Interview Phase Research Articles

Patient engagement, treatment preferences and shared decision-making in the treatment of opioid use disorder in adults: a scoping review protocol

IntroductionOpioid use disorder (OUD) is characterised by the fifth Edition of the Diagnostic and Statistics Manual as a problematic pattern of opioid use (eg, fentanyl, heroin, oxycodone) that leads to...

Daily outpatient chemotherapy appointment scheduling with random deferrals

In this paper we propose a heuristic approach that computes the order in which patients will be treated in an ambulatory chemotherapy center. Each patient follows an individual treatment plan that fixes dates for series of drug injections separated by recovery periods. The daily care process has three steps: consultation with the oncologist, drug preparation in the pharmacy and drug injection in medical beds. The facility closes after the last injection. As drug injection varying considerably in duration-from 15 minutes to 6 hours-bad schedules lead to excessive overtime. In addition, after the consultation the oncologist may decide to cancel the injection because of a weak patient's health condition. In the current setting of the chemotherapy facility we work with, First Come First Served policy controls the care process. In this study, we propose to compute a common priority list of patients for consultation and injection phases. A unique list of patients is a simple tool used by nurses to manage the flow of patients and to react to uncertain events. A GRASP algorithm is developed to compute optimized list of patients in few seconds as the operating planning context requires. Two objectives are considered; the closing time and the overworking time of the facility. Numerical experiments show that our GRASP is able to quickly reach near optimal solutions and that list of patients policy performance is comparable to more complex scheduling policies. Benchmark data sets are built based on historical data of the French chemotherapy facility, ICL in Saint-´ Etienne.

Impact of group practices on patients, physicians and healthcare systems: protocol for a scoping review

IntroductionGroup practices have potential benefits for patients, physicians and healthcare systems. Although group practices have been around for many years, research in this area is lacking and generally is centred...

The Role of Local Institutions in Adopting Rice Paddy Farming Technology in Duria Asi Village, Wonggeduku District, Konawe Regency, Indonesia

The purpose of this study was to determine the role of local institutions in the adoption of rice farming technology in Duria Asi Village, Wonggeduku District, Konawe Regency, Indonesia. Implementation time in March-May 2017. This type of research is descriptive with a qualitative approach. The results showed that the role of local institutions, namely extension workers, farmer groups and combined farmer groups at the stage of education, facilitation, consultation, and evaluation showed that these three institutions were running well. The role of poktan and gapoktan as production units, marketing units did not work well resulting in the frequent production of agricultural products in abundance in the market and prices dropped. During the consultation phase, the three institutions performed their roles well. In the evaluation aspect, the role of the instructor goes well where the evaluation process is carried out by recapitulating the production results obtained from each member of the rice paddy farmer group at the end of the harvest.

Enablers to implement sustainable initiatives in agri-food supply chains

Due to rapid agricultural industrialization, increased global food demand, and, increasing concerns related to food quality and safety, the concepts of sustainability and supply chain transparency are becoming critically important to the agriculture and agri-food sector. The new focus on sustainability performance objectives emphasizes the effective utilization and consumption of natural resources to balance ecological, economic and societal aspects of agri-food businesses. The management of sustainability adds a new demand on business managers who often have small profits and receive stringent requirements from large powerful customers and retailers. In this paper, we recognize and analyze the key enablers in implementing sustainable initiatives for Agri-Food Supply Chains (A-FSCs). Ten important sustainability driven enablers were considered from a rigorous literature review and phase of expert consultation. The identified enablers were then analyzed using a combined Interpretive Structural Modeling (ISM) - fuzzy Decision Making Trial and Evaluation Laboratory (DEMATEL) based framework. The ISM approach enabled an appreciation of the contextual relationships among the enablers and to classify the enablers based on their driving and dependence potential. The fuzzy DEMATEL technique supported the determination of the influential and influenced enablers and also to categorize them into cause and effect groups. An empirical case study, drawn from a vegetable and fruit retail supply chain in India, is used to focus and test the applicability of the proposed research framework. The paper facilitates professional management practice and researchers to uncover and explore the enablers for the real execution of sustainability oriented initiatives in the agri-food business sector.

