1,721 results match your criteria senior managers

Implications of State Scope-of-Practice Regulations for Pediatric Intensive Care Unit Nurse Practitioner Roles.

Policy Polit Nurs Pract 2021 Aug;22(3):221-229

Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, United States.

Nurse practitioner (NP) advocacy efforts often focus on attaining full practice authority. While the effects of full practice authority in primary care are well described, implications for hospital-based NPs are less clear and may differ because of hospitals' team-based care and administrative structure. This study examines associations between state scope-of-practice (SSOP) and clinical roles of hospital-based pediatric intensive care unit (PICU) NPs. Read More

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To crush, or not to crush? Unauthorised covert administration of medication in nursing homes.

Int J Older People Nurs 2021 Jun 10:e12393. Epub 2021 Jun 10.

FMHS, School of Population Health, University of Auckland, Auckland, New Zealand.

Background And Objectives: This study aimed to explore the experiences and perceptions of nursing home staff and residents of unauthorised covert administration of medication. Prior studies identify that covert medication administration (crushing medication to administer in food or drink) is common in nursing home settings. Still, few recognise that this practice may occur without consultation or clinical authorisation. Read More

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CPE for leaders: Adapting Clinical Pastoral Education's learning methodology for healthcare managers and directors.

J Health Care Chaplain 2021 Jun 7:1-16. Epub 2021 Jun 7.

Medical Director, Center for Spirituality and Health, Director of QAPI, Center for Stress, Resilience and Personal Growth, Icahn School of Medicine at Mount Sinai, Mount Sinai, NY, USA.

Clinical Pastoral Education (CPE), a training program for spiritual care providers, was adapted to meet the leadership development needs of a group of six healthcare managers. A focus group was conducted with the six participants to learn more about the program and its effects. Using thematic analysis, transcripts of the focus group were analyzed and seven themes were identified. Read More

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Referral Activity in Three Store-and-Forward Networks during the COVID-19 Coronavirus Pandemic.

Int J Telemed Appl 2021 3;2021:6644648. Epub 2021 May 3.

The Addis Clinic, Nashville, TN 37212, USA.

We surveyed three well-established store-and-forward telemedicine networks to identify any changes during the first half of 2020, which might have been due to the effect of the COVID-19 coronavirus pandemic on their telemedicine operations. The three networks all used the Collegium Telemedicus system. Various quantitative performance indicators, which included the numbers of referrals and the case-mix, were compared with their values in previous years. Read More

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Minority Participation of the Senior Management of Private U.S. Hospitals.

Med Care Res Rev 2021 Jun 4:10775587211016605. Epub 2021 Jun 4.

Mass General Brigham, Somerville, MA, USA.

This article examines minority participation in hospital senior management and how participation varies across areas in response to demographic and other market influences. We use data from Equal Employment Opportunity Commission, United States from 2008 to 2014 reported by private hospitals in the United States, grouped into 381 metropolitan areas. Analysis shows minority participation is sensitive to some local market factors including total population, share of minorities in the population, relative number of minorities with bachelor's degrees in the population, and the concentration of local hospital markets. Read More

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Implementation of START (STrAtegies for RelaTives) for dementia carers in the third sector: Widening access to evidence-based interventions.

PLoS One 2021 2;16(6):e0250410. Epub 2021 Jun 2.

University College London, London, United Kingdom.

Family members remain the main care providers for the increasing numbers of people with dementia, and often become depressed or anxious. In an implementation research project, we aimed to widen access to Strategies for RelaTives (START), a clinically and cost-effective intervention for the mental health of family carers, by laying the foundations for its implementation in the third sector. We used the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to guide implementation of START, a manual-based, individually-delivered, multicomponent eight-session coping strategy intervention. Read More

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Organisational Measures and Strategies for a Healthy and Sustainable Extended Working Life and Employability-A Deductive Content Analysis with Data Including Employees, First Line Managers, Trade Union Representatives and HR-Practitioners.

Int J Environ Res Public Health 2021 May 25;18(11). Epub 2021 May 25.

Division of Occupational and Environmental Medicine, Lund University, 223 81 Lund, Sweden.

Due to the global demographic change many more people will need to work until an older age, and organisations and enterprises need to implement measures to facilitate an extended working life. The aim of this study was to investigate organisational measures and suggestions to promote and make improvements for a healthy and sustainable working life for all ages in an extended working life. This is a qualitative study, and the data were collected through both focus group interviews and individual interviews that included 145 participants. Read More

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The RHD Action Small Grants Programme: Small Investment, Big Return!

Glob Heart 2021 Apr 27;16(1):28. Epub 2021 Apr 27.

Reach, Cape Town, ZA.

