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https://www.readbyqxmd.com/read/29336502/nursing-teamwork-in-a-health-system-a-multisite-study
#1
Jennifer A Kaiser, Judith B Westers
AIM: The aim of this study was to examine how the facets of teamwork exist among nurse-only teams in acute and continuing care settings. BACKGROUND: The health care 'team' conventionally describes the interdisciplinary team in both literature and practice. Nursing-specific teams are rarely considered in the literature. An examination of this specific professional cohort is important to understand how teamwork exists among those who provide the majority of patient care...
January 16, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29333620/in-center-hemodialysis-education-challenges-and-innovations-in-training-of-fellows-in-nephrology
#2
Louise M Moist, Robert M Lindsay
The in-center dialysis unit and practice of dialysis, in the current multi-team approach, requires knowledge and skills in all the domains including medical expert, communicator, collaborator, scholar, health advocate, and leader. We are tasked as a community, to embrace and incentivize new innovations and technology to address these needs for our post graduate trainees. These innovations must address the basic principles of dialysis, quality improvement, technical and procedural skills as well as leadership and administration skills...
January 14, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29332263/creating-a-primary-care-workforce-strategies-for-leaders-clinicians-and-nurses
#3
Patricia Robinson, Julie Oyemaja, Bridget Beachy, Jeff Goodie, Lisa Sprague, Jennifer Bell, Mike Maples, Christy Ward
Many primary care clinics struggle with rapid implementation and systematic expansion of primary care behavioral health (PCBH) services. Often, an uneven course of program development is due to lack of attention to preparing clinic leadership, addressing operational factors, and training primary care providers (PCPs) and nurses. This article offers competency tools for clinic leaders, PCPs, and nurses to use in assessing their status and setting change targets. These tools were developed by researchers working to disseminate evidence-based interventions in primary care clinics that included fully integrated behavioral health consultants and were then used by early adaptors of the PCBH model...
January 13, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29322579/the-employee-retention-triad-in-healthcare-exploring-relationships-among-organizational-justice-affective-commitment-and-turnover-intention
#4
Tyrone A Perreira, Whitney Berta, Monique Hebert
BACKGROUND: Turnover in healthcare is a serious concern, as it is contributes to the global nursing shortage and is associated with declines in quality of care, patient safety, and patient outcomes. Turnover also impacts care teams and is associated with decreased staff cohesion and morale. PURPOSE: The purpose of this study is to increase understanding of the relationships between organizational justice, affective commitment and turnover intention in healthcare...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29318951/enhanced-new-mothers-network-cell-phone-application-intervention-interdisciplinary-team-development-and-lessons-learned
#5
Diane Brage Hudson, Christie Campbell-Grossman, Sara Brown, Kathleen M Hanna, Byrav Ramamurthy, Bhargav Gorthi, Vishnu Sivadasan
Single, low-income, African American mothers experience challenges caring for themselves and their infants. Nurse researchers, providing creative and theoretically based approaches for complex client health care, are increasingly becoming interdisciplinary leaders on research teams. The first purpose of this article was to describe this interdisciplinary team's development of a cellular (cell) phone application (app), the Enhanced New Mothers Network (ENMN). The second purpose of this article was to describe lessons learned by nursing members of the interdisciplinary team members about developing a cell phone app for delivery of the ENMN intervention...
June 2017: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/29316916/malaria-programme-personnel-s-experiences-perceived-barriers-and-facilitators-to-implementing-malaria-elimination-strategy-in-south-africa
#6
Khumbulani Welcome Hlongwana, Benn Sartorius, Joyce Tsoka-Gwegweni
BACKGROUND: South Africa has set an ambitious goal targeting to eliminate malaria by 2018, which is consistent with the United Nations Sustainable Development Goals' call to end the epidemic of malaria by 2030 across the globe. There are conflicting views regarding the feasibility of malaria elimination, and furthermore studies investigating malaria programme personnel's perspectives on strategy implementation are lacking. METHODS: The study was a cross-sectional survey conducted in 2014 through a face-to-face investigator-administered semi-structured questionnaire to all eligible and consenting malaria programme personnel (team leader to senior manager levels) in three malaria endemic provinces (KwaZulu-Natal, Mpumalanga, and Limpopo) of South Africa...
