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Related Experiment Videos

Consensus methods: a bridge between clinical reasoning and clinical research?

Hugh Cross1

  • 1American Leprosy Missions, Cebu City, The Philippines.

International Journal of Leprosy and Other Mycobacterial Diseases : Official Organ of the International Leprosy Association
|May 19, 2005
PubMed
Summary

When clinical evidence is lacking or conflicting, consensus methods provide a reliable alternative for guiding practice. Techniques like Delphi and Nominal Group Technique ensure unbiased, equal participant contribution for valid outcomes.

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Area of Science:

  • Clinical practice development
  • Evidence-based medicine
  • Health research methodology

Background:

  • Evidence-Based Practice is the primary guide for clinical advancements.
  • Situations arise where clinical evidence is unavailable, unclear, or contradictory.
  • Consensus methods offer a reliable alternative when evidence is insufficient.

Purpose of the Study:

  • To explore the validity and application of consensus methods in clinical practice.
  • To outline the conditions under which consensus can be reliably achieved.

Main Methods:

  • Review of established consensus-building approaches: Nominal Group Technique, Delphi, and Consensus Development Conference.
  • Analysis of criteria for valid consensus formation.

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Main Results:

  • Consensus methods demonstrate acceptable construct validity for clinical decision-making.
  • Key factors for achieving reliable consensus include controlled communication, statistical assessment of agreement, and equal participant contribution.

Conclusions:

  • Consensus methodologies are valuable when evidence-based practice is not feasible.
  • Rigorous consensus processes mitigate bias and ensure equitable input, leading to dependable outcomes for clinical practice development.