Interdisciplinary collaboration: 30 years of experience in a neuro-orthopedic consultation at Raymond-Poincaré hospital

Raymond-Poincaré hospital is a national rehabilitation center for disabled patients with orthopedic issues. Physical medicine and rehabilitator physicians and orthopedic surgeons have developed interdisciplinary neuro-orthopedic approach for treatment of patients, with over 30 years of experience. The framework of diagnosis and therapeutic treatment outcome decision making considers patient concerns and expectation. An initial selection consultation is performed to identify complex cases requiring interdisciplinary expertise, as approximately 60% of new patient referrals (1000 patients annually) present with a surgical indication; otherwise patients are reoriented to different departments. Patients are stratified into one of four consultation services, dedicated to conditions associated with: upper limb and geriatric/lower limb/cerebral palsy/heterotopic ossification, Charcot-Marie-Tooth, and poliomyelitis. Consultations are split into 4 phases. The primary phase is performed by a single physician and is dedicated to understand what the complaint is depending on the patients’ medical history. Phase 2 involves the entire interdisciplinary team, where there is time dedicated to clinical exam and an interactive discussion between doctors and patient and the best therapeutic options are debated. In the 3rd phase of consultation, the therapeutic options are presented to the patient with clear goals being established in a formal “agreement” with the patient. The 4th part of the consultation is done by one single doctor who stay with the patient to summarize, answer questions and precise the procedure. Discussion with patients is essential for identifying the unique pathological features of individual cases. The interdisciplinary team is comprised of experts in OS and PMR seniors and interns; who participate equally in the process. The interaction between medico-surgical experts in this framework of consultation has developed a cooperative network of experts in PMR that spans French territory. Thus, diagnosis and consultation using this novel framework delivers ideal treatment strategies for the rehabilitation of patients.

POLA LALU LINTAS INFORMASI KOMUNITAS PENGUSAHA KAMPUS MEMBENTUK GERAKAN PENGUSAHA MUDA BEDA MENDUNIA MELALUI WHATSAPP MESSENGER

This research aim to know an information traffic pattern in community of Campus Enterpreneur which using Whatsapp messenger. This research method is case study and do in depth interview and observation. Aplied concepts in four pattern, base on Borderwijk and Van Kaam concept, these are allocution, conversation, consultation and registration. The result of information traffic pattern is in the beginning of recruitment, controlled in-formation to the coordinating center of the Chairman (alokusi stage). Once incorporated in social networks, the conversation takes place between one member and the other (the conversation phase), about the mission vision, goals, organizational structure, work pro-gram, and existence in the community. The Chairman’s directive ensures that every re-gional activity can work (consultation phase). And the Chairman receives and controls information from the members of the region regarding the agenda to be held (registration stage).

A research agenda for bipolar disorder developed from a patients’ perspective

BackgroundDiagnosis and treatment of bipolar disorder is complex. Health care is supported by clinical guidelines, which are highly based on scientific evidence. However, such care does not necessarily correspond to preferred care according to patients. In order to narrow the gap between scientifically based guidelines and the patient's perceptions of the best clinical practice, additional research is needed. The aim of this study was to create a patient based research agenda for bipolar disorder to enhance the alignment between patients’ needs and care system. MethodsA mixed method study design was employed consisting of two phases: consultation and prioritization. In the consultation phase, six focus group discussions with patients (n = 35) were conducted to explore research needs according to patients, resulting in 23 research topics. Subsequently, these topics were prioritized by means of a questionnaire with patients (n = 219). ResultsPatients with bipolar disorder mentioned a variety of research topics covered by the following five themes: causes of disorder; pharmacotherapy; non-pharmacological treatment; diagnosis; and recovery & recovery oriented care. ‘Etiology’ was the topic with highest priority. DiscussionThe theme ‘causes of disorder’ is prioritized highest. We argue that this can be explained by the added value of an explanatory framework for appropriate treatment and recovery. The theme ‘recovery & recovery oriented care’ is currently underrepresented in actual research. It is argued that in order to bridge the knowledge and implementation gap, social science and health system research is needed in addition to biomedical research.

Release 5 of the COUNTER Code of Practice

ABSTRACTCounting Online Usage of Networked Electronic Resources (COUNTER)’s team of volunteer experts has developed Release 5 of the COUNTER Code of Practice. Features include fewer but more flexible usage reports and a reduced number of metric types with the aim of greater consistency and clarity. Release 5 seeks to address changing needs and to ensure that all publishers and content providers can achieve compliance. This session will explain the new release, update the audience on feedback from the consultation phase and timescales for publication, and answer questions from stakeholders.

