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https://www.readbyqxmd.com/read/29770076/the-use-of-technology-to-improve-health-care-to-saskatchewan-s-first-nations-communities
#1
I Khan, N Ndubuka, K Stewart, V McKinney, I Mendez
Background: Saskatchewan is a province of over one million people and over 13% are Indigenous peoples, many of whom live on reserve lands. Despite continued efforts, access to health care remains a significant challenge for these Indigenous people, especially those in the North. Objective: To address this challenge, Saskatchewan's health care providers have been incorporating the use of technology for various health services. This paper describes various ways technology has been used in First Nations communities in Saskatchewan...
June 1, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29769459/the-framework-of-clinical-occupational-medicine-to-provide-new-insight-for-workaholism
#2
Quentin Durand-Moreau, Clarisse LE Deun, Brice Lodde, Jean-Dominique Dewitte
There is no single agreed definition of workaholism. Most interventions proposed for people suffering from workaholism target individuals. There is a paucity of descriptions of workplace risk factors. Our study examines case reports of patients suffering from workaholism with a focus on the role of the workplace. We describe case reports from patients of the Occupational Disease Centre in Brest, France between 2013 and 2016. Consultations were conducted within the framework of clinical occupational medicine with a focus on real work situations...
May 17, 2018: Industrial Health
https://www.readbyqxmd.com/read/29759258/improving-maternal-safety-at-scale-with-the-mentor-model-of-collaborative-improvement
#3
Elliott K Main, Ravi Dhurjati, Valerie Cape, Julie Vasher, Anisha Abreo, Shen-Chih Chang, Jeffrey B Gould
BACKGROUND: Obstetric safety bundles, consisting of action steps shown to improve outcomes, have been developed to address the most common and preventable causes of maternal morbidity and mortality. Implementing these best practices across all birthing facilities remains an important and challenging clinical and public health priority. METHODS: The California Maternal Quality Care Collaborative (CMQCC) developed an innovative external mentor model for large-scale collaborative improvement in which participating organizations were subdivided into small teams of six to eight hospitals, led by a paired dyad of physician and nurse leaders...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29757802/assessing-unwanted-variations-in-rheumatology-clinic-previsit-rooming
#4
Edmond Ramly, Brad Stroik, Diane R Lauver, Heather M Johnson, Patrick McBride, Kristin Steffen Lewicki, Jon Arnason, Christie M Bartels
BACKGROUND: Rheumatologists face time pressures similar to primary care but have not generally benefitted from optimized team-based rooming during the time from the waiting room until the rheumatologist enters the room. OBJECTIVE: The aim of this study was to assess current capacity for population management in rheumatology clinics; we aimed to measure the tasks performed by rheumatology clinic staff (medical assistants or nurses) during rooming. METHODS: We performed a cross-sectional time-study and work-system analysis to measure rooming workflows at 3 rheumatology clinics in an academic multispecialty practice during 2014-2015...
May 11, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29703315/academic-nursing-leadership-in-a-rural-setting-different-game-same-standards
#5
Mary E Burman, Nancy L Fahrenwald
The call for transformation of nursing education and practice continues to be a national priority. The American Association of Colleges of Nursing recommends enhanced partnerships between academic nursing and academic health centers to advance nursing and healthcare. For academic leaders in rural settings, the context of health and healthcare means that these partnerships are vastly different from academic health centers. The purpose of this article is to describe the context of nursing education and practice in regions that are predominantly rural...
March 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29703313/transformational-leadership-what-every-nursing-dean-should-know
#6
Jean Giddens
Transformational leadership (TFL) has become a predominant leadership style practiced by leaders across many industries and disciplines, including nursing. As a component of the Full Range Leadership Model proposed by Bass (1985), TFL is characterized by the ability to stimulate, inspire, and motivate followers. Transformational leaders focus on building relationships with people and creating change by emphasizing values. Most TFL literature in nursing focuses on clinical practice with very little representation from academic nursing leadership...
