Building a Delphi‐Informed Transitional Care Programme Guided by the Omaha System for Gynaecologic Oncology Patients
Year: 2025
Type: article
Abstract: OBJECTIVE: This study aimed to develop and validate a standardised transitional care programme for postoperative gynaecologic cancer patients utilising the Omaha system framework. METHODS: A preliminary transitional care programme was constructed through literature review, semi-structured interviews and multidisciplinary team discussions. The programme was refined via two rounds of Delphi expert consultations involving 17 oncology nursing specialists. Consensus criteria included expert authority coefficient (Cr), Kendall's W test and coefficient of variation (CV). RESULTS: The Delphi consultation demonstrated robust expert consensus, with high authority coefficients (Cr: 0.886 in Round 1; 0.906 in Round 2), exceptional participation rates (88.2% and 100% response rates across two rounds) and statistically significant concordance as evidenced by Kendall's W values (0.233-0.358 and 0.326-0.383; all p < 0.01). All coefficients of variation (CV) metrics fell within acceptable ranges (0.09-0.42 in the initial phase; 0.08-0.27 post-refinement). CONCLUSION: The Omaha system-based transitional care programme exhibits strong expert consensus, scientific rigour and clinical applicability, providing a structured approach to improving postoperative recovery in gynaecologic cancer patients. RELEVANCE TO CLINICAL PRACTICE: This protocol standardises postoperative care transitions for gynaecologic oncology patients by integrating multidimensional assessments (physiological, psychosocial and health behaviour domains) and family-centred education. Clinicians can utilise its evidence-based framework to reduce preventable complications, enhance caregiver preparedness and improve continuity of care between hospital and home settings. PATIENT OR PUBLIC CONTRIBUTION: Six postoperative gynaecologic cancer patients and eight family caregivers participated in semi-structured interviews to identify unmet transitional care needs. Their insights informed the design of intervention components, including self-management education and psychosocial support strategies. Patients reviewed draft materials for clarity and cultural appropriateness during Delphi Round 2.
Source: Journal of Clinical Nursing
DOI: 10.1111/jocn.70159
Authors: Yinyi Wei, Qiyu Bo, Xiaoxin Chen, Xiaoxiang Xu, Min Li
Language: English
Topic: Delphi Technique in Research
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: bronze
OpenAlex ID: W4416764947