Cargando…

Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer

OBJECTIVES: To provide international consensus on the competencies required by healthcare professionals in order to provide specialist care for teenagers and young adults (TYA) with cancer. DESIGN: Modified e-Delphi survey. SETTING: International, multicentre study. PARTICIPANTS: Experts were define...

Descripción completa

Detalles Bibliográficos
Autores principales: Taylor, Rachel M, Feltbower, Richard G, Aslam, Natasha, Raine, Rosalind, Whelan, Jeremy S, Gibson, Faith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861123/
https://www.ncbi.nlm.nih.gov/pubmed/27142859
http://dx.doi.org/10.1136/bmjopen-2016-011361
_version_ 1782431176568340480
author Taylor, Rachel M
Feltbower, Richard G
Aslam, Natasha
Raine, Rosalind
Whelan, Jeremy S
Gibson, Faith
author_facet Taylor, Rachel M
Feltbower, Richard G
Aslam, Natasha
Raine, Rosalind
Whelan, Jeremy S
Gibson, Faith
author_sort Taylor, Rachel M
collection PubMed
description OBJECTIVES: To provide international consensus on the competencies required by healthcare professionals in order to provide specialist care for teenagers and young adults (TYA) with cancer. DESIGN: Modified e-Delphi survey. SETTING: International, multicentre study. PARTICIPANTS: Experts were defined as professionals having worked in TYA cancer care for more than 12 months. They were identified through publications and professional organisations. METHODS: Round 1, developed from a previous qualitative study, included 87 closed-ended questions with responses on a nine-point Likert scale and further open-ended responses to identify other skills, knowledge and attitudes. Round 2 contained only items with no consensus in round 1 and suggestions of additional items of competency. Consensus was defined as a median score ranging from 7 to 9 and strength of agreement using mean absolute deviation of the median. RESULTS: A total of 179 registered to be members of the expert panel; valid responses were available from 158 (88%) in round 1 and 136/158 (86%) in round 2. The majority of participants were nurses (35%) or doctors (39%) from Europe (55%) or North America (35%). All 87 items in round 1 reached consensus with an additional 15 items identified for round 2, which also reached consensus. The strength of agreement was mostly high for statements. The areas of competence rated most important were agreed to be: ‘Identify the impact of disease on young people's life’ (skill), ‘Know about side effects of treatment and how this might be different to those experienced by children or older adults’ (knowledge), ‘Honesty’ (attitude) and ‘Listen to young people's concerns’ (aspect of communication). CONCLUSIONS: Given the high degree of consensus, this list of competencies should influence education curriculum, professional development and inform workforce planning. Variation in strength of agreement for some competencies between professional groups should be explored further in pursuit of effective multidisciplinary team working.
format Online
Article
Text
id pubmed-4861123
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-48611232016-05-27 Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer Taylor, Rachel M Feltbower, Richard G Aslam, Natasha Raine, Rosalind Whelan, Jeremy S Gibson, Faith BMJ Open Health Services Research OBJECTIVES: To provide international consensus on the competencies required by healthcare professionals in order to provide specialist care for teenagers and young adults (TYA) with cancer. DESIGN: Modified e-Delphi survey. SETTING: International, multicentre study. PARTICIPANTS: Experts were defined as professionals having worked in TYA cancer care for more than 12 months. They were identified through publications and professional organisations. METHODS: Round 1, developed from a previous qualitative study, included 87 closed-ended questions with responses on a nine-point Likert scale and further open-ended responses to identify other skills, knowledge and attitudes. Round 2 contained only items with no consensus in round 1 and suggestions of additional items of competency. Consensus was defined as a median score ranging from 7 to 9 and strength of agreement using mean absolute deviation of the median. RESULTS: A total of 179 registered to be members of the expert panel; valid responses were available from 158 (88%) in round 1 and 136/158 (86%) in round 2. The majority of participants were nurses (35%) or doctors (39%) from Europe (55%) or North America (35%). All 87 items in round 1 reached consensus with an additional 15 items identified for round 2, which also reached consensus. The strength of agreement was mostly high for statements. The areas of competence rated most important were agreed to be: ‘Identify the impact of disease on young people's life’ (skill), ‘Know about side effects of treatment and how this might be different to those experienced by children or older adults’ (knowledge), ‘Honesty’ (attitude) and ‘Listen to young people's concerns’ (aspect of communication). CONCLUSIONS: Given the high degree of consensus, this list of competencies should influence education curriculum, professional development and inform workforce planning. Variation in strength of agreement for some competencies between professional groups should be explored further in pursuit of effective multidisciplinary team working. BMJ Publishing Group 2016-05-02 /pmc/articles/PMC4861123/ /pubmed/27142859 http://dx.doi.org/10.1136/bmjopen-2016-011361 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Health Services Research
Taylor, Rachel M
Feltbower, Richard G
Aslam, Natasha
Raine, Rosalind
Whelan, Jeremy S
Gibson, Faith
Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title_full Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title_fullStr Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title_full_unstemmed Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title_short Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
title_sort modified international e-delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861123/
https://www.ncbi.nlm.nih.gov/pubmed/27142859
http://dx.doi.org/10.1136/bmjopen-2016-011361
work_keys_str_mv AT taylorrachelm modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer
AT feltbowerrichardg modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer
AT aslamnatasha modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer
AT rainerosalind modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer
AT whelanjeremys modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer
AT gibsonfaith modifiedinternationaledelphisurveytodefinehealthcareprofessionalcompetenciesforworkingwithteenagersandyoungadultswithcancer