scholarly journals Reflective and decisive supervision: The role of participative leadership and team climate in joint decision‐making

2021 ◽  
Author(s):  
Tessa Coffeng ◽  
Elianne F. Steenbergen ◽  
Femke Vries ◽  
Niklas K. Steffens ◽  
Naomi Ellemers
Keyword(s):  
Decision Making ◽  
Team Climate ◽  
Participative Leadership ◽  
Joint Decision

"Molly Monster" (2016), as a (wasted) lesson of democratic education and upbringing for democracy, openness and tolerance.

2020 ◽  
Vol XI (1 (30)) ◽  
pp. 163-183
Author(s):  
Anna Sanecka
Keyword(s):  
Decision Making ◽  
Democratic Education ◽  
Open Approach ◽  
Joint Decision ◽  
Mutual Help ◽  
Family Ties ◽  
Her Family ◽  
Self Confidence ◽  
Joint Decisions

"Molly Monster" is a perfect example of preparing the preschool audience for openness and respect for difference, tolerance, dialogue and listening, cooperation, joint decision making and wise acceptance of change. The film, showing how the main character, Molly, eagerly and joyfully awaits a big change in her family life - the birth of a sister or a brother, and emphasizes the importance of family ties, can therefore inspire to accept changes and adapt to new situations. In addition, the film presents a land where every inhabitant is very different - in size or physical appearance, and the story teaches that being different does not disturb cooperation, mutual help or making joint decisions and taking actions. The film presents an open approach to traditional social roles, emphasizes the role of self-confidence, but also the importance of admitting one's mistake and freedom in decision making.

scholarly journals The Role of Collaboration and Integration in the Supply Chain of Construction Industry

2020 ◽  
Vol 6 (7) ◽  
pp. 1300-1313 ◽  
Author(s):  
Fazal Ali Shaikh ◽  
Muhammad Saeed Shahbaz ◽  
Saad Ud Din ◽  
Nasurullah Odhano
Keyword(s):  
Decision Making ◽  
Supply Chain ◽  
Construction Projects ◽  
Supply Chain Collaboration ◽  
Validity And Reliability ◽  
Joint Decision ◽  
Supplier Integration ◽  
The Government ◽  
Internal Integration

It has found that the construction sector of Pakistan is growing fast due to the China-Pakistan Economic Corridor but history shows that construction projects never achieves its targets. The literature revealed the major hurdles behind the construction is supply chain issues. Supply chain of construction is deficient due to lack of collaboration and integration. The aim of this study is the empirically verify the role of supply chain collaboration (information sharing, Joint decision making, and risk and reward sharing) and supply chain integration (supplier integration, internal integration, and customer integration) with performance. This is a quantitative study, a total of 350 questionnaires were distributed to registered construction firms with Pakistan Engineering Council and 221 were received and considered for analysis after purification, validity and reliability. Multiple-regression technique was applied through SPSS. This study has unique findings as all integration approaches have significant effects while collaboration is not working for the same industry. This proves that members of supply chain construction can get benefit from integration but they hesitate to share their risks, rewards, and planning to all stakeholders. This study will help managers in decision making. This study will also help the government of Pakistan and China in completing their construction projects in time and with the designated cost.

scholarly journals Improving the effectiveness of multidisciplinary team meetings for patients with chronic diseases: a prospective observational study

2014 ◽  
Vol 2 (37) ◽  
pp. 1-172 ◽  
Author(s):  
Rosalind Raine ◽  
Isla Wallace ◽  
Caoimhe Nic a’ Bháird ◽  
Penny Xanthopoulou ◽  
Anne Lanceley ◽  
...  
Keyword(s):  
Mental Health ◽  
Heart Failure ◽  
Decision Making ◽  
Chronic Disease ◽  
Prospective Observational Study ◽  
Good Practice ◽  
Team Climate ◽  
Treatment Plans ◽  
Future Work

