scholarly journals Working with people with personality disorder: utilising service users' views

2007 ◽  
Vol 31 (3) ◽  
pp. 85-88 ◽  
Author(s):  
Kimberley Barlow ◽  
Stephen Miller ◽  
Kingsley Norton
Keyword(s):  
Personality Disorder ◽  
Qualitative Methodology ◽  
Group Discussion ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Service Users ◽  
Further Training ◽  
Modified Nominal Group Technique ◽  
Clinical Interactions

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.

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
Keyword(s):  
Small Group ◽  
Group Discussion ◽  
Nominal Group Technique ◽  
Care Quality ◽  
Nominal Group ◽  
Dissemination And Implementation ◽  
Team Science ◽  
Full Sample ◽  
Health Innovations ◽  
Dissemination And Implementation Research

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.

scholarly journals A Modified Nominal Group Technique (mNGT) – Finding Priorities in Research

2020 ◽  
Vol 44 (3) ◽  
pp. 345-352
Author(s):  
Sa'Nealdra T. Wiggins ◽  
Sarah Colby ◽  
Lauren Moret ◽  
Marissa McElrone ◽  
Melissa D. Olfert ◽  
...  
Keyword(s):  
Nominal Group Technique ◽  
Nominal Group ◽  
Health Priorities ◽  
Response Sheet ◽  
Scoring Method ◽  
Qualitative Feedback ◽  
Prevention Project ◽  
Modified Nominal Group Technique ◽  
Insight Into ◽  
Group Technique

Objectives: The objective of this study was to describe a modified nominal group technique (mNGT) approach to assess community health priorities and its application to a childhood obesity prevention project conducted with the high school population. Methods: This manuscript provides detailed information of a mNGT separately conducted with 3 cohorts, (students, teachers/administration, parents). Participants used a response sheet to brainstorm, document top 5 responses, and rank each response individually. We also used a unique reverse scoring method to quantify the qualitative data and within and between group scores for comparison against other cohorts. Summaries provided additional insight into the participants' perceptions. Results: The mNGT process successfully reduced limitations common to the traditional nominal group technique by providing an in-depth understanding of perceptions and understanding priorities. Conclusions: mNGT can be useful across other disciplines as a method of gathering rich qualitative feedback that can be transformed into a more quantitative form for analysis.

When has a knee or hip replacement failed? A patient perspective

2019 ◽  
pp. jrheum.191024
Author(s):  
Jasvinder A. Singh ◽  
Bella Mehta ◽  
Serene Z. Mirza ◽  
Mark P. Figgie ◽  
Peter Sculco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Replacement ◽  
Patient Perspective ◽  
Total Joint Replacement ◽  
Nominal Group Technique ◽  
College Education ◽  
Nominal Group ◽  
Early Revision ◽  
Hip Replacements

Objective To perform a qualitative study to define the patient perspective of what constitutes a failure of total joint replacement (TJR). Methods We used the nominal group technique (NGT) with participants who had undergone elective total hip replacements (THR) and/or total knee replacements (TKR) to answer the question “When would you consider a knee or hip replacement to be a failure?” Results We performed eight nominal groups with 42 participants, all of whom had undergone THR and/or TKR between 2016 and 2018. Of these, 48% were male, 17% black, 79% had college education or above, and 76% had had osteoarthritis as the underlying diagnosis. The nominated responses/themes that were ranked the highest by the participants were: (1) refractory index joint pain (80 votes); (2) occurrence of post-operative adverse events (54 votes); (3) Unable to resume normal activities or go back to work (38 votes); (4) little or no improvement in quality of life (QOL; 35 votes); (5) early revision surgery (35 votes); (6) death (7 votes); and (7) other including nurse or physician negligence (2 votes) and expectation-outcome mismatch (1 vote). Conclusion Lack of relief of pain or restoration of function or quality of life or the occurrence of surgical complications after TJR were defined as TJR failure by participants. Functional TJR failure seems as or more important than surgical failure. This patient perspective of TJR failure further confirmed their inclusion in core domain set for TJR clinical trials in people undergoing knee or hip replacements.

scholarly journals A practitioner behaviour change intervention for deprescribing in the hospital setting

