scholarly journals Identifying strategies to promote team science in dissemination and implementation research

2019 ◽  
Vol 4 (3) ◽  
pp. 180-187 ◽  
Author(s):  
Gregory A. Aarons ◽  
Kendal Reeder ◽  
Christopher J. Miller ◽  
Nicole A. Stadnick

AbstractIntroduction:Scientific endeavors are increasingly carried out by teams of scientists. While there is growing literature on factors associated with effective science teams, little is known about processes that facilitate the success of dissemination and implementation (D&I) teams studying the uptake of healthcare innovations. This study aimed to identify strategies used by D&I scientists to promote team science.Methods:Using a nominal group technique, a sample of 27 D&I scholars responded to the question, “What strategies have you or others used to promote team science?” Participants were asked to individually respond and then discuss within a small group to determine the group’s top three strategies. Through a facilitated consensus discussion with the full sample, a rank-ordered list of three strategies was determined.Results:A total of 126 individual responses (M = 9; SD = 4.88) were submitted. Through small group discussion, six groups ranked their top three strategies to promote team science. The final ranked list of strategies determined by the full sample included: (1) developing and maintaining clear expectations, (2) promoting and modeling effective communication, and (3) establishing shared goals and a mission of the work to be accomplished.Conclusions:Because of its goal of translating knowledge to practice, D&I research necessitates the use of team science. The top strategies are in line with those found to be effective for teams in other fields and hold promise for improving D&I team cohesion and innovation, which may ultimately accelerate the translation of health innovations and the improvement of care quality and outcomes.

2007 ◽  
Vol 31 (3) ◽  
pp. 85-88 ◽  
Author(s):  
Kimberley Barlow ◽  
Stephen Miller ◽  
Kingsley Norton

Aims and MethodTo ascertain the views of people with personality disorder on their clinical interactions with professionals, to identify potential solutions to problematic interactions and to compile guidelines on how professionals could improve their interactions with these service users. Qualitative methodology was employed, comprising a modified nominal group technique with two iterative groups and ranking by importance the issues and themes raised.ResultsThere were 13 service users from three separate personality disorder services who actively participated in a group discussion and iterative process. Collectively they indicated considerable areas of deficiency in the quality of their interaction and communication with professionals. These deficits were defined clearly enough to allow the construction of guidelines aimed at preventing or remedying such deficiencies.ConclusionsThe contribution of those people with personality disorder who took part in this study was sufficiently thoughtful to allow the development of guidelines that might help staff improve their interactions with such service users. From these guidelines, further training tools are being developed, which will be evaluated in the future. However, because not all those approached chose to participate, the views expressed might not be representative of this group as a whole.


2017 ◽  
Vol 44 (10) ◽  
pp. 1445-1452 ◽  
Author(s):  
William Tillett ◽  
Emma Dures ◽  
Sarah Hewlett ◽  
Philip S. Helliwell ◽  
Oliver FitzGerald ◽  
...  

Objective.To rank outcomes identified as important to patients with psoriatic arthritis (PsA) and examine their representation in existing composite measures.Methods.Seven nominal group technique (NGT) meetings took place at 4 hospital sites. Two sorting rounds were conducted to generate a shortlist of outcomes followed by a group discussion and final ranking. In the final ranking round, patients were given 15 points each and asked to rank their top 5 outcomes from the shortlist. The totals were summed across the 7 NGT groups and were presented as a percentage of the maximum possible priority score.Results.Thirty-one patients took part: 16 men and 15 women; the mean age was 54 years (range 24–77; SD 12.2), the mean disease duration was 10.3 years (range 1–40; SD 9.2), and mean Health Assessment Questionnaire was 1.15 (range 0–2.63; SD 0.7). The highest-ranked outcomes that patients wished to see from treatment were pain with 93 points (20.0%), fatigue 62 (13.3%), physical fitness 33 (7.1%), halting/slowing damage 32 (6.9%), and quality of life/well-being 29 (6.2%). Reviewing existing composite measures for PsA demonstrated that no single measure adequately identifies all these outcomes.Conclusion.Pain and fatigue were ranked as the outcomes most important to patients receiving treatment for PsA and are not well represented within existing composite measures. Future work will focus on validating composite measures modified to identify outcomes important to patients.


