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https://www.readbyqxmd.com/read/29353146/case-study-as-a-means-of-evaluating-the-impact-of-early-years-leaders-steps-paths-and-routes
#1
Mark Hadfield, Michael Jopling
The paper argues that case study will need to play an increasingly important role in the evaluation of leadership development programmes as both formal and substantive theories of leadership place greater emphasis upon the role played by organizational context on leaders ability to bring about change. Prolonged engagement within a case study provides researchers with opportunities to capture the dynamics between leaders and their organisational contexts. However, adopting a case study approach is no substitute for inadequate theorization of the link between leadership approaches and leadership effects...
January 8, 2018: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29353103/taking-the-heat-or-taking-the-temperature-a-qualitative-study-of-a-large-scale-exercise-in-seeking-to-measure-for-improvement-not-blame
#2
Natalie Armstrong, Liz Brewster, Carolyn Tarrant, Ruth Dixon, Janet Willars, Maxine Power, Mary Dixon-Woods
Measurement of quality and safety has an important role in improving healthcare, but is susceptible to unintended consequences. One frequently made argument is that optimising the benefits from measurement requires controlling the risks of blame, but whether it is possible to do this remains unclear. We examined responses to a programme known as the NHS Safety Thermometer (NHS-ST). Measuring four common patient harms in diverse care settings with the goal of supporting local improvement, the programme explicitly eschews a role for blame...
January 2, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29346033/the-psychology-of-elite-cycling-a-systematic-review
#3
David J Spindler, Mark S Allen, Stewart A Vella, Christian Swann
This systematic review sought to synthesise what is currently known about the psychology of elite cycling. Nine electronic databases were searched in March 2017 for studies reporting an empirical test of any psychological construct in an elite cycling sample. Fourteen studies (total n = 427) met inclusion criteria. Eight studies were coded as having high risk of bias. Themes extracted included mood, anxiety, self-confidence, pain, and cognitive function. Few studies had similar objectives meaning that in many instances findings could not be synthesised in a meaningful way...
January 18, 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29326003/the-efficacy-of-infection-prevention-and-control-committees-in-lesotho-a-qualitative-study
#4
Eltony Mugomeri
BACKGROUND: The implementation of the core components of infection prevention and control (IPC) recommended by the World Health Organization faces severe challenges, particularly in developing countries. Given that hospital IPC committees in these countries are the key implementers of IPC, there is a need to evaluate their effectiveness. This study qualitatively evaluated the effectiveness of IPC committees in the southern African country of Lesotho with the aim of identifying themes for policy discourse on improving IPC practice in the country...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29310110/-complexity-compatible-policy-for-integrated-care-lessons-from-the-implementation-of-ontario-s-health-links
#5
Agnes Grudniewicz, Tim Tenbensel, Jenna M Evans, Carolyn Steele Gray, G Ross Baker, Walter P Wodchis
Complex adaptive systems (CAS) theory views healthcare as numerous sub-systems characterized by diverse agents that interact, self-organize, and continuously adapt. We apply this complexity science perspective to examine the extent to which CAS theory is a useful lens for designing and implementing health policies. We present the case of Health Links, a "low rules" policy intervention in Ontario, Canada aimed at stimulating the development of voluntary networks of health and social organizations to improve care coordination for the most frequent users of the healthcare system...
December 24, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29308995/workplace-ostracism-self-regulation-and-job-performance-moderating-role-of-intrinsic-work-motivation
#6
Robert Steinbauer, Robert Renn, Shawna H Chen, Nicholas Rhew
Drawing from a self-regulation perspective, we examine how intrinsic work motivation changes the relation between workplace ostracism and employee job performance via self-leadership. We test a moderated mediated model with data collected from 101 employees at two points in time. Results provide support for the hypothesis that ostracized employees who are more intrinsically motivated use self-leadership strategies to a greater degree to improve their job performance than their counterparts who are not intrinsically motivated...
