Health Care Manager最新文献

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Case in Health Care Management. 医疗保健管理案例
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000230
{"title":"Case in Health Care Management.","authors":"","doi":"10.1097/HCM.0000000000000230","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000230","url":null,"abstract":"The “Case in Health Care Management” is a regular feature of The Health Care Manager. Readers are invited to analyze the problem presented in the case and develop a reasonable response to the situation. In analyzing a case: • Look for the principles that appear to be involved, and look for the applicability of rules of reason, common sense, and fairness. • Seek help frompublished sources. Associate the concerns of the case with key words that describe principles, concepts, theories, or techniques, and look these up in texts on supervision and basic management. • Make whatever reasonable assumptions you need to “fill in the blanks” in the information given. • Keep your assumptions reasonable, and state your key assumptions in your conclusions. • Recognize that there are few solutions to a case problem that are entirely right or wrong. You are dealing primarily with human behavior, and all people will not necessarily behave the same way in similar situations.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36595061","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}
引用次数: 0
Interpersonal Competence in the Management of People. 人际管理中的人际能力。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000237
Charles R McConnell
{"title":"Interpersonal Competence in the Management of People.","authors":"Charles R McConnell","doi":"10.1097/HCM.0000000000000237","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000237","url":null,"abstract":"<p><p>Interpersonal skills are those essential skills applied in dealing with and relating to other people largely on a one-to-one basis. The interpersonal communication behavior of many people suggests they assume an ability to communicate effectively that they do not possess, taking these skills for granted. One must work conscientiously to develop interpersonal competence by doing the rights things at all times and doing them repeatedly until they become ingrained. As with any human skills, interpersonal skills can be improved through conscious effort. Successful interpersonal communication involves shaping the behavior of others often while countering their shaping behavior. To have a chance of being successful, every interpersonal contact must have an objective, and every effort must be made to avoid creating win-lose transactions whenever possible.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503928","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}
引用次数: 5
The Effects of Implementing an Accreditation Process on Health Care Quality Using Structural Equation Modeling. 使用结构方程模型实施认证过程对卫生保健质量的影响。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000229
Parisa Pourrabia, Mohammadkarim Bahadori, Seyed Mojtaba Hosseini, Ramin Ravangard
{"title":"The Effects of Implementing an Accreditation Process on Health Care Quality Using Structural Equation Modeling.","authors":"Parisa Pourrabia,&nbsp;Mohammadkarim Bahadori,&nbsp;Seyed Mojtaba Hosseini,&nbsp;Ramin Ravangard","doi":"10.1097/HCM.0000000000000229","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000229","url":null,"abstract":"<p><p>This study was undertaken to investigate nurses' perceptions of and attitudes toward the effects of hospital accreditation on their service quality in an eye hospital in Tehran in 2016. This was a cross-sectional and descriptive-analytic study conducted in the second half of 2016. Data of 200 nurses who were selected using a census method were studied. For collecting the required data, a standard questionnaire was used. Data were analyzed using SPSS 21.0 through descriptive statistics, as well as AMOS 18.0 software through the measurement and structural models of structural equation modeling method. The results showed that the independent variables of nurses' participation and the benefits of accreditation had predicted 63% of the variations in the dependent variable of \"quality.\" Also, the results of structural equation modeling showed that the benefits of accreditation (regression weight = 0.22) had a significant effect on quality outcomes (P = .02). Moreover, the participation of nurses (regression weight = 0.61) had an important effect on quality outcomes (P < .001). Finally, the benefits of accreditation had a significant association with the nurses' participation (regression weight = 0.50) (P < .001). According to the results of the present study, the hospital accreditation program had positive effects on the quality of care from the studied nurses' perspective.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36505976","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}
引用次数: 2
Factors and Preferences in Patient Selection and Location of Care. 患者选择和护理地点的因素和偏好。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000234
Alexander Kowalski, Keiko Yoshioka, Alison Mancuso, Rebecca Moore
