Journal of Healthcare Leadership最新文献

{"title":"Information Technology in Nursing Practice: A Scoping Review of Assessment Tools for Evaluating Nurses' Competencies.","authors":"Dulce Cachata, Mónica Costa, Teresa Magalhães, Pedro Lucas, Filomena Gaspar","doi":"10.2147/JHL.S509955","DOIUrl":"https://doi.org/10.2147/JHL.S509955","url":null,"abstract":"<p><strong>Introduction: </strong>The ongoing evolution of Health Information Technology has provided professionals with major challenges in maintaining the safety and quality of care provided to patients, especially when it comes to hyper-technological environments in hospital. This has driven the need to develop specific competencies and maintain a balance between ethical aspects, social and legal challenges related to privacy and data security, as well as the challenge of ensuring person-centered care practice. Then it will be important to understand what competences nurses are developing, based on what models and what instruments exist to assess them.</p><p><strong>Purpose: </strong>Identify and map information technologies and measurement instruments used to assess nurses' competencies in technological environments in hospital.</p><p><strong>Methods: </strong>A scoping review was carried out using the methodology presented by The Joanna Briggs Institute.</p><p><strong>Results: </strong>Of the 101 articles extracted, 4 articles were selected where 5 instruments were identified that evaluate: (1) Informatics Competency in Nursing Leaders; (2) Technological Competence as Nursing Care - Perception and Practice dimension; (3) Self-Assessment of Nursing Informatics Skills; (4) Clinical Decision Making in Nursing, and (5) Self-Assessment Questionnaire that Assesses Nurses' Informatics Skills, for nursing informatics.</p><p><strong>Conclusion: </strong>The development and enhancement of technological skills in nursing care provide an innovative and crucial perspective for managing and organizing healthcare delivery. This perspective is of great importance, reinforced by the reality in which nurses find themselves, with highly technological nursing practice environments that are increasingly developed. Knowledge and use of IT equipment, areas of basic IT knowledge, information literacy, wireless device skills, the role of clinical IT, and applied IT skills are some of the skills identified by this study. The use of various support tools as instruments for clinical decision-making in nursing is also fundamental to the quality of nursing care.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"211-223"},"PeriodicalIF":3.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182276","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":"Challenges of Healthcare Systems in Saudi Arabia to Delivering Vision 2030: An Empirical Study From Healthcare Workers Perspectives.","authors":"Fahad M Al-Anezi","doi":"10.2147/JHL.S516159","DOIUrl":"https://doi.org/10.2147/JHL.S516159","url":null,"abstract":"<p><strong>Background and aim: </strong>This study explores the key challenges affecting the healthcare system in Saudi Arabia as it strives to achieve the objectives of Vision 2030. Unlike previous research, which has primarily focused on policy and structural reforms, this study provides empirical insights from healthcare workers, offering a frontline perspective on the barriers to effective healthcare transformation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 383 healthcare professionals from public and private hospitals. The questionnaire covered challenges related to capacity and infrastructure, workforce shortages, digital transformation, preventive healthcare, coordination and integration, healthcare financing, public awareness, quality of care, and disease prevention. Data were analyzed using descriptive statistics, t-tests, and ANOVA to assess variations in perceptions based on professional roles, work experience, gender, and hospital type.</p><p><strong>Results: </strong>The findings reveal workforce shortages, infrastructure limitations, and digital transformation gaps as the most pressing concerns. Notable differences in perceptions highlight the need for tailored interventions across different healthcare roles and settings. Addressing these challenges requires strategic workforce planning, investment in infrastructure, digital innovation, and sustainable financing models.</p><p><strong>Conclusion: </strong>This study contributes to the literature by offering evidence-based recommendations for policymakers and healthcare administrators, aligning healthcare system improvements with Vision 2030 objectives. The insights provided can help shape targeted strategies to enhance healthcare efficiency, accessibility, and resilience in Saudi Arabia.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"173-187"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041235","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":"Criteria For Agreement When Conducting Local Consensus Discussions: A Qualitative Study.","authors":"Lisa Pagano, Janet C Long, Emilie Francis-Auton, Andrew Hirschhorn, Jeffrey Braithwaite, Gaston Arnolda, Mitchell N Sarkies","doi":"10.2147/JHL.S522784","DOIUrl":"https://doi.org/10.2147/JHL.S522784","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare is a complex, multi-layered team environment where effective change often requires reaching consensus among relatively autonomous stakeholders. Although conducting informal consensus discussions is a frequently used implementation strategy in real-world clinical settings, limited information exists about what defines consensus when using these methods. Specifying the criteria for consensus is important, as it can shape the design of consensus-building strategies. This study aimed to identify and define the key domains of consensus used in local consensus discussions to standardise healthcare practices.