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https://www.readbyqxmd.com/read/29311170/integrating-community-health-workers-into-medical-homes
#1
Elizabeth A Rogers, Sarah Turcotte Manser, Joan Cleary, Anne M Joseph, Eileen M Harwood, Kathleen T Call
PURPOSE: Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook a qualitative study to (1) identify facilitators and barriers to utilizing a CHW model among PCMHs in Minnesota, and (2) define roles played by this workforce within the PCMH team...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29297323/mentorship-and-coaching-to-support-strengthening-healthcare-systems-lessons-learned-across-the-five-population-health-implementation-and-training-partnership-projects-in-sub-saharan-africa
#2
Anatole Manzi, Lisa R Hirschhorn, Kenneth Sherr, Cindy Chirwa, Colin Baynes, John Koku Awoonor-Williams
BACKGROUND: Despite global efforts to increase health workforce capacity through training and guidelines, challenges remain in bridging the gap between knowledge and quality clinical practice and addressing health system deficiencies preventing health workers from providing high quality care. In many developing countries, supervision activities focus on data collection, auditing and report completion rather than catalyzing learning and supporting system quality improvement. To address this gap, mentorship and coaching interventions were implemented in projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) as components of health systems strengthening (HSS) strategies funded through the Doris Duke Charitable Foundation's African Health Initiative...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29278225/quality-improvement-lessons-from-the-english-national-health-services
#3
Suzie Bailey, Helen Bevan
Based on our own experiences leading healthcare improvement in the English National Health Service (NHS), we identify seven themes that connect with the story of front-line ownership (FLO): Create investors not buyers of change - "buy-in" is too late in the change process; We need to combine both technical and cultural aspects of change - go slow to go fast and make sure that we pay attention to the human dimensions of change; Build strong ties AND weak ties - reach out to your usual suspects AND find your unusual suspects and unlikely allies; If we want innovation, we need to create psychological safety - the conditions of trust and support that make people feel safe to try new things that might fail; Build energy for change for the long haul, right from the start of your change efforts - go beyond the typical "intellectual" energy and build "social" and "spiritual" energy that create strong foundations for change; Challenge "the myth of the disinterested" - everyone is passionate about something; The leader as coach and team member - be the leadership role model that enables change...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/29194335/the-cno-and-leading-innovation-competencies-for-the-future
#4
Barbara Weatherford, Kathleen A Bower, Joan Vitello-Cicciu
Although innovation is critical to success in today's tumultuous environment, health care is slow to embrace it, and there is significant variability in strategic adoption of innovation across organizations. Nurse leaders do not need to be innovators themselves but must engage in, and have the ability to create, an organizational culture of innovation. Twenty-six leadership behaviors specific to innovation leadership were identified through a Delphi study to develop competencies as well as the knowledge, skills, and attitudes that support nurse leaders in acquiring or expanding the capability of nurse leaders to create a culture of innovation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29184529/the-changing-role-of-health-care-professionals-in-nursing-homes-a-systematic-literature-review-of-a-decade-of-change
#5
Arend R van Stenis, Jessica van Wingerden, Isolde Kolkhuis Tanke
Although the role of health care professionals is known to have changed over the last years, few formal efforts have been made to examine this change through means of a scientific review. Therefore, the goal of this paper was to investigate the changing role of health care professionals in nursing homes, as well as the conditions that make this change possible. A systematic review of health care literature published in the last decade (2007-2017) was utilized to address these goals. Our findings suggest that although health care in nursing homes is shifting from task-oriented care to relation-oriented care (e...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29056596/is-there-a-correlation-between-coaches-leadership-styles-and-injuries-in-elite-football-teams-a-study-of-36-elite-teams-in-17-countries
#6
Jan Ekstrand, Daniel Lundqvist, Lars Lagerbäck, Marc Vouillamoz, Niki Papadimitiou, Jon Karlsson
BACKGROUND: Do coaches' leadership styles affect injury rates and the availability of players in professional football? Certain types of leadership behaviour may cause stress and have a negative impact on players' health and well-being. AIM: To investigate the transformational leadership styles of head coaches in elite men's football and to evaluate the correlation between leadership styles, injury rates and players' availability. METHODS: Medical staff from 36 elite football clubs in 17 European countries produced 77 reports at four postseason meetings with a view to assessing their perception of the type of leadership exhibited by the head coaches of their respective teams using the Global Transformational Leadership scale...