BackgroundMultidisciplinary team (MDT) meetings have been endorsed by the Department of Health as the core model for managing chronic diseases. However, the evidence for their effectiveness is mixed and the degree to which they have been absorbed into clinical practice varies widely across conditions and settings. We aimed to identify the key characteristics of chronic disease MDT meetings that are associated with decision implementation, a measure of effectiveness, and to derive a set of feasible modifications to MDT meetings to improve decision-making.MethodsWe undertook a mixed-methods prospective observational study of 12 MDTs in the London and North Thames area, covering cancer, heart failure, mental health and memory clinic teams. Data were collected by observation of 370 MDT meetings, completion of the Team Climate Inventory (TCI) by 161 MDT members, interviews with 53 MDT members and 20 patients, and review of 2654 patients’ medical records. We examined the influence of patient-related factors (disease, age, sex, deprivation indicator, whether or not their preferences and other clinical/health behaviours were mentioned) and MDT features (team climate and skill mix) on the implementation of MDT treatment plans. Interview and observation data were thematically analysed and integrated to explore possible explanations for the quantitative findings, and to identify areas of diverse beliefs and practice across MDT meetings. Based on these data, we used a modified formal consensus technique involving expert stakeholders to derive a set of indications of good practice for effective MDT meetings.ResultsThe adjusted odds of implementation were reduced by 25% for each additional professional group represented [95% confidence interval (CI) 0.66 to 0.87], though there was some evidence of a differential effect by type of disease. Implementation was more likely in MDTs with clear goals and processes and a good team climate (adjusted odds of implementation increased by 7%; 95% CI 1% to 13% for a 0.1-unit increase in TCI score). Implementation varied by disease category (with the lowest adjusted odds of implementation in mental health teams) and by patient deprivation (adjusted odds of implementation for patients in the most compared with least deprived areas were 0.60, 95% CI 0.39 to 0.91). We ascertained 16 key themes within five domains where there was substantial diversity in beliefs and practices across MDT meetings. These related to the purpose, structure, processes and content of MDT meetings, as well as to the role of the patient. We identified 68 potential recommendations for improving the effectiveness of MDT meetings. Of these, 21 engendered both strong agreement (median ≥ 7) and low variation in the extent of agreement (mean absolute deviation from the median of < 1.11) among the expert consensus panel. These related to the purpose of the meetings (e.g. that agreeing treatment plans should take precedence over other objectives); meeting processes (e.g. that MDT decision implementation should be audited annually); content of the discussion (e.g. that information on comorbidities and past medical history should be routinely available); and the role of the patient (e.g. concerning the most appropriate time to discuss treatment options). Panellists from all specialties agreed that these recommendations were both desirable and feasible. We were unable to achieve consensus for 17 statements. In part, this was a result of disease-specific differences including the need to be prescriptive about MDT membership, with local flexibility deemed appropriate for heart failure and uniformity supported for cancer. In other cases, our data suggest that some processes (e.g. discussion of unrelated research topics) should be locally agreed, depending on the preferences of individual teams.ConclusionsSubstantial diversity exists in the purpose, structure, processes and content of MDT meetings. Greater multidisciplinarity is not necessarily associated with more effective decision-making and MDT decisions (as measured by decision implementation). Decisions were less likely to be implemented for patients living in more deprived areas. We identified 21 indications of good practice for improving the effectiveness of MDT meetings, which expert stakeholders from a range of chronic disease specialties agree are both desirable and feasible. These are important because MDT meetings are resource-intensive and they should deliver value to the NHS and patients. Priorities for future work include research to examine whether or not the 21 indications of good practice identified in this study will lead to better decision-making; for example, incorporating the indications into a modified MDT and experimentally evaluating its effectiveness in a pragmatic randomised controlled trial. Other areas for further research include exploring the value of multidisciplinarity in MDT meetings and the reasons for low implementation in community mental health teams. There is also scope to examine the underlying determinants of the inequalities demonstrated in this study, for example by exploring patient preferences in more depth. Finally, future work could examine the association between MDT decision implementation and improvements in patient outcomes.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Pengambilan Keputusan Musrenbang kecamatan di Kabupaten Timor Tengah Selatan

FLOBAMORA ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 12-19
Author(s):  
Wehelmina Lodia Kause
Keyword(s):  
Decision Making ◽  
Regional Development ◽  
Development Planning ◽  
Participatory Planning ◽  
Online Data ◽  
Joint Decision ◽  
Planning Decision ◽  
The Right ◽  
Depth Interviews

Abstract The purpose of this study is how the participatory planning decision-making process in Musrembang in TTS Regency. Based on the purpose of this study, the qualitative approach is the right choice because it is oriented towards efforts to deepen understanding of decision making in the District Musrembang as well as identifying factors that influence decision making in TTS districts to produce an equilibrium of technocrat and participatory planning in TTS districts. Data collection techniques with in-depth interviews/ focus discussion groups (FGD), documentary studies and online data search. The results of the assessment show that community participation through the Musrenbang as in these regulations/mandates that regional development planning is carried out based on the roles and authorities of each stakeholder to realize integration, synchronization, and synergy between stakeholders. In its implementation, the role of the community is limited to proposing programs/activities carried out through the Musrenbang at the hamlet/village level and delivered in the District Musrenbang forum. In the sub-district Musrenbang stage, the proposed program of activities is often missing or not accommodated. Musrenbang is a forum between stakeholders in agreeing on priority programs and activities through joint decision making which can be done in a participatory or technocratic way as one indicator that can determine the success of regional development.   Keywords: Decision Making, stakeholders, Musrenbang   Abstrak Tujuan pengkajian ini adalah bagaimana proses pengambilan keputusan perencanaan partisipatif dalam Musrembang Kecamatan di Kabupaten TTS. Berdasarkan tujuan dari penelitian  ini maka pendekatan kualitatif menjadi pilihan yang tepat karena berorientasi pada upaya pendalaman pemahaman akan pengambilan keputusan dalam Musrembang Kecamatan serta mengidentifikasi factor-faktor yang mempengaruhi  pengambilan keputusan di kabupaten TTS sehingga menghasilkan equilibrium perencanaan teknokrat dan partisipatif di Kabupaten TTS. Teknik pengambilan data dengan wawancara mendalam, focus discussion group (FGD), studi dokumenter dan penelusuran data online. Hasil pengkajian menunjukkan partisipasi masyarakat melalui Musrenbang sebagaimana dalam peraturan-peraturan tersebut, mengamanatkan bahwa perencanaan pembangunan daerah dilakukan berdasarkan peran dan kewenangan masing-masing stakeholder guna mewujudkan integrasi, sinkronisasi dan sinergisitas antar pemangku kepentingan (stakeholders).  Dalam implementasinya, peran masyarakat hanya sebatas mengusulkan program/kegiatan yang dilakukan melalui Musrenbang di tingkat dusun/desa dan disampaikan dalam forum Musrenbang Kecamatan.  Dalam tahapan Musrenbang kecamatan seringkali program kegiatan yang diusulkan hilang atau tidak diakomodir.  Musrenbang merupakan forum antar pemangku kepentingan dalam menyepakati program dan kegiatan prioritas   melalui pengambilan keputusan bersama dapat dilakukan  secara  partisipatif maupun teknokratis sebagai salah satu indicator yang  dapat menentukan keberhasilan pembangunan daerah.   Kata Kunci : Pengambilan Keputusan, stakeholders, Musrenbang      