January 8, 2018: Journal of Social Psychology
https://www.readbyqxmd.com/read/29308457/training-impact-on-novice-and-experienced-research-coordinators
#7
Linda S Behar-Horenstein, JoNell Efantis Potter, Alena Prikhidko, Stephanie Swords, Stephen Sonstein, H Robert Kolb
Competency-based training and professional development is critical to the clinical research enterprise. Understanding research coordinators' perspectives is important for establishing a common core curriculum. The purpose of this study was to describe participants' perspectives regarding the impact of online and classroom training sessions. 27 participants among three institutions, completed a two-day classroom training session. 10 novice and seven experienced research coordinators participated in focus group interviews...
December 2017: Qualitative Report: An Online Journal Dedicated to Qualitative Research Since 1990
https://www.readbyqxmd.com/read/29305241/a-scoping-review-of-the-implementation-of-health-in-all-policies-at-the-local-level
#8
REVIEW
Maria Guglielmin, Carles Muntaner, Patricia O'Campo, Ketan Shankardass
OBJECTIVES: Health in All Policies (HiAP) is an approach to public policies across sectors that systematically takes into account the health implication of decisions, seeks synergies, and avoids harmful health impacts in order to improve population health and health equity. HiAP implementation can involve engagement from multiple levels of government; however, factors contributing or hindering HiAP implementation at the local level are largely unexplored. Local is defined as the city or municipal level, wherein government is uniquely positioned to provide leadership for health and where many social determinants of health operate...
December 20, 2017: Health Policy
https://www.readbyqxmd.com/read/29301543/towards-evidence-based-palliative-care-in-nursing-homes-in-sweden-a-qualitative-study-informed-by-the-organizational-readiness-to-change-theory
#9
Per Nilsen, Birgitta Wallerstedt, Lina Behm, Gerd Ahlström
BACKGROUND: Sweden has a policy of supporting older people to live a normal life at home for as long as possible. Therefore, it is often the oldest, most frail people who move into nursing homes. Nursing home staff are expected to meet the existential needs of the residents, yet conversations about death and dying tend to cause emotional strain. This study explores organizational readiness to implement palliative care based on evidence-based guidelines in nursing homes in Sweden. The aim was to identify barriers and facilitators to implementing evidence-based palliative care in nursing homes...
January 4, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29298227/preparing-nurse-leaders-in-nursing-professional-development-theories-applied-to-leadership-in-nursing-professional-development
#10
Charlene M Smith, Carol Susan Johnson
No abstract text is available yet for this article.
January 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29287747/teaching-nurses-teamwork-integrative-review-of-competency-based-team-training-in-nursing-education
#11
REVIEW
Glenn Barton, Anne Bruce, Rita Schreiber
Widespread demands for high reliability healthcare teamwork have given rise to many educational initiatives aimed at building team competence. Most effort has focused on interprofessional team training however; Registered Nursing teams comprise the largest human resource delivering direct patient care in hospitals. Nurses also influence many other health team outcomes, yet little is known about the team training curricula they receive, and furthermore what specific factors help translate teamwork competency to nursing practice...
December 20, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29277951/rationing-nurses-realities-practicalities-and-nursing-leadership-theories
#12
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/29277944/commitment-and-a-sense-of-humanity-for-the-adaptation-of-patients-during-hospital-care
#13
Ligia Patricia Arroyo-Marlés, Maryory Guevara-Lozano, Beatriz Pérez-Giraldo, Beatriz Sánchez-Herrera
OBJECTIVE: To develop a nursing practice model for the Clinic of the University of the La Sabana that supports the adaptive process of patients during and after their hospital experience. METHODOLOGY: This is a descriptive, methodological study implemented in different phases: (1) characterization of the context, (2) identification of the need for a nursing practice model for strengthening care, (3) literature review, (4) description of the model, and (5) validation...
