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Transformational Leadership

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https://www.readbyqxmd.com/read/29338459/an-interprofessional-collaborative-practice-approach-to-transform-heart-failure-care-an-overview
#1
Brenda K Zierler, Erin Abu-Rish Blakeney, Kevin D O'Brien, Ipcp Heart Failure Teams
Interprofessional collaborative practice (IPCP) approaches to health care are increasingly recognized as necessary to achieve the Triple Aim-improved health of the population, improved patient care experience, and improved affordability of care. This paper introduces and provides an overview of an interprofessional intervention to improve a healthcare team, healthcare system, and patient outcomes for hospitalized patients with heart failure. In this paper, we describe the overall project resulting from a workforce training grant and the proposed series of future papers resulting from the interprofessional intervention...
January 17, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29294943/transformational-leadership-and-incivility-a-multilevel-and-longitudinal-test
#2
Julien S Bureau, Marylène Gagné, Alexandre J S Morin, Geneviève A Mageau
This research examines group-level perceptions of transformational leadership (TFL) as negative longitudinal predictors of witnessing person-related (e.g., insults/affronts) and work-related (e.g., negation/intentional work overload) acts of incivility at work. Witnessing workplace incivility was also postulated to negatively predict employee need satisfaction. Data were collected among production employees in different Canadian plants of a major manufacturing company ( N = 344) who worked for 42 different managers ( Mgroup size = 9...
October 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29290271/the-mediating-effect-of-social-capital-on-the-relationship-between-public-health-managers-transformational-leadership-and-public-health-nurses-organizational-empowerment-in-korea-public-health
#3
Soo Young Jun
PURPOSE: This study was to verify the effect of public health nurse's (PHN's) social capital on the relationship between public health manager's (PHM's) transformational leadership and PHN's organizational empowerment in Korea public health. METHODS: This was a cross-sectional descriptive study involving 303 PHNs from public health centers in Daegu and Gyeongsangbuk-do cities in South Korea. Data were collected from February 29, 2016 to April 8, 2016, using structured questionnaires which included general characteristics, transformational leadership, organizational empowerment, and social capital...
December 2017: Asian Nursing Research
https://www.readbyqxmd.com/read/29277951/rationing-nurses-realities-practicalities-and-nursing-leadership-theories
#4
Olive Fast, Janet Rankin
In this paper, we examine the practicalities of nurse managers' work. We expose how managers' commitments to transformational leadership are undermined by the rationing practices and informatics of hospital reform underpinned by the ideas of new public management. Using institutional ethnography, we gathered data in a Canadian hospital. We began by interviewing and observing frontline leaders, nurse managers, and expanded our inquiry to include interviews with other nurses, staffing clerks, and administrators whose work intersected with that of nurse managers...
December 25, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/29277948/how-transformational-leadership-appears-in-action-with-adverse-events-a-study-for-finnish-nurse-manager
#5
Mari Liukka, Markku Hupli, Hannele Turunen
AIM: The aim of this study was to determine whether elements of transformational leadership are present in nursing managers' actions following adverse events. BACKGROUND: Transformational leadership exerts a positive influence on organisational culture and patient safety. METHOD: Eleven nursing managers were interviewed individually using a semi-structured format. Data were analysed using inductive content analysis. RESULTS: Four themes emerged relating to nursing managers' actions following adverse events: patient-centredness as a principle for common action, courage to reform operational models to prevent future adverse events, nursing staff's encouragement of open and blame-free discussion, and challenge to recognize adverse events...
December 26, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29276276/international-mentoring-programs-leadership-opportunities-to-enhance-worldwide-pharmacy-practice
#6
Chukwuemeka Ubaka, Erich Brechtelsbauer, Debra A Goff
Health-system and community pharmacy practice in the United States is experiencing transformational change; however, this transformation is lagging in the international arena. As a result, efforts are being made to provide support and education to the international pharmacy leaders and practitioners. This article describes one effort, the Mandela Washington Fellows Program, and suggests areas where pharmacy leaders can be involved to help advance the practice of pharmacy on an international level. The Mandela Washington Fellows Program for young Africa leaders consists of a US-Africa pharmacy-mentoring program identified ranging from educational opportunities to collaboration for implementation of patient care programs...
