title: Use of consensus development to establish national research priorities in critical care.
abstract: OBJECTIVE
  To test the feasibility of using a nominal group technique to establish clinical and health services research priorities in critical care and to test the representativeness of the group's views.
  
  
  METHODS
  Generation of topics by means of a national survey; a nominal group technique to establish the level of consensus; a survey to test the representativeness of the results.
  
  
  METHODS
  United Kingdom and Republic of Ireland.
  
  
  METHODS
  Nominal group composed of 10 doctors (8 consultants, 2 trainees) and 2 nurses.
  
  
  METHODS
  Level of support (median) and level of agreement (mean absolute deviation from the median) derived from a 9 point Likert scale.
  
  
  RESULTS
  Of the 325 intensive care units approached, 187 (58%) responded, providing about 1000 suggestions for research. Of the 106 most frequently suggested topics considered by the nominal group, 37 attracted strong support, 48 moderate support and 21 weak support. There was more agreement after the group had met-overall mean of the mean absolute deviations from the median fell from 1.41 to 1.26. The group's views represented the views of the wider community of critical care staff (r=0.73, P<0.01). There was no significant difference in the views of staff from teaching or from non-teaching hospitals. Of the 37 topics that attracted the strongest support, 24 were concerned with organisational aspects of critical care and only 13 with technology assessment or clinical research.
  
  
  CONCLUSIONS
  A nominal group technique is feasible and reliable for determining research priorities among clinicians. This approach is more democratic and transparent than the traditional methods used by research funding bodies. The results suggest that clinicians perceive research into the best ways of delivering and organising services as a high priority.
authors.affiliation: Intensive Care National Audit and Research Centre, London WC1H 9HR.
authors.forename: K
authors.initials: K
authors.lastname: Vella
authors.forename: C
authors.initials: C
authors.lastname: Goldfrad
authors.forename: K
authors.initials: K
authors.lastname: Rowan
authors.forename: J
authors.initials: J
authors.lastname: Bion
authors.forename: N
authors.initials: N
authors.lastname: Black
mesh_terms: D003245:Consensus Statements as Topic; D003422:Critical Care / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D012106:Research / Q000458:organization & administration*; D006113:United Kingdom