Journal of Healthcare Leadership最新文献

{"title":"Navigating the Healthcare Conundrum: Leadership Perspective from a Premier Healthcare Organization in Loma Linda's Blue Zone.","authors":"Laren D Tan, Anthony A Hilliard, Ricardo L Peverini, Robert D Martin, Tamara L Thomas, Trevor G Wright, Lyndon C Edwards, Angela M Lalas, Helen M Staples-Evans, Barbara J Sharp, Stella L Ahn-Kim, Kent A Hansen, Richard H Hart","doi":"10.2147/JHL.S452188","DOIUrl":"10.2147/JHL.S452188","url":null,"abstract":"<p><p>Navigating the healthcare conundrum in the Blue Zone of Loma Linda, California, requires understanding the unique factors that make this region stand out in terms of health and longevity. But more important is understanding the healthcare system sustaining the Blue Zone in Loma Linda, California. In an era marked by soaring healthcare costs and diminishing reimbursement rates, hospitals and physicians face an unprecedented challenge: providing excellent patient care while maintaining financial sustainability. This leadership perspective publication paper delves into the multifaceted struggles encountered by healthcare and hospital leaders, exploring the root causes, implications, and potential solutions for this complex issue. As we examine the evolving healthcare landscape, we aim to shed light on the critical need for innovative approaches to sustain the future of healthcare excellence in one of the five original Blue Zones.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"16 ","pages":"83-91"},"PeriodicalIF":4.4,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10908333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022932","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 the Peer Leadership Network of Rehabilitation Healthcare Professionals Following Leader Development Training.","authors":"Emily S Becker","doi":"10.2147/JHL.S443203","DOIUrl":"10.2147/JHL.S443203","url":null,"abstract":"<p><strong>Purpose: </strong>The researcher aimed to identify how rehabilitation professionals engage in their peer leadership network during the first year following leader development training for the purpose of understanding the networking experiences, development of the peer leadership network, and expansion of collective leadership in an organization.</p><p><strong>Methodology: </strong>A sequential exploratory mixed method design including Q-Methodology and focus group interviews identified the experiences of 11 rehabilitation professionals in an urban rehabilitation hospital during the first year following leader development training.</p><p><strong>Findings: </strong>Three themes were identified. These include: (a) an opportunity to connect, (b) a community of leaders, and (c) a healthy peer leadership network emerged from the data analysis. These results indicated that shared experiences and opportunities to connect in a robust peer leadership network can influence the growth of all leaders independent of their current leadership or networking competency. The opportunity to connect for shared discussions in a healthy peer leadership network can accentuate the learning following leader development curriculum as individual leaders develop leadership and as collectives advance organizational outcomes.</p><p><strong>Practical implications: </strong>Healthcare organizations should facilitate connections in a healthy leadership network to develop individual and collective leadership in an organization.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"16 ","pages":"39-52"},"PeriodicalIF":4.4,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576808","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":"Gender-Related Microaggressions in Orthopedic Surgery: A Comprehensive Survey of Women Orthopedists and Implications for Progress, Saudi Arabia","authors":"N. Alhammadi, Imtinan Al Jabbar, Seham A Alahmari, Rawan Alqahtani, Wajd Alhadi, Bayan Alnujaymi, Miran Al-Jakhaideb, Hanan Almoghamer, Manar Alqahtani, S. Mahmood","doi":"10.2147/JHL.S437083","DOIUrl":"https://doi.org/10.2147/JHL.S437083","url":null,"abstract":"Background Microaggressions are subtle and often unintentional acts that can be verbal, nonverbal, or environmental, and they convey negative messages to individuals belonging to marginalized social groups. This study aims to determine the prevalence of microaggressions experienced by female Saudi orthopaedic surgeons. Methods This cross-sectional study was conducted online and targeted female in orthopedic surgery across different regions of the Kingdom of Saudi Arabia. The survey was uploaded to Google Forms and distributed through social media platforms like Twitter, Instagram, and WhatsApp by well-trained data collectors. Results In this survey we included 96 female Saudi orthopedics. Their mean age was 27.46 ± 12.20 years. Most respondents were either residents (52.63%), or specialists (23.16%). Most participants (92.63%) were still in training or early in their careers, with the vast majority (93.68%) had their residency in Saudi Arabia. Nearly three-fifths (61.05%) have reported experiencing microaggressions as victims, 76.84%, did not see themselves as perpetrators of microaggressions, 23.16% acknowledged having engaged in such behavior. Patients or their families were reported to be involved in microaggressions in 43.16% of cases, while male surgeons and male support staff were implicated at 51.58% and 23.16%, respectively. Additionally, other male medical doctors participate in microaggressions in 33.68% of instances. Female surgeons were identified as being involved in 22.11% of microaggressions, whereas 29.47% involve female support staff. Conclusion The study’s outcomes can help inform strategies to promote a supportive and inclusive environment within the field of orthopaedic surgery, encouraging positive interactions and equitable opportunities for all practitioners.","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"35 