为了实施系统级紧急医疗服务(EMS)工作场所暴力干预,最终用户的输入是至关重要的。我们召开了为期两天的基于火灾的EMS响应者(SAVER)中的压力和暴力“系统清单共识会议(SC3)使用会议科学的方法(即,ThinkLets)全面有效地收集利益相关者对构成干预的清单草案的完整性和实用性的反馈。
ThinkLets,一种编码的促进技术被用来帮助头脑风暴,收敛,组织,评估,以及在为期两天的会议期间,在41个国家利益攸关方之间的SAVER系统清单上建立共识的活动。进行了定性和定量的过程评估,以衡量会议程序的有效性。为了验证会议的核对表可行性结果,对四个实施地点进行了第二次可行性评估。
定量会议评估结果表明,大多数与会者对会议过程的看法良好。描述了反映会议有效性的新主题和改进建议。SAVER研究地点完成的核对表可行性的重新评估证实了先前的可行性发现。SAVER研究网站在清单项目上投了45.5%的票是最可行的,34.9%不太可行,和19.6%的人极其困难。实际应用:公共卫生之间的多学科合作,职业健康心理学,和会议科学导致了SAVER系统清单的发展。该清单强调了对EMS政策和培训开发的重要需求,这些需求对响应人员的安全至关重要,并得到了41位不同主题专家的支持。采用广泛使用的会议科学方法,ThinkLets,纳入公共卫生干预设计被证明是一种有效且广受好评的评估方法,评估,与SAVER系统清单达成共识。这些方法可能对可能不熟悉这种促进和建立共识技术的其他行业和学科有利。
In order to implement a systems-level Emergency Medical Services (EMS) workplace violence intervention, input from end users was critically needed. We convened the two-day Stress and Violence in fire-based EMS Responders (SAVER)\" Systems Checklist
Consensus Conference (SC3) using methods from meeting science (i.e., ThinkLets) to comprehensively and efficiently gather feedback from stakeholders on the completeness and utility of the draft checklist that would comprise the intervention.
ThinkLets, a codified facilitation technique was used to aid brainstorming, convergence, organization, evaluation, and
consensus building activities on the SAVER Systems Checklist among 41 national stakeholders during a two-day conference. A qualitative and quantitative process evaluation was conducted to measure the effectiveness of conference procedures. To verify checklist feasibility results from the conference, a second feasibility assessment was conducted with the four implementation sites.
The quantitative conference evaluation results indicated most participants viewed the conference process favorably. Emergent themes reflecting on conference effectiveness and suggestions for improvements are described. The re-evaluation of the checklist\'s feasibility completed by the SAVER study sites confirmed prior feasibility findings. SAVER study sites cast 45.5% of votes on checklist items to be most feasible, 34.9% as less feasible, and 19.6% as extremely difficult. Practical Applications: Multidisciplinary collaboration between public health, occupational health psychology, and meeting science led to the development of the SAVER Systems Checklist. The checklist underscores important needs for EMS policy and training development critical to responder safety as identified and supported by over 41 diverse subject matter experts. The incorporation of a widely used meeting science method, ThinkLets, into public health intervention design proved an effective and well-received approach to bring assessment, evaluation, and
consensus to the SAVER Systems Checklist. These methods may hold benefit for other industries and disciplines that may not be familiar with such facilitation and
consensus-building techniques.