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An ecological approach to humanizing healthcare organizations for patients, healthcare providers, and communities. 为患者、医疗服务提供者和社区提供一种使医疗机构人性化的生态方法。
Healthcare Management Forum Pub Date : 2024-11-18 DOI: 10.1177/08404704241293596
Andrea Frolic, Diana Tikasz, Kirsten Krull
{"title":"An ecological approach to humanizing healthcare organizations for patients, healthcare providers, and communities.","authors":"Andrea Frolic, Diana Tikasz, Kirsten Krull","doi":"10.1177/08404704241293596","DOIUrl":"https://doi.org/10.1177/08404704241293596","url":null,"abstract":"<p><p>Healthcare delivery exposes care providers and leaders to suffering, loss, moral dilemmas, conflicts, and overwhelm. The cumulative effects of workplace stress and trauma have organizational impacts (turnover, cynicism, and conflict), personal impacts (burnout, mental illness, and traumatic stress), and patient care impacts (reduced empathy, poor communication, and errors). Organizations have attempted to address these issues largely through individual wellness offerings. A systematic approach is needed to create environmental conditions that support people to remain resilient, engaged, and compassionately connected in the face of constant trauma exposure. This article describes an ecological model for developing and sustaining resilience based in neuro and social science. It includes practical strategies to reshape leaders' understanding, perspectives, and competencies to enhance systemic well-being.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241293596"},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating informal and formal care: An innovative, scalable program blueprint. 整合非正规和正规护理：创新、可扩展的计划蓝图。
Healthcare Management Forum Pub Date : 2024-11-16 DOI: 10.1177/08404704241292329
Deborah Sattler, Michelle Howard, Doris Nessim, Marg McAlister, Lisa Dolovich
{"title":"Integrating informal and formal care: An innovative, scalable program blueprint.","authors":"Deborah Sattler, Michelle Howard, Doris Nessim, Marg McAlister, Lisa Dolovich","doi":"10.1177/08404704241292329","DOIUrl":"10.1177/08404704241292329","url":null,"abstract":"<p><p>People have infinite needs, including illness prevention, wellness, self-care, practical support, and quality of life. This article describes community-based, informal care programs that help people identify their needs, set goals, and organize networks of care to address their needs holistically in a way that can also significantly reduce healthcare costs. Approaches can be customized for primary care, home and community, hospice, and other care sectors to facilitate low-cost, high impact adoption. We provide a blueprint for programs that integrate informal and formal care across social, physical, and mental health domains as a key part of healthcare system transformation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241292329"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From perpetual pilots to sustainable transformation: Scaling up geriatric care. 从永久试点到可持续转型：扩大老年护理规模。
Healthcare Management Forum Pub Date : 2024-11-14 DOI: 10.1177/08404704241299341
Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane
{"title":"From perpetual pilots to sustainable transformation: Scaling up geriatric care.","authors":"Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane","doi":"10.1177/08404704241299341","DOIUrl":"10.1177/08404704241299341","url":null,"abstract":"<p><p>With an ageing population, there is an increasing need to focus on the care of older adults, particularly those who are more medically complex. Frail older adults are more likely to require care from multiple providers across multiple settings. It is well recognized that the current Canadian healthcare system is not well-designed for this complex population. To address the health system challenges, healthcare leaders are rapidly developing and implementing programs to better support the ageing population. Unfortunately, this often means that organizations are implementing and scaling health and social care programs with limited evidence or understanding of the specific context in which it was implemented. Drawing on regional experiences, this article will explore challenges and offer solutions related to the implementation, spread, and scale of healthcare programs for older adults.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241299341"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing health care worker burnout in primary care settings through the trauma-informed CARES leadership competency model. 通过创伤知情的 CARES 领导能力模型，预防初级医疗机构中医护人员的职业倦怠。
Healthcare Management Forum Pub Date : 2024-11-12 DOI: 10.1177/08404704241297074
Christopher Eastmond, Samantha Fernandes
