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Diabetes Capabilities for the Healthcare Workforce Identified via a 3-Staged Modified Delphi Technique

Author

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  • Giuliana Murfet

    (School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
    Diabetes Centre, Tasmanian Health Service, Burnie, TAS 7250, Australia
    School of Public Health, University of Technology Sydney, 15 Broadway, Ultimo, NSW 2007, Australia)

  • Joan Ostaszkiewicz

    (National Aging Research Institute, Royal Melbourne Hospital, Parkville, VIC 3050, Australia)

  • Bodil Rasmussen

    (School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
    Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
    Western Health Partnership, 176 Furlong Road, St Albans, VIC 3021, Australia
    Department of Public Health, University of Copenhagen, Nørregade 10, DK-1017 Copenhagen, Denmark)

Abstract

Consumers access health professionals with varying levels of diabetes-specific knowledge and training, often resulting in conflicting advice. Conflicting health messages lead to consumer disengagement. The study aimed to identify capabilities required by health professionals to deliver diabetes education and care to develop a national consensus capability-based framework to guide their training. A 3-staged modified Delphi technique was used to gain agreement from a purposefully recruited panel of Australian diabetes experts from various disciplines and work settings. The Delphi technique consisted of (Stage I) a semi-structured consultation group and pre- Delphi pilot, (Stage II) a 2-phased online Delphi survey, and (Stage III) a semi-structured focus group and appraisal by health professional regulatory and training organisations. Descriptive statistics and central tendency measures calculated determined quantitative data characteristics and consensus. Content analysis using emergent coding was used for qualitative content. Eighty-four diabetes experts were recruited from nursing and midwifery ( n = 60 [71%]), allied health ( n = 17 [20%]), and pharmacy ( n = 7 [9%]) disciplines. Participant responses identified 7 health professional practice levels requiring differences in diabetes training, 9 capability areas to support care, and 2 to 16 statements attained consensus for each capability—259 in total. Additionally, workforce solutions were identified to expand capacity for diabetes care. The rigorous consultation process led to the design and validation of a Capability Framework for Diabetes Care that addresses workforce enablers identified by the Australian National Diabetes Strategy . It recognises diversity, creating shared understandings of diabetes across health professional disciplines. The findings will inform diabetes policy, practice, education, and research.

Suggested Citation

  • Giuliana Murfet & Joan Ostaszkiewicz & Bodil Rasmussen, 2022. "Diabetes Capabilities for the Healthcare Workforce Identified via a 3-Staged Modified Delphi Technique," IJERPH, MDPI, vol. 19(2), pages 1-19, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:1012-:d:726669
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    References listed on IDEAS

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    1. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    2. Robert Rybnicek & Sabine Bergner & Alfred Gutschelhofer, 2019. "How individual needs influence motivation effects: a neuroscientific study on McClelland’s need theory," Review of Managerial Science, Springer, vol. 13(2), pages 443-482, April.
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