Health Services Management Research最新文献

{"title":"Sustainability accounting and reporting adoption across Italian public healthcare system: What role of the institutional pressures?","authors":"Elisa Guidotti, Nora Annesi, Fabio Iannone","doi":"10.1177/09514848261461237","DOIUrl":"https://doi.org/10.1177/09514848261461237","url":null,"abstract":"<p><p><b>Background:</b> This paper aims to understand whether and how the Italian healthcare context has embraced sustainability accounting and reporting practices. Specifically, it investigates if the sector has developed institutional pressures that drive public healthcare organisations toward the adoption of sustainability disclosure.<b>Methods:</b> The researchers employed document analysis as a qualitative research method for data collection and analysis. The research team analysed a total of 80 institutional and corporate documents, divided into 10 documents from the regional programming phase and 70 from the corporate monitoring phase.<b>Results:</b> The analysis shows that Italian healthcare organisations are lagging in adopting sustainability documents. Furthermore, the analysed disclosures do not refer to the United Nations Sustainable Development Goals (SDGs), as they are compiled according to national legislation designed well before the introduction of the SDGs framework.<b>Discussion & Conclusion:</b> The lack of institutional pressures across public sector organisations has hindered the development of a solid culture of sustainability reporting in the public healthcare sector. This research contributes at two levels: practically, it advances the accounting and reporting literature by examining the availability of such practices in the public sector; theoretically, it sheds light on the development and role of institutional pressures for sustainability reporting in Italian public hospitals.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261461237"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362821","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":"Enhancing job satisfaction and reducing burnout among healthcare workers: The mediating role of psychological capital before and after a targeted training intervention.","authors":"Silvia Platania, Claudio Maggio, Marcello Boccadamo, Vittorio Scuderi","doi":"10.1177/09514848261461241","DOIUrl":"https://doi.org/10.1177/09514848261461241","url":null,"abstract":"<p><p>This study aimed to evaluate the effectiveness of a Psychological Capital (PsyCap) training program in enhancing job satisfaction and reducing burnout among healthcare professionals. A pretest-posttest design was employed to evaluate changes in participants before and after the intervention. The study involving 732 healthcare workers at Time 1 (T1) and 653 at Time 2 (T2) across several public hospitals in Italy. Participants completed a 4-months structured training program targeting the core components of PsyCap: hope, efficacy, resilience, and optimism. Standardized self-report measures were used to assess psychological capital, job satisfaction, and burnout levels. The PsyCap training program led to a statistically significant increase in participants' PsyCap scores, a reduction in burnout symptoms, and an improvement in overall job satisfaction. Mediation analyses revealed that PsyCap significantly mediated the relationship between the training intervention and the outcomes of burnout and job satisfaction. Multigroup analyses supported the effectiveness of the intervention, confirming significant differences between pre- and post-training conditions. Psychological Capital is a measurable and developable resource that plays a crucial role in promoting employee well-being and organizational health. Implementing PsyCap development programs may offer healthcare organizations a sustainable and evidence-based strategy to tackle burnout and enhance job satisfaction among frontline staff.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261461241"},"PeriodicalIF":1.5,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266499","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":"Global trends and emerging themes in digital human resource management in healthcare: A bibliometric analysis.","authors":"Abdullah Salam, Tifany Erza Pranasari, Wynda Satria Sasmita, Bunga A Paramashanti","doi":"10.1177/09514848261461230","DOIUrl":"https://doi.org/10.1177/09514848261461230","url":null,"abstract":"<p><p>This study aims to systematically examine global research on digital human resource management (HRM) in healthcare using bibliometric analysis of 61 documents published between 1988 and 2024. This number reflects the emerging and highly specialized nature of digital HRM in healthcare research. VOSviewer software was utilized to map co-authorship networks and keyword co-occurrences and to generate overlay and density visualizations. A threshold-based approach was applied to identify key themes and research patterns across the literature. There has been significant publication growth, especially after 2018, with the United States, United Kingdom, and India emerging as the leading contributors. Results reveal four thematic clusters representing technological, organizational, demographic, and governance perspectives. These insights illuminate underexplored areas, such as leadership integration and equity, which are essential for guiding digital transformation in healthcare workforce management. Healthcare managers and policymakers should prioritize the strategic integration of digital HRM tools into system-level planning. Emphasis should be placed on aligning digital solutions with organizational leadership, workforce development, and public health goals, particularly in resource-constrained settings.