From: Using a modified nominal group technique to develop general practice
A case study – working with the preventive child health examination at five weeks | ||
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The original model | Attributions and deviations | |
Step 1 | Introduction | |
Step 2 | Each individual answers the overall question. Silent generation of ideas in writing. | |
Step 3 | Table rounds where each participant in turn presents a theme from his/her list. During the presentations, new ideas are generated and rounds continue until all items are listed. | |
Step 4 | The different themes are discussed and classified. Listing of ideas on flip chart. | The different themes were discussed and organised in categories. |
Step 5 | Each participant selects 10 of the listed themes in silence. All themes are ranked and given points from 1 to 10. The most important theme receives 10 points. | Working together in pairs the categories were ranged according to the structure of the consultation. |
Step 6 | Pause, while a prioritised consensus list is produced. | 30 min break. No prioritised list produced. |
Step 7 | The prioritised list is discussed | The thematic categories were presented in plenum and discussed. It was agreed that KL and RE should continue working with the format of the electronic health record in the time until the next meeting. |
Step 8 | All participants re-evaluate the list. First individually, thereafter in plenum. | Two months’ intermission where KL and RE continually worked on a revised version. The newest version of the electronic health record was discussed and adjusted in plenum at the following meeting. 1-month intermission where the electronic health record was further revised. Final discussions in the group during the next meeting. |