scholarly journals An interprofessional approach to promoting autonomous decision-making for clients who are aphasic

2019 ◽  
Vol 5 (2) ◽  
pp. 44
Author(s):  
Jessie Johnson ◽  
Sarah Westgate ◽  
Linda Oliver

Often times interprofessional health care team members presume individuals with aphasia due to stroke lack the capacity to participate in and contribute to decision-making. This belief may hinder the client’s participation in the decision-making process. Two main impairments resulting from stroke, that impede communication and limit capacity for autonomous participation in decision-making, are aphasia and cognitive deficits. Reduced capacity for communication in the client with stroke, combined with complexity in health team dialogue and process, may further diminish the individual’s ability to engage in autonomous decision-making. Health team members need to use reliable methods and devise new methods which can more accurately measure capacity for autonomous decision-making. This review elucidates the necessity for (1) autonomous decision-making in persons with aphasia, (2) assessing the need for capacity, (3) concrete ways to assess cognitive function, and (4) interprofessional team decision-making.

2021 ◽  
Author(s):  
Vivek Rao ◽  
Ananya Krishnan ◽  
Jieun Kwon ◽  
Euiyoung Kim ◽  
Alice Agogino ◽  
...  

Abstract Design team decision-making underpins all activities in the design process. Simultaneously, goal alignment within design teams has been shown to be essential to the success of team activities, including engineering design. However, the relationship between goal alignment and design team decision-making remains unclear. In this exploratory work, we analyze six student design teams’ decision-making strategies underlying 90 selections of design methods over the course of a human-centered design project. We simultaneously examine how well each design team’s goals are aligned in terms of their perception of shared goals and their awareness of team members’ personal goals at the midpoint and end of the design process, along with three other factors underpinning team alignment at the midpoint. We report three preliminary findings about how team goal alignment and goal awareness influence team decision-making strategy that, while lacking consistent significance, invite further research. First, we observe that a decrease in awareness of team members’ personal goals may lead student teams to use a different distribution of decision-making strategies in design than teams whose awareness stays constant or increases. Second, we find that student teams exhibiting lower overall goal alignment scores appear to more frequently use agent-driven decision-making strategies, while student teams with higher overall goal alignment scores appear to more frequently use process-driven decision-making strategies. Third, we find that while student team alignment appears to influence agent- and process-driven strategy selection, its effect on outcome-driven selection is less conclusive. While grounded in student data, these findings provide a starting place for further inquiry into of designerly behavior at the nexus of teaming and design decision-making.


Management ◽  
2019 ◽  
Author(s):  
Guihyun Park ◽  
Verlin B. Hinsz

As organizations increasingly adopt team-based systems, team judgment and decision making are often preferred ways of making decisions compared to individual decision making. Teams are considered to have a greater potential to make a higher quality decision compared to individuals because teams can utilize a larger pool of information, team members can correct each other’s error, and team discussion can facilitate team processes that enhance team outcomes such as learning. Team judgment and decision making, however, are known to be subject to potential pitfalls such as polarization, common knowledge bias, and conformity pressures. This article summarizes team judgment and decision making from an information processing perspective in which information distributed among team members and interaction dynamics among team members (i.e., discussion, deliberation) determine the mechanisms whereby distributed information is expressed and elaborated and whereby it influences the ultimate team decision or judgment as discussed in The Emerging Conceptualization of Groups as Information Processors. Accordingly, studies on team judgment and decision making focus on processes whereby team members reach a team decision or judgment and the different factors that could make the team processes more effective. The current review attempts to achieve a balance in emphasis by including topics that are of interest both to academics as well as to practitioners of team judgment and decision making.


Healthcare ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 63 ◽  
Author(s):  
Sherman

In Palliative Care, the unit of care is the patient and their family. Although members of the health care team often address the family caregiver’s opinions and concerns, the focus of care remains on the needs of the patient. The readiness and willingness of the family caregiver is often overlooked as they are expected to assume a complex caregiving role. When family caregivers are not intellectually or emotionally prepared or physically capable, the caregiver is at high risk for serious health issues and cognitive, emotional, and physical decline particularly as caregiving extends over time. Family caregivers are often a neglected and at-risk population. Illustrated through the use of a case study, this article addresses the complex role of family caregivers, as both health team members and second-order patients. It emphasizes the importance of family assessment and interventions to balance the burdens and benefits of family caregiving and protect caregivers’ health and well-being.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Zhipeng Zhang ◽  
Li Zhu ◽  
Gong Chen ◽  
Lu Shang ◽  
Qiuyun Zhao ◽  
...  

