Heather K O'Grady, Alexandra Leone, Sinéad McElhone, Amanda Kirkwood, Zainab Awad, Elaina Orlando, Jennifer L Y Tsang
{"title":"Defining Health System Capacity: A Rapid Review.","authors":"Heather K O'Grady, Alexandra Leone, Sinéad McElhone, Amanda Kirkwood, Zainab Awad, Elaina Orlando, Jennifer L Y Tsang","doi":"10.1177/08404704261416752","DOIUrl":"10.1177/08404704261416752","url":null,"abstract":"<p><p>Health systems provide essential resources to optimize, maintain, or restore the health of populations. The extent to which a health system can meet the needs of a local community can be considered the system's \"capacity\"; however, it is unclear what this constitutes. We conducted a standardized rapid review to understand how health system capacity has been conceptualized in academic and grey literature. We conducted duplicate screening and data extraction. We summarized document characteristics descriptively and definitions/frameworks narratively. We identified 22 relevant documents; 3 (14%) provided a definition and 20 (91%) provided a framework. Each definition provided was unique. We synthesized reported frameworks into 11 key elements of health system capacity. We identified an infrequent and inconsistent conceptualization of health system capacity in published literature; however, this review may be used as a starting point for defining and describing key elements of capacity.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"355-365"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120602","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":"Shifting the Paradigm: A Framework-Driven Approach to Cultivating Nurse Leaders Through Academic Leadership Courses.","authors":"Angela C Wolff","doi":"10.1177/08404704261428995","DOIUrl":"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":"313-321"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475732","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}
Robert S Green, Miriam Daneff, Izabella Opra, Sean Hurley, Breanne Gillis, Sarah Sturge, Daniel Cashen, Darby Green
{"title":"Improving Experiences in Trauma Care: How a Dedicated Trauma Consult Service Shaped Satisfaction for Patients, Families, and Providers.","authors":"Robert S Green, Miriam Daneff, Izabella Opra, Sean Hurley, Breanne Gillis, Sarah Sturge, Daniel Cashen, Darby Green","doi":"10.1177/08404704261417932","DOIUrl":"10.1177/08404704261417932","url":null,"abstract":"<p><p>This study explored the perspectives of trauma patients, their families/proxies, and healthcare providers to understand how a dedicated inpatient Trauma Consult Service (TCS) supports high-quality, coordinated care and to identify opportunities for improvement. Over 26 months, a mixed-methods survey collected ratings across five domains of care quality along with open-ended feedback. Responses were analyzed descriptively and inductively to identify themes. Feedback across respondent groups was consistently positive, highlighting three main themes: optimized system, skilled team, and patient-centred care. The TCS was perceived as enhancing continuity, collaboration, and overall care quality. These findings suggest that dedicated consultative services can strengthen coordination and support patient recovery and satisfaction in complex inpatient settings.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"390-396"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150832","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":"Beyond Efficiencies: Guiding Artificial Intelligence in the Planning and Design of Healthcare Facilities.","authors":"Stephen Verderber, Ramsey Kin-Sun Leung","doi":"10.1177/08404704261418915","DOIUrl":"10.1177/08404704261418915","url":null,"abstract":"<p><p>Artificial intelligence for health holds enormous transformative potential. It has already proven successful in enhancing patient outcomes, facilitating the duties of professional caregivers, and their organizations. Its potential applications in the field of healthcare architecture are similarly being explored. This article discusses the role and function of generative artificial intelligence with respect to the professionals who work in close collaboration with healthcare organizational clients and their direct-care constituencies in decision framing the planning, design, construction, and management of healthcare facilities. Opportunities and challenges associated with generative artificial intelligence in the facility procurement process are discussed, including the role of ethics and societal responsibility at this critical juncture.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"338-343"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132625","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}
Monica Augustyniak, Joanne Isber, Julie Shaw, Karl Weiss, Patrice Lazure
{"title":"From Lab to Bedside Testing: Uncovering Gateways and Roadblocks to Syndromic Multiplex Point-of-Care Testing for Infectious Diseases in Canadian Hospitals.","authors":"Monica Augustyniak, Joanne Isber, Julie Shaw, Karl Weiss, Patrice Lazure","doi":"10.1177/08404704261422741","DOIUrl":"10.1177/08404704261422741","url":null,"abstract":"<p><p>Health leaders must consider various solutions to alleviate the healthcare management burden within Canadian hospitals. Increased access and rapidity of Infectious Diseases (IDs) testing via multiplex Point-of-Care Tests (POCTs) is an example. Twenty-four interviews assessed the facilitators and barriers to implementing such tests in the inpatient hospital setting in Quebec, Ontario, and British Columbia. The perspective of health leaders, including provincial laboratory officials, medical and laboratory directors, POCT managers, physicians, and nurses, revealed the following major themes as being relevant to the sustainable adoption and implementation of a multiplex POCT for IDs: (1) current diagnostic methods and experience with POCTs; (2) disease burden and level of health system integration affecting a hospital; (3) the management capacity of hospitals; and (4) the anticipated impact on healthcare management efficiency. The study provides structure for health leaders to evaluate and plan for necessary organizational transformation for adopting multiplex POCTs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"381-389"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195717","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":"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":"327-332"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491991","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":"The Next Horizon: Essential Competencies for the Future-Ready Emerging Health Leader.","authors":"Sandra Young, Leslee J Thompson","doi":"10.1177/08404704261433218","DOIUrl":"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":"322-326"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","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}
Ayomide B Akerele, Charissa P Cordon, Beverley J Burns, Desa Dlugosz, Kimberly Johnston, Tiziana Rivera
{"title":"Preparing the Personal Support Workers Workforce for Regulation Through Competency-Based Training: A Transformational Change Initiative.","authors":"Ayomide B Akerele, Charissa P Cordon, Beverley J Burns, Desa Dlugosz, Kimberly Johnston, Tiziana Rivera","doi":"10.1177/08404704261415594","DOIUrl":"10.1177/08404704261415594","url":null,"abstract":"<p><p>Personal Support Workers (PSWs) are essential to Ontario's healthcare system. In 2021, the Health and Supportive Care Providers Oversight Authority Act (HSCPOA) established a regulatory body to protect the public, register PSWs, standardize education and competencies, and foster greater public confidence in the profession. In response, a large community hospital launched a transformational change initiative with three key components: (1) support PSWs in achieving registration, (2) enhancing PSW knowledge and skills through evidence-informed competency-based education program and simulation learning, and (3) facilitating sustainable change in the organization. Using the ADKAR Model, this initiative resulted in 98% of PSWs successfully completing registration with HSCPOA. Additionally, 97.5% of participants reported improved communication skills for managing complex situations, applying skills learned in simulated clinical scenarios. This initiative highlights the importance of aligning organizational priorities with standards of practice and demonstrates how structured change management can enhance workforce readiness and promote patient safety.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"344-349"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195770","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":"Reflections on Ethical Leadership: Organizational Ethics and Moral Injury.","authors":"Christy Simpson","doi":"10.1177/08404704261434320","DOIUrl":"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":"397-399"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491916","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}
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":"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":"373-380"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634626","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}