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https://www.readbyqxmd.com/read/28738396/accepting-leadership-responsibility-preparing-yourself-to-lead-honestly-humanely-and-effectively
#1
Charles R McConnell
Many who enter management are ready and willing to accept the benefits of their positions, but not all are readily accepting the full responsibilities of leadership. All too frequently, modern leadership seems self-serving, with the needs and desires of the leaders taking precedence over the needs of the followers and even the needs of the clients or customers. True leadership, however, should primarily benefit the followers rather than the leader. Leaders lead and followers follow for essentially the same reason-fulfillment of needs-so leaders and followers are fundamentally little different from each other...
July 2017: Health Care Manager
https://www.readbyqxmd.com/read/28738046/safety-culture-establishing-processes-to-support-trust-and-accountability-for-risk-reduction-%C3%A2
#2
Tracy Wyant
Oncology nurses are tasked with developing skills that enable vigilant risk surveillance through situational awareness. However, care distractions, task interruptions, increased workloads, and time constraints are common challenges that compete with the ability to provide optimal safe care. A commitment to safety is a professional and organizational expectation, and being empowered to overcome safety-related challenges necessitates multilevel and interprofessional accountability.
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August 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28738033/how-can-i-implement-accurate-delirium-screening-and-prevention-practices
#3
Kimberly Sanchez
As a clinical nurse specialist (CNS), I am tasked with improving patient outcomes through collaborative research, evidence-based practice, and process improvement efforts that affect the quality and safety of patient care. However, I have learned over time that it is not enough to simply incorporate the latest evidence into organizational policies and procedures; it has to be followed in practice. 
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August 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28737444/evolving-patterns-in-a-collaboration-network-of-global-r-d-on-monoclonal-antibodies
#4
Xiangjun Kong, Jian-Bo Wan, Hao Hu, Shibing Su, Yuanjia Hu
We investigated the evolution process of collaborative inter-organizational network of the research and development (R&D) on monoclonal antibody (mAb) over the past 30 years. The annual detection of the collaboration network provides dynamics on network structures and relationship changes among different organizations. Our research showed continuous growth of the network's scale and complexity due to the constant entry of new organizations and the forging of new partnering relationships. The evolving topological features reveal a core-periphery structure that became clearer over time and an increasing heterogeneity within the collaborative mAb R&D network...
July 24, 2017: MAbs
https://www.readbyqxmd.com/read/28737358/-optimization-of-the-his-process-mapping-of-the-military-instruction-hospital-mohammed%C3%A2-v
#5
Sanae Jabbar, Farid Lahboube, Nissrine Souissi, Ounsa Roudies
Introduction: Development of process mapping is not easy, as, apart from identification of the key processes of the organization, mapping can hardly describe all of the interactions involved without becoming incomprehensible. In this context, the Rabat Military Hospital decided to review its process mapping to align it with the reference mapping proposed by the National Agency for Performance Support, which is designed to standardize and improve functional mapping of healthcare production systems. Methods: To assist the Military Hospital in this convergence process, this paper proposes the application of a convergence method on the current hospital process mapping, in order to guide hospital agents in the development of optimal process mapping, complying with guidelines for urbanization of information systems while remaining consistent with strategic guidelines...
July 10, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28737270/hospital-ownership-status-and-cesareans-in-the-united-states-the-effect-of-for-profit-hospitals
#6
Theresa Morris, Kelly McNamara, Christine H Morton
BACKGROUND: Given the increasing proportion of United States hospitals that are for-profit, we examined whether women who give birth in for-profit hospitals are more likely to have cesareans than women who give birth in not-for-profit hospitals. We hypothesized that cesareans are more likely to occur in for-profit hospitals because of the organizational emphasis on short-term financial indicators, including payment of shareholder dividends. METHODS: We used logistic regression and difference of means tests to analyze data from the Listening to Mothers III survey of women who gave birth in the United States in 2011 and 2012...
July 24, 2017: Birth
https://www.readbyqxmd.com/read/28736768/community-engagement-to-address-socio-ecological-barriers-to-physical-activity-among-african-american-breast-cancer-survivors
#7
Selina A Smith, Mary S Whitehead, Joyce Q Sheats, Brittney Chubb, Ernest Alema-Mensah, Benjamin E Ansa
BACKGROUND: With high rates of obesity, low levels of physical activity (PA), and lack of adherence to physical activity guidelines (PAGs) among African American (AA) breast cancer survivors (BCSs), culturally appropriate interventions that address barriers to participation in PA are needed. METHODS: To develop intervention content, members of an AA breast cancer support group participated in four 1-hour focus group discussions (related to the barriers to PA, strategies for overcoming them, and intervention content), which were audiotaped, transcribed, and analyzed...
