Exploring the Structure of the Crisis Management Team

2011 ◽  
Vol 460-461 ◽  
pp. 15-20
Author(s):  
Jian Xi Shi ◽  
Yan Cui
Keyword(s):  
Decision Making ◽  
Crisis Management ◽  
Nominal Group Technique ◽  
Product Line ◽  
Management Team ◽  
Nominal Group ◽  
Decision Making Process ◽  
Government Officials ◽  
Modified Nominal Group Technique ◽  
New Perspective

The purpose of this article is to introduce a new perspective into the crisis management team rather than to focus on how to train the crisis management team like many recent researches. This paper adds product-line employees, shareholders, customer representatives, government officials to the crisis management team and use the modified nominal group technique in the decision-making process, which improves the efficiency of the team.

scholarly journals Prioritising interventions for preventing mental health problems for children experiencing adversity: a modified nominal group technique Australian consensus study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Teresa Hall ◽  
Suzy Honisett ◽  
Kate Paton ◽  
Hayley Loftus ◽  
Leanne Constable ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Home Visiting ◽  
Mental Health Problems ◽  
Service Providers ◽  
Nominal Group Technique ◽  
Health Problems ◽  
Nominal Group ◽  
Modified Nominal Group Technique ◽  
Group Technique

Abstract Background Despite the well-established link between childhood adversity and mental health problems, there is a dearth of evidence to inform decision making about the most acceptable and feasible interventions for preventing mental health problems for children experiencing adversity. Expert consensus is an important input into evidence-informed policy and practice but is often employed at the national level which misses important local contextual factors shaping decision making. This study aimed to: (1) reach consensus on local priority interventions for preventing mental health problems for children living with adversity in Wyndham, Victoria; and (2) understand the enabling factors and barriers to implementing these interventions. Methods This study employed six online modified nominal group technique (NGT) workshops with 19 stakeholders; intersectoral service providers from health, social and education sectors and caregivers of children aged 0–8 years. Results Three interventions reached consensus among the mixed stakeholder groups as being a high or very high priority for implementation in Wyndham: nurse home visiting, parenting programs and community-wide programs. Key rationales were the ability for these interventions to act as a gateway for families to increase their knowledge about topics immediately relevant to them (i.e. parenting), increase their knowledge about available supports and build relationships with service providers. Conclusions Local priorities for preventing mental health problems for children living with adversity emphasized relational approaches to service provision and were shaped by the availability of existing interventions and supports in the locality. The NGT was found to be an effective method for prioritising evidence-based practice interventions in health settings, engaging local stakeholders, and identifying enablers and barriers to implementation.

scholarly journals Prioritising Interventions for Preventing Mental Health Problems for Children Experiencing Adversity: a Modified Nominal Group Technique Australian Consensus Study

2021 ◽  
Author(s):  
Teresa Hall ◽  
Suzy Honisett ◽  
Kate Paton ◽  
Hayley Loftus ◽  
Leanne Constable ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Home Visiting ◽  
Mental Health Problems ◽  
Service Providers ◽  
Nominal Group Technique ◽  
Health Problems ◽  
Nominal Group ◽  
Modified Nominal Group Technique ◽  
Group Technique

Abstract Background: Despite the well-established link between childhood adversity and mental health problems, there is a dearth of evidence to inform decision making about the most acceptable and feasible interventions for preventing mental health problems for children experiencing adversity. Expert consensus is an important input into evidence-informed policy and practice but is often employed at the national level which misses important local contextual factors shaping decision making. This study aimed to: (1) reach consensus on local priority interventions for preventing mental health problems for children living with adversity in Wyndham, Victoria; and (2) understand the enabling factors and barriers to implementing these interventions. Methods: This study employed six online modified nominal group technique (NGT) workshops with 19 stakeholders; intersectoral service providers from health, social and education sectors and caregivers of children aged 0-8 years. Results: Three interventions reached consensus among the mixed stakeholder groups as being a high or very high priority for implementation in Wyndham: nurse home visiting, parenting programs and community-wide programs. Key rationales were the ability for these interventions to act as a gateway for families to increase their knowledge about topics immediately relevant to them (i.e. parenting), increase their knowledge about available supports and build relationships with service providers.Conclusions: Local priorities for preventing mental health problems for children living with adversity emphasized relational approaches to service provision and were shaped by the availability of existing interventions and supports in the locality. The NGT was found to be an effective method for prioritising evidence-based practice interventions in health settings, engaging local stakeholders, and identifying enablers and barriers to implementation.

