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https://www.readbyqxmd.com/read/28812813/do-management-and-leadership-practices-in-the-context-of-decentralisation-influence-performance-of-community-health-fund-evidence-from-iramba-and-iringa-districts-in-tanzania
#1
Chakupewa Joseph, Stephen Oswald Maluka
BACKGROUND: In early 1990s, Tanzania like other African countries, adopted health sector reform (HSR). The most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. It was within the realm of HSR process, user fees were introduced in the health sector. Along with user fees, various types of health insurances, including the Community Health Fund (CHF), were introduced. While the country's level of enrolment in the CHF is low, there are marked variations among districts...
September 26, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28808426/organisational-and-environmental-characteristics-of-residential-aged-care-units-providing-highly-person-centred-care-a-cross-sectional-study
#2
Karin Sjögren, Marie Lindkvist, Per-Olof Sandman, Karin Zingmark, David Edvardsson
BACKGROUND: Few studies have empirically investigated factors that define residential aged care units that are perceived as being highly person-centred. The purpose of this study was to explore factors characterising residential aged care units perceived as being highly person-centred, with a focus on organisational and environmental variables, as well as residents' and staff' characteristics. METHODS: A cross-sectional design was used. Residents (n = 1460) and staff (n = 1213) data from 151 residential care units were collected, as well as data relating to characteristics of the organisation and environment, and data measuring degree of person-centred care...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28806490/challenges-and-resources-for-nurses-participating-in-a-hurricane-sandy-hospital-evacuation
#3
Nancy VanDevanter, Victoria H Raveis, Christine T Kovner, Meriel McCollum, Ronald Keller
PURPOSE: Weather-related disasters have increased dramatically in recent years. In 2012, severe flooding as a result of Hurricane Sandy necessitated the mid-storm patient evacuation of New York University Langone Medical Center. The purpose of this study was to explore, from the nurses' perspective, what the challenges and resources were to carrying out their responsibilities, and what the implications are for nursing education and preparation for disaster. DESIGN: This mixed-methods study included qualitative interviews with a purposive sample of nurses and an online survey of nurses who participated in the evacuation...
August 14, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28803073/leadership-development-initiative-growing-global-leaders%C3%A2-advancing-palliative-care
#4
Frank D Ferris, Shannon Y Moore, Mary V Callaway, Kathleen M Foley
The International Palliative Care Leadership Development Initiative (LDI) is a model demonstration project that aimed to expand the global network of palliative care leaders in low and moderate-resource countries who are well positioned to apply their new leadership skills. Thirty-nine palliative medicine physicians from 25 countries successfully completed the 2-year curriculum that included three thematic residential courses, mentorship and site visits by senior global palliative care leaders, and personal projects to apply their new leadership skills...
August 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28774374/effectiveness-and-cost-effectiveness-of-serum-b-type-natriuretic-peptide-testing-and-monitoring-in-patients-with-heart-failure-in-primary-and-secondary-care-an-evidence-synthesis-cohort-study-and-cost-effectiveness-model
#5
Maria Pufulete, Rachel Maishman, Lucy Dabner, Syed Mohiuddin, William Hollingworth, Chris A Rogers, Julian Higgins, Mark Dayer, John Macleod, Sarah Purdy, Theresa McDonagh, Angus Nightingale, Rachael Williams, Barnaby C Reeves
BACKGROUND: Heart failure (HF) affects around 500,000 people in the UK. HF medications are frequently underprescribed and B-type natriuretic peptide (BNP)-guided therapy may help to optimise treatment. OBJECTIVE: To evaluate the clinical effectiveness and cost-effectiveness of BNP-guided therapy compared with symptom-guided therapy in HF patients. DESIGN: Systematic review, cohort study and cost-effectiveness model. SETTING: A literature review and usual care in the NHS...
August 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28768613/medicine-goes-female-protocol-for-improving-career-options-of-females-and-working-conditions-for-researching-physicians-in-clinical-medical-research-by-organizational-transformation-and-participatory-design
#6
Joachim Hasebrook, Klaus Hahnenkamp, Wolfgang F F A Buhre, Dianne de Korte-de Boer, Ankie E W Hamaekers, Bibiana Metelmann, Camila Metelmann, Marina Bortul, Silvia Palmisano, Jannicke Mellin-Olsen, Andrius Macas, Janusz Andres, Anna Prokop-Dorner, Tomáš Vymazal, Juergen Hinkelmann, Sibyll Rodde, Bettina Pfleiderer
BACKGROUND: All European countries need to increase the number of health professionals in the near future. Most efforts have not brought the expected results so far. The current notion is that this is mainly related to the fact that female physicians will clearly outnumber their male colleagues within a few years in nearly all European countries. Still, women are underrepresented in leadership and research positions throughout Europe. OBJECTIVES: The MedGoFem project addresses multiple perspectives with the participation of multiple stakeholders...