January 10, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29315557/community-member-and-policy-maker-priorities-in-improving-maternal-health-in-rural-tanzania
#7
Gail Webber, Bwire Chirangi, Nyamusi Magatti
OBJECTIVE: To determine community member and policy maker priorities in improving maternal health in rural Tanzania. METHODS: The present participatory action research project was conducted in Rorya District, Mara Region, Tanzania, between November 20 and 25, 2015. A convenience sample of four community and one policy maker discussion groups were held to identify factors impacting on maternal health. The inclusion criterion for community members was a recent personal or partner experience with childbirth, or experience as a village leader...
January 8, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29315043/how-should-medical-schools-prepare-medical-students-for-leading-the-nhs
#8
F Kazzazi, J Bartlett, E Finnerty
The NHS is an evolving landscape. While the level of clinical knowledge conferred to medical students remains constant, their competence in other skills, such as leadership, needs to be enhanced in order for them to successfully work within the health-care system. The importance of leadership is considered at the start and end of a medical degree - when applying to medical school with various examples of leading a team, and upon balancing scenarios of leadership when sitting the situational judgement test in final year...
January 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29311170/integrating-community-health-workers-into-medical-homes
#9
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/29304251/the-role-of-leadership-in-people-centred-health-systems-a-sub-national-study-in-the-gambia
#10
Simukai Chigudu, Momodou Jasseh, Umberto d'Alessandro, Tumani Corrah, Adama Demba, Julie Balen
Recently, increasing attention has been given to behavioural and relational aspects of the people who both define and shape health systems, placing them at the core. A growing refrain includes the assertion that important decisions determining health system performance, including agenda setting, policy formulation and policy implementation, are made by people. Within this actor-oriented approach, good leadership has been identified as a key contributing factor in health systems strengthening. However, leadership remains ill-defined and under-researched, especially in resource-limited settings, and understanding the links between leadership and health outcomes remains a challenge...
January 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29302863/innovations-in-maternal-and-child-health-pairing-undergraduate-and-graduate-maternal-and-child-health-students-in-summer-practica-in-state-title-v-agencies
#11
Arden Handler, Jaime Klaus, Deneen Long-White, Marcia Roth, Rebecca Greenleaf, Olivia R Sappenfield, Dorothy Cilenti
Objective As part of the National MCH Workforce Development Center, an innovative internship program placed MCH undergraduate and graduate students in summer practica in state Title V agencies. Graduate student mentoring of undergraduates and leadership and professional development training and support are key features of the program. The objective of this paper is to report on the results of the evaluation of the MCH Paired Practica Program in its pilot years, 2014-2016. Methods Students completed pre and post internship questionnaires which included closed as well as open-ended questions...
January 4, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29297405/research-capacity-building-integrated-into-phit-projects-leveraging-research-and-research-funding-to-build-national-capacity
#12
Bethany L Hedt-Gauthier, Roma Chilengi, Elizabeth Jackson, Cathy Michel, Manuel Napua, Jackline Odhiambo, Ayaga Bawah
BACKGROUND: Inadequate research capacity impedes the development of evidence-based health programming in sub-Saharan Africa. However, funding for research capacity building (RCB) is often insufficient and restricted, limiting institutions' ability to address current RCB needs. The Doris Duke Charitable Foundation's African Health Initiative (AHI) funded Population Health Implementation and Training (PHIT) partnership projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania and Zambia) to implement health systems strengthening initiatives inclusive of RCB...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29289550/barriers-and-facilitators-to-implementation-of-a-multistate-collaborative-to-reduce-maternal-mortality-from-postpartum-hemorrhage
#13
Marla Seacrist, Debra Bingham, Ben Scheich, Renee Byfield
OBJECTIVE: To describe the barriers and facilitators to implementing the Association of Women's Health, Obstetric and Neonatal Nurses Postpartum Hemorrhage (AWHONN PPH) Project experienced by hospital leaders, project champions, and staff. DESIGN: Qualitative descriptive study with a grounded theory approach. SETTING: Hospital leaders, champions, and staff from hospitals in New Jersey and Georgia. PARTICIPANTS: A total of 21 nurses and physicians who worked at six hospitals shared their experiences with regard to implementation of the AWHONN PPH Project...