EP.TH.602Exploring decision-making of healthcare professionals in patients with benign large non-pedunculated colonic polyps (BLNPCP) virtually using combined focus group and nominal group technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
L Wheldon ◽  
J Morgan ◽  
MJ Lee ◽  
S Riley ◽  
SR Brown ◽  
...  
Keyword(s):  
Decision Making ◽  
Healthcare Professional ◽  
Patient Preference ◽  
Healthcare Professionals ◽  
Nominal Group Technique ◽  
Colonic Polyps ◽  
Nominal Group ◽  
Shared Decision ◽  
Patient Factors ◽  
Group Technique

Abstract Aim We aimed to elicit key factors that influence healthcare professional decision-making when deciding treatment for BLNPCP. Background Benign large non-pedunculated colonic polyps (BLNPCP) may harbour covert malignancy and opinions differ about the optimal treatment modality. There are several options available, including endoscopic mucosal resection, endoscopic submucosal resection, combined endoscopic laparoscopic surgery and surgical resection. Despite widespread availability of endoscopic resection techniques, there are high rates of surgery in the UK. Methods Three focus groups of healthcare professionals, comprised of either consultant colorectal surgeons, nurse endoscopists and consultant gastroenterologists, were conducted virtually utilising the Nominal Group Technique. Meetings were recorded and transcribed verbatim. Themes were devolved using the framework approach for qualitative analysis. A priority-ranked list of factors influencing healthcare professional decision-making in this setting was generated. Results Five main themes were identified as influencing decision-making: Shared decision making (patient preference, informed consent); Patient factors (co-morbidity, age, life-expectancy); Polyp factors (Location, size, morphology, risk of cancer); Healthcare professionals (skill-set, personal preference); System factors (techniques availability locally, regional referral networks). Nominal Group Technique generated 55 items across the three focus groups. Nurses and gastroentologists ranked patient factors (particularly drug history and tolerance of procedure) and shared decision making (patient preference) more highly then surgeons. Surgeons placed greater emphasis on polyp factors particularly location and the risk of submucosal invasive carcinoma. Conclusion Decision making is complex and multifactorial. These results support the benefits of complex polyp MDTs and patient involvement in the decision-making. The complexity of decision-making may underpin wide variation in practice.

scholarly journals Community Priority Index: utility, applicability and validation for priority setting in community-based participatory research

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Hamisu M. Salihu ◽  
Abraham A. Salinas-Miranda ◽  
Wei Wang ◽  
DeAnne Turner ◽  
Estrellita Lo Berry ◽  
...  
Keyword(s):  
Decision Making ◽  
Participatory Research ◽  
Priority Setting ◽  
Nominal Group Technique ◽  
Community Based Participatory Research ◽  
Self Esteem ◽  
Nominal Group ◽  
Community Settings ◽  
Community Based ◽  
Priority Index

<em>Background</em>. Providing practitioners with an intuitive measure for priority setting that can be combined with diverse data collection methods is a necessary step to foster accountability of the decision-making process in community settings. Yet, there is a lack of easy-to-use, but methodologically robust measures, that can be feasibly implemented for reliable decision-making in community settings. To address this important gap in community based participatory research (CBPR), the purpose of this study was to demonstrate the utility, applicability, and validation of a community priority index in a community-based participatory research setting. <br /><em>Design and Methods</em>. Mixed-method study that combined focus groups findings, nominal group technique with six key informants, and the generation of a Community Priority Index (CPI) that integrated community importance, changeability, and target populations. Bootstrapping and simulation were performed for validation. <br /><em>Results</em>. For pregnant mothers, the top three highly important and highly changeable priorities were: stress (CPI=0.85; 95%CI: 0.70, 1.00), lack of affection (CPI=0.87; 95%CI: 0.69, 1.00), and nutritional issues (CPI=0.78; 95%CI: 0.48, 1.00). For non-pregnant women, top priorities were: low health literacy (CPI=0.87; 95%CI: 0.69, 1.00), low educational attainment (CPI=0.78; 95%CI: 0.48, 1.00), and lack of self-esteem (CPI=0.72; 95%CI: 0.44, 1.00). For children and adolescents, the top three priorities were: obesity (CPI=0.88; 95%CI: 0.69, 1.00), low self-esteem (CPI=0.81; 95%CI: 0.69, 0.94), and negative attitudes toward education (CPI=0.75; 95%CI: 0.50, 0.94). <br /><em>Conclusions</em>. This study demonstrates the applicability of the CPI as a simple and intuitive measure for priority setting in CBPR.

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.

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 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.

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