December 26, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29261537/work-family-culture-within-hospitals-an-interdepartmental-analysis-of-employee-engagement-and-retention
#14
Matthew B Perrigino, Benjamin B Dunford, Matt Troup, R Wayne Boss, David S Boss
BACKGROUND: Helping employees balance their work and family needs is increasingly pivotal for attracting, engaging, and retaining key talent in health care. Yet, emerging theory and anecdotal evidence suggest that, within organizations, there is considerable variation between departments or units regarding how employees' lives outside work are supported. Despite top management's efforts to develop a unified organizational work-family culture, departments have a tendency to take on their own culture, norms, and traditions such that some are more supportive than others...
December 19, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29246224/optimizing-clinical-and-organizational-practice-in-cancer-survivor-transitions-between-specialized-oncology-and-primary-care-teams-a-realist-evaluation-of-multiple-case-studies
#15
Dominique Tremblay, Catherine Prady, Karine Bilodeau, Nassera Touati, Maud-Christine Chouinard, Martin Fortin, Isabelle Gaboury, Jean Rodrigue, Marie-France L'Italien
BACKGROUND: Cancer is now viewed as a chronic disease, presenting challenges to follow-up and survivorship care. Models to shift from haphazard, suboptimal and fragmented episodes of care to an integrated cancer care continuum must be developed, tested and implemented. Numerous studies demonstrate improved care when follow-up is assured by both oncology and primary care providers rather than either group alone. However, there is little data on the roles assumed by specialized oncology teams and primary care providers and the extent to which they work together...
December 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29239643/not-all-differentiation-is-the-same-examining-the-moderating-effects-of-leader-member-exchange-lmx-configurations
#16
Jungmin Jamie Seo, Jennifer D Nahrgang, Min Z Carter, Peter W Hom
Leaders often influence whether an employee stays or quits and yet research in collective turnover, or turnover at the work-unit level, has neglected leadership as a key antecedent. In the current study we examine how the quality of leader-member relationships within a group (i.e., leader-member exchange, LMX) influences building a shared mindset of collective organizational commitment and ultimately influences collective turnover. We build on a key tenet of LMX theory that leaders form differentiated relationships with followers and propose that not all LMX differentiation is the same and therefore, researchers must take into account the configuration, or mix of high and low LMX relationships, within a group...
December 14, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/29226220/initial-results-of-the-master-s-degree-programme-in-leadership-in-medicine-impact-on-hospital-based-follow-on-training-of-doctors
#17
Chris-Henrik Wulfert, Joachim Hoitz, Ulrike Senger
Objective: This pilot project, which was jointly conducted by a hospital and a university, describes the development of the Master's Degree Programme in Leadership in Medicine, a course designed to supplement medical specialty training. The aim of the pilot project is to demonstrate how hospital-based projects on personnel and organisational development undertaken under academic supervision can be used to increase leadership responsibility among doctors whose duties include providing initial and follow-on training and to professionalise medical specialty training as a leadership task...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29202164/lessons-learned-by-a-founding-dean-college-of-health-and-human-services-at-western-kentucky-university
#18
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
#19
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/29193428/amalgamation-of-marginal-gains-amg-as-a-potential-system-to-deliver-high-quality-fundamental-nursing-care-a-qualitative-analysis-of-interviews-from-high-performance-amg-sports-and-healthcare-practitioners
#20
Claire Pentecost, David A Richards, Julia Frost
AIMS AND OBJECTIVES: To investigate the components of the Amalgamation of Marginal Gains (AMG) performance system to identify a set of principles that can be built into an innovative fundamental nursing care protocol. BACKGROUND: Nursing is urged to refocus on its fundamental care activities, but little evidence exists to guide practising nurses. Fundamental care is a combination of many small behaviours aimed at meeting a person's care needs. AMG is a successful system of performance management that focusses on small (or marginal) gains, and might provide a new delivery framework for fundamental nursing care...
November 28, 2017: Journal of Clinical Nursing
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