Consensus network analysis of clinical topic groupings in intestinal failure education: A Delphi study
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Authors
Meade U.
Harrsion S.
Elworthy C.
Mistry P.
Rowlands A.
Roy P.
Tailor R.
Wiltshaw, G.
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2025
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Article
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Rationale: Pharmacists play a key role in managing intestinal failure (IF), especially in optimising parenteral nutrition (PN). However, training remains inconsistent. This study aimed to develop a consensus-based framework to guide structured education for pharmacy professionals managing IF in England. Method(s): A panel of expert pharmacists participated in a Delphi consensus process to categorise 29 predefined clinical topics into priority learning blocks. Consensus was defined as >=80% agreement. A Consensus Network Graph was used to visualise relationships between topics. Confidence levels were derived from a prior national learning needs assessment (LNA) of IF pharmacists in England. A second Delphi round asked panellists to confirm agreement with the thematic groupings. Result(s): Six consensus based learning blocks were defined:1. Essentials of PN & Refeeding Syndrome (66.7%-68.2%) 2. PN Prescription, Formulation & Adjustments (54.2%-68.5%) 3. Monitoring & Managing PN-Related Complications (57.1%-63.3%) 4. IF Medication Management (57.9%-84.4%) 5. Home PN Adjustments & Contingency Planning (52.5%-64.4%) 6. Advanced Therapies for Short Bowel Syndrome (46.5%-70.0%) Percentage range indicate confidence levels from the LNA highlight training gaps. While consensus was reached on grouped topics, low-consensus areas like enteral nutrition and feeding pumps need further review. Image: [Formula presented] Conclusion(s): This Delphi process has produced a validated & structured educational framework for IF pharmacy professionals in England. Thematic blocks will shape a standardised curriculum, followed by free online modules aimed at reducing training variability. Low-consensus areas may benefit from standalone module development or further expert discussion. References: Identifying learning gaps: a comprehensive learning needs assessment for pharmacy professionals working in clinical nutrition. Simon Harrison, Uchu Meade, BAPEN conference abstract November 2024 Disclosure of Interest: None declared Copyright © 2025
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Clin.Nutr.ESPEN