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Transformational Leadership

Luciano Rossetti
Luciano Rossetti, MD, Executive Vice President, Global Head of R&D at Merck KGaA, Darmstadt, Germany speaks to Laura Dormer, Commissioning Editor Luciano Rossetti, MD, is Executive Vice President, Global Head of R&D at Merck KGaA, Darmstadt, Germany, and a member of the Healthcare Executive Committee. As Global Head of R&D, Rossetti leads the strategy for Merck KGaA, Darmstadt, Germany's discovery and development efforts in healthcare. He joined Merck KGaA in July 2014, and has since led the acceleration of several key programs through the pipeline and advanced the innovation of Merck KGaA's discovery teams into development...
March 20, 2018: Neurodegenerative Disease Management
Robert B Shaw, Christopher B McBride, Sheila Casemore, Kathleen A Martin Ginis
OBJECTIVE: The purpose of this study was to investigate the leadership behaviors of spinal cord injury (SCI) peer mentors and examine whether behaviors of peer mentors align with the tenets of transformational leadership theory. METHOD: A total of 12 SCI peer mentors aged 28-75 (M = 49.4) who had between 3 and 56 years (M = 13.9) of mentoring experience were recruited for the study. Utilizing a qualitative methodology (informed by a social constructionist approach), each mentor engaged in a semistructured interview about their experiences as a peer mentor...
February 2018: Rehabilitation Psychology
Lisa J Sundean, E Carol Polifroni, Kathryn Libal, Jacqueline M McGrath
BACKGROUND: Inclusion of nurses on boards (NOB) to enhance health care transformation is recommended; however, there is no research-based rationale for NOB. PURPOSE: To articulate the rationale for NOB in the voices of nurses who serve. METHODS: An explanatory sequential mixed methods design was used with priority on the quantitative strand (Delphi method). The qualitative strand was accomplished with focus groups. DISCUSSION: Twenty-nine NOB participants (Delphi phase) and nine NOB participants (focus groups) agreed the rationale for NOB is embedded in specific knowledge, skills, and perspectives that nurses contribute for boardroom discussions and policymaking...
December 11, 2017: Nursing Outlook
Jackson Katz
In this article, the author responds to three commentaries about his article "Bystander Training as Leadership Training: Notes on the Origins, Philosophy, and Pedagogy of the Mentors in Violence Prevention Model," published in this volume. Topics covered in the commentaries and response include questions about evaluation and evidence for program effectiveness; the necessity for gender violence prevention education to be gender transformative and part of a comprehensive, multilevel prevention approach, especially for adolescents; and the degree to which Mentors in Violence Prevention (MVP), as a "social justice"-oriented program, incorporates intersectional and anti-oppression frameworks and perspectives...
March 1, 2018: Violence Against Women
Elizabeth Miller
The Mentors in Violence Prevention (MVP) model seeks to address the root causes of gender violence using a bystander approach and leadership training to challenge structures of patriarchy. Emerging research on adolescent relationship abuse and sexual violence points to key modifiable targets-transforming gender norms, addressing homophobia, integrating with comprehensive sexuality education, and acknowledging the needs of youth already exposed to violence. A social justice-based bystander approach such as the MVP model should be part of a multi-level approach to sexual violence prevention that addresses gender and power, encourages healthy sexuality conversations, and provides safety and support for survivors...
March 1, 2018: Violence Against Women
Gisleangela Lima Rodrigues Carrara, Andrea Bernardes, Alexandre Pazetto Balsanelli, Silvia Helena Henriques Camelo, Carmen Silvia Gabriel, Ariane Cristina Barboza Zanetti
OBJECTIVE: To identify the available scientific evidence about the use of instruments for the evaluation of leadership in health and nursing services and verify the use of leadership styles/models/theories in the construction of these tools. METHOD: Integrative literature review of indexed studies in the LILACS, PUBMED, CINAHL and EMBASE databases from 2006 to 2016. RESULTS: Thirty-eight articles were analyzed, exhibiting 19 leadership evaluation tools; the most used were the Multifactor Leadership Questionnaire, the Global Transformational Leadership Scale, the Leadership Practices Inventory, the Servant Leadership Questionnaire, the Servant Leadership Survey and the Authentic Leadership Questionnaire...