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261461230"},"PeriodicalIF":0.7,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240137","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":"Enhancing collaboration and communication within nursing teams: Insights from nurses to inform health service management.","authors":"Mirko Prosen, Sabina Ličen","doi":"10.1177/09514848261451438","DOIUrl":"10.1177/09514848261451438","url":null,"abstract":"<p><p><b>Background:</b> Quality healthcare depends on coordinated collaboration among professionals from different disciplines. In nursing teams, interpersonal relationships, mutual trust, communication, and teamwork are essential for ensuring safe and high-quality patient care. Poor communication and unresolved hierarchical dynamics may negatively affect team functioning and patient safety. <b>Purpose:</b> The aim of this study was to explore interpersonal relationships among nurses working in nursing teams and to identify key factors influencing collaboration and communication in everyday clinical practice. <b>Research Design:</b> A qualitative descriptive research design was used. <b>Study Sample:</b> A purposive sample of 21 participants employed in nursing care at the secondary level of healthcare was included in the study. <b>Data Collection and/or Analysis:</b> Data were collected through semi-structured individual interviews. The collected data were analysed using qualitative content analysis. <b>Results:</b> Four themes were identified: (1) perceptions of interpersonal relationships in nursing teams, (2) communication patterns and challenges in nursing teams, (3) the impact of relationships and communication on the quality and safety of nursing care, and (4) opportunities to improve relationships and communication in nursing teams. Positive interpersonal relationships and open communication contributed to stronger team cohesion and higher quality of care. In contrast, poor communication, hierarchical differences, and interpersonal conflicts increased the risk of errors and negatively affected teamwork and patient safety. <b>Conclusions:</b> The findings highlight the importance of supportive interpersonal relationships and effective communication within nursing teams. Targeted interventions are needed to strengthen collaboration in clinical practice, including communication skills training for nurses, stronger managerial support, and the implementation of structured communication protocols tailored to nursing care settings.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261451438"},"PeriodicalIF":0.7,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869927","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":"Enhancing diversity and inclusion in paramedic education: Exploring educator and learner perspectives on asset-based initiatives.","authors":"Karina Graham, Ufuoma Jones, Tracey Rehling, Julia M Carroll, Rosie Kneafsey, Barbara Kozlowska, Amanda Rodrigues Amorim Adegboye","doi":"10.1177/09514848251398807","DOIUrl":"10.1177/09514848251398807","url":null,"abstract":"<p><p>This study investigates the perspectives of paramedic educators and students on diversity and inclusion within UK paramedic education, with a focus on the application of the Asset-Based Community Development (ABCD) framework. Using a mixed-methods approach, data was collected from interviews with seven educators, a focus group with four ethnic minority students, a workshop involving 36 third-year students, and a survey completed by 225 students. Educators were predominantly young, White males with limited teaching experience. While many educators were unfamiliar with ABCD, they unknowingly employed asset-based practices and expressed support for its formal integration. Students reported limited ethnic diversity among peers and staff, with some having witnessed discrimination and others highlighting barriers such as cultural insensitivity, inadequate mentorship, and financial pressures. Qualitative themes revealed gaps in communication, a lack of cultural representation and inconsistent support structures. Students saw potential in the ABCD approach to foster inclusivity, but both educators and students stressed the need for institutional commitment. The study concludes that improving diversity in paramedic education requires a multifaceted strategy, including culturally responsive pedagogy, targeted outreach, mentorship programmes and systemic institutional reforms to support ethnic minority learners and enhance equity in educational outcomes.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"82-93"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656022","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":"Why \"health in all policies\" matters: Insights from the EHMA 2025 conference.","authors":"Francesca Ferrè","doi":"10.1177/09514848261441137","DOIUrl":"10.1177/09514848261441137","url":null,"abstract":"","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"65"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595489","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":"The energy burden of care: Insights from a regional survey in Italian hospitals.","authors":"Michele Dolcini, Andrea Brambilla, Sofia Borghi, Beatrice Pattaro, Isabella Nuvolari Duodo, Stefano Capolongo","doi":"10.1177/09514848261416445","DOIUrl":"10.1177/09514848261416445","url":null,"abstract":"<p><p>IntroductionHospitals are among the most energy-intensive public infrastructures due to their continuous operations and complex systems. Despite the strategic importance of energy management in healthcare, detailed benchmarks for hospital energy costs remain limited in Italy.MethodsThis study analyzes energy-related facility management expenditures in 27 public hospitals in Lombardy between 2019 and 2022. Data were collected via a structured survey, focusing on electricity and heating expenditures. Parametric values were calculated in €/sqm and hospitals were classified by complexity (Basic, DEA I, DEA II).ResultsThe results reveal that energy costs represent approximately 48% of total facility management expenses. Over the 4-year period, total energy expenditures rose by 51.22%, with the most significant increases in 2021-2022. Parametric values varied by hospital type: from €71.64/sqm in Basic Hospitals to €101.65/sqm in DEA II. Though newer buildings generally showed lower energy costs, building age alone did not fully explain cost variability.ConclusionsThe study provides a first benchmarking effort on hospital energy costs in the Italian context. The findings highlight the need for energy monitoring, retrofitting, and the adoption of efficiency-oriented management strategies, providing actionable insights for infrastructure planning and healthcare policy.