Healthcare Management Forum最新文献_第4页

Self and System Transformation: Leadership Competencies for Advancing Indigenous Health. 自我与系统转型：促进原住民健康的领导能力。

IF 2.4

Healthcare Management Forum Pub Date : 2026-08-01 DOI: 10.1177/08404704261468564

Marcia Anderson, Lisa Richardson

引用次数: 0

Indigenous-Specific Anti-Racism as the Foundation for Indigenous Cultural Safety in Health Systems. 土著特有的反种族主义是卫生系统中土著文化安全的基础。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-29 DOI: 10.1177/08404704261469772

Jorden Hendry, Eryn Braley, Robin Smoker-Peters

{"title":"Indigenous-Specific Anti-Racism as the Foundation for Indigenous Cultural Safety in Health Systems.","authors":"Jorden Hendry, Eryn Braley, Robin Smoker-Peters","doi":"10.1177/08404704261469772","DOIUrl":"https://doi.org/10.1177/08404704261469772","url":null,"abstract":"Indigenous-specific racism in the health system perpetuates significant harm for First Nations, Inuit, and Métis Peoples despite extensive system-wide commitments to Indigenous Cultural Safety. This article argues that Indigenous-Specific Anti-Racism must be foregrounded as a foundational approach to achieve Indigenous Cultural Safety. Indigenous Cultural Safety was developed to address conditions that make care unsafe for Indigenous Peoples; however, limitations in its implementation restricts its ability to confront settler colonialism, institutional power, and produce structural change. These limitations include its reduction to culturally responsive approaches, siloed cultural safety training that operates independently of organizational culture, and a focus on patient-provider interactions rather than systems-wide transformation. Indigenous-Specific Anti-Racism is a structural, action-oriented approach grounded in Indigenous thought leadership, inherent Indigenous rights, and relational accountability, focused on dismantling racist settler colonial structures. This discussion highlights the requirement of explicitly naming racism, locating institutional responsibility, and embedding anti-racism in decision-making.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261469772"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621777","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

Leveraging Clinical Externs to Support High-Volume Employee Immunization Campaigns: A Proof-of-Concept Study. 利用临床实习支持大量员工免疫运动：一项概念验证研究。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-23 DOI: 10.1177/08404704261467878

Shaindel Kestenberg, Pinder Bains, Gwladys Ruscio, Irene Marie Razon, Karelin Martina, Tamara Dus

{"title":"Leveraging Clinical Externs to Support High-Volume Employee Immunization Campaigns: A Proof-of-Concept Study.","authors":"Shaindel Kestenberg, Pinder Bains, Gwladys Ruscio, Irene Marie Razon, Karelin Martina, Tamara Dus","doi":"10.1177/08404704261467878","DOIUrl":"https://doi.org/10.1177/08404704261467878","url":null,"abstract":"In 2025, University Health Network expanded its annual influenza and COVID-19 vaccination campaign by integrating nursing Clinical Externs (CEs), nursing students working as paid unregulated care providers, to administer the injections under delegation. This case study describes the program implementation and how education and competency validation were structured. The program was grounded in adult learning principles and Benner's Novice to Expert Theory. CEs completed surveys assessing confidence, comfort, and preparedness for intramuscular injection administration. Post-intervention surveys reported a 71% increase in extreme confidence, 71% increase in high comfort, and 56.6% increase in being very prepared. CEs supported high-volume clinic workflows and administered 1,575 vaccinations across multiple hospital sites, enabling OHS nurses to focus on clinical oversight and more complex occupational health assessments. Integrating CEs into immunization delivery built learner competence and expanded vaccination capacity. This program can offer a scalable model for hospitals seeking cost-effective workforce solutions for immunization campaigns.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261467878"},"PeriodicalIF":2.4,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580446","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

Supporting a Strong Circle of Care Between Primary Health and Indigenous Healing Practitioners. 支持在初级保健和土著治疗从业人员之间建立强有力的保健圈。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-22 DOI: 10.1177/08404704261470435

