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Nurses were never included in consensus development, but were informed about the decisions.
A panel of experts participated in consensus development: first round via mail (12 members), second round face-to-face (9 members).
It is a good measure of disagreement because it is not affected by extreme observations and measures deviation from the median, a measure of central tendency typically used in consensus development and in this study [ 26].
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In a consensus development study, the investigators seek to improve agreement via changes in the views of the panel members.
In addition, evidently the reviewers are the same ones who were involved in the consensus development of the criteria, whereas it is generally more realistic to test judgment-based criteria with a fresh set of reviewers.
Additionally, even though participants identified the need to work across sectors, participants from other important sectors such as law enforcement, housing and employment were not included in the consensus development process.
After the pre-workshop Delphi round (before the consensus meeting) and after the two written post-workshop Delphi rounds the document was sent to an external international review board including eight experts from four countries (US, Germany, UK, Italy), who did not participate in the consensus development workshop.
Most notably in relation to consensus development, allowing for studies to be compared on a common variable.
The panel members added a further 18 scenarios to the list in the 2nd consensus development round, all of which were relevant to the 'chronic distress' indication.
This approach was chosen to manage the breadth of open data anticipated in this consultation process and then allow formal consensus development in a manageable pragmatic way.
The main decisions of the SC in the process of consensus development were as follows: The results of the DELPHI procedure indicated that the proposal of the SC fulfilled the expectations of scientists and was accepted by them; hence, it was decided to keep the main concepts in the design and the classes of the new system.
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