Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention
Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention
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DOI：
10.1016/j.jamda.2006.05.004
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发表时间：
2006-09-01
影响因子：
7.6
通讯作者：
Shewchuk, Richard M.
中科院分区：
文献类型：
--
作者：
Levine, Deborah A.;Saag, Kenneth G.;Shewchuk, Richard M.
背景预防骨质疏松症护理的障碍在养老院。成功的干预措施，旨在规避这些障碍受益于目标收件人的输入在development.Objective：引出建议骨质疏松症的质量改善干预设计使用的护理之家health care professionals.Design：修改名义组techniqueSetting：方便样本的亚拉巴马护理之家directors.Participants：15亚拉巴马护理之家董事通过邮寄招募。百分之六十的受访者参加（n = 9）。测量：在第一阶段通过电话会议进行，经验丰富的主持人使用预先制定的问题，并引出41条建议，以改善骨质疏松症护理在疗养院。基本相似的建议被合并，特殊的建议被丢弃，导致20个建议被保留。在第二阶段的邮件中，同样的参与者根据感知的实用性和有用性对20条建议进行了评级。元素被分组为三分位数的基础上的平均评级的2个属性的排名，然后cross-tabuled.Results：所有的护理主任（n = 9）参与者完成了这两个阶段。最实用、最有帮助的建议是有关跌倒预防计划实施的信息、骨质疏松症治疗方案和骨质疏松症药物信息。结论：修改后的名义分组技术为疗养院护理主任提供了有用的骨质疏松症干预信息。该技术被证明是有效的，易于执行。
Background. Barriers prevent osteoporosis care in nursing homes. Successful interventions designed to circumvent these barriers benefit from target recipient input during development.Objective: To elicit suggestions for an osteoporosis quality improvement intervention designed for use by nursing home health care professionals.Design: Modified nominal group techniqueSetting: Convenience sample of Alabama nursing home directors.Participants: Fifteen Alabama nursing home directors of nursing were recruited by mailing. Sixty percent of respondents participated (n = 9).Measurements: In the first phase conducted via teleconference, an experienced moderator used a preformulated question and elicited 41 suggestions to improve osteoporosis care in nursing homes. Substantively similar suggestions were combined and idiosyncratic suggestions were discarded resulting in the retention of 20 suggestions. In the second phase conducted by mail, the same participants rated the 20 suggestions based on perceived practicality and helpfulness. Elements were grouped into tertiles based on the ranking of the mean ratings of the 2 attributes and then cross-tabulated.Results: All director of nursing (n = 9) participants completed both phases. The most practical, most helpful suggestions were information on fall prevention program implementation, osteoporosis treatment protocols, and osteoporosis medication information.Conclusions: A modified nominal group technique provided useful information from nursing home directors of nursing for an osteoporosis intervention. The technique proved efficient and facile to perform.