Consensus on acute behavioural disturbance in the UK: a multidisciplinary modified Delphi study to determine what it is and how it should be managed.
Consensus on acute behavioural disturbance in the UK: a multidisciplinary modified Delphi study to determine what it is and how it should be managed.
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DOI：
10.1136/emermed-2023-213335
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发表时间：
2023-12-22
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
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急性行为障碍(ABD)是执法和医疗保健中使用的一个术语，但其含义缺乏明确性。应在工作人员群体中使用共同语言，以支持对这类患者的识别、优先排序和提供护理。目前使用的术语不一致，令人困惑。这项研究旨在就ABD的识别和管理标准达成共识，并就何时使用其他护理途径或指南达成一致。一项有利益相关者组织代表参与的修改后的德尔福研究于2023年1月至4月在线进行。在第一轮中，与会者针对广泛的问题作了发言。然后，参与者在随后几轮中对他们与声明的一致程度进行了评级，将达成共识的声明删除，以纳入最终的派生共识声明。对非协商一致声明的答复进行了稳定性评估。在提交评级的430份独特声明中，有266份在代表8个利益攸关方组织的30名参与者中达成了共识。从这些声明中产生了一份派生的共识声明。中位数群体对未能达成共识的声明的反应是可靠的(克里彭多夫的阿尔法=0.67)。利益相关者组织一致认为，ABD不是一个独立于煽动的实体，相反，应该修改指导方针，以解决煽动的全方位陈述。虽然可以描述这一严重焦虑症患者组的令人担忧的特征，但根据工作人员组的不同，识别的建议可能会有所不同。提供了认可的标准，并描述了潜在的新术语。
Acute behavioural disturbance (ABD) is a term used in law enforcement and healthcare, but there is a lack of clarity regarding its meaning. Common language should be used across staff groups to support the identification, prioritisation and delivery of care to this group of patients. The terminology currently used is inconsistent and confusing. This study aimed to reach a consensus on the criteria for identification and management of ABD, and to agree when other care pathways or guidelines might be more appropriately used. A modified Delphi study with participation from stakeholder organisation representatives was conducted in January–April 2023 online. In round 1, statements were generated by participants in response to broad questions. Participants then rated their level of agreement with statements in subsequent rounds, with statements achieving a consensus removed for inclusion in the final derived consensus statement. Non-consensus statement responses were assessed for stability. Of 430 unique statements presented for rating, 266 achieved a consensus among 30 participants representing eight stakeholder organisations. A derived consensus statement was generated from these statements. The median group response to statements which failed to achieve a consensus was reliable (Krippendorff’s alpha=0·67). There is a consensus across stakeholder organisations that ABD is not a separate entity to agitation, and guidance should instead be altered to address the full range of presentations of agitation. While the features of concern in this severely agitated group of patients can be described, the advice for recognition may vary depending on staff group. Criteria for recognition are provided and potential new terminology is described.
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影响因子：
1.5
作者：
Humphries, Christopher;Walker, Alison
通讯作者：
Walker, Alison
DOI：
10.5662/wjm.v11.i4.116
发表时间：
2021-07-20
期刊：
World journal of methodology
影响因子：
--
作者：
Nasa P;Jain R;Juneja D
通讯作者：
Juneja D
影响因子：
6.9
作者：
McGuinness, Terry;Lipsedge, Maurice
通讯作者：
Lipsedge, Maurice
影响因子：
12
作者：
DAJANI, JS;SINCOFF, MZ;TALLEY, WK
通讯作者：
TALLEY, WK