Journal of Healthcare Leadership最新文献

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Building Health Commissioning Capability of Australia's Primary Health Networks -Service Providers' Perspective. 构建澳大利亚初级卫生网络的卫生委托能力——服务提供者的观点。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S535737
Zhanming Liang, Amanda Martin, Catherine Louise Turner
{"title":"Building Health Commissioning Capability of Australia's Primary Health Networks -Service Providers' Perspective.","authors":"Zhanming Liang, Amanda Martin, Catherine Louise Turner","doi":"10.2147/JHL.S535737","DOIUrl":"10.2147/JHL.S535737","url":null,"abstract":"<p><strong>Introduction: </strong>Australia's health system is strong, but fragmented across primary, secondary, and tertiary care. Primary Health Networks (PHNs) were established to streamline non-hospital-based health services and improve service effectiveness and efficiency across Australia, which can be achieved by fostering strong relationships with providers to build commissioning capabilities. Successful commissioning depends on the providers' ability to respond to commissioning opportunities.</p><p><strong>Objective: </strong>This study aimed to identify capability development opportunities that support service provider organisations commissioned by PHN to deliver effective and efficient services in primary care.</p><p><strong>Methods: </strong>A mixed-method case study approach was used, including an anonymous online survey and a focus group discussion.</p><p><strong>Results: </strong>The study confirmed the key factors for health commissioning success in the following four dimensions: workforce development, effective engagement, support and guidance, and strong relationships. The study further recommends seven key strategies for capability development, highlighting the need for PHNs to focus on building the capability of primary care organisations to establish strong markets and successfully commission services.</p><p><strong>Discussion: </strong>Building strong relationships through effective engagement that features support and guidance for service provider organisations is critical for PHNs' commissioning success. All organisations must work collaboratively and fully appreciate the unique limitations constraining PHNs that impact community needs and health outcomes. Given the variations in the size and function of commissioned service providers, factors such as locally developed service models, program differences, and regional needs should be considered when planning specific capability building activities.</p><p><strong>Conclusion: </strong>Understanding the challenges faced by provider organisations to support commissioning capability development is imperative for PHNs to successfully commission health and social care services. Identifying key actions to support capability development while building strong relationships and learning from the insights produced by this study will enhance service co-design and collectively strengthen the market's ability to meet the growing health needs of local communities.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"493-508"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12497369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240038","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
What Makes a Difference? Exploring Organizational Initiatives and Conditions for a Favorable Psychosocial Work Environment in Swedish Primary Healthcare. 是什么造成了差异?探索瑞典初级卫生保健中有利的社会心理工作环境的组织倡议和条件。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S533780
Hanna Fernemark, Janna Skagerström, Ida Seing, Elin Karlsson, Per Nilsen
{"title":"What Makes a Difference? Exploring Organizational Initiatives and Conditions for a Favorable Psychosocial Work Environment in Swedish Primary Healthcare.","authors":"Hanna Fernemark, Janna Skagerström, Ida Seing, Elin Karlsson, Per Nilsen","doi":"10.2147/JHL.S533780","DOIUrl":"10.2147/JHL.S533780","url":null,"abstract":"<p><strong>Background: </strong>The psychosocial work environment in healthcare is widely recognized as challenging. High workload, stress, and poor work-life balance contribute to negative health outcomes for healthcare workers. Swedish primary healthcare faces similar issues, yet efforts to address them have focused primarily on individual-based interventions, such as stress management. Research on organizational initiatives remains limited, despite their greater potential for achieving long-term, sustainable improvements.</p><p><strong>Aim: </strong>This study aims to explore characteristics of primary healthcare units where organizational initiatives to improve the psychosocial work environment have been successfully carried out.</p><p><strong>Methods: </strong>A multiple case approach was used, allowing various cases to be investigated and enabling identification of similarities and common patterns across the units.</p><p><strong>Results: </strong>Four main categories and 16 subcategories were identified, capturing key factors that contribute to a favorable psychosocial work environment in primary healthcare through organizational initiatives. The main categories are engaged leadership, an open workplace climate, conditions for improvement, and a structured work organization.</p><p><strong>Conclusion: </strong>This study identifies key characteristics of primary healthcare units that contribute to creating a favorable psychosocial work environment in Swedish primary healthcare. These elements promote inclusivity, balanced change processes, and staff involvement in decision-making. The findings underscore the need for further research on managerial challenges and effective strategies for staff recruitment and retention.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"477-492"},"PeriodicalIF":3.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187051","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