Rheumatic Heart Disease (RHD) remains endemic in low- and middle-income countries (LMICs) despite its virtual elimination in high-income countries. RHD Action was launched to amplify global efforts to control RHD in 2015 by World Heart Federation and Reach, with demonstration projects in Uganda and Tanzania, and support from Medtronic Foundation. The Small Grants Programme focuses on three domains: People and Communities, Medicines and Technologies, and Systems and Services. Read More

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[Paramedical students mobilized].

Rev Infirm 2021 May 31;70(271):28. Epub 2021 Mar 31.

Service de santé universitaire, UBO, 13, rue de Lanredec, 29200 Brest, France; Labers, EA 3149, faculté des lettres et des sciences humaines Victor-Segalen, UBO, 20, rue Duquesne, CS93837, 29238 Brest cedex 3, France; Centre de pathologies professionnelles et environnementales, CHRU Morvan, 2, avenue Foch, 29200 Brest, France.

Health students mobilized during the first two epidemic waves of COVID-19. They demonstrated their capacity for autonomy and initiative. They were able to adapt to the reorganization of their training and maintain a strong professional identity. Read More

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Diversity and Inclusion in Case Management: Representing and Advocating for All Client Populations.

Prof Case Manag 2021 Jul-Aug 01;26(4):214-216

Ed Quick, MA, MBA, CDMS, is a CCMC commissioner and has more than 25 years of experience in disability and workforce management with Fortune 100 companies, and currently works as a global senior benefits manager. He is the 2020-2021 Chair of the Diversity and Inclusion Subcommittee.

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The Nurse Manager's Experience of Moral Distress.

J Nurs Adm 2021 Jun;51(6):334-339

Author Affiliations: Clinical Ethicist, Palliative Care Clinical Nurse Specialist, and Associate Professor (Dr Whitehead), Virginia Tech Carilion School of Medicine; and Senior Director of Nursing Research, EBP, and Excellence Carilion Clinic (Dr Carter), Carilion Clinic, Roanoke; Professor of Nursing and Coordinator of Doctor of Nursing Practice Program (Dr Garber), School of Nursing James Madison University, Harrisonburg; and Associate Professor School of Nursing and UVA Center for Health Humanities and Ethics (Dr Epstein), University of Virginia School of Nursing, Charlottesville.

The purpose of this study was to describe the moral distress experiences of nurse managers. Moral distress has been studied among direct patient care providers including nurses and physicians. The moral distress experience among nurse managers is less understood. Read More

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Co-Design for People-Centred Care Digital Solutions: A Literature Review.

Int J Integr Care 2021 Apr 30;21(2):16. Epub 2021 Apr 30.

Kveloce I+D+i (Senior Europa S.L.), ES.

Introduction: The implementation of people-centred care requires strategies that respond to local conditions and contexts, with the participation of local stakeholders in collaborative approaches such as co-design. Within this framework, the authors performed a literature review to identify the most implemented practices in health and social care services for co-designing digital solutions.

Methods: The literature review was conducted following five steps: (i) Definition of the Keywords and their relations; (ii) Definition of the selection criteria; (iii) Search in PubMed; (iv) Selection of papers; and (v) Analysis of the selected papers. Read More

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Green banking initiatives: a qualitative study on Indian banking sector.

Environ Dev Sustain 2021 May 2:1-27. Epub 2021 May 2.

Department of Management, Birla Institute of Technology, Mesra (Ranchi), Noida Campus, A-7, Sector- 1, Gautam Buddh Nagar, Noida, 201301 India.

The environmental concern is on rise in all types of business; however, banking assumes a special niche due to its ability to influence the economic growth and development of the country. The present study proposes conceptual model of Green banking initiatives and studies the impact of three Green banking initiatives, viz. green products development, green corporate social responsibility and green internal process on two possible outcomes, viz. Read More

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Nursing assistant's perceptions of the good work environment in municipal elderly care in Sweden -a focus group study.

J Health Organ Manag 2021 Apr;35(9):163-177

University of Gothenburg, Gothenburg, Sweden.

Purpose: The purpose of this paper is to investigate aspects related to difficulty to retain nursing assistants at nursing homes in Sweden related to perceived work environment characteristics.

Design/methodology/approach: To reveal aspects related to difficulty to retain nursing assistants, the paper uses the BIKVA model, sense of coherence and New Public Management (NPM). In total, three focus groups with nursing assistants at three nursing homes are interviewed with corresponding individual interviews with their senior managers and users. Read More

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Experiences of workplace bullying among academics in a health sciences faculty at a South African university.

S Afr Med J 2021 Mar 31;111(4):315-320. Epub 2021 Mar 31.

School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Workplace bullying and other negative workplace behaviours are problems that need to be addressed across many work settings, including at universities.

Objectives: To examine the prevalence of bullying among academics, and factors associated with bullying, in a faculty of health sciences (FHS) of a South African university.

