The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing).
One hundred sixty-five candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48 to 92/100. The median score for the crisis teams was 74.5 (range 67-92), and the median score for non-crisis teams was 60 (range 48-72).
With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.
最佳实践模型和工具是通过三个阶段开发的:(i)证据收集和候选标准的生成(系统审查和范围调查,访谈和焦点小组);(ii)标准的优先排序和选择(咨询小组,共识会议和修改后的Delphi流程);(iii)完善和实施标准(咨询小组和现场测试)。
证据收集阶段产生了一百六十五项候选标准;通过咨询小组的练习进行了改进并减少到90项;然后在共识会议期间减少到50项,并使用修改后的Delphi程序进行加权。然后通过临床咨询小组实施标准,并与11个危机小组和5个非危机小组进行现场测试。分数从48到92/100不等。危机小组的中位数为74.5(范围为67-92),非危机组的中位数为60分(范围48-72分).
通过进一步的心理测试,这个最佳实践模型和工具将是规划的理想选择,未来管理痴呆症危机的团队的改进和国家基准。