Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study

Article

Isaac, Hancy, Keijzers, Gerben, Yang, Ian A., Lea, Jackie, Taylor, Melissa and Moloney, Clint. 2022. "Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study." International Journal of Chronic Obstructive Pulmonary Disease. 17, pp. 1089-1106. https://doi.org/10.2147/COPD.S358254
Article Title

Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study

ERA Journal ID41430
Article CategoryArticle
AuthorsIsaac, Hancy (Author), Keijzers, Gerben (Author), Yang, Ian A. (Author), Lea, Jackie (Author), Taylor, Melissa (Author) and Moloney, Clint (Author)
Journal TitleInternational Journal of Chronic Obstructive Pulmonary Disease
The International Journal of Chronic Obstructive Pulmonary Disease
Journal Citation17, pp. 1089-1106
Number of Pages18
Year2022
Place of PublicationUnited Kingdom
ISSN1176-9106
1178-2005
Digital Object Identifier (DOI)https://doi.org/10.2147/COPD.S358254
Web Address (URL)https://www.dovepress.com/development-of-an-electronic-interdisciplinary-chronic-obstructive-pul-peer-reviewed-fulltext-article-COPD
Abstract

Introduction: Chronic obstructive pulmonary disease guideline non-adherence is associated with a reduction in health-related quality of life in patients (HRQoL). Improving guideline adherence has the potential to mitigate fragmented care thereby sustaining pulmonary function, preventing acute exacerbations, reducing economic health burdens, and enhancing HRQoL. The development of an electronic proforma stemming from expert consensus, including digital guideline resources and direct interdisciplinary referrals is hypothesised to improve guideline adherence and patient outcomes for emergency department (ED) patients with COPD. Aim: The aim of this study was to develop consensus among ED and respiratory staff for the correct composition of a COPD electronic proforma that aids in guideline adherence and management in the ED. Methods: This study adopted a mixed-method design to develop the most important indicators of care in the ED. The study involved three phases: (1) a systematic literature review and qualitative interdisciplinary staff interviews to assess barriers and solutions for guideline adherence and qualitative interdisciplinary staff interviews, (2) a modified Delphi panel to select interventions for the proforma, and (3) a consensus process through three rounds of scoring through a quantitative survey (ED and Respiratory consensus) and qualitative thematic analysis on each indicator. Results: The electronic proforma achieved acceptable and good internal consistency through all iterations from national emergency department and respiratory department interdisciplinary experts. Cronbach’s alpha score for internal consistency (α) in iteration 1 emergency department cohort (EDC) (α = 0.80 [CI = 0.89%]), respiratory department cohort (RDC) (α = 0.95 [CI = 0.98%]). Iteration 2 reported EDC (α = 0.85 [CI = 0.97%]) and RDC (α = 0.86 [CI = 0.97%]). Iteration 3 revealed EDC (α = 0.73 [CI = 0.91%]) and RDC (α = 0.86 [CI = 0.95%]), respectively. Conclusion: Electronic proformas have the potential to facilitate direct referrals from the ED leading to reduced hospital admissions, reduced length of hospital stays, holistic care, improved health care and quality of life and improved interdisciplinary guideline adherence.