July 2017: Hospital Pharmacy
https://www.readbyqxmd.com/read/29237343/advocacy-leadership-and-transformation
#7
Anabell Castro Thompson
No abstract text is available yet for this article.
December 2017: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/29202164/lessons-learned-by-a-founding-dean-college-of-health-and-human-services-at-western-kentucky-university
#8
John A Bonaguro
This article describes the process in the development and implementation of the College of Health and Human Services at Western Kentucky University. Lessons learned and insights gained as an inaugural dean are presented around four main themes: creating a culture of trust and transparency, leaders of change, strategic planning, and cultivating external resources. The application of change theory, transformational leadership, and systems thinking enabled the college to more than double its enrollment and to address critical workforce needs in health and human services...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/29194328/the-power-of-the-frame-systems-transformation-framework-for-health-care-leaders
#9
Kathy A Scott, Janice Pringle
Health care leaders are responsible for oversight of multiple and competing change interventions. These interventions regularly fail to achieve the desired outcomes and/or sustainable results. This often occurs because of the mental models and approaches that are used to plan, design, implement, and evaluate the system. These do not account for inherent characteristics that determine the system's likely ability to innovate while maintaining operational effectiveness. Theories exist on how to assess a system's readiness to change, but the definitions, constructs, and assessments are diverse and often look at facets of systems in isolation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29174629/effect-of-transformational-leadership-on-job-satisfaction-and-patient-safety-outcomes
#10
Sheila A Boamah, Heather K Spence Laschinger, Carol Wong, Sean Clarke
BACKGROUND: Improving patient safety within health care organizations requires effective leadership at all levels. PURPOSE: The objective of this study was to investigate the effects of nurse managers' transformational leadership behaviors on job satisfaction and patient safety outcomes. METHODS: A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling...
November 22, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/29167886/payment-reform-to-enhance-collaboration-of-primary-care-and-cardiology-a-review
#11
Steven A Farmer, Paul N Casale, Linda D Gillam, John S Rumsfeld, Shari Erickson, Neil M Kirschner, Kevin de Regnier, Bruce R Williams, R Shawn Martin, Mark B McClellan
Importance: The US health care system faces an unsustainable trajectory of high costs and inconsistent outcomes. The fee-for-service payment model has contributed to inefficiency, and new payment methods are a promising approach to improving value. Health reforms are needed to increase patient access, reduce costs, and improve health care quality, and the landmark Medicare Access and CHIP Reauthorization Act presents a roadmap for reform. The product of a collaboration between primary care and cardiology clinicians, this review describes a conceptual approach to delivery and payment reforms that aim to better support primary care-cardiology comanagement of chronic cardiovascular disease (CVD)...
November 22, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/29167142/creating-a-new-rural-pharmacy-workforce-development-and-implementation-of-the-rural-pharmacy-health-initiative
#12
Mollie Ashe Scott, Stephanie Kiser, Irene Park, Rebecca Grandy, Pamela U Joyner
PURPOSE: An innovative certificate program aimed at expanding the rural pharmacy workforce, increasing the number of pharmacists with expertise in rural practice, and improving healthcare outcomes in rural North Carolina is described. SUMMARY: Predicted shortages of primary care physicians and closures of critical access hospitals are expected to worsen existing health disparities. Experiential education in schools and colleges of pharmacy primarily takes place in academic medical centers and, unlike experiential education in medical schools, rarely emphasizes the provision of patient care in rural U...
December 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29164093/application-of-the-intervention-mapping-framework-to-develop-an-integrated-twenty-first-century-core-curriculum-part-three-curriculum-implementation-and-evaluation
#13
Jaime A Corvin, Rita DeBate, Kate Wolfe-Quintero, Donna J Petersen
Public health professionals have been challenged to radically reform public health training to meet evolving demands of twenty-first century public health. Such a transformation requires a systems thinking approach with an interdisciplinary focus on problem solving, leadership, management and teamwork, technology and information, budgeting and finance, and communication. This article presents processes for implementing and evaluating a revised public health curriculum and outlines lessons learned from this initiative...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29154444/promotion-of-civic-engagement-with-the-family-leadership-training-institute
#14
David MacPhee, Eileen Forlenza, Kyle Christensen, Sarah Prendergast
In this efficacy study, both quantitative and qualitative data were used to gauge the effects of the Family Leadership Training Institute (FLTI) on civic knowledge and empowerment, civic engagement, and community health. The sample of 847 FLTI participants and 166 comparison adults completed pretest and posttest surveys. Medium to very large short-term effects were observed in civic literacy, empowerment, and engagement. Results mapping interviews were conducted with a stratified random sample of FLTI graduates (n = 52) to assess long-term (M = 2...