Reflective Experiences of the Commissioning Final Readiness Committee's Members for the Women's Health Hospital in Riyadh. 利雅得妇女保健医院委托最后准备委员会成员的反思经验。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-09-20 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S541010
Anqaa Almutairi, Abdulmohsen Alsaawi, Abdulaleem Alatassi, Abdulrahman Abdullah Alghanem, Sarah Blaheed Almutairi, Mufareh Alkatheri, Luhanga Musumadi, Litaba Efraim Kolobe
{"title":"Reflective Experiences of the Commissioning Final Readiness Committee's Members for the Women's Health Hospital in Riyadh.","authors":"Anqaa Almutairi, Abdulmohsen Alsaawi, Abdulaleem Alatassi, Abdulrahman Abdullah Alghanem, Sarah Blaheed Almutairi, Mufareh Alkatheri, Luhanga Musumadi, Litaba Efraim Kolobe","doi":"10.2147/JHL.S541010","DOIUrl":"10.2147/JHL.S541010","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare commissioning is crucial for addressing the increasing demands of the patient population while reducing maintenance and management costs. However, commissioning committee members can encounter several challenges. Therefore, this study comprehensively examined the experiences of members of the Commissioning Final Readiness Committee involved in commissioning the Women's Health Hospital in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>An exploratory qualitative design was used, utilizing semi-structured interviews guided by Gibbs's reflective cycle. A sample of 11 participants representing diverse healthcare professions was included to capture a broad spectrum of insights. The interviews were conducted within a supportive and anonymous framework, adhering rigorously to the ethical standards established by the King Abdullah International Research Center and Ministry of National Guard Health Affairs.</p><p><strong>Results: </strong>The findings revealed three main themes: (i) the role of the Commissioning Final Readiness Committee members, (ii) the reflective experiences of the Commissioning Final Readiness Committee members, and (iii) the recommendations of the Commissioning Final Readiness Committee members. These advancements were primarily attributed to the effective communication and collaboration among members.</p><p><strong>Conclusion: </strong>Although the task complexities posed certain challenges, the participants viewed them as valuable learning experiences that contributed to their growth. The Commissioning Final Readiness Committee can significantly impact the commissioning process. Despite encountering uncontrollable factors, maintaining a cohesive team allows members to effectively navigate these difficulties and achieve professional growth.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"469-475"},"PeriodicalIF":3.8,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151502","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
Transforming Health in Post-Conflict Somalia: Priorities from a Multi-Stakeholder Roundtable on the 2025-2029 National Plan. 冲突后索马里卫生转型:2025-2029年国家计划多方利益攸关方圆桌会议的优先事项。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S541966
Najib Isse Dirie, Mohamed Mustaf Ahmed, Yakub Burhan Abdullahi, Jihaan Hassan, Bashiru Garba, Ahmed Adam Mohamed, Abdirazak Hersi Hassan, Amal Naleye Ali, Ali Haji Adam Abubakar
{"title":"Transforming Health in Post-Conflict Somalia: Priorities from a Multi-Stakeholder Roundtable on the 2025-2029 National Plan.","authors":"Najib Isse Dirie, Mohamed Mustaf Ahmed, Yakub Burhan Abdullahi, Jihaan Hassan, Bashiru Garba, Ahmed Adam Mohamed, Abdirazak Hersi Hassan, Amal Naleye Ali, Ali Haji Adam Abubakar","doi":"10.2147/JHL.S541966","DOIUrl":"10.2147/JHL.S541966","url":null,"abstract":"<p><strong>Background: </strong>Somalia's health system remains among the world's most fragile, with a Universal Health Coverage index of only 25% and a critical health workforce density of 0.11 clinicians per 1000 population. While previous national strategies such as NDP-9 and HSSP III provided broad frameworks, the National Transformation Plan (NTP) 2025-2029 represents a paradigm shift toward multi-stakeholder engagement and evidence-based priority-setting for health system transformation.</p><p><strong>Aim: </strong>This roundtable aimed to identify priority areas and implementation strategies for the NTP health pillar through structured stakeholder consultation, moving beyond traditional top-down planning approaches to incorporate diverse perspectives from Somalia's fragmented health landscape.</p><p><strong>Methods: </strong>A qualitative multi-stakeholder roundtable was conducted in Mogadishu with 30 purposively sampled participants representing federal and state ministries, universities, public and private providers, non-governmental organizations, and civil society. Ethical approval was waived, and informed consent was obtained. Audio-recorded discussions were transcribed, translated, and analyzed thematically according to the four NTP health domains.