Today
I am introducing going to discuss two group methods for gathering and
evaluating subject matter expertise are the Nominal Group Technique (NGT) and
the Delphi method. The NGT offers a more
immediate result which can then be refined through additional meetings as
necessary. The Delphi, adaptive to
networked data calls, is conducive to gathering a wider and more reflective
response however the technique is more time and labor intensive. Though the intent and goals are similar, each
approach has its supporters and critics.
Before recommending one process over another, Table 1 details the
significant parallels and differences between NGT and Delphi.
Table 1 - Compare
and Contrast NGT with Delphi
|
|
Nominal Group
Technique
|
Delphi Method
|
Compare
|
|
group brainstorming
|
|
forecast oriented
|
|
structured group of individuals
|
|
encourage contribution
|
|
facilitator moderated
|
|
solution ranking
|
|
seek group consensus
|
|
Contrast
|
|
Session
time limit
|
Process
stopped based upon predefined criteria
|
Each
member writes their ideas in free form
|
Each
member completes a questionnaire and comments
|
No
discussion, questions, or clarification allowed
|
Participants
are physically separated
|
Participants
do not initially consult or discuss their ideas with others
|
Participants
remain anonymous
|
Each
member reads aloud their idea
|
Facilitator
provides an anonymous summary of the each members’ contribution
|
Each
member in turn states one idea
|
Participants
remain anonymous
|
Wording
may be changed only when the idea’s originator agrees
|
Participants
may change their earlier answers
|
One
round in one session
|
Two
or more rounds over longer duration
|
Similar
to up or down vote, therefore may be better for more narrow problems
|
May
be better for more significant issues because of more time to research and
respond
|
Delphi
should be used if polling is appropriate and sufficient time is available. The Delphi input may also be more candid than
with the NGT. However with Delphi there
is more procedural work involved in gathering, evaluating, and repeating the
session.
Despite
the possibility of group influence upon individual participants, the NGT has
the advantage of immediacy. Prior knowledge
of the subject can also be injected by means of the weighted rankings – this is
helpful to get to the relevant results more quickly. While not well adapted to larger groups, a
smaller group is actually a strength if the participants are well versed in
their respective areas. However, the NGT
requires an authoritative facilitator to instill discipline into the process,
ensure a balanced representation of ideas, and arrive at a valid conclusion. For an example of how NGT may be used Vella, Goldfrad,
Rowan, Bion and Black (2000) formed a group of 10
doctors and 2 nurses to establish clinical and health services research
priorities in critical care in the United Kingdom and Republic of Ireland. Of the 1000 suggestions submitted for
research, the expert group, considers 106 of the most frequently suggested
topics of which 37 attracted strong support, 48 moderate support and 21 weak
support. The group’s views represented
the views of the wider community of critical care staff (r = 0.73, P < 0.01).
The statistically valid results indicate
that NGT was a feasible method to establish priorities for clinical and health
services research in critical care based on the views of a small selected group
of the principal clinicians involved – doctors and nurses.
With
either NGT or Delphi there is administrative overhead associated with
collecting the input and managing the participants; these are not simply brainstorming
sessions and should be used appropriately to ensure the best results. Yet if the investment in time and resources
to create an NGT program yields supportable results, then the effort may
actually prove to be an economical collection model over time if reused.
References
Vella,
K., Goldfrad, C., Rowan, K., Bion, J., & Black, N. (2000). Use of consensus
development to establish national research priorities in critical care. BMJ:
British Medical Journal, 320(7240), 976.