October 22, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28991516/addressing-substance-use-disorder-in-primary-care-the-role-integration-and-impact-of-recovery-coaches
#7
Helen E Jack, Devin Oller, John Kelly, Jessica F Magidson, Sarah E Wakeman
BACKGROUND: Only 10% of people with substance use disorder (SUD) receive treatment, partially due to inadequate access to specialty SUD care and limited management within primary care. "Recovery coaches" (RCs), peers sharing the lived experience of addiction and recovery, are increasingly being integrated into primary care to help reach and treat people experiencing SUD, yet little is known about how their role should be defined or about their clinical integration and impact. METHODS: Semistructured interviews with RCs (n = 5) and their patients (n = 16) were used to explore patient and RC perspectives on the RC role...
October 9, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28972627/student-competency-perceptions-from-associate-degree-to-bachelor-degree-completion
#8
Kathlynn Northrup-Snyder, Renee' M Menkens, Miriam Dean
BACKGROUND: A curriculum evaluation gap was addressed by exploring the final year of the Oregon Consortium of Nursing Education (OCNE) curriculum through student perception of competency and benchmark proficiency. METHOD: Researchers used a mixed-methods design to explore RN to baccalaureate (RNBS) student self-assessment data on perceived benchmark proficiency. Students' written statements were coded into four attainment categories, ranging from not attained to strong...
October 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28959784/implementing-the-who-safe-childbirth-checklist-lessons-learnt-on-a-quality-improvement-initiative-to-improve-mother-and-newborn-care-at-gobabis-district-hospital-namibia
#9
Leonard Kabongo, Jonathon Gass, Beatrice Kivondo, Nabihah Kara, Katherine Semrau, Lisa R Hirschhorn
Background Although there are many evidence-based practices that reduce the risk of maternal and neonatal mortality around the time of birth, there remains a gap between what is known and the care received. This know-do gap is a source of preventable maternal and perinatal deaths and is the focus of improvement efforts in many countries. Following an increase in perinatal and maternal deaths, Gobabis District Hospital initiated a quality improvement (QI) initiative to increase adherence to these WHO Safe Childbirth Checklist (SCC)-targeted essential birth practices (EBPs)...
2017: BMJ Open Quality
https://www.readbyqxmd.com/read/28936121/a-mixed-method-study-of-an-education-intervention-to-reduce-use-of-restraint-and-implement-person-centered-dementia-care-in-nursing-homes
#10
Frode F Jacobsen, Tone Elin Mekki, Oddvar Førland, Bjarte Folkestad, Øyvind Kirkevold, Randi Skår, Eva Marie Tveit, Christine Øye
BACKGROUND: People living with dementia in nursing homes are most likely to be restrained. The primary aim of this mixed-method education intervention study was to investigate which factors hindered or facilitated staff awareness related to confidence building initiatives based on person-centred care, as an alternative to restraint in residents with dementia in nursing homes. The education intervention, consisting of a two-day seminar and monthly coaching sessions for six months, targeted nursing staff in 24 nursing homes in Western Norway...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28927466/goleman-s-leadership-styles-at-different-hierarchical-levels-in-medical-education
#11
Anurag Saxena, Loni Desanghere, Kent Stobart, Keith Walker
BACKGROUND: With current emphasis on leadership in medicine, this study explores Goleman's leadership styles of medical education leaders at different hierarchical levels and gain insight into factors that contribute to the appropriateness of practices. METHODS: Forty two leaders (28 first-level with limited formal authority, eight middle-level with wider program responsibility and six senior- level with higher organizational authority) rank ordered their preferred Goleman's styles and provided comments...
September 19, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28836799/leadership-and-member-voice-in-action-teams-test-of-a-dynamic-phase-model
#12
Crystal I C Farh, Gilad Chen
Voice is an important way that members contribute to effective team functioning. And yet, the existing literature provides divergent guidance as to how leaders can promote member voice in action teams-a dynamic team context where eliciting voice may be difficult, due to different task demands encountered in the preparation and action phases of task performance, among members who may have little history of working together. Drawing on the employee voice and team leadership literatures, we focus on three leader behaviors-directing, coaching, and supporting-and employ a functional leadership perspective to assess whether certain leader behaviors enhance voice in one phase of the performance episode versus the other...
