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Policy, Politics, & Nursing Practice, Vol. 1, No. 4, 308-315 (2000)
DOI: 10.1177/152715440000100409

Building Consensus Using the Policy Delphi Method

Mary Kay Rayens, PhD

Colleges of Nursing and Medicine at the University of Kentucky, Biostatistics Consulting Unit at the University of Kentucky Chandler Medical Center

Ellen J. Hahn, DNS, RN

College of Nursing at the University of Kentucky

This article describes the use of the policy Delphi method in building consensus for public policy and proposes a technique for measuring the degree of consensus. The policy Delphi method is a systematic method for obtaining, exchanging, and developing informed opinion on an issue. It can be used to develop consensus either for or against policy issues. The method includes a multistage process involving the initial measurement of opinions (first stage), followed by data analysis, design of a new questionnaire, and a second measurement of opinions (second stage). The interquartile deviation is presented as one way of measuring consensus, and the McNemar test is described as a way to quantify the degree of shift in responses from the first to second stage. The application of the method is illustrated by a case example from a study of state legislators’ views on tobacco policy.


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