March 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29703312/leadership-by-collaboration-nursing-s-bold-new-vision-for-academic-practice-partnerships
#7
Juliann G Sebastian, Eileen T Breslin, Deborah E Trautman, Ann H Cary, Robert J Rosseter, David Vlahov
In 2016 the American Association of Colleges of Nursing issued a report, Advancing Healthcare Transformation: A New Era for Academic Nursing that included recommendations for more fully integrating nursing education, research, and practice. The report calls for a paradigm shift in how nursing leaders in academia and practice work together and with other leaders in higher education and clinical practice. Only by doing so can we realize the full benefits of academic nursing in this new era in which integration and collaboration are essential to success...
March 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29679402/person-centred-leadership-a-relational-approach-to-leadership-derived-through-action-research
#8
Shaun Cardiff, Brendan McCormack, Tanya McCance
AIMS & OBJECTIVES: How does person-centred leadership manifest in clinical nursing. BACKGROUND: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing. DESIGN: A three year participatory action research study where participant leaders planned, researched and learned from their practice development...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29676035/effect-of-mentoring-on-professional-values-in-model-c-clinical-nurse-leader-graduates
#9
Shena B Gazaway, Lori Anderson, Autumn Schumacher, Chris Alichnie
BACKGROUND: Nursing graduates acquire their nursing values by professional socialization. Mentoring is a crucial support mechanism for these novice nurses, yet little is known about the model C clinical nurse leader graduate and the effects of mentoring. AIM: This investigation examined how mentoring affected the development of professional nursing values in the model C clinical nurse leader graduate. METHODS: A longitudinal design was used to survey model C clinical nurse leader graduates before and after graduation to determine how different types of mentoring relationships influenced professional values...
April 19, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29675870/clinical-leadership-structural-empowerment-and-psychological-empowerment-of-registered-nurses-working-in-an-emergency-department
#10
Megan Connolly, Stephen Jacobs, Karyn Scott
AIM: To examine clinical leadership of registered nurses in an emergency department, based on evidence that it is important for nurses to feel psychologically and structurally empowered in order to act as clinical leaders. BACKGROUND: Every registered nurse has the ability to act as a clinical leader. Clinical leadership is the registered nurse's behaviours that provide direction and support to patients and the team in the delivery of patient care. This study explores the connection between the need for structural and psychological empowerment and clinical leadership behaviours...
April 19, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29669442/experiences-of-nursing-home-staff-using-the-targeted-interdisciplinary-model-for-evaluation-and-treatment-of-neuropsychiatric-symptoms-time-a-qualitative-study
#11
Bjørn Lichtwarck, Janne Myhre, Alka R Goyal, Anne Marie Mork Rokstad, Geir Selbaek, Øyvind Kirkevold, Sverre Bergh
BACKGROUND/AIMS: Neuropsychiatric symptoms (NPS) in dementia pose great challenges for residents and staff in nursing homes. The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) has recently in a randomized controlled trial demonstrated reductions in NPS. We explored the participating staff's experiences with the model and how it meets the challenges when dealing with the complexity of NPS. METHODS: Three to six months after the end of the intervention, we interviewed 32 of the caregivers, leaders, and physicians participating in the trial, in five focus groups...
April 19, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#12
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29643162/what-attributions-do-australian-high-performing-general-practices-make-for-their-success-applying-the-clinical-microsystems-framework-a-qualitative-study
#13
Annette H Dunham, James A Dunbar, Julie K Johnson, Jeff Fuller, Mark Morgan, Dale Ford
OBJECTIVES: To identify the success attributions of high-performing Australian general practices and the enablers and barriers they envisage for practices wishing to emulate them. DESIGN: Qualitative study using semi-structured interviews and content analysis of the data. Responses were recorded, transcribed verbatim and coded according to success characteristics of high-performing clinical microsystems. SETTING: Primary healthcare with the participating general practices representing all Australian states and territories, and representing metropolitan and rural locations...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29621109/distinguishing-the-clinical-nurse-specialist-from-other-graduate-nursing-roles
#14
Lynn D Mohr, Lola A Coke
PURPOSE: Today's healthcare environment poses diverse and complex patient care challenges and requires a highly qualified and experienced nursing workforce. To mitigate these challenges are graduate nursing roles, each with a different set of competencies and expertise. With the availability of many different graduate nursing roles, both patients and healthcare professionals can be confused in understanding the benefit of each role. To gain the maximum benefit from each role, it is important that healthcare providers and administrators are able to distinguish the uniqueness of each role to best use the role and develop strategies for effective collaboration and interprofessional interaction...