Evaluating the impact of the land acquisition phase on property owners in megaprojects

PurposeThe purpose of this paper is to examine the impact of the land acquisition phase and site assembly of land for large scale infrastructure road projects and its impact on property owners. A review of one of the largest roadwork projects currently underway in Sydney Australia demonstrates the adverse impact that has resulted in property owners challenging the approach used by government to acquire land for this project. Similar case studies are used to set out the key measures that should apply internationally in mitigating challenges from property owners in the land acquisition phase. It further shows that while adequate statutory provisions are important, it is the practices of acquiring authorities that ultimately determine the success and expedition of this initial important phase of these projects.Design/methodology/approachIn measuring the factors that impact the acquisition of land by negotiation in contrast to acquisition by compulsory taking, a case study methodology is used. In this approach, the author reviews two completed projects and the factors that contributed to their success. These are contrasted with the primary case study currently underway in Sydney, the WestConnex project in which a number of adverse factors have emerged that have impacted this project. The review of these cases examined provides options for reforms that should be adopted both in the WestConnex case and across projects internationally.FindingsIt is demonstrated that the impact of the land acquisition phase on property owners with limited ability to rehouse within the same or surrounding locations, results in increases to challenges. This factor has prompted increases in the number of cases that have proceeded to court and potentially impacts the public perception and site assembly phase of large scale road projects. The inability for impacted property owners to relocate themselves has resulted in a breakdown in the ability for acquiring authorities to achieve acquisition by agreement. This is evidenced by significant increases in the number of properties that have been acquired by compulsion since 2016. It is found that the operational provisions of the land acquisition processes were obsolete in NSW, particularly those leading up to acquisition that was originally designed to assist owners. The paper finds that the most important phase of a megaproject is the planning and consultation phase, which includes most importantly the way in which impacted owners are informed, assisted and compensated. It is concluded that the processes engaged in by acquiring authorities rather than the statutory provisions available, will determine the success of the land acquisition phase and perceptions of the project.Originality/valueThe primary contribution of this paper is defining the changing landscape that has led to the adverse impact on property owners in the site assembly process for large scale projects. It identifies the reforms that will enhance opportunity for owners to relocate and rehouse which will expedite the acquisition phase of megaprojects and restore acquisition by agreement rather than by compulsion. This in turn will contribute to improve public perception of large scale projects in urbanised locations.

Lobbying on audit regulation at IAASB

ABSTRACT The main goal of the paper is to analyze whether the positions of auditors and regulators, and their respective coalitions, regarding the proposals of the International Auditing and Assurance Standards Board (IAASB) in the last phase of the public consultation “Improving the Auditor’s Report” are significantly different, as well as the effectiveness of a lobbying strategy using comment letters. The relevance of this research lies in providing evidence on whether or not the IAASB is influenced by the lobbying strategies of different interest groups carried out via comment letters, especially auditors and regulators (both individually and in coalitions). The results show that both auditors and regulators attempeted to influence the IAASB’s decision-making process, with their coalitions taking a different position on some questions. However, none of these interest groups predominated in terms of the effectiveness of the lobbying carried out, hence the results are consistent with institutional theory, in that the IAASB seeks legitimacy in its actions and tries to accommodate several different interests, but does not let itself be captured by any specific group. We analyzed and classified the comments (from a total of 86 letters) to nine questions proposed by the IAASB into a five-point Likert scale. This classification was independently cross-validated by a second researcher. We applied ANOVA tests to analyze the position of the interest groups, and chi- squared tests for the position of their coalitions. This paper addresses lobbying within the process of auditing standards settings, thus expanding the current literature on lobbying in accounting, which is mainly restricted to accounting regulations. It also contributes methodologically by using a new five-point scale for the dependent variable instead of the usual binary approach.

Participatory budgeting in a local government in a vertical society: A Japanese story

This article examines a case of participatory budgeting in Japanese local government. The article demonstrates how cultural values interact with stages of budgeting (in our case, the co-planning or consultation phase of budgeting). We find three key stakeholders – councillors, administrators and citizens – have varying degree of participation in the budget process. While direct citizen participation has been limited and challenging, we find that local associations and councillors work as lobbyists to influence the budget less publicly. The budget desk led by the mayor plays the dominant role. This article contributes to the broader debate on local government reforms and their translation into varied contexts by problematising such a linear adoption of knowledge from a cultural perspective. Points for practitioners We offer caution to policymakers about the wholesale adoption of knowledge from one context to the other. In the Japanese context, we urge them to draw on the strengths of grouping behaviour. Hence, engagement with associations, communities and various interests groups must be emphasised instead of simply relying on direct yet remote communications to citizens. Political engagements by the departments – perhaps via political parties – can be adopted before budget proposals are made to the local authority council. This will allow more space for the councillors to make their case to citizens, and maintain harmony ( wa) within and between political groups.

