Deckers Stijn R J M, van Zaalen Yvonne
Stichting Milo, Center for Augmentative and Alternative Communication, 5482 JH Schijndel, The Netherlands.
Department of Pedagogical Sciences, Radboud University, 6525 XZ Nijmegen, The Netherlands.
Healthcare (Basel). 2024 Mar 18;12(6):681. doi: 10.3390/healthcare12060681.
Shared decision-making is one key element of interprofessional collaboration. Communication is often considered to be the main reason for inefficient or ineffective collaboration. Little is known about group dynamics in the process of shared decision-making in a team with professionals, including the patient or their parent. This study aimed to evaluate just that.
Simulation-based training was provided for groups of medical and allied health profession students from universities across the globe. In an overt ethnographic research design, passive observations were made to ensure careful observations and accurate reporting. The training offered the context to directly experience the behaviors and interactions of a group of people.
Overall, 39 different goals were defined in different orders of prioritizing and with different time frames or intervention ideas. Shared decision-making was lacking, and groups chose to convince the parents when a conflict arose. Group dynamics made parents verbally agree with professionals, although their non-verbal communication was not in congruence with that.
The outcome and goalsetting of an interprofessional meeting are highly influenced by group dynamics. The vision, structure, process, and results of the meeting are affected by multiple inter- or intrapersonal factors.
共同决策是跨专业协作的一个关键要素。沟通常常被认为是协作低效或无效的主要原因。对于包括患者或其家长在内的专业人员团队在共同决策过程中的群体动态，人们了解甚少。本研究旨在对此进行评估。
为来自全球各大学的医学及相关健康专业学生群体提供基于模拟的培训。在公开的人种学研究设计中，进行被动观察以确保仔细观察和准确报告。该培训提供了直接体验一群人行为和互动的情境。
总体而言，在不同的优先排序顺序、不同的时间框架或干预想法下定义了39个不同的目标。缺乏共同决策，并且在出现冲突时，各小组选择说服家长。群体动态使家长在口头上同意专业人员的意见，尽管他们的非言语沟通与此不一致。
跨专业会议的结果和目标设定受到群体动态的高度影响。会议的愿景、结构、过程和结果受到多种人际间或人际内因素的影响。