</p><p><strong>Patients and methods: </strong>A qualitative study was conducted in one private hospital in Australia using a modified, grounded theory methodology. Clinical, non-clinical and leadership staff involved in developing standardised perioperative pathways using informal consensus discussions were recruited. Data were collected via semi-structured interviews and naturalistic participant observations between February 2023 and May 2024. Data collection and analysis occurred concurrently until theoretical saturation was achieved. Data were analysed using open coding with constant comparison, focussed and theoretical coding to develop theoretical concepts.</p><p><strong>Results: </strong>Sixteen hours of observations with 31 participants and nine semi-structured interviews were conducted. Analysis identified four distinct consensus criteria: i) unanimous consensus, ii) delegated consensus, iii) assumed consensus and iv) concessional consensus. While unanimity was the preferred outcome, other consensus types emerged as viable alternatives when unanimous agreement was challenging to achieve. Each criterion had differing factors and mechanisms which influenced reaching the consensus criterion, underpinning assumptions, and considerations for practice, which formed four domains of consensus.</p><p><strong>Conclusion: </strong>These domains provide a structured framework for classifying consensus criteria when conducting local consensus discussions in healthcare. The findings broaden our understanding of consensus in local healthcare discussions, moving beyond a singular focus on unanimity. By clearly defining consensus types, organisations can strategically select consensus methods that best support decision-making and intervention implementation.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"159-172"},"PeriodicalIF":3.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031966","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":"Wellness-Centered Leadership: A Key Differentiator for Successfully Reducing Burnout and Building a Culture of Well-Being Among Physicians and APPs.","authors":"Krispen Hartung, Hillary E Swann-Thomsen, Kathryn R Schneider","doi":"10.2147/JHL.S513209","DOIUrl":"https://doi.org/10.2147/JHL.S513209","url":null,"abstract":"<p><p>Physician and advanced practice provider (APP) burnout is a significant issue in healthcare, exacerbated by the COVID-19 pandemic. Burnout rates remain high, with severe implications for both clinicians and patient care. This paper acknowledges the multifaceted causes of burnout, including environmental and individual factors, and evaluates the effectiveness of wellness-centered leadership as a mitigation strategy. St. Luke's Health System implemented a comprehensive wellness-centered leadership program, including training and toolkits, to improve well-being. Surveys conducted in 2022, 2023, and 2024 assessed burnout levels, feeling valued by the organization, intent to leave, and leadership alignment among physicians and APPs. Results indicated a decrease in burnout and intent to leave, alongside improved leadership alignment, and improved feeling valued by the organization. The findings suggest that wellness-centered leadership can significantly reduce burnout and enhance job satisfaction, highlighting the importance of leading with well-being in healthcare settings.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"145-157"},"PeriodicalIF":3.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016788","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":"Integrating Instructional Leadership Principles into Mentoring Programs for Nurse Leaders: A New Perspective [Letter].","authors":"Paul Arjanto, Mint Husen Raya Aditama, Vando Kristi Makaruku","doi":"10.2147/JHL.S518372","DOIUrl":"https://doi.org/10.2147/JHL.S518372","url":null,"abstract":"","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"141-143"},"PeriodicalIF":3.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044727","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":"Unleashing the Early Career Transition in Academic Medicine.","authors":"Daryn H David","doi":"10.2147/JHL.S519433","DOIUrl":"https://doi.org/10.2147/JHL.S519433","url":null,"abstract":"<p><p>In addition to advancing biomedical research and delivering cutting-edge clinical care, academic medical centers (AMCs) are tasked with training the next generation of physicians and scientists. This training is based on a competencies model, with emphasis given to the high-level acquisition of technical clinical and research skills. While this framework is appropriate for the learning years, once researchers and clinician-scientists transition from training to fuller career responsibilities, they are in need of an expanded psychological and psychosocial toolkit for holistic success. At present, academic medicine does not sufficiently support, address, or welcome the elements of this toolkit; in the early career phase, overemphasis is placed on the expression and expansion of independent technical competencies, to the neglect of the psychosocial facets necessary for academics' successful career progression and fulfillment. Delineating the legacy of the current training model for the early career period, this paper explicates the tension that exists between the conventional markers of success and adult psychosocial needs, with special attention paid to the potential consequences of this mismatch. The paper concludes with a series of suggestions for how leaders in academic medicine may help their research and clinician-scientist faculty flourish more fully in early career.