KeywordsCOPD; COPD-X plan; electronic proforma; guideline adherence; interdisciplinary; modified Delphi study
ANZSRC Field of Research 2020420501. Acute care
Byline AffiliationsSchool of Nursing and Midwifery
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
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Moloney, Clint W. and Taylor, Melissa. 2013. "ACCERT: aged care community education research training." Joanna Briggs Institute International Convention (JBI 2013): The 2013 Campaign for Getting Evidence into Policy. Adelaide, Australia 21 - 23 Oct 2013 Melbourne, Australia. https://doi.org/10.1111/1744-1609.12034
Online intravenous pump emulator: as effective as face-to-face simulation for training nursing students
Terry, Victoria R., Moloney, Clint, Bowtell, Leslie and Terry, Peter C.. 2016. "Online intravenous pump emulator: as effective as face-to-face simulation for training nursing students." Nurse Education Today. 40, pp. 198-203. https://doi.org/10.1016/j.nedt.2016.03.004
Mobile learning initiatives in nursing education
Rees, Sharon, Moloney, Clint and Farley, Helen. 2015. "Mobile learning initiatives in nursing education." Zhang, Yu (Aimee) (ed.) Handbook of mobile teaching and learning. Berlin, Germany. Springer. pp. 275-289
An evidence-based approach to the prevention and initial management of skin tears within the aged community setting: a best practice implementation project
Beechey, Rebekah, Priest, Laura, Peters, Micah and Moloney, Clint. 2015. "An evidence-based approach to the prevention and initial management of skin tears within the aged community setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 13 (5), pp. 421-443. https://doi.org/10.11124/jbisrir-2015-2073
Professional skills for nurses and other health professionals: contexts and capability of practice
Perrin, Cheryl, Stanley, David and Taylor, Melissa. 2015. "Professional skills for nurses and other health professionals: contexts and capability of practice." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 182-204
Digital skills in healthcare practice
Moloney, Clint and Farley, Helen. 2015. "Digital skills in healthcare practice." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 155-181
Contributing to evidence-based healthcare cultures through lifelong learning
Beccaria, Lisa, Moloney, Clint and Lockwood, Craig. 2015. "Contributing to evidence-based healthcare cultures through lifelong learning." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 205-240
The sum of all parts: an Australian experience in improving clinical partnerships
Taylor, Melissa A., Brammer, Jillian D., Cameron, Michelle and Perrin, Cheryl A.. 2015. "The sum of all parts: an Australian experience in improving clinical partnerships." Nurse Education Today. 35 (2), pp. 297-303. https://doi.org/10.1016/j.nedt.2014.10.003
Safety and quality in clinical communication
Ralph, Nicholas and Moloney, Clint. 2015. "Safety and quality in clinical communication." Birks, Melanie, Davis, Jenny and Chapman, Ysanne B. (ed.) Professional and therapeutic communication. South Melbourne, Australia. Oxford University Press. pp. 173-194
Assessing the risk of falls among community dwelling older adults: a best practice implementation project
Lonergan, Holly and Moloney, Clint. 2014. "Assessing the risk of falls among community dwelling older adults: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (8), pp. 364-393. https://doi.org/10.11124/jbisrir-2014-1456
Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project
Hynes, Antonia, Beirne, Sue, Taylor, Melissa and Moloney, Clint. 2014. "Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (9), pp. 489-501. https://doi.org/10.11124/jbisrir-2014-1686
Malnutrition screening among elderly people in a community setting: a best practice implementation project
Craven, Dana, Munn, Zachary, Moloney, Clint and Taylor, Melissa. 2014. "Malnutrition screening among elderly people in a community setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (3), pp. 1-18. https://doi.org/10.11124/jbisrir-2014-1454
Experiences of families who help young rural men with emergent mental health problems in a rural community in New South Wales, Australia
Wilson, Rhonda Lynne, Cruickshank, Mary and Lea, Jacqueline. 2014. "Experiences of families who help young rural men with emergent mental health problems in a rural community in New South Wales, Australia ." Contemporary Nurse. 42 (2), pp. 167-177. https://doi.org/10.5172/conu.2012.42.2.167
Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician
Moloney, Clint Wayne. 2013. "Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician." Nurse Education in Practice. 13 (4), pp. 310-316. https://doi.org/10.1016/j.nepr.2013.03.017
Enhancing nursing education with remote access laboratories
Bowtell, Les, Moloney, Clint, Kist, Alexander A., Parker, Victoria, Maxwell, Andrew and Reedy, Natasha. 2012. "Enhancing nursing education with remote access laboratories." International Journal of Online Engineering. 8 (Special Issue), pp. 52-59. https://doi.org/10.3991/ijoe.v8iS4.2279
Using remote access laboratories in nursing education
