The dynamics of integration and integrated care: An exploratory study of physician organizations
Conclusion
Delivering integrated care depends on a PO’s ability to limit integration failures, keeping provider attention focused on patients. Building on the attention-based view, we present a framework suggesting that this ability is a function of both integration perspectives and integration engagement mechanisms.
Practice Implications
POs interested in delivering more integrated care should employ a variety of complementary integration engagement mechanisms and facilitate these efforts by nurturing both people-oriented and system-oriented mindsets among PO decision-makers. (Source: Health Care Management Review)
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Relationships and resilience at work and at home: Impact of relational coordination on clinician work–life balance and well-being in times of crisis
This study was based on surveys of clinicians affiliated with a large California health system during the COVID-19 pandemic. Mediation and multilevel logistic regression models were used to assess how relational coordination among colleagues impacts well-being (job satisfaction and lack of burnout) through its effects on work–life balance (schedule control and personal time).
Results
A 1-point increase in relational coordination tripled clinician odds of having schedule control (OR = 3.33, p (Source: Health Care Management Review)
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Were hospitals with sustained high performance more successful at reducing mortality during the pandemic’s second wave?
Conclusion
During the first wave of the pandemic, mortality rates did not differ between sustainers and nonsustainers. However, sustainers had lower mortality rates than nonsustainers in the second wave, most likely because of their knowledge management capabilities and existing structures and resources that enable them to develop new processes and routines to care for patients in times of crisis. Therefore, a consistently high level of performance over the years on HVBP-TPS is associated with high levels of performance on COVID-19 patient outcomes.
Practice Implications
Investing in identifying the knowledge, p...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Australian cancer nurses’ experiences of burnout: Exploring the job demands and job resources of metropolitan cancer nurses during 2019–2020
Conclusion
Australian cancer nurses work in an environment where job demands are increasingly disproportionate to job resources, leading to significant risk of burnout.
Practice Implications
Our study identifies modifiable strategies for improving work conditions for this group who play a critical role in the health care system. (Source: Health Care Management Review)
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Employee silence in health care: Charting new avenues for leadership and management
We present three Critical Challenge points to advance our understanding of silence and its roots by (1) challenging the predominance of psychological safety, (2) explaining how we operationalize sensemaking, and (3) transforming the role of clinical leaders as sensemakers who can recognize and reshape employee silence. These challenges also point to how employee silence can also result in a form of dysfunctional professionalism that supports maladaptive health care structures in practice.
Practice Implications
Delineating the contextual factors that prompt employee silence and encourage speaking up among health care...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
The buffering effects of psychological capital on the relationship between physical violence and mental health issues of nurses and personal care assistants working in aged care facilities
Purpose
The purpose of this study was to examine the effects of psychological capital on the relationship between physical violence and mental health issues of nurses and personal care assistants (PCAs) working in aged care using the job demands–resources theory.
Methodology
Data were collected from 254 nurses and PCAs of the Australian Nursing Midwifery Federation located in Victoria, Australia. The study takes a quantitative approach and tests the hypotheses through regression analyses.
Findings
The results indicate that experiencing physical violence increases levels of stress, depression, and anxiet...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Making do by getting real: Psychological contract violations and proactive career agency among medical professionals
Conclusion
This study identifies the expectations of early career professionals, which helps understand how and why psychological contract violations occur. It also expands the conceptualization of career agency from a positively framed aspect of professional behavior to one that includes haphazard and self-serving elements.
Practice Implications
Our study highlights several implications of the shifts in physician career agency for primary care practice. It discusses the potential effects of the purposeful self-interest among doctors on professional identity and power, as well as patient care. (Source: Health Ca...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
The role of health care organizations in patient engagement: Mechanisms to support a strong relationship between patients and clinicians
Conclusion
HCOs play an important role in supporting a strong partnership between the patient and clinicians. Our study identifies important mechanisms through which HCOs can fulfill this role.
