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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/29771210/variables-affecting-hospital-length-of-stay-a-scoping-review
#1
Sandra C Buttigieg, Lorraine Abela, Adriana Pace
Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771209/caring-for-the-healthcare-professional
#2
Keith Adamson, Nancy Searl, Sonia Sengsavang, John Yardley, Mark George, Peter Rumney, Judy Hunter, Sakeena Myers-Halbig
Purpose Hospitals must systematically support employees in innovative ways to uphold a culture of care that strengthens the system. At a leading Canadian academic pediatric rehabilitation hospital, over 90 percent of clinicians viewed Schwartz Rounds™ (SR) as a hospital priority, resulting in its formal implementation as a quality improvement initiative. The purpose of this paper is to describe how the hospital implemented SR to support the socio-emotional impact of providing care. Design/methodology/approach This quantitative descriptive study provides a snapshot of the impact of each SR through online surveys at four assessment points (SR1-SR4)...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771208/healthcare-managers-perceptions-of-managing-poor-performance
#3
Melanie Hill, Heather Gluyas, Martinique Sandy, Andrew Wingate
Purpose The purpose of this paper is to understand the perceptions and experiences of healthcare managers working within a community and ambulatory health service who manage poorly performing staff and, to identify the supports, and gaps in supports, that are available to these managers. Design/methodology/approach Data were collected via two focus groups using a semi-structured schedule. The data were transcribed, themed and conclusions summarised. Findings On analysis of the discussion of the line managers' experiences and perceptions of competence, six themes were identified, five themes common to both groups...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771207/the-stopit-programme-to-reduce-bullying-and-undermining-behaviour-in-hospitals
#4
Graham Benmore, Steven Henderson, Joanna Mountfield, Brian Wink
Purpose The impact of bullying and undermining behaviours on the National Health Service on costs, patient safety and retention of staff was well understood even before the Illing report, published in 2013, that reviewed the efficacy of training interventions designed to reduce bullying and harassment in the outputs. The purpose of this paper is to provide an example of a good programme well evaluated. Design/methodology/approach The methodology follows a broad realist approach, by specifying the underlying programme assumptions and intention of the designers...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771206/universal-healthcare-and-universal-basic-income
#5
Nathan Gerard
Purpose The purpose of this paper is to draw parallels between universal basic income (UBI) and universal healthcare, highlighting their conceptual alignment and combined implications for health management and organization. Design/methodology/approach The idea that everyone should receive a set amount of money regardless of employment finds renewed momentum amid increasingly precarious work arrangements and an uncertain job market. Less explored, however, is the connection between this idea and the more established notion of universal healthcare...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771205/organizational-health-management-through-metaphor-a-mission-based-approach
#6
Joseph M Woodside
Purpose The purpose of this paper is to identify the underlying metaphors that hospitals use to establish their organizational mission. Metaphors impact the direction and managerial decision making of organizations, and provide a method to more easily communicate to a variety of stakeholders. Design/methodology/approach A text analytics process is run to evaluate the mission statements from the largest hospitals by revenue in each of the 50 states of the USA and District of Columbia to identify the types of metaphor-based organizational health management methods...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771204/past-present-and-future-challenges-in-health-care-priority-setting
#7
William Hall, Iestyn Williams, Neale Smith, Marthe Gold, Joanna Coast, Lydia Kapiriri, M Danis, Craig Mitton
Purpose Current conditions have intensified the need for health systems to engage in the difficult task of priority setting. As the search for a "magic bullet" is replaced by an appreciation for the interplay between evidence, interests, culture, and outcomes, progress in relation to these dimensions requires assessment of achievements to date and identification of areas where knowledge and practice require attention most urgently. The paper aims to discuss these issues. Design/methodology/approach An international survey was administered to experts in the area of priority setting...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771203/understanding-how-nurses-ration-care
#8
Clare Lynette Harvey, Shona Thompson, Eileen Willis, Alannah Meyer, Maria Pearson