Purpose Existing studies mostly rely on the static characteristics of team members, and there is still a lack of empirical investigation on how entrepreneurial team members make decisions through dynamic team process and how team members’ cognition influences team decision-making. The purpose of this study is to validate how entrepreneurial team heterogeneity affects team decision-making performance from the perspective of dynamic team process. Design/methodology/approach Drawing on the theory of input-process-output model, this study proposed and examined the mediating role of team interaction as well as the moderating role of proactive socialization tactics in the relationship between entrepreneurial team heterogeneity and decision-making performance. Based on a sample of 162 entrepreneurial teams that include pairing superiors and subordinates, hierarchical regressions and moderated mediation tests were used to test the hypotheses. Findings The research results show that the heterogeneity of entrepreneurial teams is positively correlated with both team interaction and decision-making performance. Team interaction plays a mediating role between entrepreneurial team heterogeneity and decision-making performance; information seeking of proactive socialization tactics moderates the impact of entrepreneurial team heterogeneity on team interaction. Originality/value Contributing to the literature on entrepreneurial team decision-making performance, this study identifies that proactive socialization tactics with a high level of information seeking can help entrepreneurial team members respond to environmental and organizational changes more effectively during team development and increase the effectiveness of team interaction. This finding helps us better understand the mechanism and context under which entrepreneurial heterogeneity may enhance the team’s decision-making performance.


1986 ◽  
Vol 12 (4) ◽  
pp. 387-389
Author(s):  
Sebastian Rodriguez

About 20 years ago, when diabetes education and the development of the health care team were not quite bom, Dr Rodri guez had the dream and the enthusiasm to help the physicians and health team members of Latin America. With unswerv ing determination, end less patience, and good humor, he welded to gether the courses des cribed in this essay. He probably knows more physicians in South and Central America than any one else. His contribution is most timely. —EDS.


1991 ◽  
Vol 15 (3) ◽  
pp. 133-135 ◽  
Author(s):  
A. G. Cardno ◽  
C. J. Simpson

Community orientated mental health services are rapidly developing in Britain today, and as part of this development many community mental health teams (CMHTs) are being established. This study looks at some of the relationships between members of one CMHT and local primary health care team members and social workers, with particular emphasis on communication between these various professionals.


2017 ◽  
Vol 54 (2) ◽  
pp. 161-181 ◽  
Author(s):  
Jolanta Aritz ◽  
Robyn Walker ◽  
Peter Cardon ◽  
Zhang Li

This study aims to more fully understand leadership when it is understood as primarily discursive in nature and coconstructed by those involved in interactions in which influence emerges. More specifically, it explores the performative role of questions as speech acts. In this case, we look at how questions are employed as a key discourse type to enable professionals to construct their authority and establish leadership roles. The data consist of transcripts of decision-making meetings. A scheme for coding the question-response sequence in conversation was used to identify the form, social function, and conversational sequence of question use. The questions then were analyzed by speaker and his or her role as leader versus nonleader. While questions can result in or encourage group collaboration by opening the discussion and inviting contributions, they can also be used to direct team members, seize the floor, and influence decision making. The study contributes to the study of leadership and team decision making by looking at how questions operate as a multifunctional discourse type, and how they are used to establish influence in decision-making meetings.


The study examines two dimensions that impact virtual team decision making. One is the influence of collaboration process structure: the sequences, patterns, and routines participants use to interact and solve problems. The other is technology affordance: the strengths and weaknesses of technologies in terms of the usefulness they offer to teams when performing tasks. Some teams used a structured collaboration process with monitoring, coordination, and backup functions during a decision-making discussion. Other teams had no discussion process instructions. In addition, some teams possessed stronger technology affordance including both chat and an editable document. Other teams used chat technology alone, which offered fewer collaboration possibilities. The collaboration process and technology affordance factors were tested in an experiment in which four-person online teams worked as a personnel hiring committee. Information about four job candidates was distributed to create a hidden profile in which some information was shared across all team members, while other information was visible only to specific members. Two hundred and eight students, comprising fifty-two teams completed the study. Teams using the structured collaboration process made more accurate and higher-quality decisions. In addition, scores were higher when technology affordance included both chat and editable document tools, but this influence was not significant.


Author(s):  
Rene'e Stout ◽  
Eduardo Salas

Critical decisions are made every day by teams of individuals who must coordinate their activities to achieve effectiveness. Recently, researchers have suggested that shared mental models among team members may help them to make successful decisions. Several avenues for training shared mental models in teams exist, one of which is training in planning behaviors. The relationship between team planning, team shared mental models, and coordinated team decision making and performance is explored.


2010 ◽  
Vol 16 (1) ◽  
pp. 151-167
Author(s):  
Mincheol Kang

AbstractThe multilevel theory proposed by Hollenbeck et al. identified a set of core variables that are central to accuracy in decision-making in hierarchical teams with distributed expertise. Following the identification of the limitations of the original core variables, a new set of core variables is proposed: (a) member validity, which represents the overall predictability of team members with regard to the correct decision and (b) hierarchical sensitivity, which represents the effectiveness of the leader's weightings of members' recommendations. To test the revised theory, a computational model called Team-Soar is used. The simulation results show that the small set of new core variables explains a large portion of the variance in the team decision accuracy and mediates the effects of other variables on the accuracy. The revised theory can be used as a conceptual vehicle to parsimoniously explain the performance of hierarchical decision-making teams. The theory could also be used to diagnose and train real teams in terms of the core variables.


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