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

Journal article


Taylor, RM, Feltbower, RG, Aslam, N, Raine, R, Whelan, J and Gibson, F (2016). Modified international e-Delphi survey to define healthcare professional competencies for working with teenagers and young adults with cancer. BMJ Open. 6 (5).
AuthorsTaylor, RM, Feltbower, RG, Aslam, N, Raine, R, Whelan, J and Gibson, F
Abstract

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.

KeywordsBRIGHTLIGHT; Teenagers and young adults; cancer; competence; multi-disciplinary team
Year2016
JournalBMJ Open
Journal citation6 (5)
PublisherLondon South Bank University
ISSN2044-6055
Digital Object Identifier (DOI)doi:10.1136/bmjopen-2016-011361
Publication dates
Print03 May 2016
Publication process dates
Deposited30 Nov 2017
Accepted06 Apr 2016
Accepted author manuscript
License
CC BY-NC 4.0
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https://openresearch.lsbu.ac.uk/item/8743y

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