{"title":"Leading public sector interorganizational collaboration in healthcare: Lessons from the intersection of climate and health.","authors":"Amy Zidulka, Ingrid Kajzer Mitchell","doi":"10.1177/08404704241311911","DOIUrl":"10.1177/08404704241311911","url":null,"abstract":"<p><p>It is generally accepted that wicked problems cannot be addressed by a single organization and require multiorganizational arrangements across governmental jurisdictions and sectoral boundaries. Health leaders increasingly are being called upon to lead collaborative initiatives. However, doing so is fraught with complexity. This article draws on relevant organizational literature and an empirical study focused on public sector collaboration for the purpose of fostering climate resilience in the health system to put forward four guidelines for collaborative leaders.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"241-246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081480","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}
{"title":"Attendance, Wellness, and Engagement: The AWE Model of Workplace Satisfaction.","authors":"Loren Tisdelle","doi":"10.1177/08404704241289095","DOIUrl":"10.1177/08404704241289095","url":null,"abstract":"<p><p>The Attendance, Wellness, and Engagement (AWE) Model of Workplace Satisfaction is an innovative approach to promoting a sustainable, healthy, and engaged workforce. Implemented at Louis Brier Home and Hospital, the AWE Model encapsulates a people strategy aimed at nurturing a supportive and fulfilling work environment. Attendance promotion is accomplished by acknowledging absences while providing a comprehensive support system to address personal challenges faced by healthcare workers. The wellness component is underscored by increasing resource utilization, offering on-site health services, and cultivating social groups to enhance holistic well-being. Additionally, engagement is characterized by staff recognition rituals, community-building initiatives, and celebratory events. Importantly, this article presents a compelling position that the AWE Model creates a positive impact on reducing absenteeism, enhancing staff satisfaction, and transforming organizational culture. As health leaders grapple with workforce challenges, the AWE Model serves as a pragmatic framework to cultivate environments where employees regularly attend work healthy and engaged.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"229-233"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477041","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}
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":"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":"278-285"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584324","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}
Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier
{"title":"A balanced approach to using organizational patient safety incident data for research.","authors":"Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier","doi":"10.1177/08404704251331179","DOIUrl":"https://doi.org/10.1177/08404704251331179","url":null,"abstract":"<p><p>Reported patient safety incidents offer high-value perspectives on safety threats but can be an untapped source of learning due to their sensitive nature and the presence of potential data protected under Quality Assurance (QA) legislations. There are no published guidelines for leaders to enable ethical use of data protected under QA legislation in reported patient safety incidents within the Canadian context. Liberating this data requires understanding the appropriate purposes for use, which draws on ethical and privacy-related considerations. We describe the approach followed to balance the duty to protect relevant privacy interests with the moral obligation to conduct research, and the proactive prevention of patient harm at our Canadian multi-site academic health sciences centre. Overall, we developed guidelines and discovered leaders must commit to establishing connections between organizational governance, legal structures, and privacy experts to support research enabling learning from patient safety incidents.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251331179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052810","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}
Dennis R Louie, Perla Araiza, Miranda M M Amundsen, Kimberly J Miller, Kristi Coldwell, Lawrence W Mróz, María-José Torrejón, John Ward, Agnes T Black, Amanda E Chisholm
{"title":"Supporting learning health systems through patient-oriented practice-based research: A provincial collaboration.","authors":"Dennis R Louie, Perla Araiza, Miranda M M Amundsen, Kimberly J Miller, Kristi Coldwell, Lawrence W Mróz, María-José Torrejón, John Ward, Agnes T Black, Amanda E Chisholm","doi":"10.1177/08404704251334931","DOIUrl":"https://doi.org/10.1177/08404704251334931","url":null,"abstract":"<p><p>Learning health systems are promoted as solutions in Canada to bridge the disconnect between research and care delivery by integrating applied research and evidence supports within healthcare. Patients and clinicians see and experience healthcare system gaps and are therefore uniquely positioned as co-producers and partners in research to advance learning health systems. Practice-based research programs provide point-of-care healthcare professionals with training, mentorship, and nominal seed funding to conduct small research projects in their clinical contexts to address gaps in practice and care. Patient-oriented research engages patients, caregivers, and family with lived experience as partners in the process of identifying gaps, generating knowledge, and applying evidence to inform healthcare delivery. This article describes the benefits gained from unifying patient-oriented research programs in British Columbia, Canada, under a provincial collaboration to standardize practice and advance collective priorities, including the foundation to cultivate and support learning health systems transformation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251334931"},"PeriodicalIF":0.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057175","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}
Samantha Rutherford, Aakriti Chawla, Daniel P Edgcumbe
