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https://www.readbyqxmd.com/read/29147056/organizing-integrated-health-care-services-to-meet-older-people-s-needs
#1
Islene Araujo de Carvalho, JoAnne Epping-Jordan, Anne Margriet Pot, Edward Kelley, Nuria Toro, Jotheeswaran A Thiyagarajan, John R Beard
In most countries, a fundamental shift in the focus of clinical care for older people is needed. Instead of trying to manage numerous diseases and symptoms in a disjointed fashion, the emphasis should be on interventions that optimize older people's physical and mental capacities over their life course and that enable them to do the things they value. This, in turn, requires a change in the way services are organized: there should be more integration within the health system and between health and social services...
November 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29143586/break-out-session-highlights
#2
Kjell-Morten Myhr, Mathias Mäurer, Marisa Martínez Ginés, Federica Esposito, Ralf Linker
A popular feature of the Multiple Sclerosis Experts Summit is interactive break-out sessions to discuss various aspects of multiple sclerosis (MS), including MS spasticity and general management of MS patients. The format encourages participation and active discussion, thus providing attendees with the opportunity to exchange their experiences of the day-to-day management of MS in clinical practice. Following feedback provided by each session leader, key messages are summarized and presented in a plenary session by the Summit chair...
November 2017: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/29141475/addressing-needs-of-diverse-stakeholders-twelve-tips-for-leaders-of-health-professions-education-programs
#3
Roger A Edwards, Sandhya Venugopal, Deborah Navedo, Subha Ramani
Designing and evaluating health professions educational programs require a range of skills in a rapidly changing educational and healthcare environment. Not all program directors possess all the required leadership skills. In this twelve tips article, we describe a systematic approach to effectively address the complexity facing program leadership, implement robust programs and meaningfully evaluate their impact. They also offer a roadmap for managing diverse stakeholders with often competing demands. The tips are categorized under three domains: Planning, Initial Implementation, and Monitoring...
November 16, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29136272/are-you-ready-crisis-leadership-in-a-hyper-vuca-environment
#4
Khaldoon H Alkhaldi, Meredith L Austin, Boris A Cura, Darrell Dantzler, Leslie Holland, David L Maples, Jamie C Quarrelles, Robert K Weinkle, Leonard J Marcus
The current hyper-volatile, -uncertain, -complex, and -ambiguous (VUCA) threat environment demands a more cohesive support structure for crisis leaders who may be faced with crises of increasing magnitude and frequency and, in some instances, multiple crisis events simultaneously. The project team investigates the perceptions of crisis leaders regarding establishing a crisis leader advisor position for crisis leaders to benefit from their experience while prosecuting crisis response activities. The team linked hyper-VUCA crises, crisis response frameworks, meta-leadership, crisis leader attributes, and advisor attributes...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29126452/high-performing-trauma-teams-frequency-of-behavioral-markers-of-a-shared-mental-model-displayed-by-team-leaders-and-quality-of-medical-performance
#5
Bjørn Helge Johnsen, Heidi Kristina Westli, Roar Espevik, Torben Wisborg, Guttorm Brattebø
BACKGROUND: High quality team leadership is important for the outcome of medical emergencies. However, the behavioral marker of leadership are not well defined. The present study investigated frequency of behavioral markers of shared mental models (SMM) on quality of medical management. METHOD: Training video recordings of 27 trauma teams simulating emergencies were analyzed according to team -leader's frequency of shared mental model behavioral markers. RESULTS: The results showed a positive correlation of quality of medical management with leaders sharing information without an explicit demand for the information ("push" of information) and with leaders communicating their situational awareness (SA) and demonstrating implicit supporting behavior...
November 10, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29125942/conditions-for-addressing-environmental-determinants-of-health-behavior-in-intersectoral-policy-networks-a-fuzzy-set-qualitative-comparative-analysis
#6
D T J M Peters, S Verweij, K Grêaux, K Stronks, J Harting
Improving health requires changes in the social, physical, economic and political determinants of health behavior. For the realization of policies that address these environmental determinants, intersectoral policy networks are considered necessary for the pooling of resources to implement different policy instruments. However, such network diversity may increase network complexity and therefore hamper network performance. Network complexity may be reduced by network management and the provision of financial resources...