Citizen Participation in Local Planning Józefosław Case Study

Citizen participation in the city development planning process is guaranteed by law in every civil society. In Poland, the participation of local communities in spatial planning has been evolving since the political transformation of the years 1989/1990. Changes that occur in the participation process are a result of the formation of civil society and a resulting increase in social awareness on possibilities of expressing one's needs and influencing planning decisions of local governments, as well as modifications in laws and regulations. The article presents the experience gathered in the field of extended social participation in the procedure of drawing up local spatial development plans, on the example of ongoing work on plans for the village of Józefosław in Piaseczno, nearby Warsaw. The problems identified in the area covered by the plans and their origins have been characterized, the assumptions of the plans, whose main purpose is to alleviate diagnosed problems and respond to the needs of the inhabitants, articulated at various stages of the planning process. Then the scope and results of the various phases of social participation – preplanning and based on formal planning procedures – have been described. The experience gained from the phase of public consultation during the preparation of local plans for the village of Józefosław allowed us to draw more general conclusions about participatory procedures specified in the binding regulations, which were included in the summary.

Addressing Cultural Responsiveness in Consultation: An Empirical Demonstration

ABSTRACTThis study explored whether and to what extent consultation practices specifically focused on culturally responsive instruction provided additive benefit, after establishing strong classroom management. Three teachers leading culturally diverse classrooms participated in two phases of consultation. The first was a traditional, classroom-management focused phase. After decreases in disruptions stabilized, the consultant introduced a culturally responsive phase of consultation. Data are analyzed via a multiple-baseline-across-participants design depicting rates of classroom disruptions, labeled praise, and opportunities to respond (OTR). The greatest decrease in the number of classroom disruptions occurred during the traditional, classroom-management consultation phase. However, unexpected improvements were noted in teachers’ use of effective management procedures during the cultural responsiveness phase. Thus, teachers’ management practices benefited from applying culturally responsive instruction and interventions, beyond what was observed when consultation focused on management alone. Implications for research and consultation practice are discussed.

Organizational level indicators to address health equity work in local public health agencies: A scoping review.

To determine what organizational level indicators exist that could be used by local Ontario public health agencies to monitor and guide their progress in addressing health equity. This scoping review employed Arksey and O'Malley's (2005) six-stage framework. Multiple online databases and grey literature sources were searched using a comprehensive strategy. Studies were included if they described or used indicators to assess an organization's health equity activity. Abstracted indicator descriptions were classified using the roles for public health action identified by the Canadian National Collaborating Centre for Determinants of Health (NCCDH). Health equity experts participated in a consultation phase to examine items extracted from the literature. Eighteen peer-reviewed studies and 30 grey literature reports were included. Abstracted indicators were considered for 1) relevance for organizational assessment, 2) ability to highlight equity-seeking populations, and 3) potential feasibility for application. Twenty-eight items formed the basis for consultation with 13 selected health equity experts. Items considered for retention were all noted to require significant clarification, definition and development. Those eliminated were often redundant or not an organizational level indicator. Few evidence-based, validated indicators to monitor and guide progress to address health inequities at the level of the local public health organization were identified. There is a need for continued development of identified indicator items, including careful operationalization of concepts and establishing clear definitions for key terms.

Study protocol for a scoping review on rehabilitation scoping reviews

Introduction: Scoping reviews are increasingly popular in rehabilitation. However, significant variability in scoping review conduct and reporting currently exists, limiting potential for the methodology to advance rehabilitation research, practice and policy. Our aim is to conduct a scoping review of rehabilitation scoping reviews in order to examine the current volume, yearly distribution, proportion, scope and methodological practices involved in the conduct of scoping reviews in rehabilitation. Key areas of methodological improvement will be described. Methods and analysis: We will undertake the review using the Arksey and O’Malley scoping review methodology. Our search will involve two phases. The first will combine a previously conducted scoping review of scoping reviews (not distinct to rehabilitation, with data current to July 2014) together with a rehabilitation keyword search in PubMed. Articles found in the first phase search will undergo a full text review. The second phase will include an update of the previously conducted scoping review of scoping reviews (July 2014 to current). This update will include the search of nine electronic databases, followed by title and abstract screening as well as a full text review. All screening and extraction will be performed independently by two authors. Articles will be included if they are scoping reviews within the field of rehabilitation. A consultation exercise with key targets will inform plans to improve rehabilitation scoping reviews. Ethics and dissemination: Ethics will be required for the consultation phase of our scoping review. Dissemination will include peer-reviewed publication and conferences in rehabilitation-specific contexts.