15","pages":"29 - 37"},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455678","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":"Physician Burnout: Evidence-Based Roadmaps to Prioritizing and Supporting Personal Wellbeing","authors":"Louise Underdahl, Mary Ditri, Lunthita M Duthely","doi":"10.2147/jhl.s389245","DOIUrl":"https://doi.org/10.2147/jhl.s389245","url":null,"abstract":"","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":" 13","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392769","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":"Servant Leadership in the Healthcare Literature: A Systematic Review","authors":"Getnet Demeke, M. V. van Engen, Solomon Markos","doi":"10.2147/JHL.S440160","DOIUrl":"https://doi.org/10.2147/JHL.S440160","url":null,"abstract":"Abstract Servant leadership has received a growing consideration among scholars and practitioners as a viable leadership model capable of bringing positive changes in the increasingly complex healthcare system. The increasing servant leadership literature in healthcare requires an integrated research work that provides a holistic picture of the existing studies. This systematic review aims to synthesize servant leadership conceptualizations, theoretical frameworks, measurement tools, and nomological networks (antecedents, mediators, outcomes, and moderators) associated with prior research in healthcare. A systematic synthesis of 55 pertinent healthcare-specific conceptual and empirical studies demonstrated that servant leadership assumes a crucial role in developing a committed workforce that contributes towards the achievement of performance excellence in healthcare. The review uncovers that the Global Servant Leadership Scale is the most utilized measure of servant leadership in sector-specific studies in healthcare. Moreover, social exchange theory is the dominant underpinning mechanism explaining the influence of servant leadership on specific variables of interest. The findings further revealed that servant leadership has a positive relationship with a range of valued individual and organizational outcomes in healthcare. Our review contributes to the development of servant leadership theory and practice through ascertaining sector-specific studies in the territory of healthcare. We finally conclude by providing a detailed panorama for future healthcare-specific servant leadership research in terms of potential topics, methodological rigor, and less explored variables in prior studies.","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":" 1165","pages":"1 - 14"},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139391704","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":"Factors Affecting Burnout and Job Satisfaction of Physicians at Public and Private Hospitals: A Comparative Analysis","authors":"S. Dinibutun","doi":"10.2147/JHL.S440021","DOIUrl":"https://doi.org/10.2147/JHL.S440021","url":null,"abstract":"Purpose The purpose of this study is to investigate and analyze the impact of physicians’ burnout levels on their job satisfaction, the factors related with burnout and job satisfaction, and to see whether there is a difference between public and private hospital physicians. Methods A cross-sectional survey design was adopted and conducted on 160 physicians in Aydin/Turkey. Personal Information Form, Maslach Burnout Inventory, and Minnesota Job Satisfaction Scale were used. Independent samples t-test, one-way analysis of variance (ANOVA), and correlation analysis were conducted. Results A negative relationship between burnout and job satisfaction among physicians was determined. Female private hospital physicians have significantly higher levels of burnout compared to male physicians. Married public hospital physicians’ job satisfaction is significantly higher than single physicians. Public hospital physicians have significantly higher levels of burnout compared to private hospital physicians, as well as a significant lower level of job satisfaction. Conclusion The physicians have high burnout and low satisfaction levels. For this reason, burnout levels of the physicians should be determined and measures should be taken to reduce it. A possible reason of female physicians having higher levels of burnout in private hospital could be the result of the unique, demanding organizational factors, culture, climate and expectations, including work-life balance issues on working women. An important finding of the study showed that public hospital physicians have higher burnout levels and lower job satisfaction levels than private hospital physicians, largely attributed to the demanding workload and the burdensome bureaucratic processes they must navigate.","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":" 8","pages":"387 - 401"},"PeriodicalIF":4.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138615233","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":"Response to \"Rampart of Health-Specific Leadership and Social Support of Colleagues to Overcome Burnout in an Emotionally Demanding Situations: The Mediating Role of Stress\" [Letter].","authors":"Hadi Prayitno, Tri Wahyuni Ismoyowati, Heru Santoso Wahito Nugroho","doi":"10.2147/JHL.S439502","DOIUrl":"10.2147/JHL.S439502","url":null,"abstract":"","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"15 ","pages":"385-386"},"PeriodicalIF":4.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500698","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":"Pediatric Faculty Engagement and Associated Areas of Worklife After a COVID19 Surge.","authors":"Audrey M Uong, Michael D Cabana, Janet R Serwint, Carol A Bernstein, Elaine E Schulte","doi":"10.2147/JHL.S410797","DOIUrl":"10.2147/JHL.S410797","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare organizations strive to increase physician engagement and decrease attrition. However, little is known about which specific worklife areas may be targeted to improve physician engagement or retention, especially after stressful events such as a COVID19 surge. Our objective was to identify demographic characteristics and worklife areas most associated with increased physician engagement and decreased intent to leave in pediatric faculty.