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Emergence of a new method: The Grounded Delphi method

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Abstract

This paper reports on the Grounded Delphi method (GDM), a relatively new methodological extension of the Delphi method, achieved by incorporating aspects of Grounded Theory, as used in a recent doctoral dissertation. The research explored the skills, knowledge, qualities and professional education needs of information professionals in galleries, libraries, archives and museums (GLAM) in Australia, with a view to determining relevant educational requirements to enable information professionals to operate across these blurred cultural heritage boundaries. Implications of using GDM for LIS research, and for research methods in general, is that it improves the rigour of theory building in Delphi studies, while the consensus, or force ranking, aspect of Delphi assists in improving the relevant level of importance of categories derived from Grounded Theory.

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... It seeks to compile a list of skills that third-year students should learn and practice during their clinical postings using the consensus-building approach of the Delphi method (20)(21)(22). The Delphi method, a well-established research technique (23)(24)(25)(26)(27)(28), enables the systematic generation of expert consensus through iterative rounds of feedback and evaluation. Importantly, this study utilizes a modified Delphi technique by incorporating a pre-recommended item list (26,27). ...
... The study invited clinical supervisors and senior faculty members from departments such as medicine, surgery, emergency medicine, obstetrics and gynaecology, and dermatology. The panel consisted of 30 experts, aligning with the recommended panel size in the literature, which suggests a range between 10 and 50 experts (24,28). The inclusion criterion was a minimum of ten years of experience in teaching undergraduate medical students at the researcher's institute. ...
... The research findings align with the recommended skill lists of the UK General Medical Council and the US and Canadian clerkship Directors of Internal Medicine (CDIM) (7,28). There is consistency in the inclusion of four procedural skills and one interpretative skill in all three recommendations. ...
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Introduction While medical students are expected to learn procedural skills during their training, there is no consensus on their level of learning. Further, the most essential procedural skills across medical curricula which need to be taught during their III-year clinical posting are often not considered. The purpose of this study was to identify the core procedural skills needed to be taught during the III-year undergraduate medical students clinical posting. Methods A three-round, online Modified Delphi method was used to identify consensus on selecting the most essential procedural skills prescribed in National Medical Commission (NMC) curriculum 2019. In Round 1, a list of 54 procedural skills from the National Medical Commission's (NMC) Graduate Medical Education Regulations (GMER) 2019 curriculum was distributed to 22 experts in pre-clinical medical education and multidisciplinary clinicians.They rated the skills in terms of importance. In Round 2, the skills that received consensus in Round 1 were presented, resulting in 13 skills for evaluation. Round 3 further narrowed down the skills to a final consensus of 6. An interclass correlation coefficient of 0.767 among experts indicates a substantial level of reliability. Results Consensus was achieved for six procedural skills, each demonstrating over 80% agreement among the experts. These skills include basic life support, intravenous cannulation, urinary catheterization for both male and female patients, nasogastric tube insertion, oxygen administration, and basic suturing. Notably, all these skills received the highest level of agreement, surpassing 90% consensus. Conclusions The results of the modified Delphi study offer crucial insights into the procedural skills that should be included in the curriculum for third-year undergraduate medical students during their clinical rotations in a tertiary care teaching hospital. Faculty members at these institutions differ in their opinions regarding the importance of teaching specific procedural skills, influenced by their teaching background and the student cohorts they instruct. From a comprehensive list, six skills have been pinpointed as the most vital through the modified Delphi technique. Moreover, the Delphi technique is acknowledged as a valuable method for achieving a consensus on prioritizing the training of certifiable skills.
... The current study adopted the Grounded Delphi Method (GDM; Howard, 2018), which is a relatively new methodology incorporating aspects of grounded theory into Delphi study processes (Päivärinta et al., 2011). The combination of Delphi method, useful in areas with little established literature (Howard, 2018), and grounded theory, useful for theory building (Päivärinta et al., 2011), was well-suited to address the aims of the current study. ...