Pamela Williamson

引用次数: 0

From Infusion to Push: Implementation of an Intravenous Iron Administration Quality Improvement and Waste Reduction Initiative in the Hemodialysis Unit. 从输注到推注：血液透析单位静脉铁管理质量改进和减少浪费倡议的实施。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-20 DOI: 10.1177/08404704261467880

Ada W Chiu, Helen Hoi-Lun Chiu, Caroline Stigant

{"title":"From Infusion to Push: Implementation of an Intravenous Iron Administration Quality Improvement and Waste Reduction Initiative in the Hemodialysis Unit.","authors":"Ada W Chiu, Helen Hoi-Lun Chiu, Caroline Stigant","doi":"10.1177/08404704261467880","DOIUrl":"https://doi.org/10.1177/08404704261467880","url":null,"abstract":"Healthcare contributes to environmental harm, with Hemodialysis (HD) among the most resource-intensive treatments. Intravenous (IV) iron sucrose is routinely administered by infusion in HD units despite product monographs permitting direct (\"push\") administration. IV infusion generates avoidable plastic waste. We conducted a quality improvement initiative across a regional kidney program in Canada to switch IV iron sucrose to push administration. A literature-informed safety and workflow review, supplemented by peer experience and prospective time trial on nursing time guided implementation. Safety events, nursing feedback, and consumable waste were evaluated. The pilot period prevented 36 kg of consumable waste, with estimated annual reduction of 1,548 kg. Consumable supply costs decreased by 75% following program-wide implementation. Transitioning iron sucrose from IV infusion to IV push is safe, feasible, and well accepted in HD settings, while substantially reducing waste and costs. This initiative demonstrates how evidence-based changes to practices can support environmentally sustainable kidney care.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261467880"},"PeriodicalIF":2.4,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521030","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

Not One Size Fits All: Rethinking Chronic Pain Education Through a Person-Centered Lens. 不是一刀切：通过以人为本的视角重新思考慢性疼痛教育。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-20 DOI: 10.1177/08404704261467955

Emily Holtorf-Ma, Adam Easterbrook

{"title":"Not One Size Fits All: Rethinking Chronic Pain Education Through a Person-Centered Lens.","authors":"Emily Holtorf-Ma, Adam Easterbrook","doi":"10.1177/08404704261467955","DOIUrl":"https://doi.org/10.1177/08404704261467955","url":null,"abstract":"Although chronic pain education programs are widely recommended, evidence of their effectiveness remains limited. This may be partly due to a focus on short-term, quantitative outcomes rather than longer-term exploration of patient experiences. This qualitative study explored how individuals with lived experience of chronic pain perceived and applied pain education over time, focusing on factors that may inform program evaluation and quality improvement. Thirteen interviews were conducted with adults in British Columbia who had participated in chronic pain education within the past 10 years. Participants described education as an adaptive process, developing individualized \"pain management toolboxes\" rather than following prescriptive approaches. Thematic analysis identified three relational factors that shaped program experience: validation of lived experience, building trust, and perceived control over care. Findings suggest that relational aspects of patient experience are critical to program impact. Incorporating qualitative evaluation and patient-reported experience measures may support quality improvement and person-centred care.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261467955"},"PeriodicalIF":2.4,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521116","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

Supporting Physician Well-being and Mental Health Clinical Skill Development: Evaluation of Mental Health Skills Groups for Physicians. 支持医师福祉和心理健康临床技能发展：医师心理健康技能组的评估。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-04 DOI: 10.1177/08404704261465771

Stephanie Knaak, Olivia Sue Reichert, Stephanie Ameyaw, Erin Burrell, Joanna Cheek, Fiona Petigara, Christine Tomori