August 2, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28760685/-leadership-and-management-courses-for-clinicians
#7
Daniel Wichelhaus, Peter Fischer
AIM: The study evaluates the benefit of Leadership and Management Courses for clinicians. We want to examine which specific leadership and management contents are beneficial for a clinicians daily work, and if these contents support their individual career. METHOD: All 543 medical doctors working ant the University Hospital at Hanover, Germany, who had taken part in a leadership and management course between June 2005 and June 2015 were invited via email to participate in this study...
July 28, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28753402/intellectual-disability-policy-as-developed-expressed-and-evaluated-in-aaidd-the-arc-joint-statements-the-role-of-organization-position-statements
#8
Ruth Luckasson, Marty E Ford, Elise D McMillan, Frederick M Misilo, Margaret A Nygren
The American Association on Intellectual and Developmental Disabilities (AAIDD) and The Arc of the United States (The Arc) have a long history of joined efforts to develop, express, and evaluate disability policies. These efforts have resulted in a series of formal statements on critical issues such as education, healthcare, human rights, and criminal justice. Their joint efforts further important policy goals including providing clear strong communication about important policy values and directions, promulgating key principles of high quality supports and services, affirming best professional practices, and emphasizing personal outcomes...
July 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28751468/overcoming-operational-challenges-to-ebola-case-investigation-in-sierra-leone
#9
Samuel T Boland, Erin Polich, Allison Connolly, Adam Hoar, Tom Sesay, Ahn-Minh A Tran
The Ebola virus disease (EVD) epidemic that hit West Africa in 2013 was the worst outbreak of EVD in recorded history. While much has been published regarding the international and national-level EVD responses, there is a dearth of literature on district-level coordination and operational structures, successes, and failures. This article seeks to understand how the EVD response unfolded at the district level, namely the challenges to operationalizing EVD surveillance over the course of the outbreak in Port Loko and Kambia districts of Sierra Leone...
July 27, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28748723/applying-positive-deviance-for-improving-compliance-to-adolescent-anemia-control-program-in-tribal-communities-of-india
#10
Vani Sethi, Monique Sternin, Deepika Sharma, Arti Bhanot, Saba Mebrahtu
BACKGROUND: Positive deviance (PD) is an asset-based social and behavior change communication strategy, utilizing successful outliers within a specific context. It has been applied to tackling major public health problems but not adolescent anemia. OBJECTIVE: The study, first of its kind, used PD to improve compliance to adolescent anemia control program in Jharkhand, India, where anemia prevalence in adolescent girls is 70%, and program compliance is low. METHODS: With leadership of state government, the study was designed and implemented by a multidisciplinary 42 member PD team, in Khunti district, in 2014...
January 1, 2017: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/28747207/lessons-learnt-from-the-magnet-malawian-german-hospital-partnership-the-german-perspective-on-contributions-to-patient-care-and-capacity-development
#11
Florian Neuhann, Sandra Barteit
BACKGROUND: Malawi is a low-income country with one of the highest HIV prevalence rates worldwide (Kendig et al., Trop Med Health 41:163-170, 2013). The health system depends largely on external funding. Official German development aid has supported health care in Malawi for many years (German Embassy Lilongwe, The German Development Cooperation in Malawi), including placing medical doctors in various departments of the Kamuzu Central Hospital (KCH) in Lilongwe. In 2008, a hospital partnership called MAGNET (Malawi German Networking for Capacity Building in Treatment, Training and Research at KCH) evolved as part of the German ESTHER network...
July 26, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28738396/accepting-leadership-responsibility-preparing-yourself-to-lead-honestly-humanely-and-effectively
#12
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/28727271/the-effectiveness-of-an-initial-continuing-education-course-in-leadership-for-dentists
#13
P Roig Jornet, E Kalenderian
PURPOSE/OBJECTIVES: The purpose of this study was to measure the effectiveness of a continuing education course in leadership presented to postdoctoral dentist-leaders. METHODS: The authors developed a 3-day course on leadership and management with topics including self-awareness, leadership qualities, emotional intelligence, communication skills, social skills, conflict management, personal branding, quality improvement and team motivation. Twenty-two course participants with a median age of 37...
July 20, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/28715105/a-simulation-based-approach-to-measuring-team-situational-awareness-in-emergency-medicine-a-multicenter-observational-study
#14
Elizabeth D Rosenman, Aurora J Dixon, Jessica M Webb, Sarah Brolliar, Simon J Golden, Kerin A Jones, Sachita Shah, James A Grand, Steve W J Kozlowski, Georgia T Chao, Rosemarie Fernandez
OBJECTIVES: Team situational awareness (TSA) is critical for effective teamwork and supports dynamic decision-making in unpredictable, time-pressured situations. Simulation provides a platform for developing and assessing TSA; but these efforts are limited by suboptimal measurement approaches. The objective of this study was to develop and evaluate a novel approach to TSA measurement in interprofessional emergency medicine teams. METHODS: We performed a multicenter, prospective, simulation-based observational study to evaluate an approach to TSA measurement...
