The results of the first Delphi-round (modified delphi)

Published: 13 December 2023| Version 1 | DOI: 10.17632/zypcyk7vhz.1
Heini Karstila


The data is part of the study about climate change related challenges for emergency medical service (EMS) and emergency department (ED) in Finland. A two-round Delphi study was conducted. Ten participants expressed their views of climate change-related challenges currently and in the future, and how to prepare for challenges ahead. First-round questions was based on the literature search about the climate-related impacts on EMS and ED. The stage one data was analysed by thematic analysis, which generated the second-round survey where the probability of the statements was estimated.


Steps to reproduce

The first Delphi-round was designed based on the results of the literature search themes, that reviewed the impacts of weather, climate and climate change on emergency medical service (EMS) and emergency department (ED). In the first round the following open questions were used: 1. What are the biggest challenges that ongoing climate change poses to EMS and ED currently in Finland? 2. What are the biggest challenges that climate change will cause to EMS and ED in future in Finland (think both likely and surprising risks in 30-50 years ahead)? 3. What are the potential solutions to prepare challenges ahead? All questions included subsections about the workload on EMS and ED, morbidity and accidents, and the organization and the management in EMS and ED. The online interview data was collected personally by using Microsoft Teams in October-December 2022 in Finnish. Ten participants participated in the study. All participants answered all questions. The table shows all the answers and the analysis process. Braun and Clarke’s thematic analysis was used to analyse the data. (Braun V, Clarke V 2006. Using thematic analysis in psychology. Qualitative research in psychology 3 (2), 77-101. ) Original data is in Finnish. Subthemes and final themes are translated into English. Themes “Heatwaves cause negative health effects and increase morbidity” and “Heatwaves increase the workload” are fully translated to guide the reader through the analysis process.


Oulun seudun ammattikorkeakoulu Sosiaali ja terveysalan yksikko


Emergency Medical Service, Climate, Climate Change, Emergency Department, Weather