Advancing theory on the multilevel role of leadership in the implementation of evidence-based health care practices
Discussion:
Findings advance leadership theory in health care, highlighting the importance of middle managers’ implementation leadership in transmitting the influence of top managers’ transformational leadership on staff attitudes toward EBPs. The full path model shows the extent to which transformational leadership may influence staff implementation of innovative practices as mediated through staff attitudes toward EBPs and middle managers’ implementation leadership.
Practice Implications:
Our findings have implications for developing a multilevel leadership approach to implementation in health care. Leadership...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
“Paying it forward”: The link between providers’ civility climate, civility toward patients and patient experience outcomes
Conclusion and Practice Implications:
This is one of the first studies theorizing and testing the extent to which relationship climate among providers affect their interactions with patients. The findings provide support that providers who experience a positive civility climate are more likely to pay forward this relationship experience and engage in civility toward patients. The results point to the importance of a civility climate for ensuring and potentially improving patient experience of care. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
The boundary-spanning behavior of nurses: The role of support and affective organizational commitment
Conclusions:
Perceived support has an important influence on the boundary-spanning behavior of nurses. This study emphasizes the importance on how support exerts an influence on boundary-spanning behavior and underscores the importance of affective organizational commitment. Health care organizations, supervisors, and coworkers are essential in fostering boundary-spanning behaviors of nurses, both directly and through the development of affective organizational commitment. These actors should therefore be aware of the way they behave and the implications their behavior may have. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
Goal importance, use of performance measures, and knowledge exchange: An empirical study on general practitioners’ performance
Background:
In many health systems, general practitioners (GPs) exhibit high levels of isolation and, at the same time, low levels of organizational identification, which can hinder their individual performance. The extant health care literature suggests that the physicians’ belief that organizational goals are important, the adoption of performance measurement systems, and knowledge-sharing practices affect their individual performance. Most research has investigated these constructs in isolation, however, rather than explored their collective impact on GPs’ individual performance.
Purpose:
The aim of this study ...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
The association between organizational cultural competence and teamwork climate in a network of primary care practices
Background:
A health system's commitment to delivering culturally competent care is essential in creating a culture of respect for patients, clinicians, and administrative staff. As the diversity of the health care workforce grows, gaining an understanding of the perspectives among different health care personnel and the value that they place on organizational cultural competence is a first step in developing more effective team environments.
Purpose:
The aim of the study was to determine whether an association exists between perceptions of organizational cultural competence and teamwork climate among employees in a h...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
A relational perspective on care coordination
Conclusion:
Care coordination may entail limited interactions with patients and community partners, especially at program inception. As care coordination programs mature, interactions may become more frequent and influence with partners may expand.
Practice Implications:
Decision makers should support care coordinators in improving the quality of their communication with both patients and community partners, as well as allow time for these relationships to develop. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research
Value Added of Management to Health Care Organizations
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Department: Editorial Source Type: research
Moving organizational theory in health care forward: A discussion with suggestions for critical advancements
This article is the transcript of that plenary discussion. It is shared to capture the intellectual history of the field and help surface the critical advancements still needed in organizational theory and practice in health care. The closing remarks of the panelists summarize recommendations for both practice and scholarship in health care organization management. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Online Only Source Type: research
Relationships between organizational and individual support, nurses’ ethical competence, ethical safety, and work satisfaction
Conclusions:
Organizational and individual support for nurses’ ethical competence should be strengthened, at least in Finland, by providing more ethics education and addressing ethical problems in multiprofessional discussions. Findings confirm that organizational level support for ethical competence improves nurses’ work satisfaction. They also show that individual level support improves nurses’ sense of ethical safety, and both organizational and individual support strengthen nurses’ ethical competence.
Practice Implications:
These findings should assist nurse leaders to implement effective support practices...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
Strategy and risk sharing in hospital–postacute care integration
Conclusion:
The design of care management models could benefit from elevating the role of postacute care providers in the current array of risk-based payment models, and these providers should consider developing deeper relationships with select postacute care providers to achieve cost containment. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
Barriers and facilitators to intraorganizational collaboration in public health: Relational coordination across public health services targeting individuals and populations
Background:
Modern public health emphasizes population-focused services, which may require collaborative work both across and within organizations. Studies have explored interorganizational collaborations, but there are little data regarding collaborations within public health organizations.
Purpose:
We measured intraorganizational collaboration and identified barriers and facilitators to collaboration within a large public health department through a mixed-methods study.
Methodology/Approach:
Our study occurred at the Maricopa County (Arizona) Department of Public Health, the third largest local public health juri...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
Retaining nurses in a changing health care environment: The role of job embeddedness and self-efficacy
Background:
Because nurses are on the front lines of care delivery, they are subject to frequent changes to their work practices. This change-laden environment puts nurses at higher risk for turnover. Given the frequent disruption to the way nurses perform their jobs, change-related self-efficacy (CSE), or confidence that one can handle change, may be vital to their retention.
Purpose:
The purpose of this article is to examine the roles of CSE and job embeddedness in reducing turnover intentions among nurses. Specifically, this article tests a model in which CSE is the intervening mechanism through which job embeddedn...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
The effects of emotional intelligence training on the job performance of Australian aged care workers
This study demonstrates the practical process through which EI training can improve the work experiences of aged care workers, as well as the quality of care for residents. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care
Background:
Intrahospital patient transports (IHTs) in intensive care involve an appreciable risk of adverse events (AEs). Research on determinants of AE occurrence during IHT has hitherto focused on patient, transport, and intensive care unit (ICU) characteristics. By contrast, the role of “soft” factors, although arguably relevant for IHTs and a topic of interest in general health care settings, has not yet been explored.
Purpose:
The study aims at examining the effect of safety climate and team processes on the occurrence of AE during IHT and whether team processes mediate the effect of safety climate.
Methodo...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
Magnetic work environments: Patient experience outcomes in Magnet versus non-Magnet hospitals
Conclusions:
Evidence from this study suggests that it would be worthwhile for hospital leaders to consider organizational policies and practices consistent with the criteria put forth for Magnet hospital designation. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research