2021 ◽  
Author(s):  
Eileen Brobbin ◽  
Jacklyn Dunne ◽  
Laura Hermann ◽  
Andreas Kimergård ◽  
Kim Donoghue

Abstract Background: Randomised controlled trials (RCTs) are considered the gold standard research design for assessing the efficacy of health care treatments and are essential for improving knowledge and outcomes. However, the challenges of running RCTs in the alcohol addiction field are rarely discussed. The Nominal Group Technique (NGT) is a method designed to encourage contributions and elicit agreement on what to prioritise. This paper aims to identify challenges of alcohol addiction RCTs and solutions to these challenges using the NGT.Method: Six researchers from the Addictions Department, King’s College London, experienced in running alcohol addiction trials as trial managers, principal investigators and chief investigators, took part in a two-round decision conference, which involved impartial facilitation, on-the-spot modelling and interactive group discussion according to the NGT. The data generated from the first session was viewed and refined in the second session to create a priority list of challenges and solutions for future alcohol addiction RCTs.Results: The model produced a range of challenges when conducting alcohol addiction RCTs and solutions, which were rated according to priority by experts. After refinement of the model, these were categorised into five themes including: Staff, Recruitment, Follow ups, Governance and Funding. Each of these contained challenges and solutions when conducting alcohol addiction RCTs.Conclusion: The challenges to running alcohol addiction RCTs were discussed by a group experienced in this area in order to promote discussion and solutions. The process of sharing experiences and ideas allows for furthering knowledge to improve the running of alcohol addiction RCTs. There were some challenges that were discussed where no solutions were known or thought of. Current research activity should be more open to discussing and sharing challenges and possible solutions to improve research outcomes.


2018 ◽  
Vol 52 (2) ◽  
Author(s):  
Hilton Y. Lam ◽  
Carlos Primero D. Gundran ◽  
Jaifred Christian F. Lopez ◽  
Emelia B. Santamaria ◽  
Anna Cristina A. Tuazon ◽  
...  

Background. Despite the implementation of policies related to disaster risk reduction and management in the Philippines, the response after Typhoon Haiyan in November 2013 was hampered by operational challenges. Objective. The purpose of this study was to document disaster response experiences of Typhoon Haiyan from field level emergency medical service (EMS) responders, a key component of the disaster response, specifically the enabling factors and hindrances to disaster medical response activities, including their self-perceived level of preparedness in these activities. Methods. In this mixed-methods study, 52 respondents identified enabling factors and hindrances to their disaster response and their corresponding self-perceived level of preparedness. In a subsequent focus group discussion, the researchers used the nominal group technique to process the respondents’ experiences. Results. The respondents identified factors that enabled or hindered their response activities such as coordination, stress debriefing, infrastructure, and preparedness. Furthermore, an average of 33% of the respondents said they were adequately prepared to deliver the necessary medical services during the disaster response, thus validating previous studies on preparedness and disaster response operations. Conclusion. The government should critically examine its cluster approach to disaster response and consider an integrated, inclusive, and proactive approach in disaster planning.


Author(s):  
Benjamin Ehigie ◽  
Rebecca Ehigie

Early approach to research in industrial and organizational (I/O) psychology was oriented towards quantitative techniques as a result of influences from the social sciences. As the focus of I/O psychology expands from psychological test development to other personnel functions, there has been an inclusion of qualitative methods in I/O psychology practice. The present paper therefore examines how qualitative methods like observation, interviews, ethnography, focus group discussion, nominal group technique, Delphi method, and projective techniques can be used by I/O psychologists in organizational studies. It is believed that knowledge gained on the application s of these qualitative methods would enhance understanding of workers’ behaviors in organizations and facilitate management decisions. Empirical studies are also presented, on how these qualitative methods have successfully been used in organization.