{"title":"The impact of a mentorship program on burnout and work engagement in healthcare workers in a community hospital setting.","authors":"Samantha Rutherford, Aakriti Chawla, Daniel P Edgcumbe","doi":"10.1177/08404704251337952","DOIUrl":"https://doi.org/10.1177/08404704251337952","url":null,"abstract":"<p><p>This study evaluates mentorship as a practical intervention to address burnout and improve work engagement in healthcare workers at community hospitals. Using a mixed-methods quasi-experimental design, the program included education sessions, mentor-mentee matching, bi-monthly meetings over 6 months, and post-intervention surveys. The primary outcomes, measured with the Maslach Burnout Inventory and UWES-9, showed a significant improvement in Professional Accomplishment (<i>P</i> < 0.05), with favourable but non-significant changes in Emotional Exhaustion and Depersonalization. The program demonstrated feasibility in resource-limited settings, emphasizing its utility for non-academic hospitals. This research provides empirical evidence which highlights the potential role of mentorship as a practical and scalable approach to strengthen workforce well-being in community hospital settings, addressing key challenges exacerbated by the pandemic and limited institutional resources.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251337952"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033306","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}
Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel
{"title":"Climate-resilient acute care clinical operations: A framework that informs how operations within acute care build climate-resilient health systems.","authors":"Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel","doi":"10.1177/08404704251334920","DOIUrl":"https://doi.org/10.1177/08404704251334920","url":null,"abstract":"<p><p>Increasingly, health leaders recognize climate change as a crucial issue for healthcare operations, requiring a whole-of-system approach to mobilizing governance, leadership, and resources to respond appropriately. Granular-level guidance is needed to guide the operationalization of adaptation, resiliency, and mitigation strategies specific to acute-care clinical operations within Canadian health facilities. We present the Climate-Resilient Acute Care Clinical Operations Framework to guide the development, implementation, and evaluation of strategies within clinical operations to build more climate-resilient acute care systems. The experience of Alberta Health Services, which is currently the largest provider responsible for the delivery of acute care within Alberta, is highlighted as a case study to demonstrate the practical adoption of this framework. As more health systems adopt similar strategies, sharing data and insights generated will contribute to ongoing iterations and adaptations, ensuring the framework evolves to meet the dynamic needs of healthcare sustainability.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251334920"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054123","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}
{"title":"A leadership ethics curriculum: Bringing mixed-methods interdisciplinary insights to the ethical complexities of healthcare leadership.","authors":"Schuyler Pringle, Randi Zlotnik Shaul, Ema Rosa, Bonnie Au, Lennox Huang","doi":"10.1177/08404704251329480","DOIUrl":"https://doi.org/10.1177/08404704251329480","url":null,"abstract":"<p><p>In response to the increasingly complex ethical issues facing health leaders, the Bioethics Department at The Hospital for Sick Children (a Canadian quaternary care paediatric research institution) was asked by senior leadership to develop a leadership ethics curriculum that would further develop the ability of its institution's leaders to deliberate and make morally defensible decisions in their roles. Insights from an interdisciplinary literature review suggest that the general objectives and structure of leadership ethics teaching remain constant, with specifics changing depending on the organization and intended participants. Implementing findings from an institutional needs assessment, our modular leadership ethics curriculum, which engages participants in asynchronous and synchronous learning, was designed to support (1) understanding of personal and organizational values, (2) recognizing the significance of attending to the ethical dimensions of decisions, (3) familiarity with leadership and organizational expectations, and (4) practicing application of ethical analysis, enhancing abilities and confidence to engage with ethical issues.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251329480"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016860","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}
{"title":"How adaptive leadership can enhance healthcare ethics.","authors":"Angel Petropanagos, Jill Oliver, Paula Chidwick","doi":"10.1177/08404704251327667","DOIUrl":"https://doi.org/10.1177/08404704251327667","url":null,"abstract":"<p><p>Ethical challenges persist throughout healthcare and over the last 40 years and more organizations have hired ethicists or teams of ethicists to help identify and address them. Strategies and tools used by healthcare ethicists have evolved over this time. Most commonly capacity-building (education) and ethical frameworks are used to support ethical decision-making within organizations. In this article, we argue that traditional, technical tools (like frameworks and education) are insufficient for addressing ethical issues in healthcare and supporting the changes in behaviour that are required to make sustainable, widespread improvement. We maintain that many ethical issues in healthcare are inherently adaptive (rather than solely technical) issues and advocate for an ethics approach that uses adaptive leadership skills and strategies to help ethicists, clinicians, staff, and organizations to navigate complex ethical challenges and make sustainable behavioural and organizational change.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251327667"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781227","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}
{"title":"A quality improvement initiative to strengthen equity, diversity and inclusion and anti-racism considerations in the IDEA Framework.","authors":"Rosalind Abdool, Dianne Godkin, Lauren Honan, Angela Gamage","doi":"10.1177/08404704251329026","DOIUrl":"10.1177/08404704251329026","url":null,"abstract":"<p><p>Trillium Health Partners' (THP's) Regional Ethics Program led a quality improvement project to explicitly address equity, diversity, and inclusion and anti-racism and anti-oppression in its IDEA: Ethical Decision-Making Framework. Various groups, encompassing diverse backgrounds and lived experiences, completed a short survey including demographic and open-ended questions. Survey responses revealed gaps within the IDEA Framework and recommendations for modifications (e.g., editing language to be more accessible and inclusive, placing a greater focus on lived experience). Several themes emerged including explicitness, simplification, and continued learning. This work is of particular interest to health leaders as it aims to expose where bias, power, and privilege exist when addressing ethical dilemmas within healthcare systems. It explicitly addresses implicit bias, discrimination and harassment, reflexivity in care, as well as re-defines and re-imagines ethical principles (e.g., accountability, diversity, inclusivity, justice, relationships, and trust).</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251329026"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781223","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}