Journal of Healthcare Leadership最新文献

{"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":"https://doi.org/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}

{"title":"Managing Resilience and Exhaustion Among Health Care Workers Through Psychological Self-Care: The Impact of Job Autonomy in Interaction With Role Overload.","authors":"Francis Maisonneuve, Anaïs Galy, Patrick Groulx, Denis Chênevert, Colleen Grady, Angela M Coderre-Ball","doi":"10.2147/JHL.S501193","DOIUrl":"10.2147/JHL.S501193","url":null,"abstract":"<p><strong>Purpose: </strong>Drawing on the conservation of resources theory, we explore how job autonomy affects resilience and emotional exhaustion through psychological self-care (PSC). In addition, we study the impact of role overload as a boundary condition which dampens the beneficial effects of job autonomy.</p><p><strong>Methods: </strong>Cross-sectional data was collected through an online survey among Canadian health care workers (HCWs) across multiple organizations. We performed structural equation modeling (SEM) to test the proposed hypotheses (N=860).</p><p><strong>Results: </strong>Job autonomy had a positive relationship with resilience and negative with emotional exhaustion, both through PSC. However, high role overload hinders these relationships.</p><p><strong>Conclusion: </strong>Job autonomy combined with reasonable workload allows HCWs to invest in themselves in the form of PSC, which in turn alleviates their emotional exhaustion and fosters their resilience. Accordingly, this helps HCWs in overcoming both current and future adverse events at work. Valuing autonomy and PSC through communication and contextualized human resource management practices will help support HCWs and health care organizations in turn. Indeed, nurturing resilience and reducing emotional exhaustion will provide and protect the needed individual resources to face future disruptive events, consequently leading to strengthen health care organizations.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"63-73"},"PeriodicalIF":3.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543892","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":"Physician Leadership and Its Effect on Physician Burnout and Satisfaction During the COVID-19 Pandemic.","authors":"Edward G Spilg, Kylie McNeill, Melanie Dodd-Moher, Johanna Suzanne Dobransky, Elham Sabri, Jerry M Maniate, Kathleen A Gartke","doi":"10.2147/JHL.S487849","DOIUrl":"10.2147/JHL.S487849","url":null,"abstract":"<p><strong>Purpose: </strong>Physician burnout is a global issue associated with low job satisfaction, decreased quality of patient care, reduced productivity, and early retirement from clinical practice. We sought to evaluate the impact of the leadership qualities of direct physician supervisors on the burnout and professional satisfaction of the physicians they supervise.</p><p><strong>Methods: </strong>An online survey was distributed by Email to all staff physicians practicing at a large Canadian academic tertiary care hospital. The primary outcome was the prevalence of burnout and professional satisfaction, assessed using the 2-item Maslach Burnout Inventory and a single item 5-point Likert scale rating, respectively. The secondary outcome was the relationship between composite leadership score and burnout/satisfaction, with leadership assessed by the 12-item Mayo Clinic Participatory Management Leadership Index.</p><p><strong>Results: </strong>Out of the 1176 physicians surveyed, 383 (32.6%) responded (51.2% male; 41.5% female). Overall, 41.7% of physicians reported at least one symptom of burnout (40.0% reported high emotional exhaustion; 15.3% reported high depersonalization). 40.1% of physicians reported being satisfied with the organization, 26.3% were neutral, and 33.6% were dissatisfied. On multivariate analysis adjusting for age, sex, duration of employment at the institution, and specialty, each one-point increase in composite leadership score was associated with a 3.1% decrease in the likelihood of burnout (<i>p</i> = 0.0017), and a 6.6% increase in the likelihood of satisfaction (<i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>Physician burnout is prevalent and positive leadership qualities of direct supervisors decreases the likelihood of burnout in physicians and increases the likelihood of their satisfaction with the organization.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov; Identifier: NCT04896307.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"49-61"},"PeriodicalIF":3.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543895","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 Trust and Engagement: A Qualitative Evaluation of the Relationship Between Clinicians and Healthcare Leaders at Academic Medical Centers.","authors":"Eric J Keller, Niraj Sehgal, Robert K Ryu, Howard Chrisman, Robert K Vogelzang, Tait D Shanafelt","doi":"10.2147/JHL.S503086","DOIUrl":"10.2147/JHL.S503086","url":null,"abstract":"<p><strong>Background: </strong>Dynamics between clinicians and healthcare leaders are critical in determining the culture and success of Academic Medical Centers (AMCs). These dynamics are complex, making it challenging to develop effective means of improving these relationships. This study sought to characterize and compare relationships between clinicians and healthcare leaders at three AMCs to develop more effective means of improving healthcare organization cultures.</p><p><strong>Materials and methods: </strong>The authors interviewed clinicians, clinician leaders, and operational leaders at three AMCs about their role, perceived dynamics between clinicians and healthcare leaders, and ideal leadership. Interviews continued until additional interviews stopped revealing new information at each organization, requiring a total of 92 participants (49% male, 54% clinicians, 22% clinician-leaders, 24% operational leaders). Interview transcripts were systematically analyzed based on constructivist grounded theory and content analysis for key themes.