Nominal group technique: A brainstorming tool for identifying areas to improve pain management in hospitalized patients

Peña, Adolfo; Estrada, Carlos A.; Soniat, Debbie; Taylor, Benjamin; Burton, Michael D.

doi:10.1002/jhm.1900

Cited by 38 publications

(29 citation statements)

References 20 publications

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“…Each expert panel presented its draft algorithm(s) to all participants and then NGT was used to obtain feedback. 56,57 Other participants included the core research team, opinion leaders from the 2 oncology practices, and relevant experts from both organizations in the areas of palliative care, psychiatry, pulmonary medicine, nursing, social work, medical informatics, radiation oncology, behavioral science, physical therapy, and thoracic oncology.…”

Section: Resultsmentioning

confidence: 99%

“…56,57 All members of the core research team and the leaders of each expert panel attended this meeting, along with key opinion leaders from the clinical practices in which the computable algorithms were ultimately going to be used. This technique is a consensus building process and was chosen because it helps to identify creative solutions when a group is making judgmental decisions, the kind that are needed in the development of explicit computable algorithms for symptom management from national guidelines.…”

Section: Methodsmentioning

confidence: 99%

“…This technique is a consensus building process and was chosen because it helps to identify creative solutions when a group is making judgmental decisions, the kind that are needed in the development of explicit computable algorithms for symptom management from national guidelines. 56 After the group leader for each expert panel presented an overview of a draft algorithm (e.g., moderate pain), panel members were asked to write down their concerns about the draft algorithm, after which the concerns were discussed and key problems recorded on a flip chart. Next, through discussion, the group clarified and prioritized the changes needed.…”

Section: Methodsmentioning

confidence: 99%

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Creating Computable Algorithms for Symptom Management in an Outpatient Thoracic Oncology Setting

Cooley

Lobach

Johns

et al. 2013

Journal of Pain and Symptom Management

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Context Adequate symptom management is essential to ensure quality cancer care, but symptom management is not always evidence based. Adapting and automating national guidelines for use at the point of care may enhance use by clinicians. Objectives This article reports on a process of adapting research evidence for use in a clinical decision support system that provided individualized symptom management recommendations to clinicians at the point of care. Methods Using a modified ADAPTE process, panels of local experts adapted national guidelines and integrated research evidence to create computable algorithms with explicit recommendations for management of the most common symptoms (pain, fatigue, dyspnea, depression, and anxiety) associated with lung cancer. Results Small multidisciplinary groups and a consensus panel, using a nominal group technique, modified and subsequently approved computable algorithms for fatigue, dyspnea, moderate pain, severe pain, depression, and anxiety. The approved algorithms represented the consensus of multidisciplinary clinicians on pharmacological and behavioral interventions tailored to the patient’s age, comorbidities, laboratory values, current medications, and patient-reported symptom severity. Algorithms also were reconciled with one another to enable simultaneous management of several symptoms. Conclusion A modified ADAPTE process and nominal group technique enabled the development and approval of locally adapted computable algorithms for individualized symptom management in patients with lung cancer. The process was more complex and required more time and resources than initially anticipated, but it resulted in computable algorithms that represented the consensus of many experts.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Creating Computable Algorithms for Symptom Management in an Outpatient Thoracic Oncology Setting

Cooley

Lobach

Johns

et al. 2013

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

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“…32 Prior to conducting NGT sessions, the investigative team articulated the specific question which was pilot tested with those providing and receiving healthcare within a similar medical facility to ensure that it would capture the responses intended.…”

Section: Methodsmentioning

confidence: 99%

Healthcare providers versus patients' understanding of health beliefs and values

Kennedy¹,

Rehman²,

Johnson³

et al. 2017

Patient Experience Journal

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Objective This study examined how well healthcare providers perceive and understand their patients’ health beliefs and values compared to patients’ actual beliefs, and to determine if communication relationships maybe improved as a result of healthcare providers’ understanding of their patients’ illness from their perspective. Methods A total of 61 participants (7 healthcare providers and 54 patients) were enrolled in the study. Healthcare providers and patients individually completed survey instruments and each participated in a structured focus group. Results Healthcare provider and patient differences revealed that patients perceived greater meaning of their illness (p = 0.038), and a greater preference for partnership (p = 0.026) compared to providers. The three qualitative themes most important for understanding patients’ health beliefs and values as perceived by healthcare providers were education, trust, and culture. Educating patients was perceived as having the greatest impact and also the easiest method to implement to foster providers’ understanding, with at least one patient focus group in agreement of same. Likewise, three themes were derived from patients’ perspectives as relatively more important in understanding providers’ beliefs and values; bidirectional communication, comprehensive treatment, and discipline. Overwhelmingly, bidirectional communication was perceived as a critical factor as having the greatest impact and may also be easiest to implement according to these patients. Conclusion When patients and healthcare providers listen and communicate with each other, they are likely to develop a shared understanding that may improve future decision making and quality of care patients receive.

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“…At this stage, in addition to reviewing the relevant literature on strategies for reducing adolescents’ health concerns, a nominal technique group (NTG) was undertaken comprised of interested professionals to obtain their opinions about strategies to reduce Iranian adolescents’ health concerns. “Nominal Group Technique (NGT) is a brainstorming tool for quality improvement; it is a highly structured small group discussion used to elicit and prioritize a list of answers to a specific question” (20). …”

Section: Resultsmentioning

confidence: 99%

Health Concerns of Iranian Adolescents: Protocol for a Mixed Methods Study

Baheiraei

Khoori

Ahmadi

et al. 2014

Iran Red Crescent Med J

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Background:Adolescents have particular health and developmental needs that suggest they should neither be treated as older children nor younger adults.Objectives:The aim of this paper is to report the protocol for a mixed methods study that set out to investigate the health concerns of Iranian adolescents and their sources of health information with the goal of identifying suitable strategies to address their health concerns.Materials and Methods:This mixed methods study consists of an explanatory sequential design to be conducted in two phases. The first phase was a population-based cross-sectional survey of 915, 14-18 year old adolescents who were selected by stratified cluster random sampling method from the 22 main municipal sectors of Tehran, Iran. They completed a series of self-administered questionnaires which were analyzed using quantitative approaches. The second phase was a qualitative study in which adolescents were selected using purposeful sampling for individual in-depth semi-structured interviews on the basis of the quantitative findings from the first phase. These data, together with a literature review and data obtained through nominal group technique, would then be used to in the development of strategies to reduce adolescents’ health concerns.Results:The findings of this mixed methods sequential explanatory study are expected to provide unique information about the health concerns of Iranian adolescents and their sources of information, which to date have received little attention.Conclusions:These data will provide a rich source of information that can be used by intervention programs, health professionals and policy makers in addressing the health concerns of adolescents, with the goal of facilitating a successful passage to adult life.

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Nominal group technique: A brainstorming tool for identifying areas to improve pain management in hospitalized patients

Cited by 38 publications

References 20 publications

Creating Computable Algorithms for Symptom Management in an Outpatient Thoracic Oncology Setting

Creating Computable Algorithms for Symptom Management in an Outpatient Thoracic Oncology Setting

Healthcare providers versus patients' understanding of health beliefs and values

Health Concerns of Iranian Adolescents: Protocol for a Mixed Methods Study

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