Practice Implications
HCO leadership and administration can help establish the culture of care provided. Policies and initiatives that provide appropriate communication tools and promote culturally competent care can increase engagement. (Source: Health Care Management Review)
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Unsafe by design: Infusion task reallocation and safety perceptions in U.S. hospitals
This study examines the relationship between infusion task reallocation and perceptions of organizational safety. We also explore the extent to which this relationship may be mediated by infusion-related resources and psychological safety.
Methodology
Data were collected through a survey of 623 nurses from 580 U.S. hospitals. The relationship between infusion task reallocation and perceptions of organizational safety, as well as the potential mediating roles of infusion-related resources and psychological safety, was examined using structural equation modeling.
Results
Infusion task reallocation was negativel...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Managing community engagement initiatives in health and social care: lessons learned from Italy and the United Kingdom
Conclusion
CEIs are fundamental pillars of contemporary welfare systems because of both the changing demography and epidemiology and the disruptive impact of platform economy models. This challenging scenario and the related CEIs involve a complex social mechanism, which requires a new awareness and strengthened competences for public administrations’ steering.
Practice Implications
It is crucial for policy makers and managers to become familiar with all the different CEIs available in order to choose which solution to implement, depending on their potential impacts related to local public health and social ca...
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Features Source Type: research
Our community’s thread
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - November 23, 2022 Category: American Health Tags: Department: Editorial Source Type: research
A framework of the institutional policies and practice environments of nurse practitioner primary care models: A cross-case analysis
Conclusion
Our findings suggest that NP primary care models are supported by complex management systems and the NP-PCOF is a tool to help understand this complexity.
Implications
The NP-PCOF is a framework to understand the management systems that facilitate the utilization of NPs within primary care organizations. (Source: Health Care Management Review)
Source: Health Care Management Review - September 3, 2022 Category: American Health Tags: Features Source Type: research
Exploring system features of primary care practices that promote better providers’ clinical work satisfaction: A qualitative comparative analysis
Conclusions
Our findings suggest the importance of creating and sustaining a strong safety culture and of establishing and implementing highly functioning teams in primary care practices for enhancing PCPs’ clinical work satisfaction.
Practice Implications
Conducting the qualitative comparative analysis provides a new perspective for informing primary care and encouraging primary care practices to pursue strategic priorities for enhancing PCPs’ clinical work satisfaction and providing safe, high-quality care. (Source: Health Care Management Review)
Source: Health Care Management Review - September 3, 2022 Category: American Health Tags: Features Source Type: research
Rethinking how health care professionals cope with stress: A process model for COVID-19 and beyond
Issue
Prior to the COVID-19 pandemic, there was evidence of challenges surrounding the psychological well-being of health care professionals (HCPs). HCPs already frayed psychological ability to cope risks being further compromised by COVID-19-related stresses.
Critical Theoretical Analysis
Most research on stress, psychological distress, and coping among HCPs is done in a piecemeal manner without a theoretical model connecting these different but related phenomena. This critical advancement article aims to apply and extend Wheaton and Montazer’s model of stressors, stress, and distress to the literature on HCP...
Source: Health Care Management Review - September 3, 2022 Category: American Health Tags: Features Source Type: research
Being “low on the totem pole”: What makes work worthwhile for medical assistants in an era of primary care transformation
Conclusion
Some of the practice changes that enable primary care transformation may hinder MAs’ ability to attain their work values. Extant views on sustainable employability assume a high bar for intrinsic values but are limited when applied to low-wage health care workers in team-based environments.
Practice Implications
Efforts to effectively employ and retain MAs should consider proactive communications on scope-of-practice regulations, work redesign to emphasize clinical competence, and the establishment of greater recognition and respect among MAs and nurses. (Source: Health Care Management Review)
Source: Health Care Management Review - September 3, 2022 Category: American Health Tags: Features Source Type: research
