; societal and ethical reflections. Following the basic competences created, we developed different training sessions with two components, theoretical (lectures and seminars) and practical (research-led workshop), to cover each of the different phases of an appropriate response to any biological incident. The specific training that covers the recovery phase has been delivered to postgraduate students from the MSc programme in Advanced Biomedical Science at DMU since 2016/17 due to the more manageable student number, time available to deliver the training and greater background knowledge of the class. The analysis of the feedback provided by the first cohort of students indicated high levels of engagement and interest in this training session. We performed some minor modifications following the students' feedback and delivered it this academic course 2017/18 (n=9) to gain more information about its effectiveness in facilitating the specific basic competences covered in this training including the resources used to tailor a recovery response to the case scenario proposed (an outbreak due to Cyclospora spp.) such as the UK Recovery Handbook for Biological Incidents (UKRHBI; PHE, 2015 [2]). All students were satisfied w...

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A Delphi-based consensus study into planning for biological incidents

Abstract: The 125 synopsis consensus statements that all phases of biological incident planning and response. These can be used to inform policy decisions and translated into practical guidance for emergency planners and first responders at local, regional and national levels.

Cited by 16 publications

References 10 publications

Defining Best Practice in Care and Protection of Children in Crisis‐Affected Settings: A Delphi Study

Defining Best Practice in Care and Protection of Children in Crisis‐Affected Settings: A Delphi Study

Baseline assessment of community knowledge and attitudes toward drug use and harm reduction in Kabul, Afghanistan

Two Years' Analysis of Environmental Recovery Training for Biological Incidents

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