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A leadership ethics curriculum: Bringing mixed-methods interdisciplinary insights to the ethical complexities of health leadership. 领导伦理课程：为医疗保健领导的伦理复杂性带来混合方法跨学科的见解。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-04-09 DOI: 10.1177/08404704251329480
Schuyler Pringle, Randi Zlotnik Shaul, Ema Rosa, Bonnie Au, Lennox Huang
{"title":"A leadership ethics curriculum: Bringing mixed-methods interdisciplinary insights to the ethical complexities of health leadership.","authors":"Schuyler Pringle, Randi Zlotnik Shaul, Ema Rosa, Bonnie Au, Lennox Huang","doi":"10.1177/08404704251329480","DOIUrl":"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":"295-300"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016860","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
Exploring registered dietitians' contributions and educational needs in primary care: Insights for health leaders. 探索注册营养师在初级保健中的贡献和教育需求：对健康领导者的见解。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-03-12 DOI: 10.1177/08404704251321133
Isabelle Giroux, Raphaëlle Laroche-Nantel, Joie Shaw, Joseph Murphy, Wendy Madarasz, Jaclyn Adler, Mary Anne Smith, Denis Tsang, Serena Beber, Liana Bailey, Jane Tyerman
{"title":"Exploring registered dietitians' contributions and educational needs in primary care: Insights for health leaders.","authors":"Isabelle Giroux, Raphaëlle Laroche-Nantel, Joie Shaw, Joseph Murphy, Wendy Madarasz, Jaclyn Adler, Mary Anne Smith, Denis Tsang, Serena Beber, Liana Bailey, Jane Tyerman","doi":"10.1177/08404704251321133","DOIUrl":"10.1177/08404704251321133","url":null,"abstract":"<p><p>Registered Dietitians (RDs) are essential professionals within Canadian Team-Based Primary Care (TBPC). RDs utilize practice competencies to ensure provision of high-quality care while working closely with other TBPC members. To fill in the gaps in the literature, the study's objective was to explore RDs' perception of their contributions to TBPC settings and their educational needs. This will help inform health leaders who manage interdisciplinary teams. A survey was distributed to Canadian TBPC RDs. They (n = 73) reported contributing to nutrition care for various populations, managing a large range of nutrition problems, and using competencies from multiple practice domains. Furthermore, they identified their need to enhance their knowledge about cultural safety within TBPC, as well as their interdisciplinary teams' need to increase their awareness of the dietetic scope of practice. Identifying RDs' contributions, competencies, and learning needs helps inform Canadian health leaders to improve care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"356-361"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617291","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 impact of a mentorship program on burnout and work engagement in healthcare workers in a community hospital setting. 指导计划对社区医院医护人员职业倦怠和工作投入的影响。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-04-24 DOI: 10.1177/08404704251337952
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":"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":"305-310"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}
引用次数: 0
Supporting learning health systems through patient-oriented practice-based research: A provincial collaboration. 通过以患者为导向的基于实践的研究支持学习型卫生系统：一项省级合作。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-04-27 DOI: 10.1177/08404704251334931
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":"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":"362-368"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057175","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
Building climate-resilient and low-carbon healthcare systems in Canada: A need for policy shift for a path to net zero. 在加拿大建立适应气候变化和低碳的医疗保健系统：需要政策转变以实现净零。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1177/08404704251323241
Bhavini Gohel, Sara Turcotte
{"title":"Building climate-resilient and low-carbon healthcare systems in Canada: A need for policy shift for a path to net zero.","authors":"Bhavini Gohel, Sara Turcotte","doi":"10.1177/08404704251323241","DOIUrl":"10.1177/08404704251323241","url":null,"abstract":"<p><p>Climate change is straining Canada's health system. Canada pledged to develop climate-resilient and low-carbon sustainable health systems, with a net zero target. Despite this commitment, progress remains slow and fragmented, with many regions lacking cohesive, evidence-based strategies. While some provinces and health authorities have taken the lead, their efforts are hindered by inadequate investment. Limited data on low-carbon resilient strategies led to a comparative policy analysis of similar health systems to identify solutions. Canada can draw lessons from countries like the United Kingdom and Australia, which have committed to net zero health systems supported by robust national strategies. Australia's approach offers a model for Canada to follow, providing a clear governance structure, accountability mechanisms, and coordinated investments. A similar federal strategy could ensure alignment across provinces and drive transformative change. Without urgent action, Canada risks continued health sector emissions, further system deterioration, and rising health impacts, including preventable deaths.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"317-322"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693868","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
Estimating greenhouse gas emissions from the health sector in Canada: Mind the gap. 估计加拿大卫生部门的温室气体排放：注意差距。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-01-28 DOI: 10.1177/08404704251316859
Jessica Nowlan, Fiona A Miller