August 24, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28810977/moving-beyond-accidental-leadership-a-graduate-medical-education-leadership-curriculum-needs-assessment
#13
Joshua D Hartzell, Clifton E Yu, Brian M Cohee, Michael R Nelson, Ramey L Wilson
BACKGROUND: Despite calls for greater physician leadership, few medical schools, and graduate medical education programs provide explicit training on the knowledge, skills, and attitudes necessary to be an effective physician leader. Rather, most leaders develop through what has been labeled "accidental leadership." A survey was conducted at Walter Reed to define the current status of leadership development and determine what learners and faculty perceived as key components of a leadership curriculum...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28755472/impact-of-managers-coaching-conversations-on-staff-knowledge-use-and-performance-in-long-term-care-settings
#14
Greta G Cummings, Sarah J Hewko, Mengzhe Wang, Carol A Wong, Heather K Spence Laschinger, Carole A Estabrooks
BACKGROUND: Extended lifespans and complex resident care needs have amplified resource demands on nursing homes. Nurse managers play an important role in staff job satisfaction, research use, and resident outcomes. Coaching skills, developed through leadership skill-building, have been shown to be of value in nursing. AIMS: To test a theoretical model of nursing home staff perceptions of their work context, their managers' use of coaching conversations, and their use of instrumental, conceptual and persuasive research...
July 29, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28744235/big-hitters-important-factors-characterizing-team-effectiveness-in-professional-cricket
#15
Leonie V Webster, James Hardy, Lew Hardy
While organizational psychology attests to the multidimensional nature of team effectiveness, insight regarding the most important factors contributing to the effectiveness of sports teams, especially elite teams, is lacking. An abductive method of qualitative enquiry was adopted to capture participants' construal of team effectiveness, drawing on the extant literature in both sport and organizational psychology. Semi-structured interviews were conducted with 21 players, coaches, and psychologists involved in elite cricket, with resultant data analyzed inductively initially, before being reanalyzed deductively...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28739651/improving-asthma-care-by-building-statewide-quality-improvement-infrastructure
#16
Judith C Dolins, Jennifer Powell, Edward Wise, Kimberly Giuliano, Peggy Stemmler, Wes Stubblefield, P Cooper White, James Wiley, Dennis Z Kuo
BACKGROUND AND OBJECTIVES: Pediatric medical professionals have an increasing desire for quality improvement (QI) methods that produce sustainable changes in health care delivery. Previous reports have described QI in single settings or single coordinating entities that work with multiple sites. The objectives of this project are (1) to improve care for children with asthma across multiple practice settings and (2) to develop state-level expertise to support QI projects across entities in multiple states...
July 24, 2017: Pediatrics
https://www.readbyqxmd.com/read/28734484/college-nursing-faculty-job-satisfaction-and-retention-a-national-perspective
#17
Peggy Lee, Michael T Miller, Thomas A Kippenbrock, Chris Rosen, Jan Emory
The need for registered nurses in the United States continues to grow. To meet this need for increased numbers of nurses, recruitment and retention of qualified nurse educators has become a priority. In addition, the factors associated with nursing faculties' intent to stay have emerged as important considerations for administrators. The concepts of job satisfaction and intent to stay become vital to recruiting and retaining nursing faculty. In the past decade few empirical studies have been conducted on a national scale to address job satisfaction and intent to stay in academia...
July 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28713476/the-relationship-between-perceived-coaching-behaviours-motivation-and-self-efficacy-in-wrestlers
#18
İhsan Sarı, Betül Bayazıt
The current study aimed to determine the relationship between perceived coaching behaviours, motivation, self-efficacy and general self-efficacy of wrestlers who competed in the Super National Wrestling League. The sample consisted of 289 wrestlers. The Self-Efficacy Scale was used to measure self-efficacy perception, the Sports Motivation Scale to measure the motivation of the athletes, the Leadership Scale for Sport to determine perceived leadership behaviours, and the General Self-Efficacy Scale to determine the general self-efficacy perceptions of the athletes...
June 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28704377/a-cluster-randomized-controlled-study-to-evaluate-a-team-coaching-concept-for-improving-teamwork-and-patient-centeredness-in-rehabilitation-teams
#19
MULTICENTER STUDY
Mirjam Körner, Leonie Luzay, Anne Plewnia, Sonja Becker, Manfred Rundel, Linda Zimmermann, Christian Müller
PURPOSE: Although the relevance of interprofessional teamwork in the delivery of patient-centered care is well known, there is a lack of interventions for improving team interaction in the context of rehabilitation in Germany. The aim of the present study is to evaluate whether a specially developed team coaching concept (TCC) could improve both teamwork and patient-centeredness. METHOD: A multicenter, cluster-randomized controlled intervention study was conducted with both staff and patient questionnaires...
2017: PloS One
https://www.readbyqxmd.com/read/28693394/an-evaluation-of-a-leadership-development-coaching-and-mentoring-programme
#20
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
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