March 12, 2018: Revista Gaúcha de Enfermagem
Thomas H Costello, Ansley Unterberger, Ashley L Watts, Scott O Lilienfeld
Despite widespread assumptions that psychopathy is associated with serious and repeated law-breaking, individuals with psychopathic personality traits do not invariably become chronic criminal offenders. As a partial explanation for this finding, Lykken (1995) ventured that a fearless temperament underlies both psychopathic traits and heroic behavior, and that heroic individuals' early exposure to effective socializing forces such as warm parenting or healthy self-esteem often fosters a characteristic adaption that tends to beget "successful" behaviors, thereby differentiating heroes from convicts...
2018: Frontiers in Psychology
Jennifer W Goldsberry
Healthcare delivery has become increasingly complex and fragmented. Leading healthcare organizations, such as the Institute of Medicine and the World Health Organization, have recognized that interprofessional collaboration is essential to improve healthcare delivery. The process of integrating interprofessional collaboration is complex and involves overcoming historical hierarchical factors and professional boundaries. The integration of interprofessional education in healthcare professions can help to alleviate these barriers...
February 28, 2018: Nurse Education Today
Robert Naylor
Without substantial investment in the NHS estate, the Five Year Forward View cannot be delivered, and the estate will 'remain unfit for purpose and continue to deteriorate', an independent review of NHS property and estate in England headed by Sir Robert Naylor, the former CEO of University College London Hospitals NHS Foundation Trust (pictured), concludes. Among the recommendations of the DH-commissioned review--which considers the opportunities to generate valuable funds via the sale of under-utilised NHS properties--is the establishment of 'a powerful new NHS Property Board', to 'provide leadership to the centre, and expertise and delivery support to Sustainability and Transformation Plans'...
May 2017: Health Estate
Barbara G Bokhour, Gemmae M Fix, Nora M Mueller, Anna M Barker, Sherri L Lavela, Jennifer N Hill, Jeffrey L Solomon, Carol VanDeusen Lukas
BACKGROUND: Healthcare organizations increasingly are focused on providing care which is patient-centered rather than disease-focused. Yet little is known about how best to transform the culture of care in these organizations. We sought to understand key organizational factors for implementing patient-centered care cultural transformation through an examination of efforts in the US Department of Veterans Affairs. METHODS: We conducted multi-day site visits at four US Department of Veterans Affairs medical centers designated as leaders in providing patient-centered care...
March 7, 2018: BMC Health Services Research
Lori A Spies, Jennifer Gray, Jakki G Opollo, Scovia Mbalinda, Rose Nabirye, Cliff Aliga Asher
AIMS: The aim of the study was to describe nurses' knowledge, skills, and confidence related to hypertension and to assess the impact of a hypertension education initiative based in transformational leadership. METHODS: The exploratory study was conducted using a pre and posttest model of 18 Ugandan nurses during June of 2016 to assess knowledge and attitude about hypertension. Biometric screening of study participants was completed. Follow up information was collected from participants via email...
February 17, 2018: Nurse Education Today
Cheryl Cusack, Benita Cohen, Javier Mignone, Mariette J Chartier, Zana Lutfiyya
AIM: This article explores and describes participatory action research as a preferred method in addressing nursing practice issues. This is the first study that used participatory action research with public health nurses in Canada to develop a professional practice model. BACKGROUND: Participatory action research is a sub-category of action research that incorporates feminist and critical theory with foundations in the field of social psychology. For nurses, critical analysis of long-established beliefs and practices through participatory action research contributes to emancipatory knowledge regarding the impact of traditional hierarchies on their practice...