2020 ◽  
Author(s):  
Sion Scott ◽  
Helen May ◽  
Martyn Patel ◽  
David J Wright ◽  
Debi Bhattacharya
Keyword(s):  
Action Plan ◽  
Hospital Setting ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Trial Period ◽  
Intervention Component ◽  
Implementation Framework ◽  
Term Trial ◽  
Training Activities ◽  
Modified Nominal Group Technique

Abstract Background hospital deprescribing trials have demonstrated marginal increases in deprescribing activity that are not sustained beyond the trial period. The hospital deprescribing implementation framework (hDIF) links barriers and enablers of deprescribing in hospital with 44 potential intervention components. This study aimed to support geriatricians and pharmacists to select and characterise hDIF components according to affordability, practicability, effectiveness, acceptability, safety and equity (APEASE) to design a deprescribing intervention in the English hospital setting. Methods we convened a modified Nominal Group Technique with a panel of nine geriatricians and pharmacists representing five English hospitals. Panel members selected and characterised intervention components from the hDIF based on the APEASE criteria. We set a consensus threshold of 80% agreement per APEASE criterion in order for the intervention component to be included. Results the panel selected five intervention components supporting engagement with deprescribing: an organisational action plan to prioritise deprescribing, two training activities to address pharmacists’ beliefs about negative deprescribing consequences, restructuring pharmacists’ working patterns to facilitate their contribution to deprescribing decisions, and sharing experiences of successfully engaging patients/family in deprescribing conversations to support others to do the same. A sixth component was selected to sustain engagement with deprescribing through measuring and sharing deprescribing activity achieved between teams. Conclusions deprescribing interventions targeting geriatricians’ and pharmacists’ behaviour in the English hospital context should include the six characterised components. A component to sustain deprescribing activity is a notable omission from previously reported deprescribing interventions and may explain their failure to maintain efficacy beyond the short-term trial period.

Introducing a modified nominal group technique for issue identification

1988 ◽  
Vol 9 (2) ◽  
pp. 40-44 ◽  
Author(s):  
Lois J. Pokorny ◽  
Kenneth Lyle ◽  
Margaret Tyler ◽  
James Topolski
Keyword(s):  
Nominal Group Technique ◽  
Nominal Group ◽  
Modified Nominal Group Technique ◽  
Group Technique

scholarly journals Navigating curriculum transformation: charting our course

2019 ◽  
Author(s):  
Astrid Turner ◽  
Irene Lubbe ◽  
Liz Wolvaardt ◽  
Lizeka Napoles
Keyword(s):  
South Africa ◽  
Nominal Group Technique ◽  
Health Sciences ◽  
Nominal Group ◽  
Diverse Group ◽  
Visual Tool ◽  
University Of Pretoria ◽  
Modified Nominal Group Technique ◽  
Curriculum Transformation ◽  
The University

The 2015 student-led #FeesMustFall campaign in South Africa initiated at some universities, and accelerated at others, indepth discussions and reflections about curriculum transformation within the perceived ivory towers of learning. Three years later, the mandate to implement transformation is clear from all levels but what is uncertain is the operationalization of the official transformation framework at the University of Pretoria.   The aim of the project presented is to chart the process followed by one of the four Schools of the Faculty of Health Sciences to deconstruct this transformation framework. As part of a three phased programme, a workshop of diverse staff using a modified nominal technique was held in 2018. It resulted in a visual tool of 19 specific statements considered evidence of personal practice that supports and advances the drive for transformation. This tool will be used to share practices and instil individual and School accountability for everone’s role in curriculum transformation. In conclusion, complex policy ideals and technical terminology can be translated into practical, appropriate actions by a diverse group of  staff and students.  The use of a modified nominal group technique was an efficient way to do this by generating an easy to use visual tool.

scholarly journals Codesigning a Mental Health Discharge and Transitions of Care Intervention: A Modified Nominal Group Technique

2020 ◽  
Vol 11 ◽  
Author(s):  
Natasha Tyler ◽  
Nicola Wright ◽  
Andrew Grundy ◽  
Kyriakos Gregoriou ◽  
Stephen Campbell ◽  
...  
Keyword(s):  
Mental Health ◽  
Nominal Group Technique ◽  
Transitions Of Care ◽  
Nominal Group ◽  
Care Intervention ◽  
Modified Nominal Group Technique ◽  
Group Technique

