Content validation of a tool for assessing risks for drug-related problems to be used by practical nurses caring for home-dwelling clients aged ≥65 years: a Delphi survey

Dimitrow, Maarit; Mykkänen, Sanna; Leikola, Saija; Kivelä, Sirkka Liisa; Lyles, Alan; Airaksinen, Marja

doi:10.1007/s00228-014-1699-5

Cited by 23 publications

(56 citation statements)

References 35 publications

(54 reference statements)

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“…1, Tables 2 and 3 and Online Resource 1). The general tool, [9] and used as a foundation for four other tools developed later [15,27,35,38]. Seven of the tools (64%) were intended to be used in primary care, mostly in home care or community nursing (n = 4) [20,33,34,38] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Comparison of drug-related problem risk assessment tools for older adults: a systematic review

Puumalainen

Airaksinen

Jalava

et al. 2019

Eur J Clin Pharmacol

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Purpose This study aims to systematically review studies describing screening tools that assess the risk for drug-related problems (DRPs) in older adults (≥ 60 years). The focus of the review is to compare DRP risks listed in different tools and describe their development methods and validation. Methods The systematic search was conducted using evidence-based medicine, Medline Ovid, Scopus, and Web of Science databases from January 1, 1985, to April 7, 2016. Publications describing general DRP risk assessment tools for older adults written in English were included. Disease, therapy, and drug-specific tools were excluded. Outcome measures included an assessment tool's content, development methods, and validation assessment. Results The search produced 15 publications describing 11 DRP risk assessment tools. Three major categories of risks for DRPs included (1) patient or caregiver related risks; (2) pharmacotherapy-related risks; and (3) medication use process-related risks. Of all the risks included in the tools only 8 criteria appeared in at least 4 of the tools, problems remembering to take the medication being the most common (n=7). Validation assessments varied and content validation was the most commonly conducted (n = 9). Reliability assessment was conducted for 6 tools, most commonly by calculating internal consistency (n = 3) and inter-rater reliability (n = 2). Conclusions The considerable variety between the contents of the tools indicates that there is no consensus on the risk factors for DRPs that should be screened in older adults taking multiple medicines. Further research is needed to improve the accuracy and timeliness of the DRP risk assessment tools.

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Section: Resultsmentioning

confidence: 99%

Comparison of drug-related problem risk assessment tools for older adults: a systematic review

Puumalainen

Airaksinen

Jalava

et al. 2019

Eur J Clin Pharmacol

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“…In effect, quality is achieved by implementing strategies during the research process and evaluating trustworthiness and utility once a study is completed. Ultimately, this means a Delphi study's success largely depends on the selection criteria and quality of the expert panel (Dimitrow et al, 2014), the design and execution of a systematic process (Quinn Patton, 2002), and also on the skills, experience and research philosophy of the researcher who designed the data collection and analytic approach. Regarding the latter, 'an exercise in reflexivity, which involves the provision of a methodologically self-critical account of how the research was done' (Seale, 1999) is important.…”

Section: Discussionmentioning

confidence: 99%

Stakeholder involvement in establishing a milk quality sub-index in dairy cow breeding goals: a Delphi approach

Henchion

McCarthy

Resconi

et al. 2016

Animal

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The relative weighting on traits within breeding goals are generally determined by bio-economic models or profit functions. While such methods have generally delivered profitability gains to producers, and are being expanded to consider non-market values, current approaches generally do not consider the numerous and diverse stakeholders that affect, or are affected, by such tools. Based on principles of respondent anonymity, iteration, controlled feedback and statistical aggregation of feedback, a Delphi study was undertaken to gauge stakeholder opinion of the importance of detailed milk quality traits within an overall dairy breeding goal for profit, with the aim of assessing its suitability as a complementary, participatory approach to defining breeding goals. The questionnaires used over two survey rounds asked stakeholders: (a) their opinion on incorporating an explicit sub-index for milk quality into a national breeding goal; (b) the importance they would assign to a pre-determined list of milk quality traits and (c) the (relative) weighting they would give such a milk quality sub-index. Results from the survey highlighted a good degree of consensus among stakeholders on the issues raised. Similarly, revelation of the underlying assumptions and knowledge used by stakeholders to make their judgements illustrated their ability to consider a range of perspectives when evaluating traits, and to reconsider their answers based on the responses and rationales given by others, which demonstrated social learning. Finally, while the relative importance assigned by stakeholders in the Delphi survey (4% to 10%) and the results of calculations based on selection index theory of the relative emphasis that should be placed on milk quality to halt any deterioration (16%) are broadly in line, the difference indicates the benefit of considering more than one approach to determining breeding goals. This study thus illustrates the role of the Delphi technique, as a complementary approach to traditional approaches, to defining breeding goals. This has implications for how breeding goals will be defined and in determining who should be involved in the decision-making process.

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“…The Delphi method has been recently used in many studies to obtain consensus on different types of healthcare problems, e.g. by developing medication risk management tools and guidelines …”

Section: Methodsmentioning

confidence: 99%

“…by developing medication risk management tools and guidelines. [13][14][15][16][17][18] Pre-Delphi modification of the MSSA tool and Delphi rounds…”

Section: Study Design and Methodsmentioning

confidence: 99%

Adapting and remodelling the US Institute for Safe Medication Practices’ Medication Safety Self-Assessment tool for hospitals to be used to support national medication safety initiatives in Finland

Celikkayalar

Myllyntausta

Grissinger

et al. 2016

International Journal of Pharmacy Practice

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Background The US Institute for Safe Medication Practices' (ISMP) Medication Safety Self-Assessment (MSSA) tool for hospitals is a comprehensive tool for assessing safe medication practices in hospitals. Aims To adapt and remodel the ISMP MSSA tool for hospitals so that it can be used in individual wards in order to support long-term medication safety initiatives in Finland. Methods The MSSA tool was first adapted for Finnish hospital settings by a four-round (applicability, desirability and feasibility were evaluated) Delphi consensus method (14 panellists), and then remodelled by organizing the items into a new order which is consistent with the order of the ward-based pharmacotherapy plan recommended by the Ministry of Social Affairs and Health. The adapted and remodelled tool was pilot tested in eight central hospital wards. Key findings The original MSSA tool (231 items under ten key elements) was modified preliminarily before the Delphi rounds and 117 items were discarded, leaving 114 items for Delphi evaluation. The panel suggested 36 new items of which 23 were accepted. A total of 114 items (including 91 original and 23 new items) were accepted and remodelled under six new components that were pilot tested. The pilot test found the tool time-consuming but useful. Conclusion It was possible to adapt the ISMP's MSSA tool for another hospital setting. The modified tool can be used for a hospital pharmacy coordinated audit which supports long-term medication safety initiatives, particularly the establishment of ward-based pharmacotherapy plans as guided by the Ministry of Social Affairs and Health.

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Content validation of a tool for assessing risks for drug-related problems to be used by practical nurses caring for home-dwelling clients aged ≥65 years: a Delphi survey

Cited by 23 publications

References 35 publications

Comparison of drug-related problem risk assessment tools for older adults: a systematic review

Comparison of drug-related problem risk assessment tools for older adults: a systematic review

Stakeholder involvement in establishing a milk quality sub-index in dairy cow breeding goals: a Delphi approach

Adapting and remodelling the US Institute for Safe Medication Practices’ Medication Safety Self-Assessment tool for hospitals to be used to support national medication safety initiatives in Finland

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