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Leadership in Health Services

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https://www.readbyqxmd.com/read/29020865/peer-to-peer-shadowing-as-a-technique-for-the-development-of-nurse-middle-managers-clinical-leadership
#1
Pieterbas Lalleman, Joanne Bouma, Gerhard Smid, Jananee Rasiah, Marieke Schuurmans
Purpose The purpose of this study was to explore the experiences and impact of peer-to-peer shadowing as a technique to develop nurse middle managers' clinical leadership practices. Design/methodology/approach A qualitative descriptive study was conducted to gain insight into the experiences of nurse middle managers using semi-structured interviews. Data were analysed into codes using constant comparison and similar codes were grouped under sub-themes and then into four broader themes. Findings Peer-to-peer shadowing facilitates collective reflection-in-action and enhances an "investigate stance" while acting...
October 12, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/29020840/self-determining-medical-leadership-needs-of-occupational-health-physicians
#2
Prosenjit Giri, Jill Aylott, Karen Kilner
Purpose The purpose of this study was to explore which factors motivate doctors to engage in leadership roles and to frame an inquiry of self-assessment within Self-Determination Theory (SDT) to identify the extent to which a group of occupational health physicians (OHPs) was able to self-determine their leadership needs, using a National Health Service (NHS) England competency approach promoted by the NHS England Leadership Academy as a self-assessment leadership diagnostic. Medical leadership is seen as crucial to the transformation of health-care services, yet leadership programmes are often designed with a top-down and centrally commissioned "one-size-fits-all" approach...
October 12, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28958192/the-effects-of-leadership-competencies-and-quality-of-work-on-the-perceived-readiness-for-organizational-change-among-nurse-managers
#3
Mahmoud Al-Hussami, Sawsan Hamad, Muhammad Darawad, Mahmoud Maharmeh
Purpose This paper aims to set a leadership guidance program that can promote nurses' knowledge of leadership and, at the same time, to enhance their leadership competencies and quality of work to promote their readiness for change in healthcare organizations. Design/methodology/approach A pre-experimental, one-group pretest-posttest design was utilized. Out of 90 invited to participate in this study, 61 nurses were accepted to participate. Findings The statistical analyses suggested several significant differences between pre- and in-service nurse managers about leadership competencies, quality of work and readiness for change...
September 28, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28945158/student-led-leadership-training-for-undergraduate-healthcare-students
#4
Ibrahim Hasanyn Naim Sheriff, Faheem Ahmed, Naheed Jivraj, Jonathan C M Wan, Jade Sampford, Na'eem Ahmed
Purpose Effective clinical leadership is crucial to avoid failings in the delivery of safe health care, particularly during a period of increasing scrutiny and cost-constraints for the National Health Service (NHS). However, there is a paucity of leadership training for health-care students, the future leaders of the NHS, which is due in part to overfilled curricula. The purpose of this study was to assess the impact of student-led leadership training for the benefit of fellow students. Design/methodology/approach To address this training gap, a group of multiprofessional students organised a series of large-group seminars and small-group workshops given by notable health-care leaders at a London university over the course of two consecutive years...
September 25, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28893120/increasing-value-adding-patient-care-by-applying-a-modified-tcab-program
#5
Tuula Antinaho, Tuula Kivinen, Hannele Turunen, Pirjo Partanen
Purpose The purpose of this study is to evaluate a development process aimed at increasing registered nurses' (RNs) working time use in value-adding patient care by applying a modified Transforming Care at the Bedside (TCAB) program at inpatient units of two tertiary hospitals. Design/methodology/approach Basic data for the development process were collected on RNs' working time use via external observation in 2011 (RNs = 113). Nursing work was redesigned and implemented by 12 multi-professional teams during 2012-2013...