... The current study adopted the Grounded Delphi Method (GDM; Howard, 2018), which is a relatively new methodology incorporating aspects of grounded theory into Delphi study processes (Päivärinta et al., 2011). The combination of Delphi method, useful in areas with little established literature (Howard, 2018), and grounded theory, useful for theory building (Päivärinta et al., 2011), was well-suited to address the aims of the current study. ...
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Although commonly described on social media by autistic people, there is little recognition of autistic burnout in the academic literature. Anecdotally, autistic burnout is described as a debilitating condition that severely impacts functioning, is linked to suicidal ideation and is driven by the stress of masking and living in an unaccommodating neurotypical world. We sought to define autistic burnout using the Grounded Delphi method. Autistic adults, experts by the lived experience of autistic burnout (n = 23), co-produced and agreed to a definition intended for clinicians and the autistic and autism communities. A thick description and conceptual framework were developed from the open-ended round 1 survey, with a high majority of agreement reached in the round 3 survey. Autistic burnout was defined as a highly debilitating condition characterised by exhaustion, withdrawal, executive function problems and generally reduced functioning, with increased manifestation of autistic traits – and distinct from depression and non-autistic burnout. Further work is needed to differentiate autistic burnout from other conditions and to build clinician understanding of the accompanying complexity to be considered in treatment planning. Lay abstract Autistic burnout has been commonly described in social media by autistic people. There is little mention of autistic burnout in the academic literature. Only one recent study has used interviews and reviews of social media descriptions to try to understand autistic burnout. Anecdotally, autistic burnout is a very debilitating condition that reduced people’s daily living skills and can lead to suicide attempts. It is suggested that autistic burnout is caused by the stress of masking and living in an unaccommodating neurotypical world. We wanted to create a definition of autistic burnout that could be used by clinicians and the autism community. We used the Grounded Delphi method, which allowed autistic voice to lead the study. Autistic adults who had experienced autistic burnout were considered as experts on the topic, in the co-production of this definition. The definition describes autistic burnout as a condition involving exhaustion, withdrawal, problems with thinking, reduced daily living skills and increases in the manifestation of autistic traits. It is important for future research that there is a specific description of the condition. In practice, it is important for clinicians to be aware that autistic burnout is different from depression. Psychological treatments for depression potentially could make autistic burnout worse. Further awareness of autistic burnout is needed, as well as further research to prove this condition is separate from depression, chronic fatigue and non-autistic burnout.
... It enhances content validity by ensuring the questionnaire comprehensively covers key aspects of the given phenomenon 15,16 and improves construct validity by ensuring that the questionnaire accurately measures the theoretical construct it intends to assess. 17,18 Thus, we would expect to see that items on a questionnaire that measures loneliness among children and youth can accurately identify the specific dimensions and manifestations of loneliness that are pertinent to them. Furthermore, they should include context-specific factors that influence loneliness for people at those ages (i.e., peers, parents, political and social contexts), and developmental understanding of those factors. ...
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The overall goal of this paper is to enhance the understanding and measurement of loneliness by identifying key experiential characteristics of loneliness in children and adolescents, and determine whether there is a need for refined assessment tools that accurately capture that experience. In Study 1, we synthesized the qualitative research on the child and youth experience of loneliness and found shared characteristics of loneliness, with some differences related to developmental changes (e.g., understanding of contexts influencing the experience of loneliness). In Study 2, we reviewed the items from loneliness questionnaires for children and youth and found they do not fully capture the affective dimension of loneliness, that is, the breadth of emotions associated with loneliness. That gap could lead to an incomplete understanding of the phenomenon, potentially undermining the validity of research findings and the effectiveness of interventions designed to alleviate loneliness because they underplay the distress of the experience for children and young people. Addressing this shortcoming should include the development and/or refinement of measurements of loneliness for children and youth, enhancing the accuracy and relevance of loneliness assessments.