Methods: All academic staff, except senior managers, were invited to participate by completing a self-administered, web-based questionnaire hosted on REDCap. Read More

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That's how it should work: the perceptions of a senior management on the value of decentralisation in a service delivery organisation.

J Health Organ Manag 2021 Apr;ahead-of-print(ahead-of-print)

Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.

Purpose: Decentralisation in health care has been proposed as a way to make services more responsive to local needs and by that improve patient care. This study analyses how the senior management team conceptualised and implemented a decentralised management model within a large public health care delivery organisation.

Design/methodology/approach: Data from in-depth interviews with a senior management team were used in a directed content analysis. Read More

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Multi-level analysis of the learning health system: Integrating contributions from research on organizations and implementation.

Learn Health Syst 2021 Apr 2;5(2):e10226. Epub 2020 Apr 2.

Professor of the Graduate School, Blue Cross of California Distinguished Professor of Health Policy and Management, Emeritus; Professor of Organization Behavior, Emeritus School of Public Health and Haas School of Business, University of California - Berkeley Berkeley California USA.

Introduction: Organizations and systems that deliver health care may better adapt to rapid change in their environments by acting as learning organizations and learning health systems (LHSs). Despite widespread recognition that multilevel forces shape capacity for learning within care delivery organizations, there is no agreed-on, comprehensive, multilevel framework to inform LHS research and practice.

Methods: We develop such a framework, which can enhance both research on LHSs and practical steps toward their development. Read More

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From policy to patient: Using a socio-ecological framework to explore the factors influencing safe practice in UK primary care.

Soc Sci Med 2021 05 5;277:113906. Epub 2021 Apr 5.

Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Background: The recent and rapid changes in the model of primary care delivery have led to an increased focus on patient safety in what is one of the most diverse and complex healthcare settings. However, previous initiatives have failed to deliver the expected improvements, leading to calls for a better understanding of how a range of personal and contextual factors influence the decisions and behaviours of individual care providers.

Methods: The socio-ecological framework, successfully used in public health settings to interpret the complex influences on individual behaviours, enabled a post-hoc deductive analysis of a series of semi-structured interviews conducted with clinical staff and senior managers at a range of practices across five geographically diverse regions in England to explore their perspectives on the factors that influence safe practice. Read More

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Explaining nursing attrition through the experiences of return-to-practice students: a mixed-methods study.

Br J Nurs 2021 Apr;30(8):490-496

Principal Lecturer Nursing (retired), University of Huddersfield.

Background: Nurse shortage is an international issue that has adverse effects on health and the quality of care of whole populations.

Aims: The study aimed to explore attrition experienced by return-to-practice students attending higher education institutions in England.

Methods: A mixed-methods design, involving questionnaires (=114) and in-depth interviews (=20), was used. Read More

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The Science of Scale for Violence Prevention: A New Agenda for Family Strengthening in Low- and Middle-Income Countries.

Front Public Health 2021 19;9:581440. Epub 2021 Mar 19.

Catholic Relief Services DRC, Gombe, Democratic Republic of Congo.

Ending all violence against children by 2030 is a core part of Sustainable Development Goals 5 and 16. A number of promising violence reduction strategies have been identified in research studies. However, we lack an understanding of the implementation and impact of these programs in respect to their delivery at a large scale or within existing service systems, particularly in low- and middle-income countries (LMICs). Read More

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The challenges of becoming and being a clinician manager: a qualitative exploration of the perception of medical doctors in senior leadership roles at a large Australian health service.

BMC Health Serv Res 2021 Apr 15;21(1):351. Epub 2021 Apr 15.

Colac Area Health, Colac Victoria, Australia.

Background: In Australia, activity-based funding models have emphasized the need for hospitals to be accountable for their clinical performance. Clinician managers, with medical backgrounds are essential to ensuring high quality clinical performance and operational management of hospital services. The purpose of this study is to 1. Read More

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Formative process evaluation of a guideline-driven process for improving the cultural responsiveness of alcohol and drug treatment services.

BMC Health Serv Res 2021 Apr 15;21(1):352. Epub 2021 Apr 15.

National Drug and Alcohol Research Centre UNSW, Sydney, NSW, 2052, Australia.

Background: To improve Australian Aboriginal and Torres Strait Islander people's access to, and experience of, healthcare services, including Alcohol and other Drug (AoD) treatment services, principles and frameworks have been developed to optimise cultural responsiveness. Implementing those principles in practice, however, can be difficult to achieve. This study has five aims: i) to describe a five-step process developed to operationalise improvements in culturally responsive practice in AoD services; ii) to evaluate the fidelity of implementation for this five-step process; iii) to identify barriers and enablers to implementation; iv) to assess the feasibility and acceptability of this approach; and v) to describe iterative adaptation of implementation processes based on participant feedback. Read More

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Building capacity for palliative care delivery in primary care settings: Mixed-methods evaluation of the INTEGRATE Project.