November 20, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29149319/from-bouncing-back-to-nurturing-emergence-reframing-the-concept-of-resilience-in-health-systems-strengthening
#15
Edwine W Barasa, Keith Cloete, Lucy Gilson
Recent health system shocks such as the Ebola disease outbreak have focused global health attention on the notion of resilient health systems. In this commentary, we reflect on the current framing of the concept of resilience in health systems discourse and propose a reframing. Specifically, we propose that: (1) in addition to sudden shocks, health systems face the ongoing strain of multiple factors. Health systems need the capacity to continue to deliver services of good quality and respond effectively to wider health challenges...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29137668/advancing-theory-development-exploring-the-leadership-climate-relationship-as-a-mechanism-of-the-implementation-of-cultural-competence
#16
Erick G Guerrero, Karissa Fenwick, Yinfei Kong
BACKGROUND: Leadership style and specific organizational climates have emerged as critical mechanisms to implement targeted practices in organizations. Drawing from relevant theories, we propose that climate for implementation of cultural competence reflects how transformational leadership may enhance the organizational implementation of culturally responsive practices in health care organizations. METHODS: Using multilevel data from 427 employees embedded in 112 addiction treatment programs collected in 2013, confirmatory factor analysis showed adequate fit statistics for our measure of climate for implementation of cultural competence (Cronbach's alpha = ...
November 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29125257/improving-door-to-needle-times-for-patients-with-suspected-neutropenic-sepsis
#17
Tracy Wild
Neutropenic sepsis is a potentially life-threatening complication of chemotherapy and has an associated mortality of 2% to 21%. Patients can deteriorate rapidly and are usually advised to attend their local emergency department (ED) for urgent assessment and antibiotic therapy within one hour of arrival. Delivery of this emergency care is, however, inconsistent, and at times suboptimal, due to a lack of awareness of the condition and of clinical expertise. This article discusses a collaborative project between an acute oncology service and an ED, which has improved and sustained compliance with this standard through a range of initiatives, including revised and integrated sepsis guidelines, education, sepsis champions and a fast-track patient pathway...
November 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29120312/a-strategic-approach-to-workforce-development-for-local-public-health
#18
Beverley Bryant, Megan Ward
SETTING: In 2009, Peel Public Health set a vision to transform the work of public health from efficient delivery of public health services as defined by provincial mandate to the robust analysis of the health status of the local population and selection and implementation of programming to achieve best health outcomes. A strategic approach to the workforce was a key enabler. PPH is a public health unit in Ontario that serves 1.4 million people. INTERVENTION: An organization-wide strategic workforce development program was instituted...
November 9, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/29108423/linking-nurses-clinical-leadership-to-patient-care-quality-the-role-of-transformational-leadership-and-workplace-empowerment
#19
Sheila Boamah
Background While improving patient safety requires strong nursing leadership, there has been little empirical research that has examined the mechanisms by which leadership influences patient safety outcomes. Aim To test a model examining relationships among transformational leadership, structural empowerment, staff nurse clinical leadership, and nurse-assessed adverse patient outcomes. Methods A cross-sectional survey was conducted with a randomly selected sample of 378 registered nurses working in direct patient care in acute care hospitals across Ontario, Canada...
January 1, 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29105870/service-learning-partnerships-features-that-promote-transformational-and-sustainable-rural-and-remote-health-partnerships-and-services
#20
Debra Jones, Lindy McAllister, Robert Dyson, David Lyle
OBJECTIVE: To describe features that promote transformational and sustainable community engaged health partnerships and services in rural and remote Australian locations. DESIGN: A pragmatic qualitative study using focus groups and individual semi-structured interviews. Data were analysed using four stages of data comparison. SETTING: Far west New South Wales, Australia. The health partnership, initiated by primary school principals in 2008, aimed to address allied health service inequities experienced by regional children...
November 6, 2017: Australian Journal of Rural Health
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