... The second study on autistic burnout also suggested that autistic burnout is distinct from clinical depression (Higgins et al., 2021). This study, co-led by an autistic adult with lived experience of autistic burnout, developed a consensus definition of autistic burnout using Grounded Delphi Method (GDM; Howard, 2018). GDM combines grounded-theory methods, useful for theory building, with Delphi, useful for expert consensus building in areas with little established literature. ...
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Autistic burnout is an experience commonly described by autistic people (#AutBurnout and #AutisticBurnout on social media). Recently, two definitions of this syndrome have been published. Both describe debilitating exhaustion with onset related to various stressors including masking, though several differences exist, such as the characteristic of interpersonal withdrawal. We sought to explore the content validity of these definitions including duration and frequency criteria, using descriptive statistics, content analysis and reflexive thematic analysis. A co-produced survey of 141 autistic adults with experience of autistic burnout showed strong endorsement of the definition by Higgins et al., where exhaustion and interpersonal withdrawal occur alongside reduced functioning, executive functioning difficulties, and increased manifestation of autistic traits. Duration and frequency criteria were unresolved, with qualitative data highlighting varying (both acute and chronic) experiences. Autistic burnout is frequently misdiagnosed as depression, anxiety, bipolar disorder, borderline personality disorder or other conditions. Work is needed to increase community and clinician awareness, as well as initiatives to improve unaccommodating neurotypical environments. More research and validation are needed in larger samples not restricted to autistic adults who have experienced autistic burnout to determine prevalence and risk factors as well as duration and frequency. Lay abstract Autistic burnout is something autistic people have been talking about for a while (see #AutBurnout and #AutisticBurnout on social media). Recently, researchers published two different definitions of autistic burnout. We wanted to test these definitions. We wanted to confirm the duration and frequency of autistic burnout. That is, how long and how often do people get autistic burnout? We surveyed 141 autistic adults who had autistic burnout. We used descriptive statistics, content analysis and reflexive thematic analysis to analyse the survey responses. Autistic adults strongly agreed with the definition published by Higgins et al. How long and how often people get autistic burnout was not clear. Participants told us they have both short and long episodes. Participants told us that autistic burnout leads to exhaustion. They needed to withdraw from being with other people. They needed to stay away from autism unfriendly places. Many had been misdiagnosed as having depression, anxiety, bipolar disorder, borderline personality disorder or other conditions. We need increased awareness of autistic burnout. Autistic people need more help. More research is needed, we need to have bigger studies to understand autistic burnout.
... Study in [8] reviews the framework for evaluating Enterprise Data Models (EDM) as part of EA implementation. The framework proposed in [8] is based on the Grounded Delphi Method (GDM) [9] [10]. This method is the development of the Delphi method that is enriched with specific data collection methods. ...
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Global oil prices have encouraged the development of the oil and gas industry. The passion for the revival of the oil and gas industry needs to be followed by solid steps. Efficiency is a theme in all business aspects. Enterprise Architecture (EA) is believed to be able to help realize the achievement of the company's goal. But EA implementation is challenging. The company must provide sufficient resources to ensure the EA implementation goal is achieved. It is therefore necessary to estimate the EA implementation to detect any gaps. This research offers a method to estimate the EA in the upstream petroleum industry. The method is a combined approach of Systematic Literature Review (SLR) and structured interviews. Interviews were conducted with a modified System Usability Scale (SUS) using the perspective of effectiveness, efficiency, agility, and durability. The evaluation results concluded that the EA implementation was still below the usability threshold. This fact encourages further EA development efforts, including the selection and utilization of specific and simple EA components.
... This study employed an iterative qualitative design based on the Grounded Delphi Method (GDM), which amalgamates the theoretical principles of two commonly used exploratory research theories, namely the Delphi method and Grounded Theory [60]. The stepwise research process of GDM was selected as compared to the aforementioned theories, it yields richer data that is conducive to theory building by providing a more rigorous criteria selection, based upon the consensus and item ranking of experts [61]. An overview of the methodological framework of the GDM is provided in Figure 1 below. ...