September 1, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29123497/leadership-and-presenteeism-among-scientific-staff-the-role-of-accumulation-of-work-and-time-pressure
#7
Carolin Dietz, Tabea Scheel
The present study examines the joint roles of leadership and stressors for presenteeism of scientific staff. Leaders may have an impact on employees' health, both directly through interpersonal interactions and by shaping their working conditions. In the field of science, this impact could be special because of the mentoring relationships between the employees (e.g., PhD students) and their supervisors (e.g., professors). Based on the job demands-resources framework (JD-R), we hypothesized that the pressure to be present at the workplace induced by supervisors (supervisorial pressure) is directly related to employees' presenteeism as well as indirectly via perceptions of time pressure...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29117207/perceptions-and-experiences-of-childhood-vaccination-communication-strategies-among-caregivers-and-health-workers-in-nigeria-a-qualitative-study
#8
Afiong Oku, Angela Oyo-Ita, Claire Glenton, Atle Fretheim, Heather Ames, Artur Muloliwa, Jessica Kaufman, Sophie Hill, Julie Cliff, Yuri Cartier, Eme Owoaje, Xavier Bosch-Capblanch, Gabriel Rada, Simon Lewin
BACKGROUND: Effective vaccination communication with parents is critical in efforts to overcome barriers to childhood vaccination, tackle vaccine hesitancy and improve vaccination coverage. Health workers should be able to provide information to parents and other caregivers and support them in reaching decisions about vaccinating their children. Limited information exists regarding the perceptions of caregivers and health workers on the vaccination communication strategies employed in Nigeria...
2017: PloS One
https://www.readbyqxmd.com/read/29117092/the-development-and-validation-of-a-concise-instrument-for-formative-assessment-of-team-leader-performance-during-simulated-pediatric-resuscitations
#9
Lindsay D Nadkarni, Cindy G Roskind, Marc A Auerbach, Aaron W Calhoun, Mark D Adler, David O Kessler
AIM: The aim of this study was to assess the validity of a formative feedback instrument for leaders of simulated resuscitations. METHODS: This is a prospective validation study with a fully crossed (person × scenario × rater) study design. The Concise Assessment of Leader Management (CALM) instrument was designed by pediatric emergency medicine and graduate medical education experts to be used off the shelf to evaluate and provide formative feedback to resuscitation leaders...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29117047/the-keys-for-success-leadership-core-competencies
#10
Kristopher Pidgeon
Providing leaders with skills resulting in positive behaviors, specifically increasing quality performance improvement projects and leadership style, ultimately may deliver an increase in professional development. Consisting of the topic leadership, this article consists of core competencies specifically targeted for learning leadership skills. The purpose of this article is to assist the leader with developing leadership skills, which promotes professional development. This article reviews leadership skills and describes in detail the elements of some core competencies that can enable the leader to develop skills, including strategic thinking, organizational skills, time management, decision-making, leadership skills, conflict resolution, and strategies to enhance performance improvement...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29115774/the-supervisory-ward-manager-s-role-progress-on-compassion-in-practice-action-area-four
#11
Paul Regan, Sarah Shillitoe
In 2012, the Department of Health published Compassion in Practice, which included six areas for action. Action area four suggests that ward managers and leaders should be supervisory, and not included in ward staff numbers. The recommendation has recently been changed to promote black and minority ethnic (BME) leadership in the NHS. This article examines the literature on supervisory nurse leader roles between 2007 and 2017 to identify what, if any, progress has been made. Although supervisory status can improve care at ward level, and was endorsed by the Francis Report, it seems that few care providers in England have invested in this, possibly because it is voluntary, rather than a statutory requirement...
September 28, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29112120/bus-trips-a-self-management-program-for-people-with-cognitive-impairments-after-stroke
#12
Emma Carlstedt, Susanne Iwarsson, Agneta Ståhl, Hélène Pessah-Rasmussen, Eva Månsson Lexell
Stroke is a major cause of disability worldwide and different types of impairments can affect the individual's ability to manage everyday activities such as travel that is essential for participation in society. The purpose of this study was to investigate the feasibility of a new self-management intervention (BUS TRIPS) focusing on travelling by bus, and potential contributions to an improved ability to travel by bus for people with cognitive impairments after stroke. This is a pilot study of five individuals, utilizing a multiple case study design with a mixed methods approach...
November 7, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29112025/the-impact-of-adverse-events-on-clinicians-what-s-in-a-name
#13
Albert W Wu, Jo Shapiro, Reema Harrison, Susan D Scott, Cheryl Connors, Linda Kenney, Kris Vanhaecht
Unanticipated patient adverse events can also have a serious negative impact on clinicians. The term second victim was coined to highlight the experience of health professionals with these events and the need to effectively support them. However, there is some controversy over use of the term second victim. This article explores terminology used to describe the professionals involved in adverse events and services to support them. There is a concern that use of the term victim may connote passivity or stigmatize involved clinicians...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29101524/developing-collaborative-maternal-and-child-health-leaders-a-descriptive-study-of-the-national-maternal-and-child-health-workforce-development-center
#14
Alina Nadira Clarke, Dorothy Cilenti
Purpose An assessment of the National Maternal and Child Health Workforce Development Center (the Center) was conducted to describe (1) effects of the Center's training on the use of collaborative leadership practices by MCH leaders, and (2) perceived barriers to collaboration for MCH leaders. The Center provides services to strengthen MCH professionals' skills in three core areas: Change Management/Adaptive Leadership, Evidence-Based Decision Making, and Systems Integration. Description This descriptive qualitative study compares eight interview responses from a sample of the Center's participants and findings from a document review of the training curriculum against an existing framework of collaborative leadership themes...
