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Leadership in Health Services

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https://www.readbyqxmd.com/read/30234456/incorporating-sustainability-in-small-health-care-facilities-an-integrated-model
#1
Kevin Wing Ki Chu, Lenis Lai Wan Cheung
Purpose It is challenging for small health-care facilities to implement changes when human and financial resources are limited for day-to-day operations. This paper aims to propose an integrated model for small- and medium-sized health-care facilities to integrate sustainability in their day-to-day operations, which have been derived from the leadership and change theories. Design/methodology/approach Drawing on previous research on leadership and change theories, the paper first critically reviewed the approaches to implementing changes and how applicable they are in the context of small- and medium-sized health-care facilities...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234455/organisational-learning
#2
John Duncan Edmonstone
Purpose The understanding of "organisations" has changed fundamentally from seeing them as concrete entities to viewing them as communities of meaning. Mature adults in healthcare learn best when addressing pressing problems in company of their peers. Healthcare is unlike other sectors because of the emotional labour which is part of the experience of clinical staff. Absorptive capacity offers a conceptual model for viewing organisational learning and the encouragement of systemic eloquence can be enabled through a variety of approaches, provided they are designed and delivered as part of a well-thought-through approach to developing local absorptive capacity...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234454/career-path-from-a-dentist-to-a-leader
#3
Tiina A Tuononen, Anna Liisa Suominen, Johanna Lammintakanen
Purpose The purpose of this paper was to study the career paths of leaders with a career background as a dentist from basic degree to chief or executive leadership positions and individual factors that influenced their decisions. Design/methodology/approach Semi-structured interview and a questionnaire were used to study 13 leaders using the structure of Edgar Schein's career anchor interview and career orientation inventory questionnaire. Theory-driven content analysis was used to analyze the data according to themes which included career paths, factors associated with job and career changes and thoughts about future careers...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234453/developing-health-leadership-with-health-leads-australia
#4
Elizabeth Shannon, Andi Sebastian
Purpose Leadership, and leadership development, in health and human services is essential. This review aims to draw conclusions from practice within the Australian context. Design/methodology/approach This review is an overview of health leadership development in Australia, with a particular focus on the implementation of the national health leadership framework, Health LEADS Australia (HLA). Findings Since its inception, the HLA has influenced the development of health leadership frameworks across the Australian states and territories...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234452/the-influence-of-leadership-behavior-organizational-commitment-organizational-support-subjective-career-success-on-organizational-readiness-for-change-in-healthcare-organizations
#5
Mahmoud Al-Hussami, Sawsan Hammad, Firas Alsoleihat
Purpose The purpose of this study is to investigate the influence of leadership behavior, organizational commitment, organizational support and subjective career success on organizational readiness for change in the healthcare organizations. The authors want to determine if nurses who had higher levels of organizational commitment, organizational support and subjective career success relationships were more open and prepared for change. Design/methodology/approach Cross-sectional, descriptive-correlational survey design was conducted using self-reported questionnaires to collect data from registered nurses...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234451/quality-improvement-in-curriculum-development
#6
Victor Maddalena, Amanda Pendergast, Gerona McGrath
Purpose There is a growing emphasis on teaching patient safety principles and quality improvement (QI) processes in medical education curricula. This paper aims to present how the Faculty of Medicine at Memorial University of Newfoundland engaged medical students in quality improvement during their recent curriculum renewal process. Design/methodology/approach In the 2013-2014 academic year, the Faculty of Medicine at Memorial University of Newfoundland launched an undergraduate medical education curriculum renewal process...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234450/prospective-sensemaking-of-a-national-quality-register-in-health-care-and-elderly-care
#7
Annika Maria Margareta Nordin, Boel Andersson Gäre, Ann-Christine Andersson
Purpose The purpose of this paper is to examine how external change agents (ECAs) engaged to disseminate a national quality register (NQR) called Senior alert nationwide in the Swedish health care and elderly care sectors interpret their work. To study this, sensemaking theories are used. Design/methodology/approach This is a qualitative inductive interview study including eight ECAs. To analyze the data, a thematic analysis is carried out. Findings Well-disseminated NQRs support health care organizations' possibility to work with quality improvement and to improve care for patient groups...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234449/factors-that-foster-or-prevent-sense-of-belonging-among-social-and-health-care-managers
#8
Mai-Stiina Lampinen, Anne Irmeli Konu, Tarja Kettunen, Elina Annikki Suutala
Purpose The purpose of this study is to identify factors that foster or prevent sense of belonging among frontline and middle managers in social and health-care services in Finland. Design/methodology/approach The data have been collected among social and health-care managers ( n = 135; 64 per cent nursing managers) through two open-ended questions in a questionnaire concerning sense of community. The results of the open-ended questions have been analyzed using qualitative content analysis. Findings Among managers, six categories of factors that foster sense of belonging (open interaction, effective conversation culture, support and encouragement, common values, a shared vision of the work and its objectives and structure of leadership) and five categories of factors that prevent sense of belonging (negative work atmosphere, lack of common time, structural solutions in the organization, problems that occur in the organizational level and problems related to leadership and management) have been identified...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234448/sensemaking-and-cognitive-shifts-learning-from-dissemination-of-a-national-quality-register-in-health-care-and-elderly-care
#9
Annika Maria Margareta Nordin, Boel Andersson Gäre, Ann-Christine Andersson
Purpose The purpose of this study is to examine and establish how sensemaking develops among a group of external change agents (ECAs) engaged to disseminate a national quality register nationwide in Swedish health care and elderly care. To study the emergent sensemaking, the theoretical concept of cognitive shift has been used. Design/methodology/approach The data collection method included individual semi-structured interviews, and two sets of interviews (initial sensemaking and renewed sensemaking) have been conducted...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234447/can-lean-six-sigma-be-used-to-reduce-medication-errors-in-the-health-care-sector
#10
Yaifa Trakulsunti, Jiju Antony
Purpose The purpose of this paper is to present the implementation of Lean Six Sigma (LSS) to reduce medication errors, by using four case examples. The paper will also suggest appropriate Lean and Sigma tools to improve the medication process. Design/methodology/approach The authors critically analyze four case examples that used LSS projects, to demonstrate the approach, benefits, success factors and lessons learnt. Findings LSS is a powerful process improvement methodology that could be applied by health-care sectors to reduce medication errors, increase patient safety and reduce operational costs...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30234446/leadership-in-interprofessional-health-and-social-care-teams-a-literature-review
#11
Tony Smith, Sally Fowler-Davis, Susan Nancarrow, Steven Mark Brian Ariss, Pam Enderby
Purpose The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams. Design/methodology/approach A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about leadership in interprofessional health and social care teams. Findings Twenty-eight papers were reviewed and contributed to the framework for interprofessional leadership...