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In recent years, smart grids have attracted considerable attention. However, despite the promising potential of the technologies encompassed within such systems, their adoption has been slow, geographically varied, and in the context of residential demand response, often subject to public scrutiny. The heterogeneous evolution of the smart grid is not only the product of technological limitations but is additionally sensitive to socio-political considerations prevalent at the national or provincial level. Through expert interviews that were conducted in Ontario, Canada, this study provides insights into which smart grid factors are considered as most important for its development, and also what are the drivers, inhibitors, benefits, and drawbacks that a smart grid provides and / or entails, placing particular emphasis on residential demand response programs. The constructs scrutinized were adapted from previous studies, and the information collected was analyzed following the procedure of the Grounded Delphi Method. The findings indicate that a consensus was reached, in that smart grids pave the way for increased demand flexibility and loss reductions, though these are contingent on measures being implemented regarding the creation of investment opportunities, engagement of consumers, and ensuring the security of private data. Relevant policy implications and research recommendations are also explored.
... There are various recommendations on the best number of participants for the Delphi method. This number could be in the range of 5-20, 15-20, 10-15, 10-18, not more than 25, not more than 50, not less than 8, according to various authors (Crance, 1987;Hasson et al., 2000;Howard, 2018;Hsu and Sandford, 2007;Murry and Hammons, 1995;Okoli and Pawlowski, 2004). Surveying a number of Delphi studies, Boulkedid et al. (2011) found that half of them had a number of participants in the range from 11 to 31. ...
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C. Urquhart, H. Lehmann and M. Myers. Putting the theory back into grounded theory: guidelines for grounded theory studies in information systems. Information systems journal, 2009. Published by and copyright Wiley-Blackwell Publishing. The definitive version of this article is available from http://www.blackwell-synergy.com/ Over the past decade, there has been increasing interest in the use of grounded theory in information systems research. Grounded theory is a qualitative research method that seeks to develop theory that is grounded in data systematically gathered and analysed. The purpose of this paper is to suggest guidelines for grounded theory studies in information systems. Our guidelines are based on a framework for theorizing in grounded theory studies that focuses on conceptualization and theory scope. Our hope is that the guidelines will help to raise the quality and aspirations of grounded theory studies in information systems.
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A pragmatic agreed definition of adverse events in manual therapy is required to explore incidence and prevalence. We aimed to identify and describe such adverse events and seek a consensus definition. A focus group identified issues surrounding the definition of adverse events and generated the content for a questionnaire. This questionnaire was used to conduct a modified Delphi consensus survey with an expert panel (n=50). Consensus was defined as >74% agreement. Three consensus rounds were executed. There was a 50% response rate for round one, 62% for round two and 55% for round three. A layered pragmatic definition was agreed: 'Major' adverse events are medium to long term, moderate to severe and unacceptable, they normally require further treatment and are serious and distressing; 'Moderate' adverse events are as 'major' adverse events but only moderate in severity; and 'Mild' and 'not adverse' adverse events are short term and mild, non-serious, the patient's function remains intact, and they are transient/reversible; no treatment alterations are required because the consequences are short term and contained. We concluded that classifying adverse events was difficult without context or detail. Classification may be improved by using the taxonomy and descriptions suggested in this study.
Studies of key issues in IS management around the world
  • P Gottschalk
Gottschalk, P. (2000). Studies of key issues in IS management around the world. International Journal of Information Management, 20(3). doi: 10.1016/S0268-4012(00)00003-7
In what ways does prayer create integration between intuitive and logical decision making processes for the Christian business leader? A Grounded Delphi Method exploration
  • D S Hussey
Hussey, D. S. (2012). In what ways does prayer create integration between intuitive and logical decision making processes for the Christian business leader? A Grounded Delphi Method exploration. Ann Arbor, MI: UMI Dissertation Publishing.