[Introduction to group dynamics in nursing. 11. Developmental processes of group dynamics].
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OBJECTIVE: To describe a baccalaureate-level course which is designed to help allied health professions students develop an understanding of collaborative practice among interdisciplinary components of a health care system and to report on a survey which assessed the effectiveness of the course for clinical laboratory science graduates. SETTING: University of Kentucky, a large (24,000 students) state-assisted institution PRACTICE DESCRIPTION: Baccalaureate clinical laboratory science program PRACTICE INNOVATION: A college-wide course helps students develop an understanding of the linkages of the major components of a health care system and introduces the techniques necessary to function in an interdisciplinary team. MAIN OUTCOMES MEASURE: Perception of benefit from the course by clinical laboratory science graduates. RESULTS: Graduates report that the course helped them develop a larger perspective of health care delivery beyond that of their own discipline and aided in their understanding of group processes and group problem-solving. CONCLUSIONS: Clinical laboratory science curricula can benefit from the inclusion of a college wide course which introduces a broad perspective of health care delivery and group process concepts.
The group care plan strategy worked well with a mother and child as clients for a "child" course. It could be used with a pregnant client in a class on childbearing, or with an adult or geriatric person in other classes. Recent graduates of the program or retired or unemployed nurses might serve as models. Because of shrinking resources in nursing education today, efficient and effective strategies that meet learning needs of students and time constraints of faculty are essential. New ways of thinking about teaching are exciting and help to meet educational needs in today's fast-paced environment.
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Group practice formation and mergers can open a new--and sometimes very challenging--opportunity for the uninitiated, writes Robert Bohlmann, FACMGA. This article reviews the necessary steps for a successful merger or formation of a new group based on the collective experience of MGMA's Management Consulting team.
This article discusses the application of interpersonal process-oriented group psychotherapy to offender populations. Group psychotherapy with offenders presents problems not encountered with other populations; thus, applying the group method requires special considerations. The particular focus of this article is on the relevance of therapeutic factors in group work with offenders, group process as it applies to work with offenders, and work with difficult clients.
Group II (non-proteolytic) Clostridium botulinum poses a safety hazard in modern food processing, which consists of mild pasteurization treatments, anaerobic packaging, extended shelf lives and chilled storage. The high risk is reflected in the relatively large number of botulism cases due to group II C. botulinum in commercially produced foods during the past decades. Because of the high prevalence of group II C. botulinum in the environment, food raw materials may carry spores. Although group II spores are less heat-resistant than group I (proteolytic) spores, they can tolerate the heat treatments employed in the chilled food industry. Some food components may actually provide spores with protection from heat. Spore heat resistance should therefore be investigated for each food in order to determine the efficiency of industrial heat treatments. Group II strains are psychrotrophic and thus they are able to grow at refrigeration temperatures. Anaerobic packages and extended shelf lives provide C. botulinum with favourable conditions for growth and toxin formation. As the use of salt and other preservatives in these foods is limited, microbiological safety relies mainly on refrigerated storage. This sets great challenges on the production of chilled packaged foods. To ensure the safety of these foods, more than one factor should safeguard against botulinal growth and toxin production.
The Michigan Computer-Graphics Coordinate Measurement System was used to determine the effects of artificial denture teeth on the accuracy of acrylic resin denture bases. Two poly(methyl methacrylate) acrylic resins and two processing techniques were tested. Groups processed with denture teeth reproduced more accurate points than groups processed without denture teeth. Groups processed with a conventional heat-polymerized acrylic resin reproduced more accurate points than groups polymerized with an injection pressing type of acrylic resin.
Various social processes in decision-making groups are considered detrimental to the quality of decisions. It is often assumed that removing the ability for groups to exert strong social influence on its members improves group decisions. Group Decision Support Systems (GDSSs) are increasingly used to remedy the social faults of the decision-making process in groups. In these systems, anonymity is seen as a tool to reduce the impact of the group over its members, and therefore as the key to improved group performance. This meta-analytic review examines the assumption that anonymity in GDSSs is beneficial for group decision-making on a range of performance indicators. In 6 meta-analyses of 12 independent investigations there is no support for this hypothesis. The only reliable effect of anonymity was to lead to more contributions, especially more critical ones. An alternative model is presented to account for the findings. This model argues that performance in decision-making groups depends on the social context and relevant social norms as well as on system characteristics such as anonymity. It is concluded that the integration of anonymity into phases of group decision support does not guarantee improved performance.
Using the five factor model with an emphasis on extraversion and conscientiousness, the authors investigated how personality is related to small group processes and outcomes. Graduate students (N = 289) assigned to 4- and 5-person teams in 61 groups engaged in a series of creative problem-solving tasks over a period of several weeks. Extraversion was associated with group processes and outcomes at both individual and group levels of analysis. At the individual level, extraverts were perceived by others as having greater effect than introverts on group outcomes. Covariance structure modeling suggested that extraverts induce these perceptions through the provision of both socioemotional and task-related inputs. At the group level, the proportion of relatively extraverted members was related curvilinearly to task focus and group performance. Contrary to expectations, Conscientiousness was unrelated to processes and outcomes at either the individual or group level.
OBJECTIVE: To evaluate the effectiveness of a small group consensus process in enhancing compliance with guidelines for influenza vaccination among older HMO members. DESIGN: A controlled study of the practice of primary care physicians, with pre/post comparisons and a 2-year follow-up. SETTING: An 84,000 member prepaid staff model HMO group practice. PARTICIPANTS: Primary care clinicians (N = 36) practicing in a staff model HMO. INTERVENTION: A small-group process, including opinion leader, feedback, and group decision making. MAIN OUTCOME MEASURE: Percentage of patients in a given physician-panel who received influenza immunization. RESULTS: Improvement in vaccination rate from 60.8% to 72.35% (with further increases over 2 successive years), in the intervention group as compared with improvement in the control from 60.7% to 65.93%. CONCLUSION: In this model, the small group consensus process resulted in an alteration in physician practice pattern, yielding a significant improvement in immunization rates above the already-established level of 60%.
We randomly assigned 65 women who had been sexually abused by a father, stepfather, or other close relative to 1 of 3 treatment conditions: a 10-week interpersonal transaction (IT) group, a 10-week process group, or a wait list condition. Subjects were evaluated at pretreatment, posttreatment, and (if assigned to a group) a 6-month follow-up on measures of social adjustment, depression, fearfulness, and general distress. Results suggested that both the IT and process group formats were more effective than the wait list condition in reducing depression and in alleviating distress; changes were maintained at follow-up. Subjects in the process group format exhibited improvement in social adjustment, whereas subjects in the wait list condition actually deteriorated.
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This report covers the development, process and outcomes of a yearlong diabetes problem solving support group. Using the task-centered group work model, the participants developed the skills for solving problems of a psychosocial nature. Issues, such as the formation of the group, the roles of facilitators and members, group process, results, and implications for practice, are discussed.