Prioritising research and dissemination: the Highland midwives' story
-
Upload
kathleen-irvine -
Category
Documents
-
view
671 -
download
0
Transcript of Prioritising research and dissemination: the Highland midwives' story
www.is.stir.ac.uk/nhs
Prioritising research and dissemination
The Highland Midwives STORY
KATHLEEN IRVINE*, WENDY JESSIMAN¥ AND ALISON FELCE+
*Subject Librarian, Highland Health Sciences Library,
¥ Lecturer in Midwifery Studies, University of Stirling and Supervisor of Midwives, + Staff Midwife, NHS Highland.
So what’s a librarian doing hanging out with a bunch of midwives?P
hoto
: Alis
on
Fel
ce
Photo: John P
aul Photography
Advice for beginners
• Collaborate with an experienced researcher
• Use a tried and tested methodology (even consider replicating an existing study)
The fun begins
Midwifery instruments 1900-1950
Photo: Chris Sampson
So what is a Delphi study?
• It is about achieving consensus among a group of experts
Photo: Eirik Newth
Involves several rounds of postal questionnaires and controlled feedback
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and
asks experts again to rate the themes
Statistical analysis: check
for further consensus
Sampling – what is an expert?
• What is an expert
From
JISC
Collections
Encouraging participation
• Logo• Emails, reminders, supervisors,
leads, distribution lists• Certificates• Posters x2• Personalised self-addressed
envelope• Visits to clinical areas• Support from lead midwife• Links to NHS Highland• Telephone contacts
• Facebook and Twitter• Plasma screen• Ali & Wendy• Boxes• Extended deadline• Get your Certificate posters• Area ambassadors• Article in Team Update • Facebook stickers
First questionnaire
•Please list up to five research questions/ issues/ topics of importance to midwifery practice.
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
6 blank1 all CHPs
9
1614
18
how long qualified
<3yrs
3-5 yrs
5-10 yrs
10-15 yrs
15-20 yrs
>20 yrs
blank
0 5 10 15 20 25
5
5
6
11
9
21
5
<30 yrs 30-40yrs 40-50yrs 50-60yrs over 60yrs
blank0
5
10
15
20
25
30
3
18
27
11
12
Age of midwives Average age of midwife 43
Average Retirement age 58 Av. length of service 31 years
10/5 21/ 28 42/ 42 13/ 17 2/ 2
Themes
• 329 questions/ issues/ topics were provided
• 25 themes identified• 5 themes excluded• 42 questions excluded
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
Round 2 questionnaire
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
Analysis
• Analysis identified those themes where a consensus on their importance had been reached.
• Consensus on priority status was deemed to have been achieved when the inter-quartile range was 1 (or lower) and the mean score was 4 or 5
• Consensus was achieved on four themes: workforce issues, labour second stage, obesity in pregnancy and women’s expectations.
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
Round 3
Initial questionnaire asks an open
question seeking
opinions on an issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be consensus
on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
3
4
Round three questionnaire
Analysis
• Two additional themes achieved consensus: breastfeeding and place of birth
Initial questionnaire asks an open
question seeking opinions on an
issue
Thematic analysis
Second questionnaire
asks experts to rank or rate the
themes
Statistical analysis: may be
consensus on some issues
Third questionnaire
feeds back results and asks experts again to rate the themes
Statistical analysis: check
for further consensus
Evidence-based methodology
• Identifying the evidence• Selecting the best
evidence• Evaluating the evidence
(critical appraisal)• Reporting the findings
and quality of supporting evidence
Photo: Joost J. Bakker IJmuiden
Research and dissemination
Topics may be considered on three
levels: themes, sub-themes and questions.
Strong evidence
Dissemination
Weak evidence
Research priority
Theme
•Labour, second stage
Sub-theme
•Pushing
Question
•What are the effects of directed pushing?
But does it work here?
Pho
to: A
lison
Fel
ce
What next?
• Dissemination of existing evidence
• Dissemination of research findings
• Project report• Further research
Benefits to the library
Correspondence:
Kathleen Irvine, Subject Librarian, Highland Health Sciences Library, Centre for Health Science