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Gender Matters, Age Counts: Patterns of Antipsychotic Prescribing in Canadian Long-Term Care Homes. 性别问题，年龄计算：加拿大长期护理院的抗精神病药物处方模式。
Healthcare Management Forum Pub Date : 2026-04-08 DOI: 10.1177/08404704261437387
Reem T Mulla, Karen Karagheusian, Andrea M Patey, Julie Weir, Sid Feldman, Wendy Levinson, Tai Huynh, John P Hirdes
{"title":"Gender Matters, Age Counts: Patterns of Antipsychotic Prescribing in Canadian Long-Term Care Homes.","authors":"Reem T Mulla, Karen Karagheusian, Andrea M Patey, Julie Weir, Sid Feldman, Wendy Levinson, Tai Huynh, John P Hirdes","doi":"10.1177/08404704261437387","DOIUrl":"https://doi.org/10.1177/08404704261437387","url":null,"abstract":"<p><p>Antipsychotic use carries many risks, including increased mortality. Although interventions exist to reduce inappropriate prescribing, strategies tailored to the underlying drivers of use remain unexplored. This study investigates how resident and facility factors influence antipsychotic use in Canadian Long-Term Care (LTC) homes, focusing on age and gender disparities. We conducted a retrospective longitudinal analysis of residents aged 65 and older without psychosis in LTC homes across six provinces and territories, using data from the first quarters of 2010-2022. Antipsychotic initiation was associated with male gender, cognitive and behavioural impairment, specific psychiatric diagnoses, non-English/French language, and residence in larger LTC facilities. The highest odds were observed among residents aged 65-74 and male residents with aggressive behaviour. These findings highlight the need for gender-responsive clinical strategies and facility-level interventions to promote equitable prescribing. Reduced use among oldest residents is encouraging, but elevated rates in younger seniors indicate a subgroup requiring targeted approaches.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261437387"},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634626","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
Promising Practices in Implementing Interventions for Health Worker Burnout: Preventing and Addressing Burnout. 实施卫生工作者职业倦怠干预措施的有希望的做法：预防和解决职业倦怠。
Healthcare Management Forum Pub Date : 2026-03-20 DOI: 10.1177/08404704261433519
Melissa Corrente, Jelena Atanackovic, Houssem Eddine Ben-Ahmed, Cecilia Benoit, Mwali Muray, Elena Neiterman, Sheri Lynn Price, Kathleen Slofstra, Ivy Lynn Bourgeault
{"title":"Promising Practices in Implementing Interventions for Health Worker Burnout: Preventing and Addressing Burnout.","authors":"Melissa Corrente, Jelena Atanackovic, Houssem Eddine Ben-Ahmed, Cecilia Benoit, Mwali Muray, Elena Neiterman, Sheri Lynn Price, Kathleen Slofstra, Ivy Lynn Bourgeault","doi":"10.1177/08404704261433519","DOIUrl":"10.1177/08404704261433519","url":null,"abstract":"<p><p>Health worker burnout is not a new phenomenon; it existed before the COVID-19 pandemic but has worsened since. Organizations have implemented various interventions to help staff recover from burnout, but few have focused on preventing or addressing sources of burnout. This article addresses this gap by focusing on promising practices and interventions that can be utilized to prevent and address burnout. By using a mixed-method approach, we learned that listening to frontline staff is essential for creating a short list of interventions that can be tailored to meet the unique needs of different organizations. Time, money, and other resources are required to implement sustainable change, along with balancing a top-down and bottom-up approach. Finally, building on an inherent desire for more connection both within individual sites and across organizations is key. Health leaders are encouraged to engage staff members regarding their concerns and dedicate sufficient resources to support necessary changes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261433519"},"PeriodicalIF":0.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491991","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
Reflections on Ethical Leadership: Organizational Ethics and Moral Injury. 伦理型领导反思：组织伦理与道德伤害。
Healthcare Management Forum Pub Date : 2026-03-20 DOI: 10.1177/08404704261434320
Christy Simpson
{"title":"Reflections on Ethical Leadership: Organizational Ethics and Moral Injury.","authors":"Christy Simpson","doi":"10.1177/08404704261434320","DOIUrl":"https://doi.org/10.1177/08404704261434320","url":null,"abstract":"<p><p>Starting with the question of \"why would anyone choose to become a health leader?\", this column shares reflections on the nature of ethical leadership. Different features of health leaders and their practice that support engaging in organizational (systems-level) ethics issues in accordance with relevant values are discussed. The possibility of experiencing moral injury as a leader is highlighted as an important aspect of preparing health leaders for this role. Related reflections on moral resilience and moral integrity further support the need to ensure that training for health leaders captures the complexity of organizational ethics work and navigating fundamental challenges to one's sense of self as a leader.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261434320"},"PeriodicalIF":0.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491916","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
The Next Horizon: Essential Competencies for the Future-Ready Emerging Health Leader. 下一个地平线：为未来准备的新兴健康领导者的基本能力。
Healthcare Management Forum Pub Date : 2026-03-18 DOI: 10.1177/08404704261433218
Sandra Young, Leslee J Thompson