{"title":"Factors and Preferences in Patient Selection and Location of Care.","authors":"Alexander Kowalski,&nbsp;Keiko Yoshioka,&nbsp;Alison Mancuso,&nbsp;Rebecca Moore","doi":"10.1097/HCM.0000000000000234","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000234","url":null,"abstract":"<p><p>There are many factors that influence the decisions that patients make regarding where they receive care. Two hundred thirty-three patients were surveyed in the primary care setting to determine patient satisfaction and characteristics that led patients to seeking treatment at primary care offices, urgent care centers, or emergency rooms. Respondents rated quality of care highest at the primary care office (P < .001). Patients also demonstrated preference for in-person care compared with video conferencing or telephone visits (P < .001).</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503929","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}
引用次数: 1
Social Capital, Community Capacity, and Health. 社会资本、社区能力和健康。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000233
Seongjin Lee, Minsoo Jung
{"title":"Social Capital, Community Capacity, and Health.","authors":"Seongjin Lee,&nbsp;Minsoo Jung","doi":"10.1097/HCM.0000000000000233","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000233","url":null,"abstract":"<p><p>The capacity to practice health behavior is different for each individual. Community capacity and social capital deal with understanding the relationship between community members and with the factors that promote or delay collective activities. This study examines existing literature in relation to social capital, health, and community capacity. Bonding social capital shows the average value of the extent to which individuals trust each other and participate in groups, whereas bridging social capital shows the average value of the extent to which individuals participate in different formal groups. Community capacity seeks mutual cooperation based on trust, and cohesion minimizes community problems, and it has become evident that such capacity is a useful tool for health improvement.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503924","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}
引用次数: 6
The Lived Experience of First-Year Nurses at Work. 第一年护士在工作中的生活经验。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000228
Jana Brown, Glendora A Hochstetler, Sarah A Rode, Samuel P Abraham, Deborah R Gillum
{"title":"The Lived Experience of First-Year Nurses at Work.","authors":"Jana Brown,&nbsp;Glendora A Hochstetler,&nbsp;Sarah A Rode,&nbsp;Samuel P Abraham,&nbsp;Deborah R Gillum","doi":"10.1097/HCM.0000000000000228","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000228","url":null,"abstract":"<p><p>The aim of this qualitative phenomenological research study was to gain insight on the lived experiences of newly licensed nurses. First-year nurses describe poor experiences and struggle in their first year of practice, leading to high turnover and burnout. In-depth interviews were conducted with 12 newly licensed registered nurses. Major themes identified were (1) the impact of nursing school, (2) hospital orientation of a new nurse, (3) environment that promotes teamwork, (4) taking time for self-care, (5) confidence, and (6) expectations versus reality in doctor interactions. In conclusion, understanding the lived experiences of a new nurse gives insight to current nursing students, including expectations and tips for succeeding in the first year of practice. Current orientation programs in northern Indiana were found to adequately prepare new graduates for professional practice.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000228","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503925","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}
引用次数: 7
The Nationwide Health Information Network: The Case of the Expansion of Health Information Exchanges in the United States. 全国健康信息网络:美国健康信息交换扩展的案例。
Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000231
Morgan Ruley, Victoria Walker, Jana Studeny, Alberto Coustasse
{"title":"The Nationwide Health Information Network: The Case of the Expansion of Health Information Exchanges in the United States.","authors":"Morgan Ruley,&nbsp;Victoria Walker,&nbsp;Jana Studeny,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000231","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000231","url":null,"abstract":"<p><p>The Nationwide Health Information Network (NHIN) implemented secure exchange of health records through utilization of the Internet. The NHIN has greatly assisted in achieving the goals of the Health Information Technology for Economic and Clinical Health Act by promoting the adoption of Meaningful Use. Epic introduced a Health Information Exchange platform, Care Everywhere, which has facilitated Health Information Exchange availability. The purpose of this research was to determine the impact of NHIN and Epic Care's Care Everywhere on health care to determine whether their use in the emergency department (ED) has increased. The methodology for this study utilized a literature review. Twenty-eight sources were referenced for this study. With the NHIN implementation, repeated visits were decreased, visit times became faster, and charges were lower. Emergency department reported significant benefits with sharing clinical information. The NHIN implementation throughout the ED has increased the quality of health care; duplicated tests and drug usage were determined, and a reduction of the ED length of stay was also achieved.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36505977","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}
引用次数: 7
Why Seek a Doctorate-Prepared Nurse to Join Your Team? 为什么要找一个有博士学位的护士加入你的团队?
