Impact of group structure and process on multidisciplinary evidence-based guideline development: an observational study

C. Pagliari

    Research output: Contribution to journalArticle

    48 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)145-153
    Number of pages8
    JournalJournal of Evaluation in Clinical Practice
    Volume8
    Issue number2
    DOIs
    Publication statusPublished - 2002

    Keywords

    • evidence-based medicine
    • group processes
    • guideline development
    • practice guidelines
    • APPROPRIATENESS
    • CONSENSUS
    • RATINGS
    • PANELS
    • GENDER

    Cite this

    @article{2c8ac8b697994bb982a921e6cf356b6b,
    title = "Impact of group structure and process on multidisciplinary evidence-based guideline development: an observational study",
    abstract = "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.",
    keywords = "evidence-based medicine, group processes, guideline development, practice guidelines, APPROPRIATENESS, CONSENSUS, RATINGS, PANELS, GENDER",
    author = "C. Pagliari",
    year = "2002",
    doi = "10.1046/j.1365-2753.2002.00333.x",
    language = "English",
    volume = "8",
    pages = "145--153",
    journal = "Journal of Evaluation in Clinical Practice",
    issn = "1356-1294",
    publisher = "Wiley-Blackwell",
    number = "2",

    }

    TY - JOUR

    T1 - Impact of group structure and process on multidisciplinary evidence-based guideline development: an observational study

    AU - Pagliari, C.

    PY - 2002

    Y1 - 2002

    N2 - 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.

    AB - 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.

    KW - evidence-based medicine

    KW - group processes

    KW - guideline development

    KW - practice guidelines

    KW - APPROPRIATENESS

    KW - CONSENSUS

    KW - RATINGS

    KW - PANELS

    KW - GENDER

    U2 - 10.1046/j.1365-2753.2002.00333.x

    DO - 10.1046/j.1365-2753.2002.00333.x

    M3 - Article

    VL - 8

    SP - 145

    EP - 153

    JO - Journal of Evaluation in Clinical Practice

    JF - Journal of Evaluation in Clinical Practice

    SN - 1356-1294

    IS - 2

    ER -