Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach.

PloS One
Nynke de GrootNicole B Valentine

Abstract

The concept 'vulnerability' is prevalent in the public domain, health care, social institutions and multidisciplinary research. Conceptual heterogeneity is present, hampering the creation of a common evidence-base of research achievements and successful policies. Recently an international expert group combined a specific literature review with a 2-stage Delphi procedure, arriving at a seemingly universal concept of vulnerability for the elderly with applications for research instruments. We replicated and extended this study, to generalize this result to health in general, and perinatal health in particular. Two independent expert panels (general health, perinatal health) repeated the Delphi-procedure, using an extended and updated literature review to derive statements on the concept and defining pathways of vulnerability. Additional views were collected on research tools. Consensus-by-design was explicitly avoided. Data collection and processing was independent. Both panels showed surprising convergence on the pathways of vulnerability to health/ill-health, and their interaction. The agreed conceptual model describes a dynamic relation between health and ill-health and vulnerability. The 2 key pathways that link to vulnerabil...Continue Reading

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Citations

Mar 17, 2020·Journal of Patient Safety·Antonio Montero GarcíaJosé Miguel Morales Asencio
Mar 16, 2021·Asian Bioethics Review·Charles Biradzem Dine
Mar 23, 2021·Women and Birth : Journal of the Australian College of Midwives·Yvonne J Fontein Kuipers, Eveline Mestdagh
Jun 19, 2021·SSM - Population Health·Carolina M BorgesKristine Spike
Jul 12, 2021·BMC Health Services Research·Jacques SpycherJoachim Marti
Nov 7, 2021·International Journal of Nursing Practice·Orlaith CormicanMaura Dowling

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