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Nominal group technique. A method of decision-making by committee.

J N Horton
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Abstract

Committee-work which involves decision-making from a range of alternatives is frequently time-consuming, inefficient, and frustrating. Nominal Group Technique is a structured method of group decision-making which allows a rich generation of original ideas, balanced participation of all members of the group, and a rank-ordered set of decisions based on a mathematical voting method. A brief description of a Nominal Group Technique session is given and its application to decision-making by committees of anaesthetists is illustrated by an example.

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AnesthesiologyDecision MakingHumansMethodsProfessional Staff CommitteesTime FactorsJournal Article

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BibTeXRIS

J N Horton. 1980. Nominal group technique. A method of decision-making by committee.. https://doi.org/10.1111/j.1365-2044.1980.tb03924.x

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Perception of training needs and opportunities in advanced airway skills: a survey of British and Irish trainees.

BACKGROUND AND OBJECTIVE: We surveyed delegates at the Group of Anaesthetists in Training (UK) meeting to investigate evidence of a training-gap (number of fibreoptic intubations believed to bestow competence vs. number actually performed). METHODS: Questionnaires were distributed to and collected from delegates in person. Questions covered six areas, including experience of fibreoptic intubation and cricothyrotomy, fibreoptic intubation as a specialist skill and ethical issues. RESULTS: We received 221 replies (76%). All trainees believed competence to be achievable with 10 intubations (interquartile range (IQR) 10-20); the median number performed was 2 (IQR 0-4). This was statistically significant for the groups' senior house officers, 1st and 2nd year registrars and 3rd and 4th year registrars; P < 0.0001. Many final year trainees (12/20, 60%) also failed to achieve their competency target. Few trainees had seen or performed any cricothyrotomies (medians 0, IQRs 0-1 and 0-0). Most (195/208, 94%) believed that fibreoptic intubation was a core skill and 199/212 (94%) believed that all should be competent by completion of training. Ten percent (n = 208) felt it unethical to perform an awake training intubation with full consent and 10% believed it acceptable without explanation. Most (82.7%) would fibreoptically intubate an asleep patient (requiring intubation) without consent. CONCLUSION: Trainees reported a gap between their perception of competence and achievement in awake fibreoptic intubation. Simple and complex simulations and structured training programmes may help. Anaesthetists must address the ethics of clinical training in advanced airway management.

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