{"title":"Preventing health care worker burnout in primary care settings through the trauma-informed CARES leadership competency model.","authors":"Christopher Eastmond, Samantha Fernandes","doi":"10.1177/08404704241297074","DOIUrl":"https://doi.org/10.1177/08404704241297074","url":null,"abstract":"<p><p>Staff burnout, a pervasive and persistent issue in the Canadian primary care environment, demands urgent and immediate attention. The managerial response to this problem has been largely reactive, especially in the post-COVID era. The need for proactive approaches to equip health leaders to detect early signs of burnout in healthcare workers and intervene effectively is more pressing than ever. Health leaders are beginning to acknowledge the significant role that trauma plays in impacting workers' propensity to experience burnout, leading to the growing recognition of trauma-informed best practices in healthcare management. This article will introduce the CARES model, a leadership competency framework that underscores the connections between leadership competencies and employee-leader engagement to detect early signs of burnout in primary care workers. The model, along with the proposed CARES toolkit, strongly emphasizes trauma-informed best practices and will enable health managers to better proactively prevent burnout through appropriate, empathetic, and efficient interventions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241297074"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations for emergency department virtual triage. 急诊科虚拟分诊的注意事项。
Healthcare Management Forum Pub Date : 2024-11-08 DOI: 10.1177/08404704241298643
Laila Nasser, Emily Morris, Irene Mathias, Justin N Hall
{"title":"Considerations for emergency department virtual triage.","authors":"Laila Nasser, Emily Morris, Irene Mathias, Justin N Hall","doi":"10.1177/08404704241298643","DOIUrl":"https://doi.org/10.1177/08404704241298643","url":null,"abstract":"<p><p>Health leaders are increasingly interested in harnessing Artificial Intelligence (AI) to remotely conduct virtual triage for Emergency Department (ED) patients. This study explores equity considerations and patient attitudes to virtual triage in a Canadian ED. A cross-sectional study surveyed 150 ED patients, with 32 additional patients interviewed in-depth. Descriptive statistics and qualitative descriptive methodology were employed. 84.7% of patients would consider virtual triage. 71.3% were comfortable following advice to seek alternate care, including their General Practitioner or virtual ED. Approximately 38.2% of patients >60 years would require assistance using virtual triage, with confidence in using technology to direct care decreasing with age. Thematic analysis revealed five key themes: value of decision support; care access expectations; technological literacy demographics; trust in AI; and confidentiality. In conclusion, virtual triage is a viable and promising tool if barriers to technological literacy are addressed, and tools are endorsed by health providers and patients.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241298643"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre. 全面重新设计 Runnymede 医疗保健中心的康复计划。
Healthcare Management Forum Pub Date : 2024-11-07 DOI: 10.1177/08404704241294220
Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers
{"title":"Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre.","authors":"Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers","doi":"10.1177/08404704241294220","DOIUrl":"https://doi.org/10.1177/08404704241294220","url":null,"abstract":"<p><p>The redesign of the rehabilitation program at Runnymede Healthcare Centre (RHC) was designed to enhance patient care, staff satisfaction, and rehabilitation capacity. Aligned with RHC's strategic vision to become a centre of excellence for ageing and wellness, the initiative introduced a range of initiatives such as group therapy models, specific, measurable, achievable, relevant and time-bound rehabilitation goals, and enhanced leadership practices under the healthy engagement of older adults in rehabilitation therapy philosophy. Evaluation was integral to the initiative, with patient satisfaction, staff engagement, and key performance indicators continuously measured. Patient satisfaction scores, operational efficiency metrics, and staff engagement scores improved considerably. This project exemplifies how structured change management and embedded evaluation can lead to sustained improvements in patient care, staff experience, and rehabilitation outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241294220"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys. COVID-19 大流行如何影响加拿大人对死亡环境的偏好：两项小组调查的比较。
Healthcare Management Forum Pub Date : 2024-11-06 DOI: 10.1177/08404704241297037
Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar
{"title":"How the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys.","authors":"Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar","doi":"10.1177/08404704241297037","DOIUrl":"https://doi.org/10.1177/08404704241297037","url":null,"abstract":"<p><p>The purpose of this article is to assess whether COVID-19 shaped Canadians' preferred settings of dying. We compared data collected using the same survey from two independent but comparable sets of panel respondents, prior to and after the onset of the pandemic. A vignette methodology was used to assess preferences for dying in each of four settings: home, acute/intensive care, palliative care, and long-term residential care. Although preferences for dying at home, in acute/intensive care and palliative care units did not change, preferences for dying in nursing homes significantly declined. In the pandemic's first and second waves, the spread of knowledge about problems of poor care, visitation restrictions, and fears of contagion in Canadian long-term residential care may have shaped public perceptions of and preferences for dying these settings. If this change persists, it may influence advance care planning decisions. That preferences for dying at home did not shift is, however, noteworthy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241297037"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining skill mix and optimal multidisciplinary team composition: A scoping review. 确定技能组合和最佳多学科团队组成：范围审查。