{"title":"Supporting Physician Well-being and Mental Health Clinical Skill Development: Evaluation of Mental Health Skills Groups for Physicians.","authors":"Stephanie Knaak, Olivia Sue Reichert, Stephanie Ameyaw, Erin Burrell, Joanna Cheek, Fiona Petigara, Christine Tomori","doi":"10.1177/08404704261465771","DOIUrl":"https://doi.org/10.1177/08404704261465771","url":null,"abstract":"Burnout among Canadian Family Physicians (FPs) is a significant concern, as is their lack of capacity and skillset in supporting patients' mental health conditions in clinics. This article reports evaluation results of an 8-week group-based mental health skills program delivered virtually to 698 physicians in British Columbia with the dual objectives of (1) providing skills physicians can use to support patients experiencing mental health concerns and (2) supporting physician wellness. A mixed methods approach was employed. Professional Fulfilment (PF), Burnout (BO), and resiliency outcomes were assessed at pre-, post- and 1-year follow-up using the Stanford Professional Fulfillment Index and the Brief Resiliency Scale (resiliency). An anonymous survey was administered upon completion of the program, and again at 1-year follow-up to assess learning outcomes and program value. Twelve participants provided additional feedback through focus groups and interviews. Participants were primarily family physicians working in urban settings. Pre- to post-paired t-test results showed improvements for professional fulfilment (P < .001), burnout (P < .001), and resiliency (P < .001), with no loss in gains at 1-year follow-up for professional fulfilment (P = .202) and resiliency (P = .184), and further improvements in burnout (P = .016). Participants agreed that the program energized them in their work and that they would recommend the program to colleagues. Most were actively using the mental health skills in their professional and personal lives at 1-year follow-up. The CBT Skills Mental Health Physician Groups Program is effective at supporting physicians' personal and professional well-being and mental health upskilling, with participants highly valuing the program.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261465771"},"PeriodicalIF":2.4,"publicationDate":"2026-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383067","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 CanMEDS-Based Approach to Physician Evaluation and Performance Assessment. 基于canmeds的医师评估和绩效评估方法。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-02 DOI: 10.1177/08404704261462736

Michel Saccone, Bradley D P Ball, Mahmoud Elsawy, Michelle A MacDonald, Alison McIntyre, David M Conrad

{"title":"A CanMEDS-Based Approach to Physician Evaluation and Performance Assessment.","authors":"Michel Saccone, Bradley D P Ball, Mahmoud Elsawy, Michelle A MacDonald, Alison McIntyre, David M Conrad","doi":"10.1177/08404704261462736","DOIUrl":"https://doi.org/10.1177/08404704261462736","url":null,"abstract":"Nova Scotia Health aims to strengthen continuous professional development, leadership growth, and patient care through a structured physician assessment framework grounded in CanMEDS roles and Equity, Diversity, Inclusion, Reconciliation, and Accessibility (EDIRA) principles. We evaluated multisource (360-degree) feedback tools to support voluntary, confidential, and formative professional development across diverse practice settings. Five commercially available platforms (Pulse 360, MCC 360, Trakstar, SurveySparrow, and 15Five) were compared for alignment with CanMEDS competencies, usability, flexibility, cost, and capacity to support leadership development. Pulse 360 and MCC 360 demonstrated the strongest alignment with guiding principles. Pulse 360 was favoured for its customization, efficiency, benchmarking capability, integrated coaching resources, and overall cost-effectiveness. We recommend adopting Pulse 360 in 2- to 3-year cycles, beginning with a pilot implementation at a medium-sized institution to support scalable physician leadership development and organizational improvement.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261462736"},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377415","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

Designing Rupture Discs in Healthcare Systems: A Practical Framework for Risk-Focused Leadership. 设计破裂盘在医疗保健系统：一个实用框架的风险为重点的领导。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-02 DOI: 10.1177/08404704261464626

Ashley Y Metcalf

引用次数: 0

The Cost of Homecare Personal Support Worker Turnover. 家庭护理人员流动的成本。

IF 2.4

Healthcare Management Forum Pub Date : 2026-07-01 DOI: 10.1177/08404704261460877

K A P Zagrodney, S M McKay, E Sequera, K Myers, D Uzelac, R Jaffe, E C King

引用次数: 0