February 28, 2018: Journal of Advanced Nursing
El Kebir Ghandour, Marie-Pierre Gagnon, Jean-Paul Fortin
INTRODUCTION: We aimed to describe and analyse the factors and conditions influencing ePHR adoption by primary healthcare professionals for the follow-up and management of chronic diseases, as perceived by healthcare professionals and health organization managers. METHODS: A qualitative study was conducted in the context of an ePHR experimentation project in Quebec. In-depth semi-structured individual interviews were conducted with 11 professionals and three managers directly involved in ePHR implementation in a primary healthcare organization...
January 30, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Carlyn Muir, Ian R Johnston, Eric Howard
BACKGROUND: The Victorian Safe System approach to road safety slowly evolved from a combination of the Swedish Vision Zero philosophy and the Sustainable Safety model developed by the Dutch. The Safe System approach reframes the way in which road safety is viewed and managed. METHODS: This paper presents a case study of the institutional change required to underpin the transformation to a holistic approach to planning and managing road safety in Victoria, Australia...
February 16, 2018: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Bray Patrick-Lake
Patient engagement is an increasingly important aspect of successful clinical trials. Over the past decade, as patient group involvement in clinical trials has continued to increase and diversify, the Clinical Trials Transformation Initiative has not only recognized the crucial role patients play in improving the clinical trial enterprise but also made a deep commitment to help grow and shape the emerging field of patient engagement. This article describes the evolution of patient engagement including the origins of the patient engagement movement; barriers to successful engagement and remaining challenges to full and valuable collaboration between patient groups and trial sponsors; and Clinical Trials Transformation Initiative's role in influencing the field through organizational practices, formal project work and resulting recommendations, and external advocacy efforts...
February 2018: Clinical Trials: Journal of the Society for Clinical Trials
Thokozani Bvumbwe, Ntombifikile Mtshali
Background: The Lancet Commission and the Global Health Workforce Alliance reported that professional education has generally not kept up the pace of health care challenges. Sub Saharan Africa needs an effective and efficient nursing education system to build an adequate, competent and relevant nursing workforce necessary for the achievement of Sustainable Development Goals. The Plan of Action for Scaling up Quality Nursing and Midwifery Education and Practice for the African Region 2012 - 2022 provided a framework for scale up of nurses and midwives...
2018: BMC Nursing
Andrea Silenzi, Andrea Poscia, Maria Rosaria Gualano, Paolo Parente, Flavia Kheiraoui, Carlo Favaretti, Roberta Siliquini, Walter Ricciardi
Effective governance for health is a prerequisite for implementing a transformation in healthcare. Any change, in order to be fully implemented, requires a strong and transparent leadership. The recent drop in vaccine cover has led our National Health Service to implement a number of changes in health prevention and immunization strategies that make vaccination an optimal paradigm of how healthcare leadership should not remain the focus of few scientists and public health specialists, but it should be more and more widespread at all levels...
September 2017: Igiene e Sanità Pubblica
S Stevanin, A Palese, V Bressan, K Vehviläinen-Julkunen, T Kvist
AIMS: Describe and summarize workplace characteristics of three nursing generations: Baby Boomers, Generations X and Y. BACKGROUND: Generational differences affect occupational well-being, nurses' performance, patient outcomes and safety; therefore, nurse managers, administrators and educators are interested increasingly in making evidence-based decisions about the multigenerational nursing workforce. DESIGN: Mixed-methods systematic review...
February 9, 2018: Journal of Advanced Nursing
Saad Khan
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system...
February 6, 2018: Military Medicine
Karen T Pardue, Patricia K Young, Sara Horton-Deutsch, Judith Halstead, Catherine Pearsall
BACKGROUND: Higher education is undergoing rapid transformation requiring nurse faculty leaders to engage in risk taking. Consequently, what is known about the experience of taking risks? How do leaders decide what constitutes a risk worth taking? How do leaders who take risks tolerate failure? The purpose of this study was to explicate the leadership practices of risk taking in nurse faculty leaders. METHOD: Interpretive phenomenology was used to explore the experience of risk taking among 15 self-identified nurse faculty leaders...
February 6, 2018: Nursing Forum
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