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https://www.readbyqxmd.com/read/29304251/the-role-of-leadership-in-people-centred-health-systems-a-sub-national-study-in-the-gambia
#1
Simukai Chigudu, Momodou Jasseh, Umberto d'Alessandro, Tumani Corrah, Adama Demba, Julie Balen
Recently, increasing attention has been given to behavioural and relational aspects of the people who both define and shape health systems, placing them at the core. A growing refrain includes the assertion that important decisions determining health system performance, including agenda setting, policy formulation and policy implementation, are made by people. Within this actor-oriented approach, good leadership has been identified as a key contributing factor in health systems strengthening. However, leadership remains ill-defined and under-researched, especially in resource-limited settings, and understanding the links between leadership and health outcomes remains a challenge...
January 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29274714/no-354-canadian-hiv-pregnancy-planning-guidelines
#2
Mona Loutfy, V Logan Kennedy, Vanessa Poliquin, Frederick Dzineku, Nicola L Dean, Shari Margolese, Alison Symington, Deborah M Money, Scot Hamilton, Tracey Conway, Sarah Khan, Mark H Yudin
OBJECTIVE: The objective of the Canadian HIV Pregnancy Planning Guidelines is to provide clinical information and recommendations for health care providers to assist Canadians affected by HIV with their fertility, preconception, and pregnancy planning decisions. These guidelines are evidence- and community-based and flexible and take into account diverse and intersecting local/population needs based on the social determinants of health. INTENDED OUTCOMES: EVIDENCE: Literature searches were conducted by a librarian using the Medline, Cochrane Central Register of Controlled Trials (CENTRAL), and Embase databases for published articles in English and French related to HIV and pregnancy and HIV and pregnancy planning for each section of the guidelines...
January 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29248076/strengthsfinder%C3%A2-signature-themes-of-talent-in-pharmacy-residents-at-four-midwestern-pharmacy-schools
#3
Gary C Yee, Kristin K Janke, Patrick D Fuller, Katherine A Kelley, Steven A Scott, Todd D Sorensen
BACKGROUND AND PURPOSE: StrengthsFinder® is a widely-used assessment that can be used to help student pharmacists discover their talents (i.e., signature themes [STs]) and develop their leadership skills. The assessment has also been used in pharmacy residents, but the prevalence of various STs in that group has not been compared to those in student pharmacists. EDUCATIONAL ACTIVITY AND SETTING: Residents from four midwestern pharmacy institutions completed StrengthsFinder® 2...
January 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29241511/increasing-patient-recall-of-nurse-leader-rounding
#4
Sally W Gillam, Andrew R Gillam, Tricia L Casler, Katie Cook
Nursing staff in a medical/surgical acute care 34-bed hospital unit were challenged by low percentages of patients able to recall nurse leader rounding activity (NLR). NLR occurred daily for all patients, yet many did not recall visits by nursing leaders when surveyed at discharge. Care giver credibility suffered as non-nursing executives questioned if NLR consistently occurred. Several mechanisms were used to facilitate patient NLR recall: scripted NLR verbiage/keywords, nursing uniform leadership insignia and white lab coats, sharing of business cards, handwritten notes on patient communication white boards, multimedia leadership insignia on leader e-tablets, and visits with family members: patient NLR recall did not improve...
December 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29234722/physician-industry-collaboration-organizational-considerations-for-the-future-of-innovation-and-growth-in-dermatology
#5
EDITORIAL
Wendy E Roberts, Neil S Sadick, Wilma F Bergfeld, Amy S Paller, Valerie D Callender, Lynn A Drake
The U.S. medical environment continues to evolve with issues from Privacy to EMR, Insurance regulations, Physician Access and Healthcare Reform, and MACRA (Medicare Access and CHIP Reauthorization Act) on the discussion table. Not since the advent of Medicare and Medicaid in the mid 1960's, have we seen such widespread changes in the medical healthcare environment (Centers for Medicare and Medicaid Services). Physicians, industry, patients and consumers are affected by the changes. These four groups have historically worked as separate entities, but are now key stakeholders in the future of dermatology...
December 2017: International Journal of Women's Dermatology
https://www.readbyqxmd.com/read/29219909/a-thematic-analysis-of-self-described-authentic-leadership-behaviors-among-experienced-nurse-executives
#6
Catherine Alexander, Ruth Palan Lopez
OBJECTIVE: The aim of this study is to understand the behaviors experienced nurse executives use to create healthy work environments (HWEs). The constructs of authentic leadership formed the conceptual framework for the study. BACKGROUND: The American Association of Critical-Care Nurses recommends authentic leadership as the preferred style of leadership for creating and sustaining HWEs. Behaviors associated with authentic leadership in nursing are not well understood...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29217847/black-lives-matter-a-call-to-action-for-counseling-psychology-leaders
#7
Candice Crowell, Della Mosley, Jameca Falconer, Reuben Faloughi, Anneliese Singh, Danelle Stevens-Watkins, Kevin Cokley
Police brutality and widespread systemic racism represent historical and current sources of trauma in Black communities. Both the Black Lives Matter movement and counseling psychology propose to confront these realities at multiple levels. Black Lives Matter seeks to increase awareness about systemic racism and promote resilience among Black people. Counseling psychology states values of multiculturalism, social justice, and advocacy. Executive leadership in counseling psychology may seek to promote racial justice, yet struggle with how to participate in Black Lives Matter movements and address racial discrimination within larger systems spontaneously and consistently...