{"title":"Estimating greenhouse gas emissions from the health sector in Canada: Mind the gap.","authors":"Jessica Nowlan, Fiona A Miller","doi":"10.1177/08404704251316859","DOIUrl":"10.1177/08404704251316859","url":null,"abstract":"<p><p>Healthcare is a surprisingly large contributor to climate change, responsible for a significant quantity of global Greenhouse Gas (GHG) emissions. Global commitments to achieve \"net zero\" health systems, including by the federal government in Canada, suggest a growing need to understand and mobilize capacity for GHG emissions estimation across Canada's health sector. Our analysis highlights efforts by public sector healthcare organizations in Canada to estimate an increasingly broad scope of GHG emissions, building on longstanding efforts to report or reduce energy-related emissions from facilities. It also identifies why such efforts will not be sufficient. Developing capacity for routine system-wide greenhouse gas emissions estimation can help Canada's health systems to better understand their progress, including through international comparison. Yet emissions estimation is itself an investment, one that should not displace efforts to reduce the full scope of pollutants from the healthcare enterprise, and to build a truly sustainable health system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"339-345"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060990","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
Developing a moral empowerment system for healthcare organizations to address moral distress: A case report. 为医疗机构开发道德授权系统以解决道德困境：一个案例报告。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-03-13 DOI: 10.1177/08404704251322352
Esther Alonso-Prieto, Viva Swanson, Vanessa Mueller-Prevost, Diane Sutter, Jessica Fee, Angel Petropanagos, Drew B A Clark, Davina Banner-Lukaris, Alice Virani, Vash Ebadi-Cook, Amy Blanding, Kirsten Thomson
{"title":"Developing a moral empowerment system for healthcare organizations to address moral distress: A case report.","authors":"Esther Alonso-Prieto, Viva Swanson, Vanessa Mueller-Prevost, Diane Sutter, Jessica Fee, Angel Petropanagos, Drew B A Clark, Davina Banner-Lukaris, Alice Virani, Vash Ebadi-Cook, Amy Blanding, Kirsten Thomson","doi":"10.1177/08404704251322352","DOIUrl":"10.1177/08404704251322352","url":null,"abstract":"<p><p>This article describes the development of an organization-wide intervention to address moral distress in healthcare. A multidisciplinary team, including researchers and organizational partners, used intervention mapping and the theoretical domains framework to create the moral empowerment system for healthcare. This system encompasses a suite of strategies designed for integration into organizations' operations to empower healthcare professionals individually and collectively to address moral events. This suite includes an ethics education program for healthcare professionals, interprofessional teams, and leaders; moral empowerment consultations; reflective debriefings; and mentoring. An implementation and evaluation plan is also presented, highlighting a staged approach that reflects the organizational context. Ultimately, the approach described here offers health leaders a practical and systematic method to design, implement, and evaluate moral distress interventions, tailoring them to their specific environments.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"395-403"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617286","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
A quality improvement initiative to strengthen equity, diversity and inclusion and anti-racism considerations in the IDEA Framework. 一项质量改进倡议，旨在加强IDEA框架中的公平、多样性和包容性以及反种族主义考虑。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-04-03 DOI: 10.1177/08404704251329026
Rosalind Abdool, Dianne Godkin, Lauren Honan, Angela Gamage
{"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":"350-355"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}
引用次数: 0
A "code-switching" model for healthcare communication. 医疗保健通信的“代码转换”模型。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1177/08404704251327095
Stacy S Chen
{"title":"A \"code-switching\" model for healthcare communication.","authors":"Stacy S Chen","doi":"10.1177/08404704251327095","DOIUrl":"10.1177/08404704251327095","url":null,"abstract":"<p><p>This article examines how technical terminology in public-facing communication creates epistemic barriers that undermine trust between experts and the public-especially in multilingual, multicultural healthcare systems. It argues that health leaders can foster trust by employing a \"code-switching\" model within institutions and in patient- or public-facing communications. Code-switching is a linguistic phenomenon in which individuals switch between languages, dialects, or language varieties based on the social context. Recognizing \"public-speak\" and \"medical-speak\" as distinct codes would facilitate patient understanding of information relevant to their care and promote trust. Health leaders play a crucial role in ensuring that complex medical information is translated into accessible language, bridging the gap between experts and the public.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"391-394"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693866","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
Learning together: A quality improvement project on tandem training for dyad leadership partners in healthcare. 共同学习：医疗保健领域双领导合作伙伴串联培训的质量改进项目。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-02-02 DOI: 10.1177/08404704251316405
Michele Trask, Michelle Webb, Graham Dickson, Jennie C De Gagne
{"title":"Learning together: A quality improvement project on tandem training for dyad leadership partners in healthcare.","authors":"Michele Trask, Michelle Webb, Graham Dickson, Jennie C De Gagne","doi":"10.1177/08404704251316405","DOIUrl":"https://doi.org/10.1177/08404704251316405","url":null,"abstract":"<p><p>Formal training for those in managerial roles in healthcare is often fragmented, with clinical leaders and operational leaders receiving separate training or none at all. This project aimed to gain insights into how to better prepare leaders in dyad leadership roles through education provided to them in partnership. Understanding and strengthening dyad leader relationships can help shape positive experiences for leaders and their teams. To this end, a novel, free self-directed program, based on the Leads Self domain of the LEADS framework, was delivered. Participants reported a high satisfaction rate with the program. Self-assessed leadership scores indicated significant improvements in leadership capabilities. This project's findings have the potential to inform future leadership development programs and contribute to improving co-leadership practices in real-world settings.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 4","pages":"311-316"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498324","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
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