September 12, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28862085/value-based-healthcare-as-a-trigger-for-improvement-initiatives
#6
Kerstin Nilsson, Fredrik Bååthe, Annette Erichsen Andersson, Mette Sandoff
Purpose This study explores four pilot teams' experiences of improvements resulting from the implementation of value-based healthcare (VBHC) at a Swedish University Hospital. The aim of this study is to gain a deeper understanding of VBHC when used as a management strategy to improve patients' health outcomes. Design/methodology/approach An exploratory design was used and qualitative interviews were undertaken with 20 team members three times each, during a period of two years. The content of the interviews was qualitatively analysed...
September 1, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28862079/sense-of-community-organizational-commitment-and-quality-of-services
#7
Mai-Stiina Lampinen, ElinaAnnikki Suutala, Anne Irmeli Konu
Purpose The purpose of this paper is to examine how factors associated with a sense of community in the workplace are connected with organizational commitment and the quality of services among frontline managers and middle managers in social and health care services in Finland. Design/methodology/approach A questionnaire designed specifically for this research was sent to 241 lower-level and middle-level managers in social and health care services in central Finland. A total of 136 managers completed the questionnaire (response rate 56 per cent)...
September 1, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28862064/time-and-change-in-health-care
#8
Susan Waterworth
Purpose The purpose of this paper is to explore the dimensions of temporality that are rarely considered in the literature on leading change. Design/methodology/approach The analysis is informed by Adams' (1995) social theory of time encompassing temporality, timing and tempo. This will illustrate the complexities of time as they relate to the individual, teams and organisation. Findings This paper demonstrates the multidimensional nature of time: temporality, timing and tempo, and how each of these can contribute to our understanding of the temporal nature and complexity of change within the health system...
September 1, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/29046131/understanding-critical-care-nurses-autonomy-in-jordan
#9
Mahmoud Maharmeh
Purpose The aim of this study was to describe Jordanian critical care nurses' experiences of autonomy in their clinical practice. Design/methodology/approach A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire. Findings A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings...
October 2, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28889779/physician-performance-feedback-in-a-canadian-academic-center
#10
Dennis Garvin, James Worthington, Shaun McGuire, Stephanie Burgetz, Alan J Forster, Andrea Patey, Caroline Gerin-Lajoie, Jeffrey Turnbull, Virginia Roth
Purpose This paper aims at the implementation and early evaluation of a comprehensive, formative annual physician performance feedback process in a large academic health-care organization. Design/methodology/approach A mixed methods approach was used to introduce a formative feedback process to provide physicians with comprehensive feedback on performance and to support professional development. This initiative responded to organization-wide engagement surveys through which physicians identified effective performance feedback as a priority...
October 2, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693398/use-of-evidence-based-management-in-healthcare-administration-decision-making
#11
Ruiling Guo, Steven D Berkshire, Lawrence V Fulton, Patrick M Hermanson
Purpose The purpose of this paper is to examine whether healthcare leaders use evidence-based management (EBMgt) when facing major decisions and what types of evidence healthcare administrators consult during their decision-making. This study also intends to identify any relationship that might exist among adoption of EBMgt in healthcare management, attitudes towards EBMgt, demographic characteristics and organizational characteristics. Design/methodology/approach A cross-sectional study was conducted among US healthcare leaders...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693397/bringing-voice-in-policy-building
#12
Gaetano R Lotrecchiano, Mary Kane, Mark S Zocchi, Jessica Gosa, Danielle Lazar, Jesse M Pines
Purpose The purpose of this paper is to describe the use of group concept mapping (GCM) as a tool for developing a conceptual model of an episode of acute, unscheduled care from illness or injury to outcomes such as recovery, death and chronic illness. Design/methodology/approach After generating a literature review drafting an initial conceptual model, GCM software (CS Global MAX(TM)) is used to organize and identify strengths and directionality between concepts generated through feedback about the model from several stakeholder groups: acute care and non-acute care providers, patients, payers and policymakers...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693396/exploring-generational-cohort-work-satisfaction-in-hospital-nurses
#13
Pamela Ann Gordon