August 2017: Counseling Psychologist
https://www.readbyqxmd.com/read/29194331/kaiser-s-school-of-nursing-a-70-year-legacy-of-disruptive-innovation
#8
Jim DʼAlfonso, Deloras Jones, Terri Moss
A legacy project was launched in 2016 to research, capture, and record the history and voice of Kaiser Foundation School of Nursing alumni. The inspirational stories of these early nursing pioneers emerged within a disruptive and innovative health care system known as Kaiser Permanente. Led by a doctorally prepared nurse director, the new school boldly rejected the dominant social norms of the 1940s by welcoming minorities and offering an unprecedented curriculum that prioritized prevention, health promotion, and wellness over conventional institutionalized sick care models...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29172375/governing-collaborative-healthcare-improvement-lessons-from-an-atlantic-canadian-case
#9
Meghan Rossiter, Jennifer Verma, Jean-Louis Denis, Stephen Samis, Richard Wedge, Chris Power
The Atlantic Healthcare Collaboration for Innovation and Improvement in Chronic Disease (AHC) Quality Improvement Collaborative (QIC) in Eastern Canada provided an approach to spur system-level reform across multiple health systems for patients and families living with chronic disease. Developed and led by senior executives with a unique governance approach and involving clinical front-line teams, the AHC serves as a practical example of leadership creating and driving momentum for achieving success in collaborative health system improvements...
May 16, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29159602/competitive-advantage-of-mba-for-physician-executives-a-systematic-literature-review
#10
REVIEW
Anthony D Turner, Stanislaw P Stawicki, Weidun Alan Guo
In response to systemic challenges facing the US healthcare system, many medical students, residents and practicing physicians are pursuing a Master in Business Administration (MBA) degree. The value of such proposition remains poorly defined. The aim of this review is to analyze current literature pertaining to the added value of MBA training for physician executives (PEs). We hypothesized that physicians who supplement their clinical expertise with business education gain a significant competitive advantage...
November 20, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29145783/ntp-niehs-global-contributions-to-toxicologic-pathology
#11
Robert Sills, Amy Brix, Mark Cesta, Sheba R Churchill, Michelle C Cora, Darlene Dixon, Michael Dykstra, Gordon Flake, Ron Herbert, Ramesh Kovi, Kyathanahalli Janardhan, Angela King-Herbert, David Malarkey, Arun Pandiri, Greg Travlos, Cynthia Willson, Susan A Elmore
National Toxicology Program (NTP) pathologists are engaged in important initiatives that have significant global impact. These initiatives build on its leadership in pathology peer review and publications in the areas of toxicologic pathology, clinical pathology, and laboratory animal medicine. Over the past decade, NTP/National Institute of Environmental Health Sciences research initiatives have focused on cancer and noncancer hazard identification, with the goal of understanding cellular and molecular mechanisms of disease...
January 1, 2017: Toxicologic Pathology
https://www.readbyqxmd.com/read/29135855/factors-associated-with-the-implementation-of-a-nurse-staffing-directive
#12
Ann M Annis, Claire H Robinson, Nicholas Yankey, Sarah L Krein, Sonia A Duffy, Beth Taylor, Anne Sales
BACKGROUND: In 2010, the Veterans Health Administration issued a Staffing Methodology (SM) Directive to provide a standardized, data-driven method for determining appropriate inpatient nurse staffing. OBJECTIVE: We aimed to describe experiences and factors related to SM implementation. METHODS: We administered a Web-based survey to chief nurse executives to obtain their implementation experiences. Structural, process, and outcome factors and barriers associated with self-reported implementation success were identified...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29127953/bridging-existing-governance-gaps-five-evidence-based-actions-that-boards-can-take-to-pursue-high-quality-care
#13
Sandra G Leggat, Cathy Balding
Objective To explore the impact of the organisational quality systems on quality of care in Victorian health services.Methods During 2015 a total of 55 focus groups were conducted with more than 350 managers, clinical staff and board members in eight Victorian health services to explore the effectiveness of health service quality systems. A review of the quality and safety goals and strategies outlined in the strategic and operating plans of the participating health services was also undertaken.Results This paper focuses on the data related to the leadership role of health service boards in ensuring safe, high-quality care...