Purpose The purpose of this paper is to explore how nurses make decisions to ration care or leave it undone within a clinical environment that is controlled by systems level cost containment. The authors wanted to find out what professional, personal and organisational factors contribute to that decision-making process. This work follows previous international research that explored missed nursing care using Kalisch and Williams' MISSCARE survey. Design/methodology/approach The authors drew on the care elements used by Kalisch and Williams, asking nurses to tell us how they decided what care to leave out, the conduits for which could include delaying care during a shift, delegating care to another health professional on the same shift, handing care over to staff on the next shift or leaving care undone...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771202/analysing-healthcare-coordination-using-translational-mobilization
#9
Davina Allen
Purpose The purpose of this paper is to introduce translational mobilization theory (TMT) and explore its application for healthcare quality improvement purposes. Design/methodology/approach TMT is a generic sociological theory that explains how projects of collective action are progressed in complex organizational contexts. This paper introduces TMT, outlines its ontological assumptions and core components, and explores its potential value for quality improvement using rescue trajectories as an illustrative case...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624143/development-and-validation-of-health-service-management-competencies
#10
Zhanming Liang, Peter F Howard, Sandra Leggat, Timothy Bartram
Purpose The importance of managerial competencies in monitoring and improving the performance of organisational leaders and managers is well accepted. Different processes have been used to identify and develop competency frameworks or models for healthcare managers around the world to meet different contextual needs. The purpose of the paper is to introduce a validated process in management competency identification and development applied in Australia - a process leading to a management competency framework with associated behavioural items that can be used to measure core management competencies of health service managers...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624142/leading-with-compassion-in-health-care-organisations
#11
Alistair Hewison, Yvonne Sawbridge, Robert Cragg, Laura Rogers, Sarah Lehmann, Jane Rook
Purpose The purpose of this paper is to report an evaluation of a leading-with-compassion recognition scheme and to present a new framework for compassion derived from the data. Design/methodology/approach Qualitative semi-structured interviews, a focus group and thematic data analysis. Content analysis of 1,500 nominations of compassionate acts. Findings The scheme highlighted that compassion towards staff and patients was important. Links to the wider well-being strategies of some of the ten organisations involved were unclear...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624141/management-simulations-for-lean-healthcare-exploiting-the-potentials-of-role-playing
#12
Federico Barnabè, Maria Cleofe Giorgino, Jacopo Guercini, Caterina Bianciardi, Vincenzo Mezzatesta
Purpose The purpose of this paper is to investigate the potentials of role-playing (RP) both in training healthcare (HC) professionals to implement tools and improvement actions based on Lean principles, and in supporting group discussion and the sharing of different competencies for the development of Lean HC. Design/methodology/approach The paper presents the case study of an RP simulation called LEAN HEALTHCARE LAB, which is used to train HC professionals at Siena University Hospital. The paper reports and discusses the results of a specific two-day simulation session and of a questionnaire that was distributed to gather feedback from the participants...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624140/population-health-management-guiding-principles-to-stimulate-collaboration-and-improve-pharmaceutical-care
#13
Betty Steenkamer, Caroline Baan, Kim Putters, Hans van Oers, Hanneke Drewes
Purpose A range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate. Design/methodology/approach The evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624139/knowledge-exchange-in-the-uk-clahrcs
#14
Girts Racko
Purpose The purpose of this paper is to examine how knowledge exchange between academics and clinicians in Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) is influenced by their social position based on their symbolic and social capitals, that is, their personal professional status and connections to high-status professional peers, knowledge brokers, and unfamiliar professional peers. Design/methodology/approach Using an online survey, the author triangulates the cross-sectional measurement of the effects of academic and clinicians' social position in the initial and later phases of CLAHRCs with the longitudinal measurement of these effects over a two-year period...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624138/the-role-of-academic-health-centres-in-improving-health-equity-a-systematic-review
