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      Determining a common understanding of interprofessional competencies for pre-registration health professionals in Aotearoa New Zealand: A Delphi study

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          Abstract

          There is growing awareness that factors such as the growing incidence of co-morbidity and increasing complexity of patient health needs cannot be addressed by health professionals practicing in isolation. Given this, there is an increasing emphasis on preparing students in health-related programs for effective interprofessional practice. Less clear, however, are the specific skills and clinical or learning opportunities necessary for students to develop effectiveness in interprofessional practice. These factors drove a team associated with a tertiary health education provider in Hamilton, New Zealand to transform traditional clinical student experiences in the form of an interprofessional student-assisted clinic. The clinic was intended, in part, to provide students with opportunities to learn and experience interprofessionalism in practice but was hampered by limited information available regarding the specific skill requirements necessary for students in New Zealand to learn in this context. In this Delphi study, we synthesize national expert opinion on student competency indicators necessary for effective interprofessional practice. The resultant set of indicators is presented and opportunities for application and further research discussed. The paper offers guidance to others seeking to innovate health curricula, develop novel service-oriented learning experiences for students, and foster interprofessional practice competence in the future health workforce.

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          Delphi methodology in healthcare research: How to decide its appropriateness

          The Delphi technique is a systematic process of forecasting using the collective opinion of panel members. The structured method of developing consensus among panel members using Delphi methodology has gained acceptance in diverse fields of medicine. The Delphi methods assumed a pivotal role in the last few decades to develop best practice guidance using collective intelligence where research is limited, ethically/logistically difficult or evidence is conflicting. However, the attempts to assess the quality standard of Delphi studies have reported significant variance, and details of the process followed are usually unclear. We recommend systematic quality tools for evaluation of Delphi methodology; identification of problem area of research, selection of panel, anonymity of panelists, controlled feedback, iterative Delphi rounds, consensus criteria, analysis of consensus, closing criteria, and stability of the results. Based on these nine qualitative evaluation points, we assessed the quality of Delphi studies in the medical field related to coronavirus disease 2019. There was inconsistency in reporting vital elements of Delphi methods such as identification of panel members, defining consensus, closing criteria for rounds, and presenting the results. We propose our evaluation points for researchers, medical journal editorial boards, and reviewers to evaluate the quality of the Delphi methods in healthcare research.
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            The Delphi technique in health sciences education research.

            The Delphi technique is a method of collecting opinion on a particular research question. It is based on the premise that pooled intelligence enhances individual judgement and captures the collective opinion of a group of experts without being physically assembled. The conventional Delphi uses a series of questionnaires to generate expert opinion in an anonymous fashion and takes place over a series of rounds. The technique is becoming a popular strategy that straddles both quantitative and qualitative realms. Issues that are critical to its validity are the development of the questionnaire; definition of consensus and how to interpret non-consensus; criteria for and selection of the expert panel; sample size; and data analysis. The authors used the Delphi technique to assist with making recommendations regarding education and training for medical practitioners working in district hospitals in South Africa. The objective of this Delphi was to obtain consensus opinion on content and methods relating to the maintenance of competence of these doctors. They believe the experience gained from their work may be useful for other health science education researchers wishing to use the Delphi method.
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              Managing Delphi Surveys Using Nonparametric Statistical Techniques

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                Author and article information

                Contributors
                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                24 March 2023
                2023
                : 10
                : 1119556
                Affiliations
                [1] 1Centre for Health and Social Practice, Waikato Institute of Technology–Te Pūkenga , Hamilton, New Zealand
                [2] 2School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast , Sippy Downs, QLD, Australia
                [3] 3School of Nursing, Midwifery and Social Science, Central Queensland University , Norman Gardens, QLD, Australia
                [4] 4Otago Polytechnic–Te Pūkenga , Dunedin, New Zealand
                [5] 5School of Health Science, Swinburne University of Technology , Melbourne, VIC, Australia
                [6] 6School of Medicine and Dentistry, Griffith University , Brisbane, QLD, Australia
                Author notes

                Edited by: Ray Samuriwo, University of Bradford, United Kingdom

                Reviewed by: Jill Thistlethwaite, University of Technology Sydney, Australia; Patricia Bluteau, Coventry University, United Kingdom

                *Correspondence: Patrick Broman, patrick.broman@ 123456wintec.ac.nz

                This article was submitted to Healthcare Professions Education, a section of the journal Frontiers in Medicine

                Article
                10.3389/fmed.2023.1119556
                10079912
                95a36b51-984d-45a1-932d-0b095cd69cab
                Copyright © 2023 Andersen, Broman, Tokolahi, Yap and Brownie.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 January 2023
                : 13 March 2023
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 72, Pages: 13, Words: 9625
                Funding
                This research was supported by a Trust Waikato Community Impact Grant.
                Categories
                Medicine
                Original Research

                interprofessional education,competencies,assessment,curriculum transformation,delphi,health workforce education,new zealand

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