Healthcare Management Forum Pub Date : 2024-11-05 DOI: 10.1177/08404704241293095
Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross
{"title":"Determining skill mix and optimal multidisciplinary team composition: A scoping review.","authors":"Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross","doi":"10.1177/08404704241293095","DOIUrl":"https://doi.org/10.1177/08404704241293095","url":null,"abstract":"<p><p>Holistic care models aligned to population care needs are needed to help leaders shed pre-existing mindsets when determining skill mix and Multidisciplinary Team (MDT) composition. Using a PRISMA flowchart, a narrow eligibility criterion, and a research question, this scoping review resulted in 9 frameworks/models published between January 2000 and September 2023. Analysis showed common methodological elements such as a population needs-based approach, a systematic process, engagement, three or more professions reporting task or competency level analysis, change advocacy, and reliance on population and workforce supply data. Key system enablers were sponsorship, access to population needs-based and workforce supply data, a learning management system for MDT development, and health human resource policies and governance to drive health system redesign to distribute an equitable workforce. This scoping review offers health leaders and policy-makers options and next-step considerations to inspire fresh thinking for making evidence-informed decisions about skill mix and MDT composition.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241293095"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the impact of a clinical extern program on readiness to practice. 探索临床实习计划对实习准备的影响。
Healthcare Management Forum Pub Date : 2024-11-04 DOI: 10.1177/08404704241293050
Charissa Cordon, Dianne Norman, Alison Fox-Robichaud, Joanna Pierazzo, Natasha Marzilli, Marium Alvi, Charlotte Blakely, Mary Anne Aliazon
{"title":"Exploring the impact of a clinical extern program on readiness to practice.","authors":"Charissa Cordon, Dianne Norman, Alison Fox-Robichaud, Joanna Pierazzo, Natasha Marzilli, Marium Alvi, Charlotte Blakely, Mary Anne Aliazon","doi":"10.1177/08404704241293050","DOIUrl":"10.1177/08404704241293050","url":null,"abstract":"<p><p>The COVID-19 pandemic created an increased demand for healthcare professionals across all healthcare sectors globally. Attrition, retirement, delayed graduations, and sick leaves resulted in an inadequate supply of knowledgeable, skilled, and experienced nurses to care for hospitalized patients and help address hospital capacity pressures. In response to this health human resource crisis in Canada, the Ontario Ministry of Health offered hospitals funding to support the employment of Clinical Externs (CEs), that is, students in nursing, respiratory therapy, physiotherapy, occupational therapy medicine, and paramedicine, hired to work as unregulated staff, alongside an inter-professional team. This mixed-methods study evaluated the CE program that was implemented in one large academic hospital. The primary aim was to identify the outcomes of the clinical extern program from the perspectives of CEs, CE coordinators, and clinical leaders. Findings indicate the clinical extern program reinforces student confidence and supports their transition to formal nursing and respiratory therapy roles.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241293050"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care. 性别与医疗保健领导力：通过明确考虑护理中的性别概念，填补关键知识空白。
Healthcare Management Forum Pub Date : 2024-11-03 DOI: 10.1177/08404704241293947
Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault
{"title":"Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care.","authors":"Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault","doi":"10.1177/08404704241293947","DOIUrl":"https://doi.org/10.1177/08404704241293947","url":null,"abstract":"<p><p>This scoping review of gender and healthcare leadership synthesized the barriers and facilitators at multiple levels employing a framework that integrates a specific focus on the concept of care. The 71 sources identified focus predominantly on barriers to women's leadership at the individual and team level and, to a lesser extent, at the organizational and system level. Facilitators tend to be presented as recommended actions than evaluated interventions. Healthcare leadership tends to ignore the gendered context of care elevating leaders who are least likely to provide such care. Where personal caregiving circumstances are considered, they are individualized, reflecting the literature in general. More critical analysis is needed to focus on women's experiences and how their gender can predetermine their success in achieving and being in leadership positions. Healthcare leadership researchers are encouraged to include gender and care-focused analyses and interventions to address the under-representation of women in healthcare leadership.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241293947"},"PeriodicalIF":0.0,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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