November 13, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29121113/facial-width-to-height-ratio-differs-by-social-rank-across-organizations-countries-and-value-systems
#14
Tim Hahn, Nils R Winter, Christine Anderl, Karolien Notebaert, Alina Marie Wuttke, Celina Chantal Clément, Sabine Windmann
Facial Width-to-Height Ratio (fWHR) has been linked with dominant and aggressive behavior in human males. We show here that on portrait photographs published online, chief executive officers (CEOs) of companies listed in the Dow Jones stock market index and the Deutscher Aktienindex have a higher-than-normal fWHR, which also correlates positively with their company's donations to charitable causes and environmental awareness. Furthermore, we show that leaders of the world's most influential non-governmental organizations and even the leaders of the Roman Catholic Church, the popes, have higher fWHR compared to controls on public portraits, suggesting that the relationship between displayed fWHR and leadership is not limited to profit-seeking organizations...
2017: PloS One
https://www.readbyqxmd.com/read/29089054/factors-influencing-the-long-term-sustainment-of-quality-improvements-made-in-addiction-treatment-facilities-a-qualitative-study
#15
Scott P Stumbo, James H Ford, Carla A Green
BACKGROUND: A greater understanding of the factors that influence long-term sustainment of quality improvement (QI) initiatives is needed to promote organizational ability to sustain QI practices over time, help improve future interventions, and increase the value of QI investments. METHODS: We approached 83 of 201 executive sponsors or change leaders at addiction treatment organizations that participated in the 2007-2009 NIATx200 QI intervention. We completed semi-structured interviews with 33 individuals between November 2015 and April 2016...
November 1, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29081350/effects-and-mechanisms-of-an-allied-health-research-position-in-a-queensland-regional-and-rural-health-service-a-descriptive-case-study
#16
Rachel J Wenke, Anna Tynan, Annette Scott, Sharon Mickan
The aim of the present case study is to illustrate the outcomes of a dedicated allied health (AH) research position within a large Queensland regional and rural health service. The secondary aim of the case study is to describe the enabling and hindering mechanisms to the success of the role. Semistructured interviews were conducted with the Executive Director of Allied Health and the current AH research fellow incumbent within the health service. A focus group was also undertaken with six stakeholders (e.g...
October 30, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29076628/barriers-and-facilitators-of-care-for-diverse-patients-nurse-leader-perspectives-and-nurse-manager-implications
#17
Yolanda Ogbolu, Debra A Scrandis, Grace Fitzpatrick
OBJECTIVE: To examine chief nurse executives' perspectives on: (1) the provision of culturally and linguistically appropriate services in hospitals and (2) to identify barriers and facilitators associated with the implementation of culturally and linguistically appropriate services. BACKGROUND: Hospitals continue to face challenges providing care to diverse patients. The uptake of standards related to culturally and linguistically appropriate services into clinical practice is sluggish, despite potential benefits, including reducing health disparities, patient errors, readmissions and improving patient experiences...
October 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29068824/health-care-organizations-and-policy-leadership-perspectives-on-nonsmoker-only-hiring-policies
#18
Patricia A McDaniel, Ruth E Malone
PURPOSE: To explore employers' decisions to base hiring policies on tobacco or nicotine use and community perspectives on such policies, and analyze the implications for organizational identity, community engagement, and health promotion. METHOD: From 2013 to 2016, 11 executives from six health care organizations and one non-health-care organization with nonsmoker-only hiring policies were interviewed about why and how their policies were created and implemented, concerns about the policies, and perceptions of employee and public reactions...
October 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29031430/leadership-line-care-rounds-application-of-the-engage-educate-execute-and-evaluate-improvement-model-for-the-prevention-of-central-line-associated-bloodstream-infections-in-children-with-cancer
#19
Angie Owings, JoBeth Graves, Sherry Johnson, Craig Gilliam, Mike Gipson, Hana Hakim
To prevent central line-associated bloodstream infections (CLABSIs), leadership line care rounds (LLCRs) used the engage, educate, execute, and evaluate improvement model to audit compliance, identify barriers and opportunities, empower patients and families, and engage leadership. Findings of excellence and improvement opportunities were communicated to unit staff and managers. LLCRs contributed to compliance with CLABSI prevention interventions.
October 11, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29025302/medical-student-healthcare-consulting-groups-a-novel-way-to-train-the-next-generation-of-physician-executives
#20
Esther Y Hsiang, Andrew G Breithaupt, Peiyi Su, Andrew T Rogers, Niv Milbar, Sanjay V Desai
Meeting the challenges of the evolving healthcare environment requires leadership of physicians well-trained in clinical medicine and healthcare management. However, many physicians lack training in business and leadership. While some residency programs have management tracks, training at the medical school level is currently lacking. We developed the Hopkins Health Management Advisory Group, an extracurricular program at Johns Hopkins University School of Medicine that exposes medical students to healthcare management and fosters development of leadership skills...
October 12, 2017: Medical Teacher
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