{"title":"The Next Horizon: Essential Competencies for the Future-Ready Emerging Health Leader.","authors":"Sandra Young, Leslee J Thompson","doi":"10.1177/08404704261433218","DOIUrl":"https://doi.org/10.1177/08404704261433218","url":null,"abstract":"<p><p>Emerging health leaders are no longer tasked with only clinical, financial, and workforce management, they must foster authentic human connection, steer a digital transformation, and steward sustainability into the future. This article explores the intersection of authentic leadership, digital fluency, and ecosystem thinking as the core competency triad for the next generation of health leaders. It offers fresh perspectives on what it will take to lead with heart, technical agility, and global conscientiousness-anchored in health quality-into an increasingly complex future.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261433218"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475707","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
Shifting the Paradigm: A Framework-Driven Approach to Cultivating Nurse Leaders Through Academic Leadership Courses. 转变范式：通过学术领导力课程培养护士领导者的框架驱动方法。
Healthcare Management Forum Pub Date : 2026-03-17 DOI: 10.1177/08404704261428995
Angela C Wolff
{"title":"Shifting the Paradigm: A Framework-Driven Approach to Cultivating Nurse Leaders Through Academic Leadership Courses.","authors":"Angela C Wolff","doi":"10.1177/08404704261428995","DOIUrl":"https://doi.org/10.1177/08404704261428995","url":null,"abstract":"<p><p>Leadership is a core expectation of nursing practice, yet leadership development curricula in academia and healthcare organizations fall short of equipping nurses to lead in today's complex healthcare environment. This article outlines a framework-driven approach to leadership education through two courses designed for undergraduate and graduate nursing students, developed and iteratively refined using the Knowledge-to-Action framework and annual Plan-Do-Study-Act cycles. Grounded in relational leadership theories, the RNAO model for developing and sustaining leadership, and the LEADS in a Caring Environment framework, courses integrate participatory learning strategies to bridge theory and practice. Students engage in team-based projects, reflective exercises, and experiential activities to build self-awareness and confidence. By aligning curricula with professional standards and practice-relevant frameworks, these courses cultivate leadership, positioning nurses to influence the quality of care and contribute to health system transformation. Organizations can build on this foundation to provide leadership development and support professional growth.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261428995"},"PeriodicalIF":0.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475732","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
Ready to Lead: An Innovative Microcredentials Leadership Program for Frontline Healthcare Workers in Continuing Care. 准备好领导：一个创新的微证书领导计划为前线医护人员在持续护理。
Healthcare Management Forum Pub Date : 2026-03-17 DOI: 10.1177/08404704261432501
John W Smith, Susan Stevens
{"title":"Ready to Lead: An Innovative Microcredentials Leadership Program for Frontline Healthcare Workers in Continuing Care.","authors":"John W Smith, Susan Stevens","doi":"10.1177/08404704261432501","DOIUrl":"https://doi.org/10.1177/08404704261432501","url":null,"abstract":"<p><p>With an ageing population and the highest disability rate in Canada, Nova Scotia continues to see demand for continuing care services grow. While focus has been placed on addressing persistent frontline staffing challenges, less attention has been paid to the ongoing need for new leaders. The many Continuing Care Assistants (CCAs) and Licensed Practical Nurses (LPNs) working in continuing care are a diverse, educated, and experienced workforce bringing new ideas and perspectives into healthcare leadership. Mount Saint Vincent University's Ready to Lead (R2L) program is a microcredential series designed to prepare CCAs and LPNs to progress into continuing care leadership roles. R2L can also serve as a unique recruitment and retention tool attracting individuals seeking career paths including continuing care leadership opportunities. This article details R2L's design, development, and outcomes from the inaugural R2L program offering insights for health leaders wanting to identify effective training and retention strategies.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261432501"},"PeriodicalIF":0.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475699","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
Sociotechnical Systems and Middle Manager Practices: Improving Policy and Strategy Implementation. 社会技术系统和中层管理实践：改进政策和战略实施。
Healthcare Management Forum Pub Date : 2026-03-03 DOI: 10.1177/08404704261430252
Michael Morrison
{"title":"Sociotechnical Systems and Middle Manager Practices: Improving Policy and Strategy Implementation.","authors":"Michael Morrison","doi":"10.1177/08404704261430252","DOIUrl":"https://doi.org/10.1177/08404704261430252","url":null,"abstract":"<p><p>This article, situated within the strategy-as-practice field, explores how healthcare middle managers interpret, contextualize, and adapt sociotechnical systems to achieve strategic objectives. It begins by recognizing how formulation, implementation, and monitoring/evaluation are not separate steps in policy and strategy; rather they are entangled and working in concert to deliver outcomes that meet an intent based on principles and planning assumptions. Next it provides insights into the coevolution of middle manager practices and the sociotechnical systems that guide alignment and misalignment. It then concludes with four recommendations to improve middle manager practices in policy and strategy implementation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261430252"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348868","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