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"108-114"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967498","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":"Designing and delivering managerial training for the turnaround of a National Health System. Lessons and reflections from research evidence and field work in the Romanian NHS.","authors":"Elena Maggioni, Giada Castellini, Bogdan Baciu, Mafaten Chaouali, Tomas Zapata Lopez, Alexandru Rafila, Cristian Vlădescu, Teodor Cristian Blidaru, Nicolae Dragos Garofil, Federico Lega","doi":"10.1177/09514848251407051","DOIUrl":"10.1177/09514848251407051","url":null,"abstract":"<p><p>Contemporary scholarships in leadership and management increasingly emphasizes the centrality of competent leaders and professionals in enhancing performance at both organizational and system levels, particularly within public health systems facing growing demands for sustainability and reform. Despite initial efforts across various National Health Systems (NHSs) to strengthen managerial capabilities, progress remains constrained by structural path-dependencies and professional bureaucracies. This study investigates the design and implementation of a large-scale, competency-based managerial training program within the Romanian NHS, developed between 2023 and 2024 with the support of the Ministry of Health and the World Health Organization. The intervention followed a multi-phase approach, including a comprehensive literature review and a national needs assessment involving 1200 stakeholders through semistructured interviews and online surveys. A Training-of-Trainers (ToT) scheme was delivered to 150 selected participants by academic experts from Italy, Spain, and Portugal. These trainers subsequently facilitated system-wide training activities, reaching up to 5000 clinical leaders and managers across the country. Findings underscore the strategic relevance of tailored training initiatives in advancing competence-based human resource management. Common training needs identified include leadership, strategic planning, ethics, change management, and systems thinking. The Romanian experience offers transferable insights for designing context-sensitive training programs capable of fostering system-wide organizational transformation in other transitioning health systems.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"94-107"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764132","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":"Examining healthcare staff views and experiences with equity, diversity, and inclusion (EDI) in a multi-disciplinary healthcare setting: A mixed methods needs assessment to advance inclusive excellence.","authors":"Lauren R Squires, Logan Meyers, Myann Marks, Eryn Tong, Ekaterina An, Camilla Zimmermann, Jacqueline L Bender","doi":"10.1177/09514848251387042","DOIUrl":"10.1177/09514848251387042","url":null,"abstract":"<p><p>Equity, diversity, and inclusion (EDI) is increasingly identified as a priority in healthcare organizations and an essential component of high-quality care. However, research on advancing EDI in healthcare workplaces is limited. This study sought to elucidate how to advance inclusive excellence in a clinical department of a comprehensive cancer centre. A mixed-methods quality improvement project was undertaken whereby staff completed an online survey, and a sub-group were interviewed. Quantitative data were summarized using descriptive statistics and univariate regression analyses and qualitative data were analyzed using thematic analysis. 103 of 219 staff/learners completed the survey and 17 staff were interviewed. Over 90% of survey participants agreed EDI should be a priority and 29% had experienced discrimination, which was associated with considering leaving the organization. Facilitators to EDI were: enthusiasm/awareness of EDI, openness to new ideas, gender diversity, and safe environments for self-expression. Barriers to EDI were lack of: EDI knowledge, cohesion/collaboration, psychological safety, diversity along various dimensions, EDI-related communication, and burnout. To advance departmental EDI, initiatives should leverage facilitators and overcome barriers to meet department needs aligning with organizational goals. These findings will inform the development of a story huddle learning series to strengthen EDI-related knowledge and skills.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"66-81"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13062439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259668","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":"An exercise in the prioritization of patient experience dimensions: What is important and for whom? A resource allocation simulation.","authors":"Anne-Sophie Gresle, Joan Fernando, Rosario Scandurra, Brittany Taylor, Begoña Ibañez, Jessica Farré, Eva Palou, Olga Rubio, Joan Escarrabill","doi":"10.1177/09514848261435936","DOIUrl":"https://doi.org/10.1177/09514848261435936","url":null,"abstract":"<p><p>IntroductionPatient experience (PX) is now recognized as the third pillar of healthcare quality, with evidences linking PX dimensions to improved clinical outcomes. As health systems shift toward value-based care, understanding which aspects of care citizens value most is essential for aligning services with their expectations and improving health outcomes.MethodologyThis study explores how citizens (n = 78; 29 men, 49 women) prioritize PX dimensions, through a simulation conducted during an open day at a University Hospital. Participants at the PX team's outreach stand received information on seven PX dimensions-Information, Therapeutic education, Physical environment, Participation in service governance, Shared decision-making, Professional accessibility, and Respectful treatment-identified through literature and over 70 focus groups. Each was asked to allocate a simulated 500€ budget across these dimensions using play money. Color-coded envelopes were distributed based on gender identity.ResultsParticipants prioritized Professional accessibility (22%), followed by Therapeutic education (17%) and Respectful treatment (17%). Shared decision-making (12%), Information (11%), Participation (11%), and Physical environment (10%) followed. Gender differences were observed: while both men and women placed highest value on Professional accessibility (21%), men favoured Therapeutic education (19% vs 16%), while women prioritized Respectful treatment (18% vs 14%).ConclusionsThese findings highlight the potential of participatory approaches to reveal citizens' true priorities, informing more targeted, equitable, and people-centred strategies. By aligning PX improvements with dimensions citizens value most, particularly accessibility, education, and respectful care, healthcare systems can enhance both responsiveness and overall quality.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261435936"},"PeriodicalIF":0.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500149","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}