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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/28482774/managerial-strategies-to-make-incentives-meaningful-and-motivating
#1
Sara Korlén, Anna Essén, Peter Lindgren, Isis Amer-Wahlin, Ulrica von Thiele Schwarz
Purpose Policy makers are applying market-inspired competition and financial incentives to drive efficiency in healthcare. However, a lack of knowledge exists about the process whereby incentives are filtered through organizations to influence staff motivation, and the key role of managers is often overlooked. The purpose of this paper is to explore the strategies managers use as intermediaries between financial incentives and the individual motivation of staff. The authors use empirical data from a local case in Swedish specialized care...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482773/gender-bias-in-hospital-leadership-a-qualitative-study-on-the-experiences-of-women-ceos
#2
Sophie Soklaridis, Ayelet Kuper, Cynthia R Whitehead, Genevieve Ferguson, Valerie H Taylor, Catherine Zahn
Purpose The purpose of this paper is to examine the experiences of gender bias among women hospital CEOs and explore to what these female leaders attribute their success within a male-dominated hospital executive leadership milieu. Design/methodology/approach This qualitative study involved 12 women hospital CEOs from across Ontario, Canada. Purposeful sampling techniques and in-depth qualitative interview methods were used to facilitate discussion around experiences of gender and leadership. Findings Responses fell into two groups: the first group represented the statement "Gender inequality is alive and well"...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482772/positive-emotion-in-knowledge-creation
#3
Michael Hodgins, Ann Dadich
Purpose Despite the importance of evidence-based practice, the translation of knowledge into quality healthcare continues to be stymied by an array of micro, meso and macro factors. The purpose of this paper is to suggest a need to consider different - if not unconventional approaches - like the role of positive emotion, and how it might be used to promote and sustain knowledge translation (KT). Design/methodology/approach By reviewing and coalescing two distinct theories - the broaden-and-build theory of positive emotions and the organisational knowledge creation theory - this paper presents a case for the role of positive emotion in KT...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482771/a-network-of-networks
#4
Rick Iedema, Raj Verma, Sonia Wutzke, Nigel Lyons, Brian McCaughan
Purpose To further our insight into the role of networks in health system reform, the purpose of this paper is to investigate how one agency, the NSW Agency for Clinical Innovation (ACI), and the multiple networks and enabling resources that it encompasses, govern, manage and extend the potential of networks for healthcare practice improvement. Design/methodology/approach This is a case study investigation which took place over ten months through the first author's participation in network activities and discussions with the agency's staff about their main objectives, challenges and achievements, and with selected services around the state of New South Wales to understand the agency's implementation and large system transformation activities...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482770/can-hospital-dashboards-provide-visibility-of-information-from-bedside-to-board-a-case-study-approach
#5
Adriana Pace, Sandra C Buttigieg
Purpose The purpose of this paper is to analyse hospital dashboards' visibility of information at different management levels to improve quality and performance in an acute general hospital. Design/methodology/approach Data were generated via 21 semi-structured interviews across different management levels. Findings All management levels had greater visibility of information, could make informed decisions, and registered performance improvement. Specifically, waiting time improved, however since introduction of hospital dashboards was work-in-progress at time of study, managers could not record improvement in terms of cost reductions, clinical effectiveness, patient safety and patient satisfaction...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482769/men-s-health-and-communities-of-practice-in-australia
#6
Maree Henwood, Amie Shaw, Jillian Cavanagh, Timothy Bartram, Timothy Marjoribanks, Madeleine Kendrick
Purpose The purpose of this paper is to examine the social opportunities for Aboriginal and Torres Strait Islander men created through Men's Groups/Sheds across urban, regional and remote areas of Australia. Men's Sheds are a safe space, resembling a work-shop setting or backyard shed, where men are encouraged to socialise and participate in health promotion, informal learning and engage in meaningful tasks both individually and at the community level. Design/methodology/approach Explore five case study sites through Wenger's (1998) active communities of practice (CoP)...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482768/leadership-quality-a-factor-important-for-social-capital-in-healthcare-organizations
#7
Marcus Strömgren, Andrea Eriksson, Linda Ahlstrom, David Kristofer Bergman, Lotta Dellve
