Development of a Standard for Hospital-Based Palliative Care Consultation Teams Using a Modified Delphi Method
Development of a Standard for Hospital-Based Palliative Care Consultation Teams Using a Modified Delphi Method
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DOI：
10.1016/j.jpainsymman.2009.01.007
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发表时间：
2009-10-01
影响因子：
4.7
通讯作者：
Bito, Seiji
中科院分区：
文献类型：
--
作者：
Sasahara, Tomoyo;Kizawa, Yoshiyuki;Bito, Seiji
虽然姑息治疗咨询小组由于政府的政策而迅速在日本各地推广，但这些小组的作用尚未标准化。本研究的目的，是发展一个以医院为基础的姑息治疗咨询团队的标准。14 e采用改进的德尔菲法制定标准。27岁根据两个标准选择多专业小组成员：作为姑息治疗咨询团队的一部分的足够经验和16个姑息治疗相关组织的代表。小组成员使用九分制对作者制定的临时标准中的33项声明的适当性进行了评级。第一轮调查中的Likert类型量表。我们设定了两个一致性标准：中位数为8或以上，最小值和最大值之差为4或以下。第一轮调查中有15个不一致。根据通过电子邮件和一次小组会议进行的讨论，对这15份声明的处理如下：一份被驳回，一份与另一份声明合并，三份未经修改，10份略作修改。此外，两个slavery产生aggreement，被分为两个声明。因此，发言次数为37次。在第二轮调查中，有三个说法引起了分歧，并被修改。在这一过程结束时，共有37项声明，涉及四个领域：“理念和政策”、“提供护理的结构”、“活动内容”和“质量保证和护理改进”。“这个标准可能是有用的临床活动指南，以及评估姑息治疗咨询团队的方法。疼痛症状管理杂志2009;38：496-504。(C)2009年美国癌症疼痛，救济委员会。爱思唯尔公司出版All rights reserved.
Although palliative care consultation, teams are rapidly being disseminated throughout Japan as a result of government policy, the role of these teams has not been standardized. The aim, of this study, was to develop a hospital-based palliative care consultation team standard. 14 e adopted a modified Delphi method to develop a standard. Twenty-seven. multiprofessional panelists were selected according to two criteria: adequate experience as part of a palliative care consultation team and representative of 16 palliative care-related organization. Panelists rated the appropriateness of 33 statements in a provisional standard, which was generated by the authors, using a nine-point. Likert-type scale in a first-round survey. We set two criteria for agreement: the median value was 8 or more, and the difference between the minimum and maximum was 4 or less. There was 15 disagreements in the first-round survey. Based on discussions through e-mails and a panel meeting, these 15 statements were dealt with as follows: one was rejected, one was combined with another statement, three were unmodified, and 10 underwent minor revisions. Moreover, two slatements that generated aggreement, were divided into two statements each. Consequently, the number of statements was 37. In a second-round survey, three statements engendered disagreement and were modified. At the end of the process, there were 37 statements in four areas: "philosophy and policy," "structure for care provision, "contents of activities," and "quality assurance and care improvements. " This standard may be useful as a clinical activity guide as well as a method to evaluate palliative care consultation teams. J Pain Symptom Manage 2009;38:496-504. (C) 2009 U.S. Cancer Pain, Relief Committee. Published by Elsevier Inc. All rights reserved.