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Members become aware of their objective group identity only by achieving a shared understanding of their predicament with other group members.
This needs to be sustained, intense, mutually respectful and focused on achieving a shared understanding of quality problems and joint working to put them right.
The first relates to the reality of using standardised outcome measures in the clinical context and the second concerns the process of achieving a shared understanding of scoring guidelines amongst clinicians from different professional backgrounds when working with patients with severe and multiple complex problems.
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We discuss the process used to help a range of farmers, industry stakeholders, and scientists to achieve a shared understanding of the cockchafer-pasture-agribusiness system.
Accounting is one of the basic methods through which participants in interaction can achieve a shared understanding of the social world.
Because the Grade 3 students and teachers would have spent a lot of time together, they would have been more likely than their Grade 4 counterparts to have achieved a shared understanding of assessment criteria.
To avoid choices being experienced as arbitrary and bureaucratic, policy makers, professionals, and patients will need to achieve a shared understanding of being mutually subject to broad ecological influences and then work collaboratively for meaningful goals within that understanding.
Next steps in research could include, in addition to validating the conceptual map with larger samples and in other contexts, seeking broader consensus amongst international patients, clinicians and health researchers about the content of the conceptual map to achieve a shared understanding of patient empowerment.
Some 'dialogical' methods rely on hermeneutic philosophy to explain how this agreement works, appealing to a 'fusion of horizons' premised on achieving a shared understanding and interpretation of the world.
Process considerations included building rapport; ensuring sufficient time for discussion; use of clear language; assessment of patient and family understanding; achieving a shared understanding; and respecting patient values and preferences.
Psychologists, hospital managers, nurses have promoted their specific views on what empowerment is and how it might be achieved, limiting the possibility to reach a shared understanding of this concept and agreement on its practical development.
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