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How smart health leaders make intuitive decisions. 聪明的健康领导者如何做出直观的决策。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-11 DOI: 10.1177/08404704231212781
Richard B Gasaway
{"title":"How smart health leaders make intuitive decisions.","authors":"Richard B Gasaway","doi":"10.1177/08404704231212781","DOIUrl":"10.1177/08404704231212781","url":null,"abstract":"<p><p>A rational decision-making process enables a leader to process information clearly and logically and thus allows for accurate perception and interpretation of the event. It is believed this process prevents leaders from excessively distorting reality and being impacted by cognitive biases, both of which are possible, particularly under stressful conditions. But what happens when the decision-making environment is rapidly changing and the leader does not have time to deploy a thorough, comprehensive rational decision-making process? In time-compressed decision-making environments, leaders must often make quick, accurate decisions, with incomplete, inaccurate, or rapidly changing information, under extremely stressful conditions. To improve the ability of a leader to make high-stress, time-compressed decisions under rapidly changing conditions, we offer the intuitive decision-making process as an alternative to rational decision-making and discuss five components essential to improve intuitive decision-making outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"168-172"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211218","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
Applying critical leadership to advance 2SLGBTQIA+ health equity: A complex adaptive systems approach. 运用关键领导力推进2SLGBTQIA+卫生公平:一种复杂的适应性系统方法。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-20 DOI: 10.1177/08404704231210868
Elizabeth McGibbon
{"title":"Applying critical leadership to advance 2SLGBTQIA+ health equity: A complex adaptive systems approach.","authors":"Elizabeth McGibbon","doi":"10.1177/08404704231210868","DOIUrl":"10.1177/08404704231210868","url":null,"abstract":"<p><p>Health inequities are increasing in Canada and across the globe. They pose a substantial threat to the health and well-being of millions of people. Organizational leadership, if it is to effectively contribute to tackling these inequities, must become more systematically infused with competencies that address power and the structural determinants of health. Health equity contexts for 2SLGBTQIA+ (Two Spirit, Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual, and Plus) remain a neglected area of focus in organizational leadership. The goals of this article are to provide: (1) a concise description of critical perspectives and critical leadership studies, (2) describe the urgency of theoretical and applied leadership approaches that more fulsomely integrate critical perspectives, and (3) illustrate an integration of a complex adaptive systems approach to support critical perspectives in advancing health equity for 2SLGBTQIA+ people.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048160","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
A Message from the Guest Editor. 特邀编辑的致辞
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI: 10.1177/08404704241237566
{"title":"A Message from the Guest Editor.","authors":"","doi":"10.1177/08404704241237566","DOIUrl":"https://doi.org/10.1177/08404704241237566","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 3","pages":"119-120"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976909","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
Networks, the clear blue water of change or the "wave tops" on the sea? 网络，清澈的蓝色海水的变化，还是海上的“浪尖”?
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-16 DOI: 10.1177/08404704231211163
Sasha Karakusevic, Laura Yearsley, Liz Maddocks-Brown
{"title":"Networks, the clear blue water of change or the \"wave tops\" on the sea?","authors":"Sasha Karakusevic, Laura Yearsley, Liz Maddocks-Brown","doi":"10.1177/08404704231211163","DOIUrl":"10.1177/08404704231211163","url":null,"abstract":"<p><p>In this short article, we consider leadership in the context of managing increasingly complex networks. Our approach draws on multiple perspectives that support the use of collective approaches to leadership and the processes that underpin them. We highlight the importance of creating spaces for co-productive work and the use of rapid insight generation to accelerate learning and impact based on our experience of working on complex change programs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"164-167"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399686","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
Reawakening of Indigenous matriarchal systems: A feminist approach to organizational leadership. 土著母系氏族制度的重新觉醒:组织领导的女权主义方法。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-11 DOI: 10.1177/08404704231210255
Courtney Defriend, Celeta M Cook
{"title":"Reawakening of Indigenous matriarchal systems: A feminist approach to organizational leadership.","authors":"Courtney Defriend, Celeta M Cook","doi":"10.1177/08404704231210255","DOIUrl":"10.1177/08404704231210255","url":null,"abstract":"<p><p>Leadership models that uphold feminist qualities of mutuality, collaboration, and distribution of power can foster organizational and community success. Utilizing a systems perspective grounded in land-based analogies can assist with understanding the diversity and strength that come from entire ecosystems around wicked social issues. While Indigenous leadership models have supported such perspectives since time immemorial, current and ongoing acts of colonialism driven by patriarchal systems and violent gender-based policies and procedures have eroded matriarchal leadership models that sustained what is now known as Canada for generations. Reflections of two evolving Indigenous women in leadership note the opportunities to reawaken matriarchal values in organizational and community leadership as a powerful act of reconciliation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"160-163"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719920","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
Seeing together: Lessons from the COVID-19 pandemic on understanding evidence. 共同见证:COVID-19大流行对理解证据的教训。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-22 DOI: 10.1177/08404704231215754
Deena Hinshaw
{"title":"Seeing together: Lessons from the COVID-19 pandemic on understanding evidence.","authors":"Deena Hinshaw","doi":"10.1177/08404704231215754","DOIUrl":"10.1177/08404704231215754","url":null,"abstract":"<p><p>Conversations about evidence have become much more personal and more divisive over the course of the COVID-19 pandemic. Using a metaphor to carefully consider all the different aspects of \"seeing\" evidence can remind us that assembling a complete picture of information on any topic is necessarily a communal effort, made more robust by actively seeking to learn about and mitigate our blind spots. An approach to evidence that is curious, humble, and seeks relationship and partnership with others can help us see more clearly and completely.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"173-176"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296223","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