</p><p><strong>Results and discussion: </strong>The perceived most pressing issues at each AMC varied across three key cultural levels: organization, department, and practice. When interventions targeted levels distinct from the level perceived most pressing, they tended to exacerbate existing issues and further undermine trust and engagement between clinicians and healthcare leaders. Clinicians and healthcare leaders across AMCs described similar traits of ideal leadership but exhibited different understandings of what those traits meant in application. Cultural dynamics were also challenged by professional cultural differences between the three groups and barriers such as differences in status, location, and background. Limitations of this study included its cross-sectional nature and potential sampling bias.</p><p><strong>Conclusion: </strong>The level of organizational culture where the greatest tension exists between clinicians and healthcare leaders varies by three key levels. Discerning which level of organizational culture represents the greatest local opportunity can inform the design of more targeted interventions to improve dynamics between clinicians and healthcare leaders seeking to foster more constructive partnerships.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"75-83"},"PeriodicalIF":3.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568462","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":"Rethinking Healthcare: Why Paradox Science Is Core to the Future of Health and Health Leadership.","authors":"Laura Desveaux","doi":"10.2147/JHL.S512053","DOIUrl":"10.2147/JHL.S512053","url":null,"abstract":"<p><p>Solutions to healthcare's most persistent and pervasive challenges remain elusive because we approach them as navigating oppositional tensions: the need to drive efficiency versus improve quality, to leverage cutting-edge technology versus maintain human compassion, to address population health versus providing care to the patient in front of you. The key to transforming healthcare lies in the ability of healthcare leaders to recognize when oppositional tensions are in fact paradoxes at play, to increase the capability and collective capacity to navigate them. Paradox science contends sustainable solutions to intractable challenges come not from eliminating the tensions that operate within the complexity but from the ability of those involved to hold opposing ideas in productive balance. It empowers leaders and their teams to find innovative paths by engaging with tensions directly. This perspective piece outlines three steps healthcare leaders can take to apply paradox science in practice, providing descriptions and example actions for each: 1) Clarify the paradox, 2) Encourage experimentation, and 3) Adopt a dynamic view. Moving forward, health leaders must leverage paradox science to drive forward innovation agendas in order to truly transform the healthcare experience for patients, populations, and the health workforce that serves them.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"45-48"},"PeriodicalIF":3.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504656","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 Erosion of Healthcare and Scientific Integrity: A Growing Concern.","authors":"Björn L D M Brücher","doi":"10.2147/JHL.S506767","DOIUrl":"10.2147/JHL.S506767","url":null,"abstract":"<p><strong>Background: </strong>Tremendous achievements in healthcare and science over the past 200 years have enhanced life expectancy in parallel with a shift from dogma to humanistic liberal education. Advancements in cancer have included vaccines treating causes of cancer (eg, hepatitis C- induced liver cancer and human papillomavirus-induced cervical cancer) along with improved cancer survival in children. In contrast, developments in cancer, frequently touted as \"discoveries\" or \"breakthroughs\" in media headlines, have been demonstrated to be ephemeral rather than game changers. In reality, cancer incidences are increasing, and relapse and mortality rates have not changed substantially. By this, we are experiencing today similar challenges to those before the so-called Humboldt reform. The trend towards managerialism with a focus on quantity in health care and science endangers their integrity.</p><p><strong>Methods: </strong>Due to the complexity of integrity of healthcare and science, in-depth contemplation of this review contains foundations of actions in healthcare and science, information regarding cancer, as an example, quantity focus of healthcare, technology, publishing, marketing and media, predatory publishers, followed by psychologic and sociologic aspects which influence our perception.</p><p><strong>Results: </strong>A complex paradoxical transformation has occurred, in which quality and humanism have been replaced by quantity, revenue, and marketing, together with \"citation silence\", (ignoring original findings), and increased corruption and misconduct. This shift explains why the integrity of healthcare and science is being eroded.</p><p><strong>Conclusion: </strong>Countries and societies are only as strong as their healthcare and science, both of which are only as strong as their emphasis on quality and integrity. Awareness of this situation may represent a first step toward a renewed focus on accountability.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"23-43"},"PeriodicalIF":3.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504727","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 Economic Implications of Psychosocial Peer Support for Health Workers in German Hospitals.","authors":"Reinhard Strametz, Hannah Roesner, Thomas Neusius, Isabell Wiesenhuetter, Stefan Bushuven, José Joaquín Mira, Dominik Hinzmann, Susanne Heininger","doi":"10.2147/JHL.S498789","DOIUrl":"https://doi.org/10.2147/JHL.S498789","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study is to evaluate whether the nationwide establishment and institutionalization of a peer-support program, is economically justified given the potential positive effects on the Second Victim Phenomenon (SVP) among healthcare professionals in Germany.</p><p><strong>Methods: </strong>A comprehensive methodological approach was employed, using data from the SeViD studies to assess the prevalence and duration of SVP among physicians and nurses in Germany. Economic impact assessments were conducted to estimate the potential cost savings associated with implementing a peer-support program.