Health Care Manager Pub Date : 2018-07-01 DOI: 10.1097/HCM.0000000000000224
Wilma Powell Stuart
{"title":"Why Seek a Doctorate-Prepared Nurse to Join Your Team?","authors":"Wilma Powell Stuart","doi":"10.1097/HCM.0000000000000224","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000224","url":null,"abstract":"<p><p>Increasing numbers of doctoral-prepared nurses are joining interprofessional health care teams. Interestingly, the evolving doctoral programs for nurse leaders can be confusing to other health care professionals. Advanced education for nursing leaders is driven by a growing need for cost-effective implementation of evidence-based practices. Professional nursing organizations and nursing education programs have redefined education to respond to the call for knowledgeable experts to lead evidence-based quality improvements. As interprofessional health care management teams face the daunting task of selecting team members, an understanding of the differences in nursing doctoral programs is needed. A doctor of nursing practice degree-prepared nurse can strengthen the health care team by providing a skill set that includes not only the ability to translate evidence into best practice, but also the ability to communicate effectively with all members of the interprofessional team.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254808","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}
引用次数: 0
Assessing the Effectiveness of Problem-Based Learning as a New Approach on Health Care Provider Ethical Reasoning Development in Shiraz University of Medical Sciences. 以问题为基础的学习方法对设拉子医科大学医护人员伦理推理发展的有效性评估
Health Care Manager Pub Date : 2018-07-01 DOI: 10.1097/HCM.0000000000000223
Leila Bazrafcan, Farnaz Takmil, Nasrin Shokrpour
{"title":"Assessing the Effectiveness of Problem-Based Learning as a New Approach on Health Care Provider Ethical Reasoning Development in Shiraz University of Medical Sciences.","authors":"Leila Bazrafcan,&nbsp;Farnaz Takmil,&nbsp;Nasrin Shokrpour","doi":"10.1097/HCM.0000000000000223","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000223","url":null,"abstract":"<p><p>Problem-based learning (PBL) has become a distinct approach in learning. To assess the effectiveness of PBL in teaching ethics to medical students and the effect it has on their ethical reasoning, we decided to hold a PBL ethics workshop and then evaluate them based on pretest and posttest. This quasi-experimental comparative study in Shiraz University of Medical Sciences was designed based on pretest-posttest nonequivalent groups. After obtaining their consent, 120 health care providers were randomly selected and assigned in 4 groups and then asked to attend the ethics workshop. For measuring the participants' ethical reasoning through pretesting and posttesting, a case study consisting of 21 multiple-choice questions (cognitive domain-apply level) was performed. Data were then collected using a questionnaire, which was completed by the participants and analyzed using SPSS software (version 17). The comparison between the participants' attitude and knowledge toward ethics before and after the workshop revealed that all indices in the cognitive domain were changed (P < .001). The scores of pretest and posttest were significantly different. As to the results of our study, the PBL groups showed a more positive learning attitude and higher motivation in comparison with the control group who were subjected to traditional-based method of learning. The result of our study suggests that PBL can and should be used as an alternative method in teaching ethics in medical students because it is more effective and motivates the students.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36236889","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}
引用次数: 4
Self-care Habits of Nurses and the Perception of Their Body Image. 护士自我护理习惯与身体形象感知。
Health Care Manager Pub Date : 2018-07-01 DOI: 10.1097/HCM.0000000000000218
Haley E Atkins, Molly Campoli, Taylor R Havens, Samuel P Abraham, Deborah Gillum
{"title":"Self-care Habits of Nurses and the Perception of Their Body Image.","authors":"Haley E Atkins,&nbsp;Molly Campoli,&nbsp;Taylor R Havens,&nbsp;Samuel P Abraham,&nbsp;Deborah Gillum","doi":"10.1097/HCM.0000000000000218","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000218","url":null,"abstract":"<p><p>The aim of this qualitative, phenomenological study was to explore the self-care habits of nurses in the hospital setting and how these habits influenced the perception of body image. The nursing profession often requires the nurse to place the health of patients before their own. Very little information is found in the literature regarding the self-care habits of nurses. The data were collected through in-depth interviews with 12 participants who worked as hospital nurses in northern Indiana. The analysis revealed 6 themes in self-care among nurses and how they viewed their bodies. In conclusion, being conscious about body image was the most frequently occurring theme and was referenced more than 4 times the other themes. The findings of this study may be useful in identifying ways to improve the shortcomings of nurses' self-care habits to improve body image and promote healthier lifestyles.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36243221","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}
引用次数: 4
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