May 2018: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/29600826/-leading-better-care-an-evaluation-of-an-accelerated-coaching-intervention-for-clinical-nursing-leadership-development
#15
Stuart Cable, Edith Graham
AIM: Outcomes of an accelerated co-active coaching intervention for senior clinical nursing leadership development. BACKGROUND: Co-active coaching is characterized by a whole person approach, commitment to deep learning and conscious action through supportive compassionate and courageous coach-coachee partnership. The national leadership capabilities framework, "Step into Leadership", was used for development and evaluation. METHODS: 116 senior clinical nurse leaders attended one face-to-face induction day and received a total of 3 hours of one-to-one telephone coaching and two virtual peer group facilitated sessions...
March 30, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29596711/through-the-eyes-of-nurse-managers-in-long-term-care-identifying-perceived-competencies-and-skills
#16
Kathleen H Dever
Nurse managers (NMs) in long-term care supervise health care services for individuals with high acuity levels and numerous comorbidities. There is minimal research identifying NMs' skills and competencies as unit leaders within the long-term care environment. The current mixed-methods study identified NMs' leadership skills and competencies. Nineteen NMs with ≥5 years' long-term care management experience completed the Nurse Manager Inventory Tool and were individually interviewed. They rated their clinical skills at the competent level and their financial/strategic management skills at the novice level...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596292/informing-leadership-models-nursing-and-organizational-characteristics-of-neonatal-intensive-care-units-in-freestanding-children-s-hospitals
#17
Cheryl A Toole, Michele DeGrazia, Jean Anne Connor, Kimberlee Gauvreau, Hillary Bishop Kuzdeba, Patricia A Hickey
BACKGROUND: Neonatal intensive care units (NICUs) located in freestanding children's hospitals may exhibit significant variation in nursing and organizational characteristics, which can serve as opportunities for collaboration to understand optimal staffing models and linkages to patient outcomes. OBJECTIVES: Adopting methods used by Hickey et al in pediatric cardiovascular critical care, the purpose of this study was to provide a foundational description of the nursing and organizational characteristics for NICUs located in freestanding children's hospitals in the United States...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29582941/-the-new-hadassah-hebrew-university-medical-center-a-leader-in-israeli-public-medicine
#18
Dror Mevorach, Meir Leibergall, Zeev Rothstein
Hadassah-Hebrew University Medical Center is regaining its lead in Israeli public medicine with clinical excellence, state-of-the art technology, high achievement in research, and outstanding medical education for students and trainees. Hadassah has two campuses at Ein Kerem and Mount Scopus that together offer 1200-hospital beds and 40 hybrid and advanced operating rooms. Hadassah Medical Center, an initiative of Hadassah organization led by Henrietta Szold, is one of the foremost health care providers in Israel...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29561685/providing-the-right-environment-to-develop-new-clinical-nurse-leaders
#19
Jacqueline Leigh, Lisa Littlewood
Jacqueline Leigh, Reader, Teaching and Learning, School of Health and Society, University of Salford, J.A.Leigh4@salford.ac.uk , and Lisa Littlewood, Director of Placement and Practice Learning, School of Health and Society, University of Salford, evaluate the changes in the delivery of nurse education as a result of the devolution of health and social care decision-making from Westminster to Greater Manchester.
March 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29544478/exploring-the-differential-impact-of-individual-and-organizational-factors-on-organizational-commitment-of-physicians-and-nurses
#20
Felix Miedaner, Ludwig Kuntz, Christian Enke, Bernhard Roth, Anika Nitzsche
BACKGROUND: Physician and nursing shortages in acute and critical care settings require research on factors which might drive their commitment, an important predictor of absenteeism and turnover. However, the degree to which the commitment of a physician or a nurse is driven by individual or organizational characteristics in hospitals remains unclear. In addition, there is a need for a greater understanding of how antecedent-commitment relationships differ between both occupational groups...
March 15, 2018: BMC Health Services Research
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