December 28, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29280778/perceptions-of-integration-of-the-clinical-pharmacist-into-the-pcmh-model-by-the-pcmh-team
#14
M Shawn McFarland, Kristen Lamb, Jonathan Hughes, Ashley Thomas, Justin Gatwood, Jacob Hathaway
INTRODUCTION: The patient-centered medical home (PCMH) model is a multidisciplinary, team-based approach to healthcare that focuses on actively involving the patient in clinical decision making. The Veterans Health Administration (VA), while desiring to be a national leader in the delivery of primary care services, used the principles of the PCMH model to design the patient-aligned care team (PACT). The purpose of this study, was to explore the perception of the PACT members after integration of a clinical pharmacist to the PACT...
December 22, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/29278225/quality-improvement-lessons-from-the-english-national-health-services
#15
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/29277238/the-changing-paradigm-in-surgery-is-system-integration-how-do-we-respond
#16
Michael E Zenilman, Julie-Ann Freischlag
With expansion of health care systems across the country, close relationships need to be developed between academic medical centers and their affiliated community hospitals. This creates opportunity to integrate surgical programs across different hospitals. Herein we describe a model of surgical integration at the system level of five large hospitals. We discuss utilizing advantages that both the academic and community hospital bring to the model. A close relationship between an interdisciplinary team, which includes the academic surgical chair, a regional director liaison who was embedded in the community, individual hospital leadership, and practice plan leaders was created...
December 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29260923/exploring-engagement-in-a-virtual-community-of-practice-in-pediatric-rehabilitation-who-are-non-users-lurkers-and-posters
#17
Karen Hurtubise, Gabrielle Pratte, Lisa Rivard, Jade Berbari, Léa Héguy, Chantal Camden
PURPOSE: Communities of practice are increasingly recognized in rehabilitation as useful knowledge transfer tools; however, little is known about their users. This exploratory study describes the characteristics of participants and non-participants invited to engage in a pediatric rehabilitation virtual community of practice. In addition, we explored virtual community of practice utilization behaviors, engagement predictors, and the impact of strategies designed to foster engagement. MATERIALS AND METHODS: Participants' demographics including information-seeking style and organization e-readiness, as well as online platform frequency of use data were collected and analyzed using descriptive, comparative, and predictive statistics...
December 20, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29251444/a-framework-for-an-asset-informed-approach-to-service-mapping
#18
Anna Green, Tim Luckett, Penelope Abbott, Michelle DiGiacomo, John Delaney, Patricia Delaney, Patricia Mary Davidson
BACKGROUND: Asset-informed approaches are increasingly emphasised in public health, but transferring this approach to planning health services requires prospective systematic methods. Asset-informed approaches to service-mapping have started to develop, but there are no standardised guidelines. These methods are becoming of particular interest, as nurses engage in population health activities. AIM: To identify methods of asset-informed mapping for addressing health problems and develop a framework to support the methodological rigour of service-mapping...
December 18, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/29250940/role-of-nursing-leadership-in-providing-compassionate-care
#19
Barry Quinn
This article encourages nurses to explore the concept of leadership in the constantly changing field of health and social care. All nurses have an important role in leadership, and they should consider what type of leader they want to be and what leadership skills they might wish to develop. This article examines what leadership might involve, exploring various leadership styles and characteristics and how these could be applied in nurses' practice. A core component of nursing and nursing leadership is the ability to provide compassionate care...
December 13, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29250892/implementing-team-huddles-in-small-rural-hospitals-how-does-the-kotter-model-of-change-apply
#20
Jure Baloh, Xi Zhu, Marcia M Ward
AIMS: To examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. BACKGROUND: Kotter's model can help to guide hospital leaders to implement change and potentially to improve success rates. However, the model is under studied, particularly in health care. METHODS: We followed eight hospitals implementing team huddles for 2 years, interviewing the change teams quarterly to inquire about implementation progress...
December 17, 2017: Journal of Nursing Management
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