Purpose The purpose of this paper is to investigate the relation between leadership and social capital and what qualities of leadership are important for social capital among employees in hospital settings over time. Design/methodology/approach A cohort of employees in hospitals answered a questionnaire at three occasions. Five small (approx. 100-bed) or mid-sized (approx. 500-bed) hospitals were included. The response rate was 54 percent at baseline ( n=865), 59 percent at one-year follow-up ( n=908) and 67 percent at two-year follow-up ( n=632)...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482767/the-impact-of-leadership-coaching-in-an-australian-healthcare-setting
#8
Anthony M Grant, Ingrid Studholme, Raj Verma, Lea Kirkwood, Bronwyn Paton, Sean O'Connor
Purpose There is limited empirical literature on the effectiveness of leadership coaching in healthcare settings. The purpose of this paper is to explore the efficacy of leadership coaching for individuals implementing strategic change in the Australian public health system. Design/methodology/approach Using a within-subjects (pre-post) design, participants ( n=31) undertook six one-hour coaching sessions. Coaching was conducted by professional leadership coaches. Both quantitative and qualitative data were collected...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482766/size-does-matter-span-of-control-in-hospitals
#9
Christina Holm-Petersen, Sussanne Østergaard, Per Bo Noergaard Andersen
Purpose Centralization, mergers and cost reductions have generally led to increasing levels of span of control (SOC), and thus potentially to lower leadership capacity. The purpose of this paper is to explore how a large SOC impacts hospital staff and their leaders. Design/methodology/approach The study is based on a qualitative explorative case study of three large inpatient wards. Findings The study finds that the nursing staff and their frontline leaders experience challenges in regard to visibility and role of the leader, e...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260413/the-institutional-logic-of-integrated-care-an-ethnography-of-patient-transitions
#10
James A Shaw, Pia Kontos, Wendy Martin, Christina Victor
Purpose The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service. Design/methodology/approach The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community "hub" meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260412/the-work-is-never-ending-uncovering-teamwork-sustainability-using-realistic-evaluation
#11
Mandus Frykman, Ulrica von Thiele Schwarz, Åsa Muntlin Athlin, Henna Hasson, Pamela Mazzocato
Purpose The purpose of this paper is to uncover the mechanisms influencing the sustainability of behavior changes following the implementation of teamwork. Design/methodology/approach Realistic evaluation was combined with a framework (DCOM®) based on applied behavior analysis to study the sustainability of behavior changes two and a half years after the initial implementation of teamwork at an emergency department. The DCOM® framework was used to categorize the mechanisms of behavior change interventions (BCIs) into the four categories of direction, competence, opportunity, and motivation...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260411/bridging-complexity-theory-and-resilience-to-develop-surge-capacity-in-health-systems
#12
Marie-Christine Therrien, Julie-Maude Normandin, Jean-Louis Denis
Purpose Health systems are periodically confronted by crises - think of Severe Acute Respiratory Syndrome, H1N1, and Ebola - during which they are called upon to manage exceptional situations without interrupting essential services to the population. The ability to accomplish this dual mandate is at the heart of resilience strategies, which in healthcare systems involve developing surge capacity to manage a sudden influx of patients. The paper aims to discuss these issues. Design/methodology/approach This paper relates insights from resilience research to the four "S" of surge capacity (staff, stuff, structures and systems) and proposes a framework based on complexity theory to better understand and assess resilience factors that enable the development of surge capacity in complex health systems...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260410/the-effects-of-organizational-commitment-and-structural-empowerment-on-patient-safety-culture
#13
Sujin K Horwitz, Irwin B Horwitz
Purpose The purpose of this paper is to investigate the relationship between patient safety culture and two attitudinal constructs: affective organizational commitment and structural empowerment. In doing so, the main and interaction effects of the two constructs on the perception of patient safety culture were assessed using a cohort of physicians. Design/methodology/approach Affective commitment was measured with the Organizational Commitment Questionnaire, whereas structural empowerment was assessed with the Conditions of Work Effectiveness Questionnaire-II...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260409/healthcare-leaders-views-on-successful-quality-improvement-initiatives-and-context
#14
Stuart Barson, Fiona Doolan-Noble, Jonathon Gray, Robin Gauld