</p><p><strong>Results: </strong>The economic analysis reveals significant annual costs associated with SVP-induced absenteeism: approximately 1.56 billion euros for physicians and 1.87 billion euros for nurses. Implementing comprehensive peer-support programs could reduce these costs to approximately 0.85 billion (physicians) and 1.02 billion euros (nurses), respectively, demonstrating substantial potential economic benefits.</p><p><strong>Conclusion: </strong>Investing in a structured peer-support program could yield annual savings exceeding 1.55 billion euros while enhancing workforce resilience and improving patient care. This underscores the economic rationale for scaling up peer support initiatives in healthcare settings.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"15-22"},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068467","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":"Response to \"Digital Health Technology & Cancer Care: Conceptual Framework Leading Comprehensive Fruitfulness\" [Letter].","authors":"Paul Arjanto","doi":"10.2147/JHL.S514354","DOIUrl":"10.2147/JHL.S514354","url":null,"abstract":"","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"13-14"},"PeriodicalIF":3.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047929","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":"Perspectives and Practices of Healthcare Leaders in Supporting Healthcare Worker Well-Being: A Reality Check.","authors":"Iris M Reijmerink, Maarten J van der Laan, Fedde Scheele, J K Götz Wietasch","doi":"10.2147/JHL.S475811","DOIUrl":"10.2147/JHL.S475811","url":null,"abstract":"<p><strong>Introduction: </strong>The well-being of healthcare workers (HCWs) is a critical concern. While healthcare leaders can play a crucial role in influencing employees' well-being, it remains unclear how leaders are leveraging this influence. This study aims to unravel the current perspectives and practices of healthcare leaders in supporting HCW well-being.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with healthcare leaders at various levels within a university medical center. The interviews focused on exploring three key topics: factors influencing HCW well-being, data sources utilized for information gathering, and strategies leaders employ to influence HCW well-being. Our study design was grounded in constructionist epistemology and adopted a phenomenological approach. The methodology primarily involved a data driven, inductive thematic analysis to discern patterns and themes from the collected data.</p><p><strong>Results: </strong>Fifteen interviews with healthcare leaders revealed a multitude of factors influencing HCW well-being, categorized into three domains: personal, socioeconomic, and work-related factors. Leaders reported a variety of data sources, including \"contact data\", data derived from regular and sporadic interpersonal interactions, and \"investigation data\", entailing formal inquiries conducted within the healthcare organization. Interestingly, while leaders acknowledge their potential to positively influence well-being, particularly in work-related aspects, there was a notable trend of deflecting responsibility, often redirecting it towards other leaders or placing it back on the individual employee.</p><p><strong>Conclusion: </strong>Healthcare leaders show a comprehensive understanding of factors affecting employee well-being. However, healthcare leaders have a predominantly reactive approach to managing employees' well-being. Data collection is often sporadic, lacking consistency, and there is a tendency to redirect responsibility for well-being, revealing a discrepancy between acknowledgement of influence and its actual implementation. We argue that it is essential for leaders at all hierarchical levels to assume responsibility actively and collectively for employee well-being, transitioning to a proactive approach in promoting and safeguarding the well-being of HCWs.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"1-11"},"PeriodicalIF":3.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013799","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 Impact of Nursing Heads Leadership on Research Innovation Behavior of Junior Nurses with Master's Degree: The Mediation of Perceived Barriers and the Moderation of Motivation.","authors":"Yuanli Guo, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma","doi":"10.2147/JHL.S479562","DOIUrl":"https://doi.org/10.2147/JHL.S479562","url":null,"abstract":"<p><strong>Background: </strong>Nursing leadership is recognized as essential to fostering innovation in hospitals, while the precise relationship between them has yet to be established.</p><p><strong>Aim: </strong>The objective of this study is to examine the association among leadership in nursing research, research motivation, perceived barriers, and innovation behavior of junior nurses who hold a master's degree or above in the hospital.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted and electronic questionnaires were distributed online. An online data analysis tool SPSSAU was adopted to conduct descriptive analysis, correlation analysis, and structural equation model construction. This study adhered to the STROBE guideline.</p><p><strong>Results: </strong>A total of 1025 valid questionnaires were collected in this survey. The leadership in nursing research of head nurses affected nurses' innovation behavior via perceived barriers. The indirect effect accounted for 59.75% of the total response variance. Research motivation was identified as a moderator in the mediation model, revealing that leadership in nursing research did not significantly affect innovation behavior when nurses showed high motivation.</p><p><strong>Conclusion: </strong>Leadership in nursing research of head nurses and research motivation of junior nurses with master's degree are crucial to enhancing nursing innovation behavior in the hospitals.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"16 ","pages":"583-593"},"PeriodicalIF":3.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932951","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}