The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics
Background: Group decision-making can be placed on a continuum of group dynamics, between Groupthink and Polythink. Objective: To present a new assessment tool for the characterization of medical teams’ decision-making group dynamics, and test it to study the effects of exposure to rudeness on vario...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/10/1436 |
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| author | Yarden Riskin Arieh Riskin Hussein Zaitoon Clair Habib Einav Blanche Ayala Gover Alex Mintz |
| author_facet | Yarden Riskin Arieh Riskin Hussein Zaitoon Clair Habib Einav Blanche Ayala Gover Alex Mintz |
| author_sort | Yarden Riskin |
| collection | DOAJ |
| description | Background: Group decision-making can be placed on a continuum of group dynamics, between Groupthink and Polythink. Objective: To present a new assessment tool for the characterization of medical teams’ decision-making group dynamics, and test it to study the effects of exposure to rudeness on various types of group dynamics. Methods: Three judges who watched videotapes of critical care simulations evaluated 24 neonatal intensive care unit teams’ decision-making processes. Teams were rated using the new assessment tool, especially designed for this quantitative study, based on items adapted from symptoms of Polythink and Groupthink. Results: Measures of reliability, inter-rater agreement and internal consistency, were reasonably good. Confirmatory factor analysis refined the tool and verified that the symptoms in each category (Polythink or Groupthink) of the refined 14 items’ assessment tool were indeed measures of the construct. The average General Score was in the range of the balanced dynamic on the continuum, and without tendency towards one of the extremities (Groupthink or Polythink). No significant effect of exposure to rudeness on group dynamics was found. Conclusions: This is a first attempt at using quantitative methods to evaluate decision-making group dynamics in medicine, by adapting symptoms of Groupthink and Polythink as items in a structured assessment tool. It suggests a new approach to understanding decision-making processes of medical teams. The assessment tool seems to be a promising, feasible and reasonably reliable research tool to be further studied in medicine and other disciplines engaged in decision-making. |
| first_indexed | 2024-03-09T20:28:09Z |
| format | Article |
| id | doaj.art-56afc525ed704f789be9c404410c45ce |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:28:09Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-56afc525ed704f789be9c404410c45ce2023-11-23T23:30:54ZengMDPI AGChildren2227-90672022-09-01910143610.3390/children9101436The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group DynamicsYarden Riskin0Arieh Riskin1Hussein Zaitoon2Clair Habib3Einav Blanche4Ayala Gover5Alex Mintz6Interdisciplinary Center (IDC), Reichman University, Herzliya 4610101, IsraelTechnion, Israel Institute of Technology, Haifa 3200003, IsraelDepartments of Neonatology and Pediatrics, Bnai Zion Medical Center, 47 Golomb Street, P.O.B. 4940, Haifa 31048, IsraelDepartments of Neonatology and Pediatrics, Bnai Zion Medical Center, 47 Golomb Street, P.O.B. 4940, Haifa 31048, IsraelDepartments of Neonatology and Pediatrics, Bnai Zion Medical Center, 47 Golomb Street, P.O.B. 4940, Haifa 31048, IsraelTechnion, Israel Institute of Technology, Haifa 3200003, IsraelInterdisciplinary Center (IDC), Reichman University, Herzliya 4610101, IsraelBackground: Group decision-making can be placed on a continuum of group dynamics, between Groupthink and Polythink. Objective: To present a new assessment tool for the characterization of medical teams’ decision-making group dynamics, and test it to study the effects of exposure to rudeness on various types of group dynamics. Methods: Three judges who watched videotapes of critical care simulations evaluated 24 neonatal intensive care unit teams’ decision-making processes. Teams were rated using the new assessment tool, especially designed for this quantitative study, based on items adapted from symptoms of Polythink and Groupthink. Results: Measures of reliability, inter-rater agreement and internal consistency, were reasonably good. Confirmatory factor analysis refined the tool and verified that the symptoms in each category (Polythink or Groupthink) of the refined 14 items’ assessment tool were indeed measures of the construct. The average General Score was in the range of the balanced dynamic on the continuum, and without tendency towards one of the extremities (Groupthink or Polythink). No significant effect of exposure to rudeness on group dynamics was found. Conclusions: This is a first attempt at using quantitative methods to evaluate decision-making group dynamics in medicine, by adapting symptoms of Groupthink and Polythink as items in a structured assessment tool. It suggests a new approach to understanding decision-making processes of medical teams. The assessment tool seems to be a promising, feasible and reasonably reliable research tool to be further studied in medicine and other disciplines engaged in decision-making.https://www.mdpi.com/2227-9067/9/10/1436GroupthinkPolythinkdecision-making group dynamicsmedical teamsrudeness |
| spellingShingle | Yarden Riskin Arieh Riskin Hussein Zaitoon Clair Habib Einav Blanche Ayala Gover Alex Mintz The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics Children Groupthink Polythink decision-making group dynamics medical teams rudeness |
| title | The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics |
| title_full | The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics |
| title_fullStr | The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics |
| title_full_unstemmed | The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics |
| title_short | The Effects of Rudeness on NICU Medical Teams Studied by a New Tool for the Assessment of Decision-Making Group Dynamics |
| title_sort | effects of rudeness on nicu medical teams studied by a new tool for the assessment of decision making group dynamics |
| topic | Groupthink Polythink decision-making group dynamics medical teams rudeness |
| url | https://www.mdpi.com/2227-9067/9/10/1436 |
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