2019 ◽  
Vol 11 (3) ◽  
pp. 275 ◽  
Author(s):  
Chris Moir ◽  
Virginia Jones

ABSTRACT INTRODUCTION Childhood obesity is a major health concern in New Zealand. Primary care nurses have been charged with body mass index (BMI) screening and initiating education or referral of 4-year-old children during the Before School Check (B4SC). Asking nurses about their BMI screening experiences when reporting is mandated by the Ministry of Health reveals valuable knowledge to inform the work of health professionals in this area. AIM To explore the experience of nurses performing the B4SC since the inclusion of the Raising Healthy Kids targets into the wellchild check. METHODS Five focus group discussions across New Zealand were conducted using the Nominal Group Technique. Nurses individually recorded their answers to the research question, ‘What is your perception of performing the B4SC since the inclusion of the Raising Healthy Kids target in July 2016?’. Group discussion and establishing priorities followed. Researchers collated and analysed data. Results were obtained by adding up scores across groups to provide the final overall themes of: (i) communication; (ii) BMI as a measurement; (iii) cultural norms and socioeconomic situations; (iv) parenting and family structure; and (v) education. RESULTS Communication was the common theme across groups, but other priorities were more specific to the sociodemographic and cultural profile of the areas of practice. Mandatory reporting appears to have had the positive outcome of encouraging nurses to use positive and holistic discussion on health to families rather than concentrating on BMI. Nurses reported using tools to educate parents without implying judgement of their parenting and lifestyle. DISCUSSION Nurses worked hard to maintain relationships with families as they recognised the long-term value of keeping families engaged with health professionals. Where tools were useful, such as the BMI calculator, nurses used these to assist with positive communication. The mandatory nature of the BMI referral had enhanced their skills with difficult conversations.


2019 ◽  
Vol 26 (4) ◽  
pp. 239-247 ◽  
Author(s):  
Christopher Tran ◽  
Douglas Archibald ◽  
Susan Humphrey-Murto ◽  
Clare Liddy ◽  
Erin Keely

Introduction Poor communication between health professionals can compromise patient safety, yet specialists rarely receive feedback on their written communication. Although worldwide implementation of electronic consultation (eConsult) services is rising rapidly, little is known about the features of effective communication when specialists provide online advice to primary care providers (PCP). To inform efforts to ensure and maintain high-quality communication via eConsult, we aim to identify features of high-quality eConsult advice to incorporate into an assessment tool that can provide specialists with feedback on their correspondence. Methods Initial items for the tool were generated by PCPs and specialists using the nominal group technique (NGT). Invited PCPs were above-median eConsult users between July 2016 and June 2017. Specialists were purposively recruited to represent the range of available specialties. Participants individually wrote down items they felt should be included in the tool. A moderator with consensus group expertise then led a round-robin discussion for each item. Items were ranked anonymously and included if highly-ranked by over 70% of participants. Results Eight PCPs (six family physicians, two nurse practitioners) and three specialists (dermatology, hematology, pediatric orthopedics) produced 49 items that were refined to 14 after group discussion and two rounds of ranking. Highly-ranked items encompassed specific, up-to-date, patient-individualized, and practical advice that the PCP could implement. Discussion Features of high-quality eConsult correspondence derived from consensus methods highlight similarities and differences between face-to-face consultation letters and eConsult. Our findings could be used to inform feedback and education for eConsult specialists on their advice to PCPs.