Building a Rational Clinical Information System for Older Adults in Acute Care: The Role of the interRAI Acute Care Suite. 构建合理的老年人急性护理临床信息系统：interRAI急性护理套件的作用。
Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-10-27 DOI: 10.1177/08404704251389449
George A Heckman, Micaela Jantzi, John P Hirdes, Amanda Nova, Jacobi Elliott, Samir Sinha
{"title":"Building a Rational Clinical Information System for Older Adults in Acute Care: The Role of the interRAI Acute Care Suite.","authors":"George A Heckman, Micaela Jantzi, John P Hirdes, Amanda Nova, Jacobi Elliott, Samir Sinha","doi":"10.1177/08404704251389449","DOIUrl":"10.1177/08404704251389449","url":null,"abstract":"<p><p>Prior research has identified gaps in the ability of hospital systems to efficiently and meaningfully characterize older adults with complex health needs. We recruited community-dwelling older adults presenting to 10 Emergency Departments (EDs) across Ontario, Quebec, and Newfoundland, Canada, from April 2017 to July 2018. We deployed a staged assessment strategy based on the interRAI Acute Care Suite to identify and characterize older adults at high risk of Alternate Level of Care designation. More than 5,700 patients underwent the ED-Screener, 53.3% of whom were not self-reliant. Subsequent focused screening and assessment identified 457 patients, 93.3% of whom were not self-reliant, and who had significant impairments in function, mobility, and cognition, as well as social vulnerability. A staged assessment approach based upon the interRAI Acute Care Suite can efficiently identify older adults with risk factors for Alternative Level of Care designation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"141-148"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379120","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
The OnSPARK LTC Data Platform: Leveraging interRAI to Build a Learning Health System for Long-Term Care. OnSPARK LTC数据平台：利用interRAI建立一个长期护理的学习型健康系统。
Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2026-01-25 DOI: 10.1177/08404704251392810
Andrew P Costa, Michaella Miller, Colleen Webber, Darly Dash, Luke Turcotte, Aaron Jones, Arthur Sweetman
{"title":"The OnSPARK LTC Data Platform: Leveraging interRAI to Build a Learning Health System for Long-Term Care.","authors":"Andrew P Costa, Michaella Miller, Colleen Webber, Darly Dash, Luke Turcotte, Aaron Jones, Arthur Sweetman","doi":"10.1177/08404704251392810","DOIUrl":"10.1177/08404704251392810","url":null,"abstract":"<p><p>Long-Term Care (LTC) in Canada faces persistent challenges in quality, staffing, and accountability. InterRAI assessment instruments, used nationally and internationally, provide validated scales, quality indicators, and care planning tools that support evidence-based resident assessment. Yet, their potential has been limited by delayed access, facility-level aggregation, and lack of integration with workforce and operational data. OnSPARK (Ontario Supporting Partnerships to Advance Care and Knowledge in Long-Term Care) addresses this gap as Canada's largest sector-governed LTC data platform. By integrating de-identified interRAI assessments, electronic health records, and staffing data from more than 200 Ontario homes, OnSPARK delivers unit-level analytics, near real-time performance reporting, and a secure environment for embedded research and artificial intelligence development. This article describes how OnSPARK enables interRAI to function as the backbone of a learning health system in LTC, advancing unit-level reporting, workforce-outcome linkages, artificial intelligence-enabled tools, and collaboratives such as the Seniors Quality Leap Initiative.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"178-184"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044079","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
Educational Approaches for Successful Implementation of interRAI Assessment Systems. 成功实施rai评估系统的教育方法。
Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-10 DOI: 10.1177/08404704251390312
Brigette Meehan, Mary James, Bonnie A Pearson, John P Hirdes
{"title":"Educational Approaches for Successful Implementation of interRAI Assessment Systems.","authors":"Brigette Meehan, Mary James, Bonnie A Pearson, John P Hirdes","doi":"10.1177/08404704251390312","DOIUrl":"10.1177/08404704251390312","url":null,"abstract":"<p><p>Data from routine interRAI assessments can inform healthcare decisions at individual, organizational, and system levels. A well-designed, sustainable education strategy for all target audiences is essential to support both implementation and ongoing use of interRAI systems. Instructional design strategies and considerations for developing an educational program are described, as well as specific delivery suggestions for three audiences: (1) interRAI assessors who complete accurate assessments or coordinate them within teams; (2) clinicians who utilize interRAI assessment outcomes without conducting the assessments themselves; and (3) end users such as administrators, officials, and researchers who use interRAI data for management, governance, service delivery, performance measurement, policy, and research.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"114-120"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483185","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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