The influences on and experiences of becoming nurse entrepreneurs: A Delphi study

Wilson, Anne; Averis, Andrea; Walsh, Ken

doi:10.1046/j.1440-172x.2003.00426.x

Cited by 38 publications

(44 citation statements)

References 14 publications

(19 reference statements)

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“…This 'questionnaire-feedback' process is repeated until the best possible consensus has been obtained from the group. 23 While up to six rounds of questionnaires have been employed, utilising two or three rounds is more common in research. 23 …”

Section: The Delphi Methodsmentioning

confidence: 99%

“…23 While up to six rounds of questionnaires have been employed, utilising two or three rounds is more common in research. 23 …”

Section: The Delphi Methodsmentioning

confidence: 99%

“…23 Based on this premise, seven South Australian healthcare professionals who were known to the lead researcher were personally approached to take part in the study. One other participant in this study was provided with the round one questionnaire by a third party.…”

Section: Methodsmentioning

confidence: 99%

“…23,24 First and second round analyses of experts' ratings on how likely they would be to use the program while caring for patients showed both a closer consensus (SD = 2.41 vs 2.14) and a greater likelihood of them utilising the program (M = 6.36 vs 5.86) in the second round of questionnaires than the first round ( Table 3). The second round consensus also indicates that the average participating medical professional would be somewhat likely (more likely than not) to use CDSS with patients (M = 6.36; SD = 2.14).…”

Section: Joint Promotion With Peak Bodymentioning

confidence: 99%

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Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

Wilson¹,

Opolski²

2009

Journal of Innovation in Health Informatics

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IntroductionIn a technological age, the use of electronic means to assist health professionals in their work appears to have achieved limited adoption. In the USA, for example, it is reported that during 2005, approximately 23.9% of physicians used electronic health records (EHRs) in the ambulatory setting, while only 5% of hospitals used computerised physician order entry systems. Likewise, in the UK, which has an extensive computerised primary healthcare sector, the use of computerised decision support systems (CDSS) is not commonplace. 2 Investigating primary care physicians' use of electronic patient records in Norway, Christensen et al concluded that their full potential had not been reached and that problems of integration and functionality needed to be addressed to achieve this.3 Computerised decision support systems are one type of electronic interface designed to assist clinicians in decision making and risk management and to facilitate shared decision making between health professional and patient. Achieving maximum adoption and usage by primary care professionals requires a comprehensive understanding of which professionals find it attractive and why.This paper -a report of research that obtained health professionals' and industry representatives' opinions on the most effective approach or approaches to the dissemination of an electronic decision support ABSTRACTPurpose This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program. Methods A literature review of dissemination models for health information and decision support aids was undertaken to develop a semi-structured interview protocol outlining a range of dissemination models for distribution. A cross section of eight health professionals and three corporate managers were interviewed to provide as broad a view as possible of eight dissemination models. Data were collected via two questionnaires incorporating the Delphi technique. Perspectives from the corporate managers were collected by telephone interview. Results Financial incentive was the most highly rated dissemination method, followed by joint promotion with a professional body and undergraduate medical education. The lowest average rating was for dividing the program into separate components. Participants provided five other suggestions for dissemination. Suggestions for further exploration include the development of a multi-professional model comprising two or more approaches that is piloted and evaluated. Conclusion Our results provide beneficial information on the potential dissemination of computer decision support systems to health professionals whose uptake of CDSS has not previously been explored. Whether use of a shared decision aid impacts on the decisions made by health professionals working in a team is, however, less evident.

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Section: The Delphi Methodsmentioning

confidence: 99%

“…23 While up to six rounds of questionnaires have been employed, utilising two or three rounds is more common in research. 23 …”

Section: The Delphi Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Joint Promotion With Peak Bodymentioning

confidence: 99%

See 2 more Smart Citations

Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

Wilson¹,

Opolski²

2009

Journal of Innovation in Health Informatics

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“…This 'questionnaire-feedback' process encourages the panel to become more problem-solving oriented, minimizes noise, and is repeated until consensus has been obtained (Hsu and Sanford, 2007). While up to six rounds of questionnaires have been employed, three rounds are often sufficient to reach consensus (Wilson et al, 2003). For the purpose of the current study, consensus was defined as all three panels (AU, NZ, US) prioritizing an item.…”

Section: The Delphi Techniquementioning

confidence: 99%

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Stoner

Matheson

Perry

et al. 2017

Preventive Medicine

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The disparity in life expectancy between Indigenous and non-Indigenous populations is being driven by a heightened incidence of cardio-metabolic diseases, and is at least partly underpinned by educational, economic and historical determinants. However, there is a lack of consensus with regards to priorities for tackling these determinants. Therefore, the current study recruited experts in Indigenous cardio-metabolic health from Australia, New Zealand and the United States, in order to establish local consensus opinion and initiate dialogue. A three-round Delphi process was used to consolidate and compare the opinions of 60 experts, 20 from each country. Round one, the experts were asked three open-ended questions: (i) historical, (ii) economic and (iii) socio-cultural factors contributors to cardio-metabolic disease risk. Round two, the experts completed a structured questionnaire based on results from the first round, in which they ranked items according to their importance. Final round, the experts were asked to re-rank the same items after receiving summary feedback about the rank ordering from the previous round. Several key findings were identified: (i) an important historical factor is marginalization and disempowerment; (ii) in terms of economic and sociocultural factors, the panellists came to the consensus that socio-economic status and educational inequalities are important; (iii) while consensus was not reached, economic and educational factors also perceived to be historically influential. These findings support the need for multi-level health promotion policy. For example, tackling financial barriers that limit access to health-promoting resources, and improving literacy skills to permit understanding of health education.

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Motivation und Einflussfaktoren auf unternehmerisches Handeln

Geiß

Raich

Peters³

2013

HBScience

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The influences on and experiences of becoming nurse entrepreneurs: A Delphi study

Cited by 38 publications

References 14 publications

Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Motivation und Einflussfaktoren auf unternehmerisches Handeln

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