Purpose The purpose of this paper is to investigate the contextual factors contributing to the sustainability of healthcare quality improvement (QI) initiatives. Design/methodology/approach Themes from semi-structured interviews with international healthcare leaders are compared with Kaplan and Provost et al.'s (2012) model for understanding success in quality (MUSIQ). Critical success factors within these themes are shown in detail. Findings The interviews provide a rich source of information on critical success factors...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260408/dynamic-workplace-interactions-for-improving-patient-safety-climate
#15
Susan Brandis, John Rice, Stephanie Schleimer
Purpose Employee engagement (EE), supervisor support (SS) and interprofessional collaboration (IPC) are important contributors to patient safety climate (PSC). The purpose of this paper is to propose and empirically test a model that suggests the presence of a three-way interaction effect between EE, IPC and SS in creating a stronger PSC. Design/methodology/approach Using validated tools to measure EE, SS, IPC and PSC data were collected from a questionnaire of 250 clinical and support staff in an Australian health service...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260407/doctor-patient-relationships-dpr-in-china
#16
Shaozhuang Ma, Xuehu Xu, Virginia Trigo, Nelson J C Ramalho
Purpose The purpose of this paper is twofold: first, to develop and test theory on how commitment human resource (HR) practices affect hospital professionals' job satisfaction that motivates them to generate desirable patient care and subsequently improve doctor-patient relationships (DPR) and second, to examine how commitment HR practices influence hospital managers and clinicians in different ways. Design/methodology/approach Using a cross-sectional survey, the authors collected data from 508 clinicians and hospital managers from 33 tertiary public hospitals in China...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260406/reducing-preventable-harm-observations-on-minimizing-bloodstream-infections
#17
Peter J Pronovost, Sally J Weaver, Sean M Berenholtz, Lisa H Lubomski, Lisa L Maragakis, Jill A Marsteller, Julius Cuong Pham, Melinda D Sawyer, David A Thompson, Kristina Weeks, Michael A Rosen
Purpose The purpose of this paper is to provide a practical framework that health care organizations could use to decrease preventable healthcare-acquired harms. Design/methodology/approach An existing theory of how hospitals succeeded in reducing rates of central line-associated bloodstream infections was refined, drawing from the literature and experiences in facilitating improvement efforts in thousands of hospitals in and outside the USA. Findings The following common interventions were implemented by hospitals able to reduce and sustain low infection rates...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28260405/using-and-choosing-digital-health-technologies-a-communications-science-perspective
#18
John Ovretveit, Albert Wu, Richard Street, Harold Thimbleby, Friederike Thilo, Annegret Hannawa
Purpose The purpose of this paper is to explore a non-technical overview for leaders and researchers about how to use a communications perspective to better assess, design and use digital health technologies (DHTs) to improve healthcare performance and to encourage more research into implementation and use of these technologies. Design/methodology/approach Narrative overview, showing through examples the issues and benefits of introducing DHTs for healthcare performance and the insights that communications science brings to their design and use...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27934550/healthcare-resource-allocation-decisions-affecting-uninsured-services
#19
Krista Lyn Harrison, Holly A Taylor
Purpose Using the example of community access programs (CAPs), the purpose of this paper is to describe resource allocation and policy decisions related to providing health services for the uninsured in the USA and the organizational values affecting these decisions. Design/methodology/approach The study used comparative case study methodology at two geographically diverse sites. Researchers collected data from program documents, meeting observations, and interviews with program stakeholders. Findings Five resource allocation or policy decisions relevant to providing healthcare services were described at each site across three categories: designing the health plan, reacting to funding changes, and revising policies...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834606/the-missing-link-to-patient-engagement-in-italy
#20
Rocco Palumbo, Carmela Annarumma, Paola Adinolfi, Marco Musella
Purpose The purpose of this paper is to discuss the changing patterns of users' behavior in the health care service system. Although patient engagement and health services' co-production are understood as essential ingredients in the recipe for sustainable health systems, some determinants to patient involvement are still widely neglected by both policy makers and health care professionals. Among others, inadequate health literacy performs as a significant barrier to patient empowerment. Design/methodology/approach A survey aimed at objectively measuring health literacy-related skills was administered to a random sample of 600 Italian patients...
November 21, 2016: Journal of Health Organization and Management
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