</p><p><strong>Results: </strong>Thematic analysis identified four critical priorities. Participants emphasized that primary health care expansion should prioritize female community health workers and rural facility rehabilitation to increase service coverage beyond the current 25%. Participants emphasized that health workforce constraints, with only 0.11 clinicians per 1000 population, require regional training hubs and rural deployment incentives. Participants emphasized that regulation and governance through the newly established National Health Professionals Council need sustainable funding and federal-state accountability frameworks. Participants emphasized that public-private partnerships and digital health integration could leverage telemedicine and private sector capacity for underserved areas.</p><p><strong>Conclusion: </strong>The roundtable produced actionable strategies linking community-centered primary care, workforce development, regulatory strengthening, and technology-enabled partnerships. However, implementation faces significant constraints, including limited domestic financing, weak governance coordination, and ongoing fragility. Success will require sustained political commitment and innovative approaches adapted to Somalia's unique post-conflict context.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"459-468"},"PeriodicalIF":3.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081997","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
Perceptions of Sustainable Leadership in Australian Healthcare. 对澳大利亚医疗保健可持续领导的看法。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S525855
Sulè Gunter, Rossana C Nogueira, Carly Hudson, Rhonda Morton, Cindy J Jones
{"title":"Perceptions of Sustainable Leadership in Australian Healthcare.","authors":"Sulè Gunter, Rossana C Nogueira, Carly Hudson, Rhonda Morton, Cindy J Jones","doi":"10.2147/JHL.S525855","DOIUrl":"10.2147/JHL.S525855","url":null,"abstract":"<p><strong>Purpose: </strong>Sustainable leadership is essential for addressing workforce shortages, technological advancements, and increasing regulatory demands in Australian healthcare. Many healthcare leaders assume their roles based on clinical expertise rather than formal leadership training, highlighting the need for structured support. This study explores sustainable leadership in Australian healthcare, identifying key challenges, support mechanisms, and strategies for improvement.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 276 managers, leaders, and supervisors working in Australian healthcare organisations. Participants were recruited through professional networks, social media, and direct invitations. The survey, administered via Qualtrics, examined leadership training, characteristics of sustainable leadership, challenges, and available support systems. Quantitative data were analysed using IBM SPSS Statistics, while qualitative responses underwent thematic analysis.</p><p><strong>Results: </strong>Leadership training was primarily informal, with limited access to structured programs due to time and financial constraints. Sustainable leadership was defined as balancing operational demands with long-term planning, ethical decision-making, and fostering a resilient workplace culture. Key challenges included staff retention, change management, and hierarchical structures limiting innovation. Support for leaders was inconsistent, with male leaders reporting higher perceived support. Systemic barriers, such as outdated leadership models and a focus on financial performance over workplace culture, restricted sustainable leadership implementation.</p><p><strong>Conclusion: </strong>To enhance sustainable leadership, organisations must prioritize structured training, mentorship, and inclusive leadership pathways. Addressing systemic barriers and redefining leadership success beyond financial metrics will strengthen leadership resilience, reduce burnout, and improve healthcare outcomes.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"445-458"},"PeriodicalIF":3.8,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041577","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
How Does Gender Affect Leadership Communication and Job Satisfaction Among Physicians? Evidence from Swiss Hospitals. 性别如何影响医师的领导沟通与工作满意度?来自瑞士医院的证据。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-08-30 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S521242
Sabina C Heuss, Tsvetana Spasova, Juliane Felder, Souvik Datta
{"title":"How Does Gender Affect Leadership Communication and Job Satisfaction Among Physicians? Evidence from Swiss Hospitals.","authors":"Sabina C Heuss, Tsvetana Spasova, Juliane Felder, Souvik Datta","doi":"10.2147/JHL.S521242","DOIUrl":"10.2147/JHL.S521242","url":null,"abstract":"<p><strong>Purpose: </strong>Studies show that women communicate and perceive communication from supervisors and colleagues differently than men. This is evident also in the healthcare sector and particularly among female doctors. The primary aim of this study is to explore the relationships between communication practices, leadership approaches, and the association with physicians' job satisfaction and overall well-being. Particular attention is paid to gender and its impact on the communication of physicians in hospitals.</p><p><strong>Design/methodology/approach: </strong>We carried out a comprehensive survey of physicians working in hospitals across Switzerland in 2019 to investigate the role of gender on communication style and physicians' job satisfaction and well-being in hospitals. We collected 1565 responses and performed Mann-Whitney <i>U</i>-tests to test if the job satisfaction and well-being measures differ by gender. Furthermore, we used multiple-regression models to estimate the conditional relationship between the outcome measures and predictor variables.