Bowtell, Les, Moloney, Clint, Kist, Alexander A., Parker, Victoria, Maxwell, Andrew and Reedy, Natasha. 2012. "Using remote access laboratories in nursing education." 9th International Conference on Remote Engineering and Virtual Instrumentation (REV 2012). Bilbao, Spain 04 - 06 Jun 2012 Piscataway, NJ. United States. https://doi.org/10.1109/REV.2012.6293148
Implementation of the Clinical Facilitation model within an Australian rural setting: The role of the Clinical Facilitator
Sanderson, Helena and Lea, Jacqueline. 2012. "Implementation of the Clinical Facilitation model within an Australian rural setting: The role of the Clinical Facilitator ." Nurse Education in Practice. 12 (6), pp. 333-339. https://doi.org/10.1016/j.nepr.2012.04.001
Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician
Moloney, Clint. 2011. Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars
Scott, Annette, Gururajan, Raj, Moloney, Clint and Gururajan, Vijaya. 2006. "A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars." Journal of Telemedicine and Telecare. 12 (3 (Supplement)), pp. 69-70. https://doi.org/10.1258/135763306779379969
The role of wireless technology in addressing sleeping disorders in aged care
Moloney, Clint. 2010. "The role of wireless technology in addressing sleeping disorders in aged care." Pease, Wayne, Cooper, Malcolm and Gururajan, Raj (ed.) Biomedical knowledge management: infrastructures and processes for e-health systems. Hershey, PA. United States. IGI Global. pp. 279-288
Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review
Moloney, Clint and Beccaria, Lisa Mara. 2009. "Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review." JBI Library of Systematic Reviews. 7 (33), pp. 1430-1491. https://doi.org/10.11124/01938924-200907330-00001
A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults
Fallon, Anthony Bruce, Westaway, Julie and Moloney, Clint. 2008. "A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults." International Journal of Evidence-Based Healthcare. 6 (2), pp. 225-259.
A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology
Moloney, Clint and Gururajan, Raj. 2004. "A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city
Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
The lure of the bush: Do rural placements influence student nurses to seek employment in rural settings?
Lea, Jackie, Cruickshank, Mary, Paliadelis, Penny, Parmenter, Glenda, Sanderson, Helena and Thornberry, Patricia. 2008. "The lure of the bush: Do rural placements influence student nurses to seek employment in rural settings? " Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 15 (2), pp. 77-82. https://doi.org/10.1016/j.colegn.2008.02.004
To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies
Moloney, Clint. 2005. To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies. Masters Thesis Master of Health Science. University of Southern Queensland.
Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses
Gururajan, Raj, Moloney, Clint and Soar, Jeffrey. 2005. "Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses." Journal of Telemedicine and Telecare. 11 (2 (Supplement)), pp. 37-38. https://doi.org/10.1258/135763305775124849
Out patient orthopaedic consultations via telehealth: a qualitative study
Gururajan, Raj, Gururajan, Vijaya, Moloney, Clint and Scott, Annette. 2005. "Out patient orthopaedic consultations via telehealth: a qualitative study." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses
Gururajan, Raj and Moloney, Clint. 2005. "Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Adoption of wireless handheld technology: a case of Queensland healthcare
Gururajan, Raj, Hafeez-Baig, Abdul and Moloney, Clint. 2005. "Adoption of wireless handheld technology: a case of Queensland healthcare." Yeung, Jeff (ed.) 5th International Conference on Electronic Business: Enhancing Logistics & Supply Chain Competence Through E-Business (ICEB 2005). Hong Kong, China 05 - 09 Dec 2005 Hong Kong, China.
Drivers for wireless handheld technology: views from Queensland nurses
Gururajan, Raj, Moloney, Clint and Kerr, Don. 2005. "Drivers for wireless handheld technology: views from Queensland nurses." Shehadie, Elias (ed.) Australasian Business and Behavioural Sciences Association Conference 2005 (ABBSA 2005). Cairns, Australia 05 - 07 Aug 2005 Australia.
An investigation into the factors of adoption of wireless applications for data management by nurses
Gururajan, Raj, Kerr, Don, Moloney, Clint and Houghton, Luke. 2005. "An investigation into the factors of adoption of wireless applications for data management by nurses." Eldon, Li (ed.) APDSI 2005. Taipei, Taiwan 28 Jun - 02 Jul 2005 Taipei, Taiwan.
The experience of new graduate nurses in rural practice in New South Wales
Lea, J and Cruickshank, MT. 2007. "The experience of new graduate nurses in rural practice in New South Wales." Rural and Remote Health. 7 (4). https://doi.org/10.22605/RRH814
Factors that influence the recruitment and retention of graduate nurses in rural health care facilities
Lea, Jackie and Cruickshank, Mary. 2005. "Factors that influence the recruitment and retention of graduate nurses in rural health care facilities ." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 12 (2), pp. 22-27. https://doi.org/10.1016/S1322-7696(08)60489-8