A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic

Abstract

Supplemental Digital Content is available in the text.

Evidence-informed consensus statements to guide COVID-19 patient visitation policies: results from a national stakeholder meeting

“…We created consensus statements from 36 evidenceinformed experiences (i.e., impacts on patients, families, healthcare professionals, and PFCC) and 63 evidenceinformed strategies (i.e., ways to improve restricted visitation) identified during a modified Delphi process 20 in the restricted visitation multiphase research program, and thematically analyzed these statements into 12 themes (Fig. 1).…”

“…1) environmental scan of Canadian hospital/ICU visitation policies to describe the extent of restricted visitation policies across Canada, 2 2) scoping review of the literature and interviews with patients, families, and healthcare professionals to describe the impacts of restricted visitation policies and strategies to mitigate these impacts, 19 3) modified Delphi consensus process to rate and rank key experiences and strategies (derived from phases 1 and 2 and leading to the formation of 36 evidenceinformed experiences and 63 evidence-informed strategies) and to organize these experiences and strategies into consensus statements, 20 and 4) national stakeholder meeting to refine (subject of this report) and subsequently re-rank identified consensus statements during the stakeholder meeting (modified Delphi consensus process round 3) and discuss implementation considerations (subject of this report).…”

“…To accelerate the adoption of evidence-informed consensus statements at the level of health systems, it is essential to understand the barriers to their implementation and the facilitators of their sustained uptake. The objective of this study was to engage stakeholders to 1) refine the presentation/wording/communication of consensus statements from our previous work 2,19,20 to be more applicable and meaningful to the current issues experienced by ICU patients, families, and healthcare professionals; and 2) identify facilitators and barriers associated with the uptake of these consensus statements.…”

“…The two half-day meetings included the final two rounds of the Delphi consensus process, which are presented elsewhere 20 and two breakout sessions (described in ESM eAppendix 1). Participants were divided into six groups for day 1 and six different groups for day 2 (5 ± 1 participant per group).…”

A National Modified Delphi Consensus Process to Prioritize Experiences and Interventions for Antipsychotic Medication Deprescribing Among Adult Patients With Critical Illness

“…During round 3, individual statements having achieved consensus with a median score of 7–9 were ranked. Consensus statements were ranked based on order of importance where we defined a statement to have priority if the statement’s mean ranking was equal to or greater than one sd above the theme’s mean ranking to ensure that themes with unequal numbers of statements were equalized (28, 29). Data analysis was conducted using Microsoft Excel (Microsoft Corporation, Redmond, WA).…”