scholarly journals Modern approaches to immunization of patients of rheumatologic profile

2021 ◽  
Vol 93 (5) ◽  
Author(s):  
Boris S. Belov ◽  
Galina M. Tarasova ◽  
Natalia V. Muravyeva
Keyword(s):  
Decision Making ◽  
European Union ◽  
Hepatitis B ◽  
Pneumococcal Infection ◽  
Low Frequency ◽  
Inflammatory Rheumatic Diseases ◽  
The European Union ◽  
Joint Decision ◽  
Prevention Of Infections

Recently, the importance of comorbid infections in rheumatology has increased significantly, which have a significant impact on morbidity and mortality, especially in immuno-inflammatory rheumatic diseases (IIRD). In this regard, vaccination is becoming increasingly important in the prevention of infections in these patients. This review presents an updated version of the recommendations for vaccination of adult patients with IIRD, prepared by experts of the European Union League against Rheumatism (EULAR). There is a low (suboptimal) vaccination coverage of these patients, partly due to the low frequency of referral by doctors. The role of the rheumatology team in solving the problems associated with immunization of patients with IIRD is emphasized, as well as the importance of joint decision-making taking into account the needs and preferences of patients. The issues concerning the use of vaccines against influenza, pneumococcal infection, hepatitis B,

scholarly journals Physiological responses to proposals during dyadic decision-making conversations

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244929 ◽  
Author(s):  
Melisa Stevanovic ◽  
Samuel Tuhkanen ◽  
Milla Järvensivu ◽  
Emmi Koskinen ◽  
Enikö Savander ◽  
...  
Keyword(s):  
Decision Making ◽  
Skin Conductance ◽  
Physiological Responses ◽  
Response Rates ◽  
Joint Decision ◽  
Future Action ◽  
Democratic Practices

A novel conversation-analytically informed paradigm was used to examine how joint decision-making interaction, with its various types of proposal sequences, is reflected in the physiological responses of participants. Two types of dyads–dyads with one depressed and one non-depressed participant (N = 15) and dyads with two non-depressed participants (N = 15)–engaged in a series of conversational joint decision-making tasks, during which we measured their skin conductance (SC) responses. We found that the participants’ SC response rates were higher and more synchronized during proposal sequences than elsewhere in the conversation. Furthermore, SC response rates were higher when the participant was in the role of a proposal speaker (vs. a proposal recipient), and making a proposal was associated with higher SC response rates for participants with depression (vs. participants without depression). Moreover, the SC response rates in the proposal speaker were higher when the recipient accepted (vs. not accepted) the proposal. We interpret this finding with reference to accepting responses suggesting a commitment to future action, for which the proposal speaker may feel specifically responsible for. A better understanding of the physiological underpinnings of joint decision-making interaction may help improve democratic practices in contexts where certain individuals experience challenges in this regard.

scholarly journals Being right, but losing money: the role of striatum in joint decision making

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
M. I. Ruissen ◽  
S. Overgaauw ◽  
E. R. A. de Bruijn
Keyword(s):  
Decision Making ◽  
Joint Decision

Missions and Churches in Partnership for Evangelism: A Study of the Declaration of Ibadan

1995 ◽  
Vol 23 (3) ◽  
pp. 331-339
Author(s):  
Travis Collins
Keyword(s):  
Decision Making ◽  
Critical Issue ◽  
Joint Decision

Partnership between missions (the organizations of expatriate missionaries working under a common sending agency in a particular locale) and national churches (the cooperating bodies of national Christians to which the missions relate, called “conventions/unions” in this article) has emerged as a critical issue in world evangelization. One attempt at just and effective partnerships between missions and conventions/unions is the Declaration of Ibadan. Its engaging features include the proposed role of the mission, joint decision making regarding evangelism among unreached people groups, and the deployment of missionary personnel. This article is a reflection on the proposals set forth in the Ibadan Declaration with particular reference to their implications for evangelism.

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