Power in Work Groups: Team Member's Perspectives
研究调查了19个跨学科临床团队会议中成员感知的社会权力基础，发现医生主导治疗决策且专制决策多于共识决策，质疑了跨学科团队等同于共享决策的普遍看法。
Power and restrictive participation are often identified as primary issues which can retard the productivity of work groups. The study describes team member responses to a questionnaire regarding bases of social power used within 19 interdisciplinary clinical team meetings and their relationship with team decision-making style, participation in team decisions, and team meeting productivity. Physicians were found to effect almost all treatment decisions, and autocratic decision making was found to be more prevalent than consensual decision making. It is suggested that the generally held belief that the interdisciplinary team approach is equivalent with shared decision making and broad-based participation needs careful re-examination. Implications of the findings for shared decision making in health care teams and work groups in general are discussed. The importance for managers and team leaders to understand and appropriately facilitate the dynamics of power in work groups is emphasized.