July 17, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28714080/studying-entrepreneurial-occupations-in-the-terman-women
#15
Eva Schmitt-Rodermund, Elke Schröder, Martin Obschonka
To achieve a better understanding of entrepreneurship development in women, longitudinal data on 672 individuals collected from 1922 to 1959 were analysed in a secondary investigation of the Terman Longitudinal Study. Women's reports on their occupations during 10 different years were assigned to one of two categories: work for pay (0/1), and work allowing for self-employment (0/1) in the respective year. Structural equation modelling supported earlier results concerning male entrepreneurial activity. Personality and aspects of the parenting context the women had experienced by the average age of 12 predicted early entrepreneurial competencies (inventions, leadership) and occupational interests by age 13, which related to an entrepreneurship-related career goal in 1936, when the participants were about 27 years of age on average...
July 16, 2017: International Journal of Psychology: Journal International de Psychologie
https://www.readbyqxmd.com/read/28693392/the-impact-of-leadership-development-on-gp-mental-health-commissioning
#16
Emma Dickerson, Lee-Ann Fenge, Emily Rosenorn-Lanng
Purpose This paper aims to explore the learning needs of general practitioners (GPs) involved in commissioning mental health provision in England, and offer an evaluation of a leadership and commissioning skills development programme for Mental Health Commissioners. Design/methodology/approach Retrospective mixed method, including online mixed method survey, rating participants' knowledge, skills, abilities, semi-structured telephone interviews and third-party questionnaires were used. Results were analysed for significant differences using the Wilcoxon Signed Ranks test...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28693391/leading-nurses-emotional-intelligence-and-leadership-development-effectiveness
#17
Kerri Anne Crowne, Thomas M Young, Beryl Goldman, Barbara Patterson, Anne M Krouse, Jose Proenca
Purpose The purpose of this paper is to examine the effectiveness of an emotional intelligence (EI) and leadership development education program involving 20 nurse leaders at nursing homes. Also, it investigates the relationship between EI and transformational leadership. Design/methodology/approach Three research questions are posed. Correlation analysis and t-tests were conducted to answer the questions posed. Findings The findings of this paper indicate that the EI educational development was effective, while the personal leadership development was not...
July 3, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28681597/evidence-based-position-paper-on-physical-and-rehabilitation-medicine-prm-professional-practice-for-persons-with-obesity-and-related-comorbidities-the-european-prm-position-uems-prm-section
#18
Paolo Capodaglio, Elena Ilieva, Aydan Oral, Carlotte Kiekens, Stefano Negrini, Enrique Varela Donoso, Nicolas Christodoulou
INTRODUCTION: The WHO world health statistics report in 2015 shows that in Europe the overall obesity rate among adults is 21.5% in males and 24.5% in females. Obesity has important consequences for morbidity, disability and quality of life. AIM: The aim of the paper is to improve Physical and Rehabilitation Medicine physicians' professional practice for the rehabilitation of patients with obesity and related comorbidities. MATERIAL AND METHODS: A systematic review of the literature and a Consensus procedure by means of a Delphi method process has been performed involving the delegates of all European countries represented in the UEMS PRM Section...
July 5, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28681480/making-it-fit-associations-of-line-managers-behaviours-with-the-outcomes-of-an-organizational-level-intervention
#19
Robert Lundmark, Ulrica von Thiele Schwarz, Henna Hasson, Andreas Stenling, Susanne Tafvelin
Line managers' behaviours are important during implementation of occupational health interventions. Still, little is known about how these behaviours are related to intervention outcomes. This study explored the relationship between line managers' intervention-specific transformational leadership (IsTL), intervention fit (the match between the intervention, persons involved, and the surrounding environment), and change in intrinsic motivation and vigour. Both direct and indirect relationships between IsTL and change in intrinsic motivation and vigour were tested...
July 6, 2017: Stress and Health: Journal of the International Society for the Investigation of Stress
https://www.readbyqxmd.com/read/28677332/the-development-of-the-person-centred-situational-leadership-framework-revealing-the-being-of-person-centredness-in-nursing-homes
#20
Brighide M Lynch, Tanya McCance, Brendan McCormack, Donna Brown
AIMS AND OBJECTIVES: To implement and evaluate the effect of using the Person-Centred Situational Leadership Framework to develop person-centred care within nursing homes. BACKGROUND: Many models of nursing leadership have been developed internationally in recent years but do not fit with the emergent complex philosophy of nursing home care. This study develops the Person-Centred Situational Leadership Framework that supports this philosophy. It forms the theoretical basis of the action research study described in this paper...
July 5, 2017: Journal of Clinical Nursing
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