JAMDA
Volume 7, Issue 7 , Pages 420-425 , September 2006

Using a Modified Nominal Group Technique to Elicit Director of Nursing Input for an Osteoporosis Intervention

  • Deborah A. Levine, MD, MPH

      Affiliations

    • Deep South Center on Effectiveness Research, An HSR&D REAP, Birmingham VA Medical Center, Birmingham, AL and Division of General Internal Medicine, University of Alabama at Birmingham, AL
    • Center for Education and Research on Therapeutics (CERTs) of Musculoskeletal Disorders, Department of Medicine, University of Alabama at Birmingham, AL
    • Corresponding Author InformationAddress correspondence to Deborah A. Levine, MD, MPH, Division of General Internal Medicine, University of Alabama at Birmingham, 1530 3rd Avenue S, FOT 720, Birmingham, AL 35294.
    • ,
  • Kenneth G. Saag, MD, MSc

      Affiliations

    • Center for Education and Research on Therapeutics (CERTs) of Musculoskeletal Disorders, Department of Medicine, University of Alabama at Birmingham, AL
    • ,
  • Linda L. Casebeer, PhD

      Affiliations

    • Center for Education and Research on Therapeutics (CERTs) of Musculoskeletal Disorders, Department of Medicine, University of Alabama at Birmingham, AL
    • ,
  • Cathleen Colon-Emeric, MD, MHSc

      Affiliations

    • Duke University Medical Center, Durham, NC
    • ,
  • Kenneth W. Lyles, MD

      Affiliations

    • Duke University Medical Center, Durham, NC
    • Durham VA Medical Center, Durham, NC
    • ,
  • Richard M. Shewchuk, PhD

      Affiliations

    • Department of Health Administration, University of Alabama at Birmingham, AL.