November 3, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29092897/careers-at-biotech-start-ups-and-in-entrepreneurship
#15
REVIEW
Susan Froshauer
The world of biotechnology "start-ups" and entrepreneurship offers exciting new avenues for driving state-of-the-art research using an arsenal of multidisciplinary skills, whether your role is as part of a team or as a leader. Although traditionally these positions may not be as secure as those offered by some of the larger companies, the small start-up culture provides opportunities for contributing at many levels to a wide range of responsibilities: from scientific discovery to delivery of proof of concept and intellectual property; from analysis of market opportunities and competitive intelligence to creation of time lines and business plans for a first product...
November 1, 2017: Cold Spring Harbor Perspectives in Biology
https://www.readbyqxmd.com/read/29083973/amcp-partnership-forum-advancing-value-based-contracting
#16
(no author information available yet)
During the past decade, payment models for the delivery of health care have undergone a dramatic shift from focusing on volume to focusing on value. This shift began with the Affordable Care Act and was reinforced by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which increased the emphasis on payment for delivery of quality care. Today, value-based care is a primary strategy for improving patient care while managing costs. This shift in payment models is expanding beyond the delivery of health care services to encompass models of compensation between payers and biopharmaceutical manufacturers...
November 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29083290/collaborative-leadership-part-1-the-nurse-leader-s-role-within-interprofessional-teams
#17
Carole A Orchard, Olubukola Sonibare, Adam Morse, Jennifer Collins, Areej Al-Hamad
The purpose of this paper is to present a perspective advocating for a dual role of nurse leaders as both managers and advocates for nurses to demonstrate their disciplinary knowledge and practice. Further, the paper will demonstrate that nurse leaders have the capacity to influence integration of interprofessional collaborative practice with other health professionals within their leadership areas. Additionally, we present strategies to advocate for changing the meaning of nursing leadership in practice, and creating a shift from task orientation of nurses' care to one that is individualized and comprehensive...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/29081995/everyday-resilience-in-district-health-systems-emerging-insights-from-the-front-lines-in-kenya-and-south-africa
#18
Lucy Gilson, Edwine Barasa, Nonhlanhla Nxumalo, Susan Cleary, Jane Goudge, Sassy Molyneux, Benjamin Tsofa, Uta Lehmann
Recent global crises have brought into sharp relief the absolute necessity of resilient health systems that can recognise and react to societal crises. While such crises focus the global mind, the real work lies, however, in being resilient in the face of routine, multiple challenges. But what are these challenges and what is the work of nurturing everyday resilience in health systems? This paper considers these questions, drawing on long-term, primarily qualitative research conducted in three different district health system settings in Kenya and South Africa, and adopting principles from case study research methodology and meta-synthesis in its analytic approach...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29081350/effects-and-mechanisms-of-an-allied-health-research-position-in-a-queensland-regional-and-rural-health-service-a-descriptive-case-study
#19
Rachel J Wenke, Anna Tynan, Annette Scott, Sharon Mickan
The aim of the present case study is to illustrate the outcomes of a dedicated allied health (AH) research position within a large Queensland regional and rural health service. The secondary aim of the case study is to describe the enabling and hindering mechanisms to the success of the role. Semistructured interviews were conducted with the Executive Director of Allied Health and the current AH research fellow incumbent within the health service. A focus group was also undertaken with six stakeholders (e.g...
October 30, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29077844/pathways-to-high-and-low-performance-factors-differentiating-primary-care-facilities-under-performance-based-financing-in-nigeria
#20
Shunsuke Mabuchi, Temilade Sesan, Sara C Bennett
The determinants of primary health facility performance in developing countries have not been well studied. One of the most under-researched areas is health facility management. This study investigated health facilities under the pilot performance-based financing (PBF) scheme in Nigeria, and aimed to understand which factors differentiated primary health care centres (PHCCs) which had performed well, vs those which had not, with a focus on health facility management practices. We used a multiple case study where we compared two high-performing PHCCs and two low-performing PHCCs for each of the two PBF target states...
October 25, 2017: Health Policy and Planning
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