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Nature-based care opportunities and barriers in oncology contexts: a modified international e-Delphi survey

Original post: http://bmjopen.bmj.com/cgi/content/short/7/10/e017456?rss=1

Objective

To develop recommendations regarding opportunities and barriers for nature-based care in oncology contexts using a structured knowledge generation process involving relevant healthcare and design experts.

Design

Four-round modified electronic Delphi study. Oncology patients’ nature-based recommendations, uncovered in preceding qualitative investigation, were included in the first round for the expert participants’ consideration. Key items (opportunities and barriers) were developed using data aggregation and synthesis, followed by item prioritisation and 10-point Likert scale ranking (1=not important, 10=very important). Descriptive statistics were calculated to assess items of highest importance representing expert recommendations.

Context

Online Delphi process constituting an electronic international survey.

Participants

A purposive sample of 200 potential panellists (recruitment target n=40) comprising healthcare practitioners, managers, designers, architects and researchers were invited to participate; experts were identified via research networks, snowballing and systematic literature review.

Results

38 experts across se

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