</p><p><strong>Patients and methods: </strong>In September 2020, we conducted a cross-sectional survey of faculty at an academic, tertiary-care children's hospital. A convenience and voluntary sampling approach was used. The survey included demographics, Maslach Burnout Index-Human Services Survey (MBI-HSS) and the Areas of Worklife Survey (AWS). The MBI-HSS was used to measure faculty engagement. The AWS measures satisfaction with six worklife areas (workload, control, reward, fairness, community, values). We used bivariate analyses to examine relationships between worklife areas and engagement and between worklife areas and intent to leave. We included multivariate logistic regression models to examine worklife areas most associated with increased work engagement and decreased intent to leave.</p><p><strong>Results: </strong>Our response rate was 41% (113/274 participants). In bivariate analysis, engaged faculty reported higher satisfaction in all worklife areas. In multivariate analyses, positive perceptions of workload (odds ratio (OR) 2.83; 95% confidence interval (CI), 1.2-6.9), control (OR, 3.24; 95% CI 1.4-7.3), and community (OR, 6.07; 95% CI 1.9-18.7) were associated with engagement. Positive perceptions of values (OR, 0.07; 95% CI 0.02-0.32) and community (OR, 0.19; 95% CI 0.05-0.78) were negatively associated with intent to leave.</p><p><strong>Conclusion: </strong>We found that positive perceptions of workload, control, and community were most associated with engagement. Alignment of values and increased sense of community were associated with decreased intent to leave. Our findings suggest specific worklife areas may be targeted to increase faculty engagement and retention.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"15 ","pages":"375-383"},"PeriodicalIF":4.4,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478904","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":"Fostering Excellence in Obstetrical Surgery.","authors":"R Douglas Wilson","doi":"10.2147/JHL.S404498","DOIUrl":"10.2147/JHL.S404498","url":null,"abstract":"<p><strong>Introduction: </strong>This obstetric surgery review is directed toward the common obstetrical surgeries (caesarean delivery, VBAC/TOLAC, operative vaginal delivery, placenta accreta spectrum) with evidence for quality and safety to allow for obstetrical outcome excellence.</p><p><strong>Materials and methods: </strong>This focused scoping review has used a structured process for article identification and inclusion for each of the focused surgeries.</p><p><strong>Results: </strong>The review results provide an obstetrical surgery (OS) overview for caesarean delivery, vaginal birth after caesarean delivery and/or trial of labor after caesarean delivery, operative vaginal delivery, placenta accreta spectrum; considerations for quality and safety variance due to non-clinical human factors; quality improvement (QI) tools; OS QI implementation cohorts; implementation considering certain barriers and solutions.</p><p><strong>Conclusion: </strong>Administrative health care systems and obstetrical surgery care providers cannot afford, not to consider and implement, certain evidenced-based \"bottom-up/top-down\" processes for quality and safety, as the patients will demand the quality and the safety, but the lawyers should not have to enforce it.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"15 ","pages":"355-373"},"PeriodicalIF":4.4,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478903","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":"Does Organizational Commitment to Mental Health Affect Team Processes? A Longitudinal Study.","authors":"Lucia Volpi, Davide Giusino, Luca Pietrantoni, Marco De Angelis","doi":"10.2147/JHL.S429232","DOIUrl":"https://doi.org/10.2147/JHL.S429232","url":null,"abstract":"<p><strong>Purpose: </strong>Team processes, such as reflexivity and participation, are critical for organizational sustainability, especially in high-reliability professions such as healthcare. However, little is known about health-related predictors of team processes. Basing our hypotheses on the Input-Process-Output (IPO) model, this study investigates the influence of perceived organizational commitment to mental health (OCMH) on healthcare workers' team reflexivity and participation via mental health-specific leadership (MHsL) and team autonomy.</p><p><strong>Patients and methods: </strong>The study involved 82 participants (ie, physicians, nurses, healthcare assistants, healthcare technicians, and physiotherapists) working in the Medicine, Emergency, and Neurological Departments at a large public healthcare organization in Italy. Data was gathered at 2-time points, 14 months apart.</p><p><strong>Results: </strong>The results suggest that healthcare workers' perception of their organization's support for mental health at T1 significantly impacts team participation at T2 through MHsL and team autonomy. Likewise, the indirect effect of OCMH through MHsL and team autonomy was also significant in the model predicting team reflexivity. However, in both models, no direct relationship of OCMH on the dependent variables was found.</p><p><strong>Conclusion: </strong>The findings highlight the importance of a mental health-supportive environment and leadership to foster team autonomy and, subsequentially, team processes, which are fundamental for performance and patient care.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"15 ","pages":"339-353"},"PeriodicalIF":4.4,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463292","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}