#15
Alexandra Edelman, Judy Taylor, Pavel V Ovseiko, Stephanie M Topp
Purpose Academic health centres (AHCs) are organisations that pursue a "tripartite" mission to deliver high-quality care to patients, undertake clinical and laboratory research, and train future health professionals. The last decade has seen a global spread of AHC models and a growing interest in the role of AHCs in addressing health system equity. The purpose of this paper is to synthesise and critically appraise the evidence on the role of AHCs in improving health equity. Design/methodology/approach Peer-reviewed and grey literature published in English between 2000 and 2016 were searched...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624137/multi-disciplinary-decision-making-in-general-practice
#16
Ann Kirby, Aileen Murphy, Colin Bradley
Purpose Internationally, healthcare systems are moving towards delivering care in an integrated manner which advocates a multi-disciplinary approach to decision making. Such an approach is formally encouraged in the management of Atrial Fibrillation patients through the European Society of Cardiology guidelines. Since the emergence of new oral anticoagulants switching between oral anticoagulants (OACs) has become prevalent. This case study considers the role of multi-disciplinary decision making, given the complex nature of the agents...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624136/how-hospital-survey-teams-function
#17
Alan Boyd, Shilpa Ross, Ruth Robertson, Kieran Walshe, Rachael Smithson
Purpose The purpose of this paper is to understand how inspection team members work together to conduct surveys of hospitals, the challenges teams may face and how these might be addressed. Design/methodology/approach Data were gathered through an evaluation of a new regulatory model for acute hospitals in England, implemented by the Care Quality Commission (CQC) during 2013-2014. The authors interviewed key stakeholders, observed inspections and surveyed and interviewed inspection team members and hospital staff...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624134/development-of-an-instrument-to-measure-organisational-culture-in-community-pharmacies-in-great-britain
#18
Iuri Marques, Sarah Caroline Willis, Ellen Ingrid Schafheutle, Karen Hassell
Purpose Organisational culture (OC) shapes individuals' perceptions and experiences of work. However, no instrument capable of measuring specific aspects of OC in community pharmacy exists. The purpose of this paper is to report the development and validation of an instrument to measure OC in community pharmacy in Great Britain (GB), and conduct a preliminary analysis of data collected using it. Design/methodology/approach Instrument development comprised three stages: Stage I: 12 qualitative interviews and relevant literature informed instrument design; Stage II: 30 cognitive interviews assessed content validity; and Stage III: a cross-sectional survey mailed to 1,000 community pharmacists in GB, with factor analysis for instrument validation...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624133/telephone-consultation-in-primary-care
#19
Francisco Gonzalez, Blanca Cimadevila, Julio Garcia-Comesaña, Susana Cerqueiro, Eladio Andion, Jorge Prado, Jorge Bermudez, Felix Rubial
Purpose The purpose of this paper is to describe and analyze a teleconsultation modality based on a simple telephone call, using either landline or mobile phone, made available to more than two million people. Telecommunication systems are an increasingly common feature in modern healthcare. However, making teleconsultations available to the entire population covered by a public health system is a challenging goal. Design/methodology/approach This retrospective longitudinal observational study analyzed how this modality was used at the primary care level in Galicia, a region in the Northwest of Spain, in 2014 and 2015, focusing on demand, gender and age preferences, rural vs urban population and efficiency...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29624132/collaboration-in-a-competitive-healthcare-system-negotiation-101-for-clinicians
#20
Robyn Clay-Williams, Andrew Johnson, Paul Lane, Zhicheng Li, Lauren Camilleri, Teresa Winata, Michael Klug
Purpose The purpose of this paper is to evaluate the effectiveness of negotiation training delivered to senior clinicians, managers and executives, by exploring whether staff members implemented negotiation skills in their workplace following the training, and if so, how and when. Design/methodology/approach This is a qualitative study involving face-to-face interviews with 18 senior clinicians, managers and executives who completed a two-day intensive negotiation skills training course. Interviews were transcribed verbatim, and inductive interpretive analysis techniques were used to identify common themes...
April 9, 2018: Journal of Health Organization and Management
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