Healthcare Management Forum最新文献_第10页

Relational skill training for patient engagement and the creation of a trauma-informed critical care. 患者参与的关系技能培训和创伤知情重症监护的创建。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2023-11-18 DOI: 10.1177/08404704231215461

Laura Istanboulian, Tasneem Master, Christine Devine, Lorrie Hamilton

{"title":"Relational skill training for patient engagement and the creation of a trauma-informed critical care.","authors":"Laura Istanboulian, Tasneem Master, Christine Devine, Lorrie Hamilton","doi":"10.1177/08404704231215461","DOIUrl":"10.1177/08404704231215461","url":null,"abstract":"Patients and families in critical care have a high likelihood of previous and re-experienced trauma. Unaddressed, physical, and psychological impacts of these traumas can worsen outcomes for patients and families. A trauma-informed care approach has been proposed for critical care; however, training programs do not include relational competencies or de-escalation techniques, risking the re-traumatization of patients and families in critical care and negatively impacting clinicians. This article describes a strategy that can be adopted by critical care teams towards the creation of a trauma-informed critical care unit including the use of a framework for relational training. Principles of relationship management and de-escalation are discussed with the use of a fictional exemplar scenario. Key messages include a call to action for relational training for care teams to enhance skilled relational engagement of patients and families. This article also highlights the foundational importance of policies supporting a trauma-informed approach in critical care.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recommendations for supporting healthcare workers' psychological well-being: Lessons learned during the COVID-19 pandemic. 支持医护人员心理健康的建议：在 COVID-19 大流行期间吸取的经验教训。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1177/08404704241226693

Melissa B Korman, Lisa Di Prospero, Tracey DasGupta, Mark Sinyor, Samantha J Anthony, Monika Kastner, Janet Ellis, Rosalie Steinberg, Robert Maunder

{"title":"Recommendations for supporting healthcare workers' psychological well-being: Lessons learned during the COVID-19 pandemic.","authors":"Melissa B Korman, Lisa Di Prospero, Tracey DasGupta, Mark Sinyor, Samantha J Anthony, Monika Kastner, Janet Ellis, Rosalie Steinberg, Robert Maunder","doi":"10.1177/08404704241226693","DOIUrl":"10.1177/08404704241226693","url":null,"abstract":"Healthcare workers are at risk of adverse mental health outcomes due to occupational stress. Many organizations introduced initiatives to proactively support staff's psychological well-being in the face of the COVID-19 pandemic. One example is the STEADY wellness program, which was implemented in a large trauma centre in Toronto, Canada. Program implementors engaged teams in peer support sessions, psychoeducation workshops, critical incident stress debriefing, and community-building initiatives. As part of a project designed to illuminate the experiences of STEADY program implementors, this article describes recommendations for future hospital wellness programs. Participants described the importance of having the hospital and its leaders engage in supporting staff's psychological well-being. They recommended ways of doing so (e.g., incorporating conversations about wellness in staff onboarding and routine meetings), along with ways to increase program uptake and sustainability (e.g., using technology to increase accessibility). Results may be useful in future efforts to bolster hospital wellness programming.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"258-262"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Charting the future of patient care: A strategic leadership guide to harnessing the potential of artificial intelligence. 描绘病人护理的未来：利用人工智能潜力的战略领导力指南。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-05 DOI: 10.1177/08404704241235893

Marie Ennis-O'Connor, William T O'Connor

{"title":"Charting the future of patient care: A strategic leadership guide to harnessing the potential of artificial intelligence.","authors":"Marie Ennis-O'Connor, William T O'Connor","doi":"10.1177/08404704241235893","DOIUrl":"10.1177/08404704241235893","url":null,"abstract":"Artificial Intelligence (AI) applications have the potential to revolutionize conventional healthcare practices, creating a more efficient and patient-centred approach with improved outcomes. This guide discuses eighteen AI-based applications in clinical decision-making, precision medicine, operational efficiency, and predictive analytics, including a real-world example of AI's role in public health during the early stages of the COVID-19 pandemic. Additionally, we address ethical questions, transparency, data privacy, bias, consent, accountability, and liability, and the strategic measures that must be taken to align AI with ethical principles, legal frameworks, legacy information technology systems, and employee skills and knowledge. We emphasize the importance of informed and strategic approaches to harness AI's potential and manage its challenges. Moreover, this guide underscores the importance of evaluating and integrating new skills and competencies to navigate and use AI-based technologies in healthcare management, such as technological literacy, long-term strategic vision, change management skills, ethical decision-making, and alignment with patient needs.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"290-295"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical patient engagement in healthcare governance. 患者参与医疗治理的道德规范。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-05-03 DOI: 10.1177/08404704241251898

Treena Klassen

引用次数: 0

An end to the "muffin meeting": Conceptualizing power and navigating tokenism in patient engagement for health leaders. 结束 "松饼会议"：健康领导者在患者参与过程中的权力概念化与象征性导航。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI: 10.1177/08404704241239862