References 

  1. Schurch MA , Rizzoli R , Mermillod B , et al.   A prospective study on socioeconomic aspects of fracture of the proximal femur . J Bone Miner Res . 1996;11:1935–1942
  2. Butler M , Norton R , Lee-Joe T , et al.   The risks of hip fracture in older people from private homes and institutions . Age Aging . 1996;25:381–385
  3. Cali CM , Kiel DP . An epidemiologic study of fall-related fractures among institutionalized older people . J Am Geriatr Soc . 1995;43:1336–1340
  4. Zimmerman SI , Girman CJ , Buie VC , et al.   The prevalence of osteoporosis in nursing home residents . Osteoporos Int . 1999;9:151–157
  5. Chandler JM , Zimmerman SI , Girman CJ , et al.   Low bone mineral density and risk of fracture in white female nursing home residents . JAMA . 2000;284:972–977
  6. Harrington JT , Broy SB , Derosa AM , et al.   Hip fracture patients are not treated for osteoporosis: A call to action . Arthritis Rheum . 2002;47:651–654
  7. National Osteoporosis Foundation . Physician’s Guide to Prevention and Treatment of Osteoporosis . Washington, DC: National Osteoporosis Foundation; 2003;
  8. Andrade SE , Majumdar SR , Chan KA , et al.   Low frequency of treatment of osteoporosis among postmenopausal women following a fracture . Arch Intern Med . 2003;163:2052–2057
  9. Siris ES , Bilezikian JP , Rubin MR , et al.   Pins and plaster aren’t enough: A call for the evaluation and treatment of patients with osteoporotic fractures . J Clin Endocrinol Metab . 2003;88:3482–3486
  10. National Institutes of Health Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy . JAMA . 2001;285:785–795
  11. Kanis JA , Delmas P , Burckhardt P , et al.   Guidelines for diagnosis and management of osteoporosis (The European Foundation for Osteoporosis and Bone Disease) . Osteoporos Int . 1997;7:390–406
  12. American Association of Clinical Endocrinologists (AACE) Clinical practice guidelines for the prevention and treatment of postmenopausal osteoporosis . J Fla Med Assoc . 1996;83:552–566
  13. Colon-Emeric C , Yballe L , Sloane R , et al.   Expert physician recommendations and current practice patterns for evaluating and treating men with osteoporotic hip fracture . J Am Geriatr Soc . 2000;48:1261–1263
  14. Freedman KB , Kaplan FS , Bilker WB , et al.   Treatment of osteoporosis: Are physicians missing an opportunity? . J Bone Joint Surg Am . 2000;82-A8:1063–1070
  15. Pal B . Questionnaire survey of advice given to patients with fractures . BMJ . 1999;318:500–501
  16. Kannus P , Parkkari J , Niemi S , et al.   Prevention of hip fracture in elderly people with the use of a hip protector . N Engl J Med . 2000;343:1506–1513
  17. Torgerson D , Dolan P . Prescribing by general practitioners after an osteoporotic fracture . Ann Rheum Dis . 1998;57:378–379
  18. Cuddihy MT , Gabriel SE , Crowson CS , et al.   Osteoporosis intervention following distal forearm fractures: A missed opportunity? . Arch Intern Med . 2002;162:421–426
  19. Feldstein A , Elmer PJ , Orwoll E , et al.   Bone mineral density measurement and treatment for osteoporosis in older individuals with fractures: A gap in evidence-based practice guideline implementation . Arch Intern Med . 2003;163:2165–2172
  20. Majumdar S , Rowe BH , Folk D , et al.   A controlled trial to increase detection and treatment of osteoporosis in older patients with a wrist fracture . Ann Int Med . 2004;141:366–373
  21. Juby AG , De Geus-Wenceslau CM . Evaluation of osteoporosis treatment in seniors after hip fracture . Osteoporos Int . 2002;13:205–210
  22. Broy S . Are physicians treating osteoporosis after hip fracture? (22nd Annual Meeting of the American Society for Bone and Mineral Research (ASBMR)) . 2000; Toronto, Ontario [abstract].
  23. Kamel HK , Hussain MS , Tariq S , et al.   Failure to diagnose and treat osteoporosis in elderly patients hospitalized with hip fracture . Am J Med . 2000;109:326–328
  24. Torgerson D , Donaldson C , Reid D . Using economics to prioritize research: A case study of randomized trials for the prevention of hip fractures due to osteoporosis . J Health Serv Res Pol . 1996;1:141–146
  25. Davis D , O’Brien MA , Freemantle N , et al.   Impact of formal continuing medication education: Do conferences, workshops, rounds and other traditional continuing education activities change physician behavior or health care outcomes? . JAMA . 1999;282:867–874
  26. Oxman AD , Thomson MA , Davis DA , Haynes RB . No magic bullets: A systematic review of 102 trials of interventions to improve professional practice . Can Med Assoc J . 1995;153:1423–1431
  27. Swagerty D , Studenski S , Laird R , Rigler S . A case-oriented web-based curriculum in geriatrics for third-year medical students . J Am Geratr Soc . 2000;48:1507–1512
  28. Nair K , Dolovich L , Cassels A , et al.   What patients want to know about their medications (Focus group study of patient and clinician perspectives) . Can Fam Physician . 2002;48:104–110
  29. Davis P , Andrews E , Donen N , et al.   Case studies in osteoporosis: A problem based learning intervention for family physicians . J Rheumatology . 1999;26:2418–2422
  30. McCormack JP , Dolovich L , Levine M , et al.   Providing evidence-based information to patients in general practice and pharmacies: What is the acceptability, usefulness and impact on drug use? . Health Expect . 2003;6:281–289
  31. Methods of Technology Assessment . In: Institute of Medicine, Division of Health Sciences Policy, ed. Assessing Medical Technologies . Washington, DC: National Academies Press; 1985;
  32. Van de Ven AH , Delbecq AL . The nominal group as a research instrument for exploratory health studies . Am J Public Health . 1972;62:337–342
  33. Delbecq AL , Van de Ven AH , Gustafson DH . Group Techniques for Program Planning: A Guide to Nominal Group and Delphi Process . Glenview, IL: Scott, Foresman and Company; 1975;
  34. Pike KL . Phonetics: A Critical Analysis of Phonetic Theory and a Technique for the Practical Description of Sounds . Ann Arbor, MI: University of Michigan Press; 1943;
  35. In:  Simons GF ,  McKinney CV ,  Burquest DA ,  Pike KL ,  Jankowsky KR editor. The Mystery of Culture Contacts, Historical Reconstruction, and Text Analysis: An Emic Approach . Washington, DC: Georgetown University Press; 1995;
  36. Hunt AH , Repa-Eschen L . Assessment of learning needs of registered nurses for osteoporosis education . Orthop Nurs . 1998;17:55–60
  37. Sung NS , Crowley WF , Genel M , et al.   Central challenges facing the national clinical research enterprise . JAMA . 2003;289:1278–1287
  38. Colon-Emeric CS , Casebeer L , Saag K , et al.   Barriers to providing osteoporosis care in skilled nursing facilities: Perceptions of medical directors and directors of nursing . J Am Med Dir Assoc . 2004;5:361–366
  39. Whitehead D , Keast J , Montgomery V , Hayman S . A preventative health educational programme for osteoporosis . J Adv Nurs . 2004;47:15–24
  40. Leslie M . Issues in the nursing management of osteoporosis . Nurs Clin North Am . 2000;35:189–197
  41. Sedlak CA , Doheny MO , Jones SL . Osteoporosis education programs: Changing knowledge and behaviors . Public Health Nurs . 2000;17:398–402
  42. Curry LC , Hogstel MO , Davis GC , Frable PJ . Population-based osteoporosis education for older women . Public Health Nurs . 2002;19:460–469
  43. Ribeiro V , Blakeley J , Laryea M . Women’s knowledge and practices regarding the prevention and treatment of osteoporosis . Health Care Women Int . 2000;21:347–353
  44. Burnette D , Morrow-Howell N , Chen LM . Setting priorities for gerontological social work research: A national Delphi study . Gerontologist . 2003;43:828–838
  45. Hickling JA , Nazareth I , Rogers S . The barriers to effective managment of heart failure in general practice . Br J Gen Pract . 2001;51:615–618
  46. Dew MA , Goycoolea JM , Harris RC , et al.   An Internet-based intervention to improve psychosocial outcomes in heart transplant recipients and family caregivers: Development and evaluation . J Heart Lung Transplant . 2004;23:745–758
  47. Solberg LI , Brekke ML , Fazio CJ , et al.   Lessons from experienced guideline implementers: Attend to many factors and use multiple strategies . Jt Comm J Qual Improv . 2000;26:171–188
  48. Kristofco R , Shewchuk R , Casebeer L , et al.   Attributes of an ideal continuing medical education institution identified through nominal group technique . J Contin Educ Health Prof . 2005;25:221–228

PII: S1525-8610(06)00257-X

doi: 10.1016/j.jamda.2006.05.004

JAMDA
Volume 7, Issue 7 , Pages 420-425 , September 2006

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