RATIONALE, AIMS AND OBJECTIVES: This paper presents selected results from a study investigating the impact of small group processes on the development of clinical practice guidelines by multidisciplinary panels. Observations of one panel developing a guideline for primary care over several months are reported here. METHODS: Non-participant observation with content analy-sis of transcripts aided by field notes. RESULTS: Bales's interaction process analysis was used to categorize interactions in terms of their task-oriented or socioemotional qualities. This revealed a well-functioning, task-oriented group characterized by predominantly positive social behaviours. However, a breakdown of dialogue by speaker indicated a marked effect of professional role and status on the level of contribution to group discussions. This, and marked changes in panel composition across meetings, has implications for the multidisciplinarity of decision-making in such groups and hence for the acceptance and implementation of their outputs. CONCLUSIONS: These findings are likely to generalize to other health care settings in view of the growing emphasis on multidisciplinary decision-making and the clear status hierarchies inherent within the medical and allied fields.
RATIONALE, AIMS AND OBJECTIVES: This paper presents selected results from a study investigating the impact of small group processes on the development of clinical practice guidelines by multidisciplinary panels. Observations of one panel developing a guideline for primary care over several months are reported here. METHODS: Non-participant observation with content analy-sis of transcripts aided by field notes. RESULTS: Bales's interaction process analysis was used to categorize interactions in terms of their task-oriented or socioemotional qualities. This revealed a well-functioning, task-oriented group characterized by predominantly positive social behaviours. However, a breakdown of dialogue by speaker indicated a marked effect of professional role and status on the level of contribution to group discussions. This, and marked changes in panel composition across meetings, has implications for the multidisciplinarity of decision-making in such groups and hence for the acceptance and implementation of their outputs. CONCLUSIONS: These findings are likely to generalize to other health care settings in view of the growing emphasis on multidisciplinary decision-making and the clear status hierarchies inherent within the medical and allied fields.
Authors: Martin P Eccles; Jeremy M Grimshaw; Paul Shekelle; Holger J Schünemann; Steven Woolf Journal: Implement Sci Date: 2012-07-04 Impact factor: 7.327
Authors: Norman T Ilowite; Christy I Sandborg; Brian M Feldman; Alexi Grom; Laura E Schanberg; Edward H Giannini; Carol A Wallace; Rayfel Schneider; Kathleen Kenney; Beth Gottlieb; Philip J Hashkes; Lisa Imundo; Yukiko Kimura; Bianca Lang; Michael Miller; Diana Milojevic; Kathleen M O'Neil; Marilynn Punaro; Natasha Ruth; Nora G Singer; Richard K Vehe; James Verbsky; Amy Woodward; Lawrence Zemel Journal: Pediatr Rheumatol Online J Date: 2012-08-29 Impact factor: 3.054
Authors: Samir Gupta; Flora T Wan; David Newton; Onil K Bhattacharyya; Mark H Chignell; Sharon E Straus Journal: J Med Internet Res Date: 2011-12-08 Impact factor: 5.428