2021 ◽  
Author(s):  
Sedigheh Abdollahpour ◽  
Abbas Heydari ◽  
Hosein Ebrahimipour ◽  
Farhad Faridhoseini ◽  
Talat Khadivzadeh

Abstract Background: Mothers who have experienced a near miss event, their normal life is affected by physical, psychological, emotional, social and economic adverse effects. The aim of this study is to develop a supportive program for near miss mothers (NMM), based on a program logical model (PLM) that has been validated using the nominal group technique (NGT).Methods: After conducting qualitative and systematic reviews studies to assess the needs, components of PLM were extracted that provided the framework for the utilization of activities, outputs, outcomes and impact. A Nominal Group Technique method done in a one-day workshop with the participation of 12 professionals was held in November 2020.Results: Eight strategies used in draft support programs based on the logical model, included the following: "psychological", "fertility / childbearing", "information", "care quality improvement", "socio-cultural", "financial", "breastfeeding" and "nutritional". The validation of the program was done based on the five steps of the NGT during the steps of creating ideas, silent generation of ideas, round robin, clarification of ideas, Prioritization. Finally, a final program was presented to support NMM.Conclusions: Simultaneous integration in the PLM and NGT method allowed the first program developed to support NMM to be comprehensive and complete. Using this evidence-based program can help reduce the burden of maternal morbidities in millions of women around the world and prevent long-term complications and shorten their rehabilitation phase.


2001 ◽  
Vol 64 (6) ◽  
pp. 298-304 ◽  
Author(s):  
Barbara Steward

Exploring supervisors' opinions about student competence is a complex issue. The nominal group technique offers an alternative to focus groups and individual interviewing, allowing opportunities for individual data generation and group discussion and evaluation. This paper records and critically appraises its use as part of an investigation of the qualities therapists value in students in their first full fieldwork placement. This small-scale and exploratory qualitative study suggests that occupational therapists and physiotherapists appear to value very similar personal qualities in students, but that departments and individuals may give different weightings to skills and knowledge. The findings have implications for students, fieldwork supervisors and college educators when preparing for clinical placements.


INKLUSI ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 97
Author(s):  
Unita Werdi Rahajeng ◽  
Ika Widyarini ◽  
Ilhamuddin Ilhamuddin

Being a young volunteer provides an opportunity for volunteers to build stronger awareness of social issues, such as the fulfilment of equal rights for persons with disabilities. For young volunteers, participation in volunteerism can form strong characters. This research attempts to describe the forms of strength of character in young volunteers for persons with disabilities and their development. Data collection methods used were Online Survey (Study 1) and Nominal Group Technique and Focus Group Discussion (Study 2). Both studies involved young volunteers in communities and organizations with disabilities in Malang Regency and Kota aged between 18-30 years (Study 1 with N = 59 people and Study 2 with N = 6 people). From the research, it is found that the character strength becomes the modality of participation as a volunteer and develops in the process of involvement of young volunteers for persons with disabilities.[Aktivitas sebagai relawan muda menyediakan kesempatan bagi pelakunya untuk membangun kesadaran yang lebih kuat terkait dengan isu-isu sosial, termasuk kesadaran terkait pemenuhan kesetaraan hak bagi penyandang disabilitas. Bagi para relawan muda, partisipasi dalam aktivitas berbasis kesukarelawanan dapat membentuk beberapa kekuatan karakter, antara lain kekuatan karakter yang dicetuskan oleh Peterson & Seligman (2004). Penelitian ini berusaha menggambarkan bentuk-bentuk kekuatan karakter dalam diri relawan-relawan muda bagi penyandang disabilitas dan perkembangannya. Metode pengumpulan data yang digunakan adalah Online Survey (Study 1) dan Nominal Group Technique serta Focus Group Discussion (Study 2). Kedua study tersebut melibatkan relawan muda di komunitas dan organisasi penyandang disabilitas kabupaten dan kota Malang berusia antara 18 - 30 tahun. (Studi 1, N= 59 orang dan Studi 2, N= 6 orang).  Dari penelitian ini didapatkan gambaran kekuatan karakter yang menjadi modalitas partisipasi sebagai relawan dan berkembang dalam proses keterlibatan para relawan muda bagi penyandang disabilitas.]


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