Difference between revisions of "Gennissen-etal2019"

From emcawiki
Jump to: navigation, search
(Created page with "{{BibEntry |BibType=ARTICLE |Author(s)=Lokke Gennissen; Anne de la Croix; Karen Stegers-Jager; Jacqueline de Graaf; Cornelia R M G Fluit; Matthijs de Hoog |Title=Organic or or...")
(No difference)

Revision as of 10:11, 11 December 2019

Gennissen-etal2019
BibType ARTICLE
Key Gennissen-etal2019
Author(s) Lokke Gennissen, Anne de la Croix, Karen Stegers-Jager, Jacqueline de Graaf, Cornelia R M G Fluit, Matthijs de Hoog
Title Organic or organised: an interaction analysis to identify how interactional practices influence participation in group decision meetings for residency selection
Editor(s)
Tag(s) EMCA, Decision making, Meetings, Dutch, Participation
Publisher
Year 2019
Language English
City
Month
Journal BMJ Open
Volume 9
Number 12
Pages
URL Link
DOI http://dx.doi.org/10.1136/bmjopen-2018-026424
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Download BibTex

Abstract

Objectives This study aims to shed light on interactional practices in real-life selection decision-making meetings. Adequate residency selection is crucial, yet currently, we have little understanding of how the decision-making process takes place in practice. Since having a wide range of perspectives on candidates is assumed to enhance decision-making, our analytical focus will lie on the possibilities for committee members to participate by contributing their perspective.

Design We analysed interaction in seven recorded real-life selection group decision meetings, with explicit attention to participation.

Setting Selection meetings of four different highly competitive specialties in two Dutch regions.

Participants 54 participants discussed 68 candidates.

Methods To unravel interactional practices, group discussions were analysed using a hybrid data-driven, iterative analytical approach. We paid explicit attention to phenomena which have effects on participation. Word counts and an inductive qualitative analysis were used to identify existing variations in the current practices.

Results We found a wide variety of practices. We highlight two distinct interactional patterns, which are illustrative of a spectrum of turn-taking practices, interactional norms and conventions in the meetings. Typical for the first pattern—‘organised’—is a chairperson who is in control of the topic and turn-taking process, silences between turns and a slow topic development. The second pattern—‘organic’—can be recognised by overlapping speech, clearly voiced disagreements and negotiation about the organisation of the discussion. Both interactional patterns influence the availability of information, as they create different types of thresholds for participation.

Conclusions By deconstructing group decision-making meetings concerning resident selection, we show how structure, interactional norms and conventions affect participation. We identified a spectrum ranging from organic to organised. Both ends have different effects on possibilities for committee members to participate. Awareness of this spectrum might help groups to optimise decision processes by enriching the range of perspectives shared.

Notes