945 resultados para Delphi-Methode
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Die Autoren gehen davon aus, dass es soziale und kulturräumliche Unterschiede in den Wahrnehmungsweisen von zukünftigen Klimarisiken gibt und begründen ihre Annahme in theoretischer Hinsicht unter Hinzuziehung der sozialen Konstruktion der Wirklichkeit. Berichtet wird aus einem Forschungsprojekt, das die gesellschaftliche Verarbeitung von Klimarisiken in Küstenstädten der südlichen Nord- und Ostsee im Hinblick darauf untersucht, welche Vorstellungen von einer Vulnerabilität und Resilienz vorliegen. Ausführlich wird das methodische Design der Studie dargestellt. Im Rahmen einer Methodentriangulation wird eine standardisierte Delphi-Expertenbefragung mit einer wissenssoziologischen Diskursanalyse verbunden, um sowohl bisherige als auch zukünftige Vorstellungen von Vulnerabilität und Resilienz zu erheben. Am Beispiel ausgewählter Ergebnisse wird empirisch nachgewiesen, dass Wahrnehmungsunterschiede von Klimarisiken größer sind als angenommen. Die Ergebnisse sind allein aus den Delphi-Daten nicht erklärbar. Ein möglicher Erklärungsansatz ergibt sich ergänzend aus den Erkenntnissen der wissenssoziologischen Diskursanalyse.
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Aufbauend auf den Ergebnissen einer Literatur- und Medienanalyse wurde erstmals zum Thema Climate Engineering ein sogenanntes Gruppen-Delphi durchgeführt, um aktuelle und argumentativ fundierte Einschätzungen von Experten zu den möglichen sozialen und kulturellen Folgen von Climate Engineering, insbesondere auch in Deutschland, zu erhalten. Die Ergebnisse dieser diskursiven Form der Expertenbefragung zeigen deutlich, dass die Verfahren des Climate Engineering differenziert betrachtet und bewertet werden müssen. Auf Akzeptanzprobleme stoßen vor allem Maßnahmen, bei denen hohe Unsicherheit über die potenziellen Nebenwirkungen besteht. In der Literatur und unter den Experten besteht Einigkeit darüber, dass es bereits jetzt, in der Frühphase der Entwicklung von Climate Engineering-Strategien, notwendig sei, die Bürger über diese Technologien und Strategien aufzuklären.
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Objective: This investigation aimed to identify and analyze the general and specific competencies of nurses in the primary health care practice of Brazil. Design: The Delphi Technique was used as the method of study. Sample: 2 groups of participants were selected: One contained primary health care nurses (n=52) and the other specialists (n=57), including public health nurses and public or community health faculty. Measurements: 3 questionnaires were developed for the study. The first asked participants to indicate general and specific competencies, which were compiled into a list for each group. A Likert scale of 1-5 was added to these 2 lists in the second and third questionnaires. A consensus criterion of 75% for score 4 or 5 was adopted. Results: In the nurses` group, 17 general and 8 specific competencies reached the consensus criterion; 19 general and 9 specific competencies reached the criterion in the specialists` group. These competencies were classified into 10 domains: professional values, communication, teamwork, management, community-oriented, health promotion, problem solving, health care, and education and basic public health sciences. Conclusions: These competencies reflect Brazilian health policy and constitute a reference for health professional practice and education.
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This study, using a Delphi approach, sought the opinion of a self-selected panel of 320 district nurses regarding research priorities for district nursing in Australia. Over three rounds of questionnaires, the 419 research clinical problem areas requiring research as suggested by the panel were each rated in importance by the panel and then ranked through analysis from high to low average rating scores, thereby, whittling down the list to the top 15% (68) research questions and to a final list of the top 10 research priorities overall. Research questions focusing on discharge planning are dominant in these top 10 priorities, with documentation issues the second most common focus. Other foci in the top 10 priorities are staffing, aged care, palliative care, and assessment. The organization-specific top 10 research priorities focus on wound care, funding, education, and communication issues. Additionally, the top 68 priorities, which are either finitely practice-based or contextual-issues research questions, were categorized into 20 themes. The results will hopefully lead to scarce human and financial resources being directed to practice-relevant research programs that will facilitate improved health for district nursing (primarily home-nursing) clients in Australia and elsewhere. (c) 2005 Elsevier Inc. All rights reserved.
