Clinical Nursing Research Priorities: A Delphi Study

Fitzpatrick et al. (1991) full text summary PDF

For which topic were research priorities identified?

clinical nursing

In which location was the research priority setting conducted?

North America - USA

Why was it conducted at all?

Currently, the nursing profession, health care sys tems, and payment modalities are in an evolution ary state. As expansion of the role of the nurse occurs along with nursing shortages and in an economically aware health care system, nursing experts are chal lenged to reevaluate research priorities. Clinical nursing research provides a scientific basis for clinical practice in nursing. In order to facilitate the design and implementation of clinical nursing re search studies at a large, tertiary, university-centered hospital, the clinical nurse specialists (CNSs) were charged with the mission of identifying 15 clinical nursing research priorities.

What was the objective?

to establish clinical nursing research priorities

What was the outcome?

a ranking list of 15 research questions

How long did the research prioritization take?

No information provided.

Which methods were used to identify research priorities?


How were the priorities for research identified exactly?

Step 1: Delphi round 1: participants were asked to list up to five important, burning research questions or issues related to the clinical practice of nursing, 119 issues identified. Step 2: data processing: thematic analysis: submissions sorted into 51 categories of clinical nursing research questions. Step 3: Delphi round 2: participants were asked to rate each of the 51 questions. Step 4: Delphi round 3: survey with 51 questions with group ratings, participants were asked to re-rate. Step 5: Delphi round 4: survey with 51 questions with group ratings, participants were asked to give final rating

Which stakeholders took part?

Clinical nurse specialists including cardiopulmonary, maternal-child health, medicine, neurosensory, psychiatry, surgery, emergency room, operating room, and postanesthesia care unit. Delphi round 1: 27 participants. Delphi round 2: 29 participants. Delphi round 3: 33 participants. Delphi round 4: 30 participants.

How were stakeholders recruited?

The sample population consisted of CNSs practicing in a university-medical center. All respondents had more than 5 years of clinical experience with a minimum of 3 years in their specialty area.

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.