Purpose Although extensive research exists regarding job satisfaction, many previous studies used a more restrictive, quantitative methodology. The purpose of this qualitative study is to capture the perceptions of hospital nurses within generational cohorts regarding their work satisfaction. Design/methodology/approach A preliminary qualitative, phenomenological study design explored hospital nurses' work satisfaction within generational cohorts - Baby Boomers (1946-1964), Generation X (1965-1980) and Millennials (1981-2000)...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693395/an-ideal-hospital
#14
Singithi Sidney Chandrasiri
Purpose The purpose of this paper is to explore a novel overarching strategy in tackling the key issues raised by the recent inquiry into bullying, harassment and discrimination in surgical practice and surgical training in Australian and New Zealand hospitals. Design/methodology/approach The approach taken is an analysis of the available evidence-based literature to inform the proposed viewpoint. The theoretical subject scope presented is a discussion of how and why the various strategies put forward in this paper should be integrated into and led from an overarching workforce engagement platform...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693394/an-evaluation-of-a-leadership-development-coaching-and-mentoring-programme
#15
Lyndsay Le Comte, Beverley McClelland
Purpose The purpose of this paper was to determine the value and impact of the Leadership Development - Coaching and Mentoring Programme at Counties Manukau Health and understand how the skills gained are applied. Design/methodology/approach Mixed-methods approach including surveys of programme participants and senior staff and semi-structured interviews with programme participants. Findings The survey response rate was 24.4 per cent for programme participants and 30 per cent for senior staff. Eight programme participants participated in semi-structured interviews...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693393/tqm-implementation-for-the-healthcare-sector
#16
Andrea Chiarini, Emidia Vagnoni
Purpose The purpose of this paper is to enlarge the debate on total quality management (TQM) implementation in the healthcare sector and to evaluate how and whether leadership can affect TQM implementation. Design/methodology/approach This paper is based on findings from a literature review of TQM and leadership. The authors analysed these findings to categorise causes of a lack of leadership in TQM programme implementations. Findings The authors propose three categories of causes of a lack of leadership in TQM programme implementation...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693392/the-impact-of-leadership-development-on-gp-mental-health-commissioning
#17
Emma Dickerson, Lee-Ann Fenge, Emily Rosenorn-Lanng
Purpose This paper aims to explore the learning needs of general practitioners (GPs) involved in commissioning mental health provision in England, and offer an evaluation of a leadership and commissioning skills development programme for Mental Health Commissioners. Design/methodology/approach Retrospective mixed method, including online mixed method survey, rating participants' knowledge, skills, abilities, semi-structured telephone interviews and third-party questionnaires were used. Results were analysed for significant differences using the Wilcoxon Signed Ranks test...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693391/leading-nurses-emotional-intelligence-and-leadership-development-effectiveness
#18
Kerri Anne Crowne, Thomas M Young, Beryl Goldman, Barbara Patterson, Anne M Krouse, Jose Proenca
Purpose The purpose of this paper is to examine the effectiveness of an emotional intelligence (EI) and leadership development education program involving 20 nurse leaders at nursing homes. Also, it investigates the relationship between EI and transformational leadership. Design/methodology/approach Three research questions are posed. Correlation analysis and t-tests were conducted to answer the questions posed. Findings The findings of this paper indicate that the EI educational development was effective, while the personal leadership development was not...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693390/collaborating-with-nurse-leaders-to-develop-patient-safety-practices
#19
Anne Kanerva, Tuula Kivinen, Johanna Lammintakanen
Purpose The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months' time and how nursing leaders view the participatory development process...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28514917/advancing-health-care-quality-and-safety-through-action-learning
#20
Simon Mathews, Sherita Golden, Renee Demski, Peter Pronovost, Lisa Ishii
Purpose The purpose of this study is to demonstrate how action learning can be practically applied to quality and safety challenges at a large academic medical health system and become fundamentally integrated with an institution's broader approach to quality and safety. Design/methodology/approach The authors describe how the fundamental principles of action learning have been applied to advancing quality and safety in health care at a large academic medical institution. The authors provide an academic contextualization of action learning in health care and then transition to how this concept can be practically applied to quality and safety by providing detailing examples at the unit, cross-functional and executive levels...
May 2, 2017: Leadership in Health Services
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