Partnership in care: Organic systems framework strategies for patients and care providers. 护理伙伴关系：患者和护理提供者的有机系统框架战略。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-10 DOI: 10.1177/08404704231211165
Phil Cady
{"title":"Partnership in care: Organic systems framework strategies for patients and care providers.","authors":"Phil Cady","doi":"10.1177/08404704231211165","DOIUrl":"10.1177/08404704231211165","url":null,"abstract":"<p><p>The organic systems framework is a conceptual social sciences theoretical framework developed by renowned author Barry Oshry. Oshry outlines how we are often blind to the context we are in and our reactions to those conditions, which leads to certain experiences. This article emanates from the author's reflections on bringing organic systems insights to groups and organizations worldwide and how such strategies in relational systems may apply to patients and care providers working together in partnership. As patients and care providers engage in such partnerships, they enter distinctly different contexts, each with unique challenges and opportunities. Written from a first-person perspective, the author moves beyond seeing the patient as a client in the healthcare system and into the possibilities of how patients and providers can work together across contexts to create and sustain meaningful care-based partnerships.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"183-186"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015672","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
Gold standard research and evidence applied: The Inspire Nursing Leadership Program. 应用金标准研究和证据：激励护理领导力计划。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI: 10.1177/08404704241236908
Jaason M Geerts, Sonia Udod, Sharon Bishop, Sean Hillier, Oscar Lyons, Suzanne Madore, Betty Mutwiri, Dionne Sinclair, Jan C Frich
{"title":"Gold standard research and evidence applied: The Inspire Nursing Leadership Program.","authors":"Jaason M Geerts, Sonia Udod, Sharon Bishop, Sean Hillier, Oscar Lyons, Suzanne Madore, Betty Mutwiri, Dionne Sinclair, Jan C Frich","doi":"10.1177/08404704241236908","DOIUrl":"10.1177/08404704241236908","url":null,"abstract":"<p><p>Billions of dollars are invested annually in leadership development globally; however, few programs are evidence-based, risking adverse outcomes, and wasted time and money. This article describes the novel Inspire Nursing Leadership Program (INLP) and the outcomes-based process of incorporating gold standard evidence into its design, delivery, and evaluation. The INLP design was informed by a needs analysis, research evidence, and by nursing, Indigenous, and equity, diversity, and inclusion experts. The program's goals include enabling participants to develop leadership capabilities, cultivate strategic community partnerships, lead innovation projects, and connect with colleagues. Design features include an outcomes-based approach, the LEADS framework, and alignment with the principles of adult learning. Components include leadership impact projects, 360-assessments, blended interactive sessions, coaching, mentoring, and application and reflection exercises. The evaluation framework and subsequent proposed research design align to top-quality standards. Healthcare leadership programs must be evidence-based to support leaders in improving and transforming health systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"141-150"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11061537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102566","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
Shifting gears: Creating equity informed leaders for effective learning health systems. 换挡：为有效的学习型医疗系统培养懂得公平的领导者。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2024-01-08 DOI: 10.1177/08404704231214510
Nakia K Lee-Foon, Adalsteinn Brown, Robert J Reid
{"title":"Shifting gears: Creating equity informed leaders for effective learning health systems.","authors":"Nakia K Lee-Foon, Adalsteinn Brown, Robert J Reid","doi":"10.1177/08404704231214510","DOIUrl":"10.1177/08404704231214510","url":null,"abstract":"<p><p>Leadership is vital to a well-functioning and effective health system. This importance was underscored during the COVID-19 pandemic. As disparities in infection and mortality rates became pronounced, greater calls for equity-informed healthcare emerged. These calls led some leaders to use the Learning Health System (LHS) approach to quickly transform research into healthcare practice to mitigate inequities causing these rates. The LHS is a relatively new framework informed by many within and outside health systems, supported by decision-makers and financial arrangements and encouraged by a culture that fosters quick learning and improvements. Although studies indicate the LHS can enhance patients' health outcomes, scarce literature exists on health leaders' use and incorporation of equity into the LHS. This article begins addressing this gap by examining how equity can be incorporated into LHS activities and discussing ways leaders can ensure equity is considered and achieved in rapid learning cycles.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"156-159"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378492","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
When rules turn into tools: An activity theory-based perspective on implementation processes and unintended consequences. 当规则变成工具：基于活动理论的实施过程和意外后果视角。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2024-02-20 DOI: 10.1177/08404704241233169
Aviv Shachak, Francine Buchanan, Craig Kuziemsky
{"title":"When rules turn into tools: An activity theory-based perspective on implementation processes and unintended consequences.","authors":"Aviv Shachak, Francine Buchanan, Craig Kuziemsky","doi":"10.1177/08404704241233169","DOIUrl":"10.1177/08404704241233169","url":null,"abstract":"<p><p>The idea that actions of people, organizations or governments may lead to Unintended Consequences (UICs) is not new. In health, UICs have been reported as a result of various interventions including quality improvement initiatives, health information technology implementation, and knowledge translation, especially those involving translation of broad policies (evidence-based medicine and patient-centred care) or system level improvement into actionable items or tools. While some unintended consequences cannot be anticipated, others may be predictable. In this article, we present a model based on cultural historical activity theory, which may help policy-makers, health leaders, and researchers better anticipate UICs resulting from implementation of new programs or technologies and take action to address them or mitigate their risk of occurrence. We support this model using examples of UICs of implementing family centred care principles, electronic health records, and computerized templates for quality improvement in chronic disease management.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913669","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
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