2017: Journal of the Georgia Public Health Association
https://www.readbyqxmd.com/read/28736733/a-model-for-mhealth-skills-training-for-clinicians-meeting-the-future-now
#8
Donna J Slovensky, Donna M Malvey, Alexis R Neigel
We describe the current state of mHealth skills acquisition, education, and training available to clinical professionals in educational programs. We discuss how telemedicine experienced exponential growth due in large part to the ubiquity of the mobile phone. An outcome of this unprecedented growth has been the emergence of the need for technology skills training programs for clinicians that address extant curricula gaps. We propose a model to guide the development of future training programs that incorporate effective training strategies across five domains: (I) digital communication skills; (II) technology literacy and usage skills; (III) deploying telehealth products and services; (VI) regulatory and compliance issues; and (V) telehealth business case...
2017: MHealth
https://www.readbyqxmd.com/read/28736731/a-mixed-methods-systematic-review-of-success-factors-of-mhealth-and-telehealth-for-maternal-health-in-sub-saharan-africa
#9
REVIEW
Mohamed Ali Ag Ahmed, Marie-Pierre Gagnon, Louise Hamelin-Brabant, Gisele Irène Claudine Mbemba, Hassane Alami
Access to health care is still limited for many women in sub-Saharan Africa (SSA), while it remains an important determinant of maternal mortality and morbidity. Information and communication technologies (ICTs), such as mhealth and telehealth, can help to facilitate this access by acting on the various obstacles encountered by women, be they socio-cultural, economic, geographical or organizational. However, various factors contribute to the success of mhealth and telehealth implementation and use, and must be considered for these technologies to go beyond the pilot project stage...
2017: MHealth
https://www.readbyqxmd.com/read/28736486/the-motivations-institutions-and-organization-of-university-industry-collaborations-in-the-netherlands
#10
Isabel Maria Bodas Freitas, Bart Verspagen
This study builds on the economics and organization literatures to explore whether and how institutions and organizational structure complement or substitute each other to create specific spaces of alignment where specific individual actors' motivations co-exist. Focusing on university-industry collaborations, the study examines whether and how different axes of alignment of university and industry motivations are integrated in projects with specific technological objectives and organizational structures, benefitting from the presence of specific institutions designed to facilitate collaboration...
2017: Journal of Evolutionary Economics
https://www.readbyqxmd.com/read/28736455/using-kaizen-to-improve-employee-well-being-results-from-two-organizational-intervention-studies
#11
Ulrica von Thiele Schwarz, Karina M Nielsen, Terese Stenfors-Hayes, Henna Hasson
Participatory intervention approaches that are embedded in existing organizational structures may improve the efficiency and effectiveness of organizational interventions, but concrete tools are lacking. In the present article, we use a realist evaluation approach to explore the role of kaizen, a lean tool for participatory continuous improvement, in improving employee well-being in two cluster-randomized, controlled participatory intervention studies. Case 1 is from the Danish Postal Service, where kaizen boards were used to implement action plans...
August 2017: Human Relations; Studies Towards the Integration of the Social Sciences
https://www.readbyqxmd.com/read/28736202/primary-care-team-and-clinic-level-factors-affecting-hpv-vaccine-uptake
#12
Emmeline Chuang, Claudia Cabrera, Selene Mak, Beth Glenn, Michael Hochman, Roshan Bastani
OBJECTIVE: This study examined patient-, care team- and clinic-level factors associated with human papillomavirus (HPV) vaccine initiation and completion. METHODS: HPV vaccine initiation and completion rates among adolescents aged 9-18years were assessed using administrative data (n=38,277) from a large federally qualified health center serving predominantly Latino patients. Four clinics with particularly high and low adolescent HPV vaccine uptake were selected for in-depth case study analyses...
July 20, 2017: Vaccine
https://www.readbyqxmd.com/read/28734479/the-internal-medicine-of-the-21st-century-organizational-and-operational-standards
#13
E Casariego-Vales, A Zapatero-Gaviria, F J Elola-Somoza
The Spanish Society of Internal Medicine has developed a consensus document on the standards and recommendations that they consider essential to the organisation of internal medicine units for conducting their activities efficiently and with high quality. We defined 3 groups of key processes: the care of acutely ill adult patients, the comprehensive care of complex chronic patients and the examination of a patient with a difficult diagnosis and no organ-specific disease. As support processes, we identified the structure and operation of the Internal Medicine units...
July 19, 2017: Revista Clínica Española
https://www.readbyqxmd.com/read/28733772/state-minority-health-officers-perceptions-of-their-successes-and-barriers-to-reducing-racial-and-ethnic-health-disparities
#14
Aaron J Diehr, Timothy R Jordan, James H Price, Jiunn-Jye Sheu, Joseph A Dake
BACKGROUND: Minimal research has been conducted to examine the impact and reach of state offices of minority health (SOMH) and their role in reducing racial and ethnic health disparities within their states. Accordingly, the purpose of this study was to describe the shared experiences of SOMH officers to provide context for why these individuals believe that state organizational efforts have not yielded much success in reducing racial and ethnic health disparity gaps. METHODS: Using a telephone interview guide, the investigators conducted telephone interviews with SOMH officers...
