Strengthening implementation success using large-scale consensus decision-making - A new approach to creating medical practice guidelines |
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| Affiliation: | 1. Department of Agricultural Education and Communication at the University of Florida, 213 Rolfs Hall, PO Box 110540, 32611, Gainesville, FL, United States;2. University of Florida. 218 Rolfs Hall, PO Box 110540, 32611 Gainesville, FL, United States;3. University of Florida. 3028B McCarty Hall D, University of Florida, Gainesville, FL 32611, United States;4. University of Florida. 113C Bryant Hall, PO Box 112060, Gainesville, FL 32611, United States;1. School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;2. School of Business, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;3. School of Allied Health, Australian Catholic University, 25A Barker Rd., Strathfield, NSW, Australia;1. Virginia Commonwealth University, School of Education-Partnership for People with Disabilities, 700 East Franklin Street, Richmond, VA, 23284, United States;2. University of Richmond, School of Professional and Continuing Studies, 490 Westhampton Way, Univ. of Richmond, VA, 23173, United States;3. Virginia Commonwealth University, School of Social Work, 1000 Floyd Ave., Richmond, VA, 23284, United States;4. Virginia Commonwealth University, School of Education, 901 Floyd Ave, Richmond, VA, 23284, United States;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China |
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| Abstract: | A study involving over 2000 stoma care nurses in the development of best practice guidelines for the assessment of peristomal body profiles, patient engagement and patient follow-up was conducted in 2018. The study was designed to develop guidelines for stoma care treatment and product selection and to decrease the evidence to implementation gap. The project built on research evidence from a literature review of 77 articles. The results of the literature review were then used to inform a series of Delphi surveys sent out to stoma care nurses through Association and industry list-serves in 11 languages. The Delphi surveys were followed by a face2face professionally facilitated discussions among nurse-research experts. The project concluded with a facilitated consensus dialogue among 960 stoma care nurses from 25 countries, resulting in an implementation plan to ensure the guidelines become a normal part of routine patient care. The study resulted in a set of medical practice guidelines for stoma care nurses, designed to improve patient outcomes and patient quality of life, that were accepted and adopted into routine medical practice across 25 countries. This article describes the study and how the process used, coined the ‘Modified Delphi Process’ by the process designer, led to faster implementation than is generally experienced in the medical community. |
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| Keywords: | Consensus Collaboration Implementation Medical Guidelines Large-Scale |
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