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"133-140"},"PeriodicalIF":3.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033850","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":"Enhancing Belonging in Healthcare: A Commentary on Strategies for Organizational Leadership.","authors":"Elizabeth M Boland, Isabelle Martin, Barbara Jordan, Patrick Decker-Tonnesen, Anjali Bhagra","doi":"10.2147/JHL.S473636","DOIUrl":"https://doi.org/10.2147/JHL.S473636","url":null,"abstract":"<p><p>Belonging is a human necessity, fostering psychological safety and self-actualization. The importance and benefits of belonging are well documented, and there is a growing body of research emphasizing the role belonging plays in the workplace and its effects on employees and companies alike. Due to the unique stressors and barriers present in healthcare, a lack of belonging among employees is not uncommon. This paper explores how cultivating an inclusive environment transforms healthcare delivery and highlights tangible strategies leaders in healthcare can utilize to enhance belonging for staff and ultimately the patient populations they interact with. Because belonging is multifaceted and highly individualized, effective strategies include people-centered approaches that prioritize physical and mental well-being, career-advancing initiatives, empathetic leadership and robust support systems. The importance of analyzing systems that either promote or inhibit belonging, specifically by examining existing organizational policies and practices through an equity lens, is also discussed. By prioritizing diverse perspectives and implementing tailored interventions, healthcare organizations and committed staff can create a culture where both patients and professionals feel valued, leading to enhanced well-being, improved patient outcomes, and equitable healthcare delivery.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"117-121"},"PeriodicalIF":3.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005226","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":"Unveiling Patient Perspectives: A Multinational Cross-Sectional Analysis of Patient Experiences Undergoing Cleft Care by All-Women Surgical Teams.","authors":"Maria Fernanda Tapia, Hebah Daradkeh, Atenas Bustamante, Emily Marie Jones, Sonia Y Treminio, Marvee Turk, Mikyla Rata, Barbara Salazar, Ainaz Dory Barkhordarzadeh, Alyssa Caitlin Bautista, Laura Herrera Gomez, Greta L Davis, William Magee, Naikhoba C O Munabi, Allyn Auslander","doi":"10.2147/JHL.S508633","DOIUrl":"https://doi.org/10.2147/JHL.S508633","url":null,"abstract":"<p><strong>Background: </strong>Although women provide approximately 75% of healthcare globally, they are underrepresented in healthcare leadership, surgery, and anesthesia. Patient- provider gender concordance has been shown to improve patient experience in high-income settings; however, patients in low-and middle-income countries often lack the opportunity to choose the gender of their provider and there is a paucity of literature on the importance of women healthcare providers in these settings.</p><p><strong>Aim: </strong>To assess the experiences and provider gender preferences of patients with cleft and their caregivers before and after receiving care from an all-women surgical team in a Women in Medicine (WIM) surgical program.</p><p><strong>Methods: </strong>This cross-sectional study is based on an anonymous survey administered to patients 15 years or older or their caregivers after receiving care from an all-women surgical team during four distinct cleft surgery programs in Morocco, Peru, Malawi, and the Philippines throughout 2022. Analysis included quantitative, descriptive statistics, chi-squared and f-tests.</p><p><strong>Results: </strong>Before the program, 20% of participants had never received care from women physicians and only 35% preferred women as their healthcare provider. After the program, 66% preferred women as their healthcare provider (p<0.001) with the highest proportion in Morocco (90%) and lowest in Malawi and the Philippines (55%). Across all education levels, most participants preferred women after the program (64%) and 98% were satisfied or more than satisfied with the care received. The three most influential characteristics for preferring women were their understanding, patience, and communication.</p><p><strong>Conclusion: </strong>Participation in the WIM program provided some patients with their first opportunity to experience receiving care from a woman. This exposure may influence their preference for a healthcare provider, which has been shown to enhance patient experience. Programs like this are imperative to increasing visibility of women in surgical and healthcare leadership roles, improving patient experience, and increasing access to care.