Steven Slowka

{"title":"An end to the \"muffin meeting\": Conceptualizing power and navigating tokenism in patient engagement for health leaders.","authors":"Steven Slowka","doi":"10.1177/08404704241239862","DOIUrl":"10.1177/08404704241239862","url":null,"abstract":"Patient engagement is emerging as a priority for Canadian health leaders. Alongside the proliferation of patient engagement efforts in healthcare organizations and networks, awareness that tokenism can potentially occur within such efforts, as well as strategies to mitigate it, are gaining increased attention. While many actions associated with more tokenistic forms of patient engagement have been identified, this article posits there is a need to pay critical attention to the concept and role of power in enabling these actions in the first place. Of particular importance is how power and knowledge work to shape healthcare organizations and can create unequal relations with the patients they seek to engage. Drawing on the literature, this article serves as a theoretical roadmap for health leaders to think critically about power, as well as a set of prompts that can be used to reflexively consider their role in navigating power dynamics in the context of patient engagement efforts. This article contends that building awareness of power is a critical step for health leaders and organizations and that navigating power differences is a necessary leadership competency for engaging patients in decision-making throughout all stages of healthcare improvement and organizational change efforts.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"296-300"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327228","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

An adaptive approach to developing a Long COVID rehabilitation program. 以适应性方法制定长 COVID 康复计划。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-04-01 DOI: 10.1177/08404704241239867

Sonya Torreiter, Peggy So

引用次数: 0

The benefits and opportunities: Engaging patients in identifying and reporting patient safety incidents. 好处和机会：让患者参与识别和报告患者安全事件。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2023-10-13 DOI: 10.1177/08404704231203593

Laura Danielle Pozzobon, Thomas Rotter, Kim Sears

引用次数: 0

Bringing experiences of healthcare in custody into quality improvement. 将羁押期间的医疗保健经验引入质量改进。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-01 DOI: 10.1177/08404704241235891

Yoko Murphy, Andrea Winzer, Linda Ogilvie, Melanie Mayoh, Katherine E McLeod

{"title":"Bringing experiences of healthcare in custody into quality improvement.","authors":"Yoko Murphy, Andrea Winzer, Linda Ogilvie, Melanie Mayoh, Katherine E McLeod","doi":"10.1177/08404704241235891","DOIUrl":"10.1177/08404704241235891","url":null,"abstract":"Patient experience is an essential component of safe and high-quality healthcare, yet rarely examined in the context of carceral settings. This article describes a project undertaken by the Ontario Ministry of the Solicitor General to collect evidence and perspectives on how to bring patient experiences of healthcare services delivered in provincial correctional facilities into ongoing quality improvement work. We first conducted a scoping review and jurisdictional scan to learn from existing processes and experiences. We then engaged frontline healthcare providers delivering services in custody and people with recent experience of incarceration regarding priority measures and processes for data collection and mechanisms for implementing evidence-based change. This article describes methods used to engage stakeholders, including a survey and focus groups, as well as key lessons learned. This work is relevant to readers experiencing barriers to patient engagement, interested in collaborative research processes, and developing services for people who have experienced incarceration.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the cost of NP-led vs. GP-led primary care in British Columbia. 评估不列颠哥伦比亚省以护士为主导与以全科医生为主导的初级保健的成本。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1177/08404704241229075

Damien Contandriopoulos, Katherine Bertoni, Rita McCracken, Lindsay Hedden, Ruth Lavergne, Gurprit K Randhawa

引用次数: 0

Investigating the unique service and treatment needs of women with alcohol use disorder: Literature review and key informant perspectives in British Columbia. 调查酗酒妇女的独特服务和治疗需求：不列颠哥伦比亚省的文献综述和主要信息提供者的观点。

Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-02-08 DOI: 10.1177/08404704241229973

Hayley Ross, Stefan Kurbatfinski, Izabela Szelest

{"title":"Investigating the unique service and treatment needs of women with alcohol use disorder: Literature review and key informant perspectives in British Columbia.","authors":"Hayley Ross, Stefan Kurbatfinski, Izabela Szelest","doi":"10.1177/08404704241229973","DOIUrl":"10.1177/08404704241229973","url":null,"abstract":"Alcohol Use Disorder (AUD) is a medical condition uniquely affecting the female population, requiring widespread restructuring of current services to increase treatment utilization and efficacy. This review synthesizes the literature on the service and treatment needs of women with AUD. A literature search and review were conducted following PRISMA guidelines. Key informant information was collected during interviews with health leaders. Data from literature searches and interviews were analyzed to identify common themes. Results found women face more barriers when accessing and receiving AUD treatment. Major barriers include stigma, location, transportation, and childcare, which contribute to the AUD treatment gap among women. Recommendations to reduce barriers include (1) implementing universal screening, (2) improving care provider education and awareness, (3) providing childcare services, (4) establishing a strong client-clinician relationship, (5) building a community approach for Indigenous clients, (6) improving Managed Alcohol Programs, and (7) expanding virtual substance use prescribing practices.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"237-243"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708145","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