Can Fam Physician 2021 Apr;67(4):270-278

Palliative care physician in the Temmy Latner Centre for Palliative Care in the Sinai Health System in Toronto.

Objective: To evaluate an intervention aimed at building capacity to deliver palliative care in primary care settings.

Design: The INTEGRATE Project was a 3-year pilot project involving interprofessional palliative care education and an integrated care model to promote early identification and support of patients with palliative care needs. A concurrent mixed-methods evaluation was conducted using descriptive data, provider surveys before and after implementation, and interviews with providers and managers. Read More

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"Hoping to be recognized, appreciated, and given clinical privilege": A phenomenology study of new nurses' experiences during orientation.

Enferm Clin 2021 04;31 Suppl 2:S72-S77

Faculty of Nursing Universitas Indonesia, West Java, Indonesia.

New nurses who have just worked have not been given clinical privilege during their orientation. Feelings, experiences, and expectations can influence the quality of nursing services. This study aimed to explore the experiences of new nurses, especially in the orientation period, before they are given the clinical privilege. Read More

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Senior Managers' Experience with Health, Happiness, and Motivation in Hospitals and the Perceived Impact on Health Systems: The Case of Meru County, Kenya.

Healthcare (Basel) 2021 Mar 18;9(3). Epub 2021 Mar 18.

School of Health Systems and Public Health (SHSPH), Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa.

Hospitals play a significant role in health systems. Studies among the health workforce have revealed their experiences with mental health challenges. In comparison, there is limited literature on their positive mental health. Read More

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Overcoming Barriers to Implementation in Community Organizations.

Health Promot Pract 2021 Apr 2:15248399211002851. Epub 2021 Apr 2.

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Introduction: The Arthritis Foundation's Walk With Ease (WWE) program has been shown to reduce arthritis symptoms and increase physical performance for up to 1 year. However, research on community-based WWE implementation is limited. The purpose of this study was to examine early implementation at community organizations that received 1-year WWE implementation grants from the Osteoarthritis Action Alliance. Read More

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How Upper/Middle Managers' Ethical Leadership Activates Employee Ethical Behavior? The Role of Organizational Justice Perceptions Among Employees.

Front Psychol 2021 16;12:652471. Epub 2021 Mar 16.

Faculty of Social Sciences, University of Castilla-La Mancha, Talavera, Spain.

Several studies have been conducted on ethical leadership and workplace ethical behavior but little is known about the role of organizational justice and each of its dimensions (procedural, distributive, interpersonal, informational) in this relationship. This study predicts that ethical leadership enhances organizational justice perceptions, including each of its specific dimensions, which in turn enhances employee ethical behavior. The results from two-wave survey data obtained from 270 employees in the Malaysian manufacturing industry confirm that ethical leadership has a positive impact on employee ethical behavior, and that organizational justice and each of its justice dimensions mediate this relationship, both individually and together. Read More

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A qualitative exploration of a mindful resiliency program for community healthcare providers.

Nurs Health Sci 2021 Apr 1. Epub 2021 Apr 1.

School of Nursing, University of Adelaide, Adelaide, South Australia, Australia.

Despite the important contribution of nongovernmental organizations (NGOs) to the community healthcare sector, the building and maintenance of occupational resilience in community health workers has received little attention. However, it is recognized that employees in this sector are exposed to significant stressors from the high demand work environment which negatively impacts on their well-being. Therefore, this research examined the acceptability, feasibility, and sustainability of a mindful resiliency program by employing a qualitative analysis of participant subjective experience of the program in this cohort. Read More

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Visibility and Analytics Network (VAN) approach to improve immunization supply chain and management performance system in Pakistan.

J Glob Health 2021 Mar 7;11:06002. Epub 2021 Mar 7.

Implementation Research and Delivery Science Unit, Health Section, Programme Division, United Nations Children's Fund, New York, New York, USA.

Background: Pakistan has been experiencing several immunization related challenges. The supply chain management information system (MIS) is considered an important component of immunization services as it can improve visibility in key areas such as vaccine shortages or wastage. This study assessed the effectiveness of the Visibility and Analytics Network (VAN) approach in improving vaccine supply and availability of stocks by comparing the situation in intervention and non-intervention districts in Sindh province of Pakistan. Read More

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Advocating for Patients at End of Life During COVID-19.

Michael Demoratz

Prof Case Manag 2021 May-Jun 01;26(3):166-168

Michael Demoratz, PhD, LCSW, CCM, is a Commissioner with the Commission for Case Manager Certification, the first and largest nationally accredited organization that certifies case managers. He also has 40 years of experience in end-of-life and senior care and is the coauthor of Dying 101: A Candid Conversation on Terminal Illness.

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