July 21, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28733262/cost-effectiveness-of-high-performance-biomarker-tests-vs-fecal-immunochemical-test-for-non-invasive-colorectal-cancer-screening
#15
Iris Lansdorp-Vogelaar, S Lucas Goede, Linda J W Bosch, Veerle Melotte, Beatriz Carvalho, Manon van Engeland, Gerrit A Meijer, Harry J de Koning, Marjolein van Ballegooijen
BACKGROUND: Biomarker assays could increase the accuracy of non-invasive detection of colorectal cancer (CRC); fecal immunochemical tests (FITs) are estimated to miss 27%-47% of CRCs and 70%-80% of advanced adenomas per round of screening. We investigated the conditions under which biomarker screens would be cost-effective compared to FIT screens of average risk individuals. METHODS: We used the MISCAN-colon microsimulation model to estimate the effects of various CRC screening test characteristics on life years gained (LYG) and costsBiomarker assays could increase the accuracy of non-invasive detection of colorectal cancer (CRC); fecal immunochemical tests (FITs) are estimated to miss 27%-47% of CRCs and 70%-80% of advanced adenomas per round of screening...
July 18, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28733068/effects-of-eu-harmonization-policies-on-national-public-supervision-of-clinical-trials-a-dynamic-cycle-of-institutional-change-and-institutional-work
#16
Jacqueline C F van Oijen, Kor J Grit, Hester M van de Bovenkamp, Roland A Bal
BACKGROUND: The EU Clinical Trials Directive (EUCTD) and the EU Clinical Trials Regulation aim to harmonize good clinical practice (GCP) of clinical trials across Member States. Using the Netherlands as a case study, this paper analyzes how endeavours to implement the EUCTD set in motion a dynamic process of institutional change and institutional work. This process lead to substantial differences between policy and actual practice; therefore, it is important to learn more about the implementation of harmonization policies...
June 30, 2017: Health Policy
https://www.readbyqxmd.com/read/28732028/the-individual-and-contextual-determinants-of-the-use-of-telemedicine-a-descriptive-study-of-the-perceptions-of-senegal-s-physicians-and-telemedicine-projects-managers
#17
Birama Apho Ly, Ronald Labonté, Ivy Lynn Bourgeault, Mbayang Ndiaye Niang
Telemedicine is considered to be an effective strategy to aid in the recruitment and retention of physicians in underserved areas and, in doing so, improve access to healthcare. Telemedicine's use, however, depends on individual and contextual factors. Using a mixed methods design, we studied these factors in Senegal based on a micro, meso and macro framework. A quantitative questionnaire administered to 165 physicians working in public hospitals and 151 physicians working in district health centres was used to identify individual (micro) factors...
2017: PloS One
https://www.readbyqxmd.com/read/28731547/does-hospital-ownership-influence-hospital-referral-region-health-rankings-in-the-united-states
#18
Hanadi Hamadi, Emma Apatu, Aaron Spaulding
Extensive evidence demonstrates that a hospital's organizational ownership structure impacts its overall performance, but little is known concerning the influence of hospital structure on the health of its community. This paper explores the association between US hospital referral region (HRR) health rankings and hospital ownership and performance. Data from the 2016 Commonwealth Fund Scorecard on Local Health System Performance, the American Hospital Association dataset, and the Hospital Value-Based Purchasing dataset are utilized to conduct a cross-sectional analysis of 36 quality measures across 306 HRRs...
July 21, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28730383/consensus-modeling-to-develop-the-farmers-market-readiness-assessment-and-decision-instrument
#19
Eunlye Lee, Jarrod Dalton, David Ngendahimana, Pat Bebo, Ashley Davis, Daniel Remley, Carol Smathers, Darcy A Freedman
Nutrition-related policy, system, and environmental (PSE) interventions such as farmers' markets have been recommended as effective strategies for promoting healthy diet for chronic disease prevention. Tools are needed to assess community readiness and capacity factors influencing successful farmers' market implementation among diverse practitioners in different community contexts. We describe a multiphase consensus modeling approach used to develop a diagnostic tool for assessing readiness and capacity to implement farmers' market interventions among public health and community nutrition practitioners working with low-income populations in diverse contexts...
July 20, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28729843/is-a-transdisciplinary-theory-of-engagement-in-organized-settings-possible-a-concept-analysis-of-the-literature-on-employee-engagement-consumer-engagement-and-patient-engagement
#20
REVIEW
Guendalina Graffigna
Organizations are experiencing increased competition, disruptive innovation, and continuous changes in their social and economic context. Furthermore, the decrease of resources (economic and human) in such a demanding context make it imperative for organizations to find new models and strategies to make their service delivery more sustainable at the economic, environmental and psychological levels. In such a complex scenario the concept of engagement of the individuals involved in organized settings (either as service providers or as final receivers) is a promising lever for innovation...
2017: Frontiers in Psychology
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