</p><p><strong>Findings: </strong>Effective leadership communication is positively associated with the job satisfaction of all physicians, regardless of functions, generations, languages, genders, hospital types, and specializations. The results of the study indicate that there are gender differences between men and women physicians in Swiss hospitals regarding the effect of leadership communication on job satisfaction, satisfaction with leadership communication and well-being.</p><p><strong>Originality: </strong>While there are valid studies that provide valuable insights into leadership styles, gender disparities in leadership, and the impact of gender bias on leadership, this study fills the lack of direct evidence addressing the effect of leadership communication skills on the job satisfaction and the well-being of female physicians and the need for different types of leadership communication skills for female physicians in hospitals.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"431-444"},"PeriodicalIF":3.8,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001609","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
Institutional Supports for Early Career Researchers During Crises: COVID-19 Pandemic Case Study. 危机期间对早期职业研究人员的机构支持:COVID-19大流行案例研究。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S533632
Lucy O Alejandro, Erika Temprano, Monica Kowalczyk, Rachel K Wolfson, Valerie G Press, Vineet M Arora, Anna Volerman
{"title":"Institutional Supports for Early Career Researchers During Crises: COVID-19 Pandemic Case Study.","authors":"Lucy O Alejandro, Erika Temprano, Monica Kowalczyk, Rachel K Wolfson, Valerie G Press, Vineet M Arora, Anna Volerman","doi":"10.2147/JHL.S533632","DOIUrl":"10.2147/JHL.S533632","url":null,"abstract":"<p><strong>Purpose: </strong>To understand how institutions can support faculty during crises in biomedical research, this study examined early career researchers (ECRs) experiences with institutional supports during the COVID-19 pandemic and their perspectives on how institutions can support professional recovery.</p><p><strong>Subjects and methods: </strong>This national, cross-sectional study evaluated professional and personal-related institutional supports offered to ECRs during the COVID-19 pandemic, the impact of these supports, and additional supports needed for professional recovery. An online survey was distributed electronically in fall 2021 to all individuals with F32 or K-level awards through the National Institutes of Health in 2020. Descriptive statistics, chi square tests, and thematic analysis summarized findings.</p><p><strong>Results: </strong>Among 4,440 ECRs contacted, 1,587 ECRs (35.7%) responded to the survey, and 1,527 (34.4%) met inclusion criteria. Most respondents reported their institutions offered programs or services during the COVID-19 pandemic (81.3%, n=1241), including professional support(s) (76.8%, n=1172) and personal support(s) (43.6%, n=666). The most impactful support was mentoring programs, with 49.9% (n=402/806) reporting that it had positive impact, followed by personal assistants (48.4%, n=60/123) and bridge funding (for research: 42.4%, n=156/358; for salary: 41.7%, n=115/276). For coaching programs, bridge funding for salary, and elder care services, respondents indicated significant differences in the impact between expanded or new supports versus continued existing supports. Regarding institutional supports needed to support professional recovery, responses fell into six themes: caregiving support, mental health support, financial support, work support, career development support, and employment support.</p><p><strong>Conclusion: </strong>This study provides novel insights into ECRs' perspectives on the supports offered by institutions during the COVID-19 pandemic and additional areas of need for professional recovery. Institutions must invest in relevant, effective, and accessible supports for ECRs to help them persist in scientific careers, particularly during periods of disruption and uncertainty.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"417-430"},"PeriodicalIF":3.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993785","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 Metrics-Driven Approach to Develop a Hybrid Model of Staffing and Workload Balance in the NGHA Hospitals. 一个指标驱动的方法来开发一个混合模式的人员配置和工作负载平衡在全国医院。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S532533
Meshari Al-Abdulkarim, Mohsen Bakouri, Ahmad Alassaf