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Background: There is ample evidence of important symptomatic efficacy of tumour necrosis factor alpha (TNFalpha) inhibition in ankylosing spondylitis (AS). Moreover, studies suggest that anti-TNF could be considered as the first disease controlling antirheumatic treatment (DC-ART) for AS. Objective: To determine precisely which patients with AS are most likely to benefit from anti-TNFalpha treatment because of the cost and possible long term side effects of such treatment. Methods: Assessment in Ankylosing Spondylitis (ASAS) members were asked to use a Delphi technique to name the characteristics of patients with AS for whom they would start DC-ART, in three different clinical presentations (isolated axial involvement, peripheral arthritis, enthesitis). Results: Among the 62 invited ASAS members, more than 50% actively participated in the four phases of definition according to the Delphi technique. For each of the three clinical presentations, a combination of five to six domains was proposed, with an evaluation instrument and a cut off point defining a minimum level of activity for each domain. Conclusion: This study provides a profile for a patient with AS for considering initiation of biological agents that reflects the opinion of the ASAS members, using a Delphi exercise. Further studies are required to assess their relevance and their consistency with clinical practice.
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Esta dissertação insere-se no actual contexto de constante procura pela melhoria do desempenho dos sistemas produtivos em que se pretende estudar a utilização dos recursos produtivos numa das principais linhas de produção da fábrica da Delphi no Seixal. Para o efeito, é desenvolvido um modelo de simulação da linha de produção. O estudo inicia com uma revisão bibliográfica de conceitos e metodologias interligados com a simulação de sistemas. A fase seguinte diz respeito à recolha e tratamento de dados que caracterizam a linha de produção que se pretende simular. Posteriormente, é criado um modelo conceptual da linha de produção que serve de base ao modelo de simulação desenvolvido recorrendo ao software de simulação Arena. Após a simulação do modelo desenvolvido, é realizada a validação do modelo através da análise comparativa de algumas medidas de desempenho resultantes da simulação e do sistema real. Por último é realizada a discussão de resultados e são tecidas considerações que suportam os resultados obtidos e apoiam a diferença de resultados verificada.
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INTRODUCTION: Although many countries have improved vaccination coverage in recent years, some, including Guinea-Bissau, failed to meet expected targets. This paper tries to understand the main barriers to better vaccination coverage in the context of the GAVI-Alliance (The Global Alliance for Vaccines and Immunisation) cash-based support provided to Guinea-Bissau. METHODS: The analysis is based on a document analysis and a three round Delphi study with a final consensus meeting. RESULTS: Consensus attributed about 25% of the failure to perform better to implementation problems; and about 10% to governance and also 10% to scarce resources. The qualitative analysis validates the importance of implementation issues and upgraded the relevance of the human resources crisis as an important drawback. The recommendations were balanced in their upstream-downstream focus but were blind to health information issues and logistical difficulties. CONCLUSIONS: It is commendable that such a fragile state, with all sorts of barriers, manages to sustain a slow steady growth of its vaccination coverage. Not reaching the targets set reflects the inappropriateness of those targets rather than a lack of commitment of the health workforce. In the unstable context of countries such as Guinea-Bissau, the predictability of the funds from global health initiatives like the GAVI-Alliance seem to make all the difference in achieving small consistent health gains even in the presence of other major bottlenecks.
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Ramos, D., Arezes, P. M., & Afonso, P. (2015). A systematic approach for externalities in occupational safety through the use of the delphi methodology. Paper presented at the Occupational Safety and Hygiene III - Selected Extended and Revised Contributions from the International Symposium on Safety and Hygiene.
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Magdeburg, Univ., Fak. für Naturwiss., Diss., 2010
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DBM, schizophrenia, morphometry, computational neuroanatomy
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EPR ROS spin traps neutrophils psoriasis retinoids carotenoids
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Assessment, environmental management, production planning, life cycle assessment, costs, activity based costing, inetragtion, model, process, technology
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Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Habil.-Schr., 2003