Table 4.

Round 2 Results: Retained Clinical Phenomena / Items

Clinical Phenomenon	Appropriate (% agreement)	Clear (% agreement)	Feasible (% agreement)	Panellist Comments
Oxygen requirements	96	96	100	Should be combined with item #9 (oxygen saturation).
Signs of respiratory distress / Work of breathing / Breathing effort	100	70	100	May be impacted by co-morbidities (e.g., Cardiac dysfunction). Should be combined with item #5 (respiratory rate). Should be called signs of respiratory distress.
Respiratory rate	83	96	100	Also may be impacted by cardiac co-morbidity. Should be combined with item #3 (signs of respiratory distress). It is a component of item #3.
Mobility	96	91	100	An important item.
Auscultation findings / Breath sounds	100	83	100	An important item. There are some fundamental limitations to this technique.
Oxygen saturation / Pulse oximetry	100	91	96	Need to take into account the variation in appropriate saturation for cardiac kids. Should be called oxygen saturation. Should be combined with item #2 (oxygen requirements).
Airway clearance / Secretion clearance / (cough, suctioning)	100	78	96	An important item. Should be calledsecretion clearance.
Family readiness to assume CR care if ongoing*	78	65	70	Difficult to assess—how will this be measured? Could be combined with item #29 (education).
Education*	70	48	70	May want to combine with item #19 (family readiness to assume CR care if ongoing). Should be called discharge planning.

Percentages in the appropriate, clear, and feasible columns reflect the percentage of panellists responding “yes” for each item. Comments reflect the common themes noted from the panellists' comments. The comments in boldface type were used to refine the data for round 3.

^*These items were identified as “controversial” because each was at the 70% criterion for either appropriateness or feasibility.