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"123-132"},"PeriodicalIF":3.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001127","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":"Exploring Ethical, Cultural, and Transnational Competence Among International Healthcare Management Students: An Australian Perspective.","authors":"Matylda Howard, Kuan Liung Tan, Rasika Jayasekara","doi":"10.2147/JHL.S506361","DOIUrl":"https://doi.org/10.2147/JHL.S506361","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare leaders face complex ethical challenges that can impact patient care and organizational integrity. For international healthcare management students pursuing leadership roles in Australia, these challenges are heightened by ethical, cultural, and transnational differences. This exploratory study examined the challenges faced by these students to establish foundational understanding of the competencies needed for effective ethical decision-making, cultural integration, and transnational readiness in diverse healthcare environments.</p><p><strong>Methods: </strong>Using a composite theoretical framework incorporating Cultural Relativism, Ethical Climate Theory, Institutional Theory, and Transnationalism, a 35-item instrument was adapted from three validated sources. A cross-sectional survey of 35 international postgraduate health services management students collected quantitative and qualitative data. Quantitative data were summarized using descriptive statistics, while thematic analysis, informed by the Gioia methodology, was applied to qualitative responses.</p><p><strong>Results: </strong>Key ethical challenges identified included healthcare inequity, resource allocation, and patient safety. Effective leadership practices emphasized fostering supportive work environments and promoting diversity. Participants demonstrated strong cultural competence, particularly in cultural awareness and cross-cultural communication, but highlighted the need for enhanced preparation in ethical decision-making and navigating transnational healthcare systems.</p><p><strong>Conclusion: </strong>The findings underscore the importance of transnational training programs that integrate cultural orientation, healthcare-specific language support, and ethical decision-making simulations. The Ethical, Cultural, and Transnational framework developed in this study provides a practical guide for embedding these competencies into leadership curricula, equipping international students to navigate the complexities of globalized healthcare systems effectively.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"97-115"},"PeriodicalIF":3.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651119","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":"Making Hospitals More Dementia Friendly: An Inclusive, User-Centered Approach.","authors":"Diane L Farsetta, Sarah E Endicott, Paula Woywod, Lisa C Bratzke","doi":"10.2147/JHL.S496288","DOIUrl":"10.2147/JHL.S496288","url":null,"abstract":"<p><strong>Purpose: </strong>People living with dementia and their care partners identify interactions with the healthcare system as among their greatest challenges. Many hospital staff do not feel prepared to care for people living with dementia. This contributes to poor outcomes for patients living with dementia, frustration and confusion for care partners, and distress for hospital staff.</p><p><strong>Patients and methods: </strong>An academic project team with expertise in education, geriatrics, simulation, and community engagement, who had previously developed dementia-friendly training materials for classroom and community use, designed a dementia-friendly hospital toolkit. Applying principles of user-centered design, the project team consulted with care partners of people living with dementia, hospital staff, hospital leadership, and advocates from communities disproportionately impacted by dementia to identify and address the needs of patients, care partners, hospital staff, and hospital leadership.</p><p><strong>Results: </strong>The project team developed a dementia-friendly hospital toolkit, which includes training materials for hospital staff across roles and an organizational guide to facilitate uptake by a wide range of hospitals. In multiple rounds of pilot testing, hospital staff rated toolkit training activities highly, reporting new insights and applying the knowledge or skills gained in their professional roles. Five hospitals, ranging from large academic centers to rural critical access hospitals, used the toolkit to assess needs, develop plans, and organize training sessions for staff. All hospitals reported receiving positive feedback from staff, meeting staff learning objectives, and intending to continue using the toolkit to meet their dementia-friendly goals.</p><p><strong>Conclusion: </strong>Following an inclusive, user-centered approach to developing dementia-friendly training materials allowed the project team to address the needs of key partners: people living with dementia, their care partners, hospital staff, and hospital leadership. Based on the positive responses from hospital pilot partners, the project team is supporting wider dissemination of the dementia-friendly hospital toolkit.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"85-96"},"PeriodicalIF":3.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574323","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}