{"title":"A Metrics-Driven Approach to Develop a Hybrid Model of Staffing and Workload Balance in the NGHA Hospitals.","authors":"Meshari Al-Abdulkarim, Mohsen Bakouri, Ahmad Alassaf","doi":"10.2147/JHL.S532533","DOIUrl":"10.2147/JHL.S532533","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical Engineering Departments (CEDs) face growing challenges in managing rapidly evolving medical technologies and increasing equipment inventories under constrained budgets and limited human resources. These pressures often result in strained staffing capacity and imbalanced workload distribution. This study aimed to develop and validate a metrics-driven hybrid staffing model to optimize workforce allocation and improve workload efficiency across National Guard Health Affairs (NGHA) hospitals in Saudi Arabia.</p><p><strong>Methods: </strong>Five years of maintenance data were extracted from the Computerized Maintenance Management System (CMMS) and Oracle E-Business Suite. These data were analyzed to construct a hybrid staffing model that combined quantitative workload metrics with qualitative input from clinical engineering staff across 11 NGHA hospitals. Model validation included a detailed case study at King Abdullah Specialized Children's Hospital (KASCH), with comparisons to existing staffing models, including the Ottawa Hospital approach.</p><p><strong>Results: </strong>The case study revealed that the current staffing of 14 full-time equivalents (FTEs) at KASCH was insufficient, with the model projecting a requirement of 17 FTEs, indicating a 7.8% shortfall. Workload analysis showed highly uneven staff utilization rates, ranging from 20.8% to 71.5%. High-maintenance equipment, such as MRI machines, required up to 42.1 hours per device annually. The proposed hybrid model achieved more balanced staffing, predictive maintenance scheduling, and dynamic task assignments. Compared to traditional models, it demonstrated an estimated 25% cost savings, equipment uptime exceeding 95%, and improved workload distribution.</p><p><strong>Discussion: </strong>The hybrid staffing model provides a data-driven framework that integrates preventive and corrective maintenance requirements with staff input to support risk-based decisions. While validated within the NGHA system, the model is adaptable for healthcare facilities with different device profiles, regulatory pressures, and financial constraints. Successful implementation depends on strong institutional leadership, continuous data collection, and comprehensive staff training to ensure long-term sustainability and scalability.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"395-416"},"PeriodicalIF":3.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993808","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
Associations Between Work-Related Factors, Mental Well-Being, and Health Literacy Sensitivity: A Cross-Sectional Study Among Healthcare Personnel. 工作相关因素、心理健康和健康素养敏感性之间的关系:一项针对医护人员的横断面研究。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-08-13 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S533694
Malene Nerbøvik Stavdal, Åsmund Hermansen, Ingeborg Strømseng Sjetne, Marie Hamilton Larsen, Astrid Klopstad Wahl, Dorothea Kohnen, Caryl L Gay, Anners Lerdal, Christine Råheim Borge
{"title":"Associations Between Work-Related Factors, Mental Well-Being, and Health Literacy Sensitivity: A Cross-Sectional Study Among Healthcare Personnel.","authors":"Malene Nerbøvik Stavdal, Åsmund Hermansen, Ingeborg Strømseng Sjetne, Marie Hamilton Larsen, Astrid Klopstad Wahl, Dorothea Kohnen, Caryl L Gay, Anners Lerdal, Christine Råheim Borge","doi":"10.2147/JHL.S533694","DOIUrl":"10.2147/JHL.S533694","url":null,"abstract":"<p><strong>Objective: </strong>Explore possible associations between healthcare personnel's work-related factors, mental well-being, and health literacy sensitivity. Few studies have investigated these factors. Thus, knowledge about their relationships may enhance healthcare personnel's ability to meet patients' health literacy needs, ultimately improving patient care.</p><p><strong>Methods: </strong>This cross-sectional survey included interdisciplinary healthcare personnel (N = 288, 75% female, mean age 44 (SD = 11.8)) working in direct patient care at a medium-sized general hospital in Norway. Participants were recruited from May to June 2022 and asked to answer questions regarding work-related factors, mental well-being, and how they follow up on patients' health literacy needs. Data were analyzed using hierarchical multiple regression.</p><p><strong>Results: </strong>Greater health literacy sensitivity among healthcare personnel is associated with fewer work-related and mental well-being challenges. The work-related factors, teamwork (β = 0.138-0.236, p < 0.05 - p < 0.001) and staffing (β = 0.178, p < 0.01), as well as the mental well-being variables, work engagement (β = 0.179-0.288, p < 0.01 - < 0.001) and depression (β = 0.154, p < 0.05), show statistically significant associations with one or more of the nine health literacy domains.</p><p><strong>Conclusion: </strong>Work-related factors and mental well-being, particularly work engagement, are associated with healthcare personnel's health literacy sensitivity.</p><p><strong>Practice implications: </strong>Healthcare organizations should actively enhance healthcare personnel's health literacy resources while ensuring that their efforts to follow up on patients' health literacy needs do not adversely impact the healthcare personnel's work-related factors or mental well-being.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"383-394"},"PeriodicalIF":3.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875818","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
Bridging the Leadership Gap: Developing a Culturally Adapted Leadership Program for Healthcare Professionals in Oman. 弥合领导力差距:为阿曼的医疗保健专业人员制定一个文化适应的领导力计划。
IF 3.8
Journal of Healthcare Leadership Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.2147/JHL.S526470
Aziza Al Sawafi, Asma Al Yahyaei, Nasser H Al Azri, Sulaiman Dawood Al Sabei, Al-Moatasem Al Maamari, Hamed Al Battashi, Salha Rashid Al Ismaili, Juma Khamis Al Maskari
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