The value of cancer treatments: Patient and clinician perspectives.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18320-e18320 ◽  
Author(s):  
Andrew Briggs ◽  
Camilla Baba ◽  
Anna Kaltenboeck ◽  
Allison Nicole Lipitz Snyderman ◽  
Emma McIntosh ◽  
...  
Keyword(s):  
Focus Groups ◽  
Contextual Factors ◽  
Treatment Options ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Efficacy And Safety ◽  
Cancer Treatments ◽  
Trade Offs ◽  
Clinician Perspectives

e18320 Background: A number of frameworks for assessing the value of cancer treatments such as the National Comprehensive Cancer Network’s evidence blocks, Memorial Sloan Kettering Cancer Center’s Drug Abacus and ASCO’s value framework have been developed to help address the rising cost of cancer treatments. Yet the methodological basis for the inclusion of differing attributes, how to incorporate other contextual considerations and understand stakeholder trade-offs is unclear. This qualitative study aimed to identify contextual factors prioritized by stakeholders for inclusion in oncology value frameworks. Methods: A scoping review identified attributes currently included in value frameworks. Nominal group technique methods were then used in 3 focus groups representing cancer patients, oncology nurses, and physicians across a range of cancer specialties. Each group was tasked with ‘identifying important treatment features’ based on their own experience. Following discussions, participants ranked attributes in order of importance and group consensus identified the ‘top 6’ factors. Results: Twenty-one attributes were identified by the patient (n = 9), nurse (n = 10) and physician (n = 6) focus groups. All identified efficacy and safety/toxicity. Long-term adverse effects, alternative treatment options, quality of evidence and reputation of the treating oncologist/center were prioritized by patients. Nurse preferences centered on mode of administration, quality of life, communication and treatment innovation. Physicians focused on the burden and inconvenience of treatments to patients, functional outcomes, financial toxicity to patients, and societal costs. Conclusions: Although efficacy and safety/toxicity were prioritized in all groups, the prioritization of contextual factors across stakeholders highlights the need to further understand the relative value of possible ‘other’ attributes currently not reflected in frameworks thus, possibly failing to reflect the preferences of stakeholders.

Korištenje normativnog psihološkog ugovora u funkciji postizanja kvalitetnijeg obrazovnog procesa

2016 ◽  
pp. 69-100
Author(s):  
Mirna Marković
Keyword(s):  
Psychological Contract ◽  
Nominal Group Technique ◽  
Educational Process ◽  
Nominal Group ◽  
Adult Educators ◽  
The Common ◽  
Modified Nominal Group Technique ◽  
The University ◽  
Academic Year

Upon entering in each relatively unknown and new context, such as new course, students enter with certain expectations which they may not always be fully aware of. Like the students, the teachers and assistants also generate certain expectations, mostly based on psychological aggregation of past experience. The fact is that especially the implicit expectation of both will somehow shape their behaviour and attitudes about this course. The expectations from both parties usually represent a range of very specific, mostly implicit, expectations that form the basis of the psychological contract. This contract is often defined as a „tacit”agreement between the parties (students and teachers/assistants) on the nature of their exchanges and the way they realize their relationship in the process of teaching. This paper attempts to examine the content of the normative psychological contract that defines the common expectations of students and assistants related to the rights and obligations that implies the role of the student, as wells as the rights and obligations that implies the role of assistants in relation to the student – assistant relationship in one of the teaching courses. The study was conducted on a sample of N = 38 students in the fifth academic year of the Department of Psychology at the Faculty of Philosophy of the University of Sarajevo. The modified nominal group technique was used to collect individual data and achieve a group consensus on the content of the normative psychological contract. In particular, the attention was drawn to the efficient way of collecting and using information about students’ expectations, which can be considered when defining and clarifying mutual expectation on the role of students and teachers/assistants in the educational process. An effort was made to point out on the example of concrete steps the acceptability and applicability of the method in defining the normative psychological contract of any educational group. Finally, the study resulted in a proposal of a Scale for the evaluation of the fulfilment of psychological contract. This scale would be useful to the adult educators in creating of individualized Scale for the evaluation of the fulfilment of psychological contract in a specific educational context.

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