October 1, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016924/guest-editorial
#12
Madhav N Sinha
No abstract text is available yet for this article.
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016923/a-model-for-measuring-effectiveness-of-quality-management-practices-in-health-care
#13
Jan M Myszewski, Madhav N Sinha
Purpose Health care is an example of an organization where the needs of potential clients are much greater than the capabilities of the service delivery system. The implementation of any medical procedure, as well as the provision of any service, just like the manufacturing of any product, can be decomposed into a series of tasks. The purpose of this paper is to propose a model for measuring the effectiveness of quality assurance tasks in health-care delivery processes. Design/methodology/approach The authors analyze a system of factors that affect the implementation of tasks in a process...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016922/strengthening-quality-culture-in-private-sector-and-health-care
#14
Pernilla Ingelsson, Ingela Bäckström, Kristen Snyder
Purpose The purpose of this study is to present a comprehensive approach to studying organizational culture using "soft measures" to facilitate sustainable quality development in organizations. The purpose is also to present, discuss and compare the results from a survey designed to measure a company's value base. Design/methodology/approach A number of different methods were used to collect soft data to study and measure organizational culture and at the same time influence the culture and the leadership within three organizations...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016921/improving-patient-flow-through-applying-lean-concepts-to-emergency-department
#15
Hossam Elamir
Purpose This paper aims to propose lean-based interventions that address the main causes of emergency department overcrowding. Emergency department overcrowding (EDOC) and increased length of stay (LOS) have been key global issues for more than 20 years, as they have serious repercussions. No measurements have been done to assess the situation nationally. Expanding emergency departments (EDs) and adding more beds have never succeeded in eliminating wastes and targeting the root causes of the problem. Design/methodology/approach This paper is a quantitative analytical applied research...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016920/medical-commitment-to-lean-an-inductive-model-development
#16
Pierre-Luc Fournier, Marie-Hélène Jobin
Purpose The purpose of this paper is to study the factors influencing doctors' involvement in Lean change initiatives in public healthcare organizations in Canada. Design/methodology/approach An inductive research was conducted over a three-year span studying Lean implementation across three healthcare organizations in Canada. Various interviews were conducted with healthcare actors. Through analytical induction, analysis of the data allowed for multiple factors to be triangulated from which a conceptual model was developed...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016919/leveraging-supply-chain-infrastructure-to-advance-patient-safety-in-community-health-care-settings
#17
Anne W Snowdon, Deborah Tallarigo
Purpose The purpose of this paper is to examine the opportunity for supply chain processes and infrastructure to reduce the risk of medical error and create traceability of adverse events in community care settings. Patient safety has become an important area of focus over the past few decades, with medical error now accounting for the third most common cause of death in Canada and the USA. The majority of patient safety studies to date have focused specifically on safety in hospital settings; however, deaths and harm experienced by patients in the community (home care, long-term care, complex care and rehabilitation settings) are not well understood...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/30016918/using-lean-tools-to-reduce-patient-waiting-time
#18
Luciana Teixeira Lot, Alice Sarantopoulos, Li Li Min, Simone Reges Perales, Ilka de Fatima Santana Ferreira Boin, Elaine Cristina de Ataide
Purpose This paper aims to address problems in patient flow and identify the reasons behind extensive wait time at a public liver transplant outpatient clinic in an education and research hospital through the use of Lean health-care theories. Design/methodology/approach This paper opted for the application of Lean thinking and action research strategy. Data were collected through personal observations, interviews with users and team brainstorming. A value stream map was developed, improvement possibilities were identified and non-value-added activities were attempted to be eliminated...
July 2, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29771230/editorial
#19
Graham Dickson, Karen Owen
No abstract text is available yet for this article.
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29771229/competencies-physicians-need-to-lead-a-canadian-case
#20
Scott Comber, Kyle Clayton Crawford, Lisette Wilson
Purpose Emerging evidence correlates increased physician leadership effectiveness with improved patient and healthcare system outcomes. To maximize this benefit, it is critical to understand current physician leadership needs. The purpose of this study is to understand, through physicians' self-reporting, their own and others' most effective and weakest leadership skills in relation to the LEADS leadership capabilities framework. Design/methodology/approach The authors surveyed 209 Canadian physician leaders about their perceptions of their own and other physicians' leadership abilities...
May 8, 2018: Leadership in Health Services
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