How to improve opportunistic screening by using EMRs and other data. The prevalence of undetected diabetes mellitus in target population in Croatia

ObjectivesOpportunistic screening for type 2 diabetes (T2D) has not been adopted as part of routine practice. The aim of the study was to investigate the yield of opportunistic target screening for T2D in Croatia and to evaluate the process of screening by using data from electronic medical record. Study designWe conducted opportunistic screening in 23 general practitioners (GPs) in a population of 13,344 patients aged 45–70 years. MethodsFirst, after excluding patients with T2D, patients with risk factors for T2D were derived from the electronic medical record and GP's assessment during the preconsultation phase. Second, those with data about normoglycemia in past three years were excluded. Remaining patients started the consultation phase during their usual visit, when they were offered capillary fasting plasma glucose testing in the next consultation. ResultsPrevalence of T2D was 10.9% (new 1.4%). A total of 5568 (46.1%) patients had risks and 2849 (51.2%) had data about normoglycemia in the last three years. Using those data, number needed to invite to screening (NNI) was reduced to half: from 46.1% to 22.5%. One hundred eighty-four patients were screened positive for T2D in two capillary fasting plasma glucose tests (yield 9.8%). Number needed to screen (NNS) in order to detect one T2D was 10.3 patients. Among risks for T2D, overweight was the best predictive factor for undiagnosed T2D (odds ratio [OR]: 2.11, confidence interval [CI]:1.41–3.15, P < .001). Logistic regression showed that in targeted population, overweight patients with a family history in fold were 2.5 times more likely to have T2D (OR: 2.54, CI 1.78–.61, P < .001). ConclusionsTotal yield in targeted population was 1,4%. By using data about normoglycemia from EMRs, NNI was reduced by half and NNS was 10.3 patients. Our findings suggest the model for improvement in opportunistic screening.

Tips and Traps: Lessons From Codesigning a Clinician E-Monitoring Tool for Computerized Cognitive Behavioral Therapy.

BackgroundComputerized cognitive behavioral therapy (cCBT) is an acceptable and promising treatment modality for adolescents with mild-to-moderate depression. Many cCBT programs are standalone packages with no way for clinicians to monitor progress or outcomes. We sought to develop an electronic monitoring (e-monitoring) tool in consultation with clinicians and adolescents to allow clinicians to monitor mood, risk, and treatment adherence of adolescents completing a cCBT program called SPARX (Smart, Positive, Active, Realistic, X-factor thoughts).ObjectiveThe objectives of our study were as follows: (1) assess clinicians’ and adolescents’ views on using an e-monitoring tool and to use this information to help shape the development of the tool and (2) assess clinician experiences with a fully developed version of the tool that was implemented in their clinical service.MethodsA descriptive qualitative study using semistructured focus groups was conducted in New Zealand. In total, 7 focus groups included clinicians (n=50) who worked in primary care, and 3 separate groups included adolescents (n=29). Clinicians were general practitioners (GPs), school guidance counselors, clinical psychologists, youth workers, and nurses. Adolescents were recruited from health services and a high school. Focus groups were run to enable feedback at 3 phases that corresponded to the consultation, development, and postimplementation stages. Thematic analysis was applied to transcribed responses.ResultsFocus groups during the consultation and development phases revealed the need for a simple e-monitoring registration process with guides for end users. Common concerns were raised in relation to clinical burden, monitoring risk (and effects on the therapeutic relationship), alongside confidentiality or privacy and technical considerations. Adolescents did not want to use their social media login credentials for e-monitoring, as they valued their privacy. However, adolescents did want information on seeking help and personalized monitoring and communication arrangements. Postimplementation, clinicians who had used the tool in practice revealed no adverse impact on the therapeutic relationship, and adolescents were not concerned about being e-monitored. Clinicians did need additional time to monitor adolescents, and the e-monitoring tool was used in a different way than was originally anticipated. Also, it was suggested that the registration process could be further streamlined and integrated with existing clinical data management systems, and the use of clinician alerts could be expanded beyond the scope of simply flagging adolescents of concern.ConclusionsAn e-monitoring tool was developed in consultation with clinicians and adolescents. However, the study revealed the complexity of implementing the tool in clinical practice. Of salience were privacy, parallel monitoring systems, integration with existing electronic medical record systems, customization of the e-monitor, and preagreed monitoring arrangements between clinicians and adolescents.

Technology roadmap for the Creative Industries

ABSTRACTThis paper discusses the findings of research conducted between 2013 and 2016, which concerned the development of technology roadmaps for the Creative Industries. The roadmap presented in this paper was built based on input from communities of creative and Information and Communication Technologies (ICT) experts collected during the consultation and validation phases of the research. It provides a synthesis of challenges and recommendations from the five creative sectors examined by the project – Architecture, Art, Design, Games, Media and e-Publishing – and proposes research directions for the development of desired future technologies, by highlighting innovative future developments in the Creative Industries, while also assessing their technology maturity in the short, medium and longer terms. By rating the desired technologies as ‘present’ (1–2 years), ‘possible’ (2--5 years), or ‘probable’ (5–10 years or beyond), the roadmap gives orientation towards the development of new technologies and related business models and skills and provides guidance for informed policy-making. The paper thus aims at enabling stakeholders – creators, professionals, SMEs, creative groups, creative communities, associations, organisations and institutions, as well as governments and policy makers – to maximise their benefit and the societal value from the new emerging technology landscape in the Creative Industries.

Determining priorities for research to improve fundamental care on hospital wards.

Plain English summaryPlain English summaryThe aim of this project was to find out the priorities for research that could improve fundamental care. ‘Fundamental care’ covers all aspects of basic care in hospital wards, such as helping with core physical needs, building positive relationships and keeping patients safe.By setting the priorities with patients, carers, the public and health care professionals, research can look at the issues that really matter to people who are receiving or delivering care in hospital wards.Previously, prioritisation exercises have started with a menu of options and asked people to choose from that list. They have also been focused on specific health conditions. Traditionally, there has been little opportunity for patients, carers and the public to contribute to identifying the issues to be prioritised.To develop the priorities for research, we started by exploring what is meant by ‘fundamental care’, looking at patient and carer accounts and academic and policy reports. Patients, carers, staff, and members of the public were consulted via surveys, interviews and group discussions to share experiences and issues.A list of 15 topics was identified based on what was most commonly mentioned by patients, carers and healthcare professionals as well as what was practical for the CLAHRC Wessex team to research. A workshop with patients, carers and healthcare professionals was held, to decide the top 5 areas.The five priority areas identified were:Nurse staffingIndividualised patient careStaff communicationStaff attitudes and relationships with patientsInformation about care/communication Background The provision of high quality fundamental care in hospitals is a top priority for the NHS. Recent reports and investigations highlight that at times care has fallen below standard. It is unclear what research should be prioritised to improve care. The aim of this work is to involve patients/carers/public, clinicians and other stakeholders to identify issues that are priorities for research which could improve fundamental care in hospital. Methods Patient and public involvement was integral to this project, with a patient leader/service user being a member of the core team who designed and executed this research. After consideration of existing priority setting approaches, we developed an inclusive approach which consisted of six main phases: 1) Development of a conceptual framework of fundamental care, based on reports and literature 2) Consultation with a wide range of stakeholders through a survey, focus groups and interviews 3) Identifying themes from the responses to the consultation phase (76 themes identified) 4) Analysis to identify the 15 topics most frequently cited 5) Prioritisation of the top 15 themes through a half day workshop, which led to a shortlist of five themes 6) Development of the top 5 themes into research areas. Results Three hundred forty stakeholders (29 % of whom were patients/carers/public) completed the consultation survey. Analysis of the survey responses and of focus groups and interviews led us to identify 15 high scoring themes. We presented these at the prioritisation workshop, attended by 39 participants (23 of whom patients/carers/public). After a voting exercise, the 5 top research priorities which emerged were: nurse staffing; individualised patient care; staff communication; staff attitudes and relationships with patients; and information about care. Conclusions We involved a range of stakeholders in identifying topics for research to improve fundamental care and asked them to prioritise these. The process provided a means of reaching consensus as to the important issues for future research to focus on to improve fundamental care on hospital wards.