Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project
Background:
Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But far too many health care organizations still do not treat cultural competency as a business imperative and driver of strategy.
Purposes:
The aim of the study was to examine the impact of a systematic, multifaceted, and organizational level cultural competency initiative on hospital performance metrics at ...
Source: Health Care Management Review - January 1, 2018 Category: American Health Tags: Features Source Type: research
The protective role of self-efficacy against workplace incivility and burnout in nursing: A time-lagged study
Conclusion:
Relational occupational coping self-efficacy is an important protective factor against negative work behavior.
Practice Implications:
Organizations should provide nurses with opportunities to build their coping strategies for managing job demands and difficult interpersonal interactions. Similarly, providing exposure to effective role models and providing meaningful verbal encouragement are other sources of efficacy information for building nurses’ relational coping self-efficacy. (Source: Health Care Management Review)
Source: Health Care Management Review - January 1, 2018 Category: American Health Tags: Features Source Type: research
Leading on the edge: The nature of paramedic leadership at the front line of care
Background:
Health care organizations are considered complex systems that represent both formal leadership as well as more informal and shared leadership models. Implementing these models is essential for optimizing care and patient outcomes. The paramedic profession specifically, although considered informally, leads out of hospital patient care.
Purpose:
To date, few empirical studies investigate shared leadership in health care settings. In paramedicine specifically, studies of leadership are scarce, despite paramedics' essential role in leading on the front lines of care. Using an exemplar of paramedics, we examin...
Source: Health Care Management Review - January 1, 2018 Category: American Health Tags: Features Source Type: research
Longitudinal analysis of high-technology medical services and hospital financial performance
Background:
U.S. hospitals have been investing in high-technology medical services as a strategy to improve financial performance. Despite the interest in high-tech medical services, there is not much information available about the impact of high-tech services on financial performance.
Purpose:
The aim of this study was to examine the impact of high-tech medical services on financial performance of U.S. hospitals by using the resource-based view of the firm as a conceptual framework.
Methodology/Approach:
Fixed-effects regressions with 2 years lagged independent variables using a longitudinal panel sample of 3,268...
Source: Health Care Management Review - January 1, 2018 Category: American Health Tags: Features Source Type: research
At the intersection of teaching and research: Mapping the health care management literature
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - January 1, 2018 Category: American Health Tags: Department: Editorial Source Type: research
Leadership development programs for health care middle managers: An exploration of the top management team member perspective
Background:
Hospitals throughout the United States establish leadership and management programs for their middle managers. Despite their pervasiveness and an increased emphasis on physician leadership, there is limited research regarding the development programs designed for clinical and nonclinical health care middle managers.
Purpose:
Using two theoretical lenses, signaling and institutional theory, this exploratory study investigates mid-sized hospital development programs from the perspective of top management team (TMT) members. Our objective is to find out what types of programs hospitals have, how they are deve...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Building trust: The influence of mentoring behaviors on perceptions of health care managers’ trustworthiness
Background:
In health care organizations, trust is critical for effective workplace relationships that ensure patient-centered outcomes. Although research has focused on trust in the relationship between patients and clinicians, less is known about what influences workers to trust their managers. An understanding is needed of the specific behaviors that influence health care workers’ evaluations of their managers’ trustworthiness. Mentoring research focuses on the developmental assistance that a more experienced worker provides to a less experienced worker. Building upon Kram’s (1988) seminal research on mentoring ...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Insider versus outsider executive succession: The relationship to hospital efficiency
Background:
The relationship between Chief Executive Officer (CEO) succession and hospitals’ competitive performance is an area of interest for health services researchers. Of particular interest is the impact on overall strategic direction and health system performance that results from selecting a CEO from inside the firm as opposed to seeking outside leadership. Empirical work-to-date has yielded mixed results. Much of this variability has been attributed to design flaws; however, in the absence of a clear message from the evidence, the preference for hiring “outsiders” continues to grow.
Purpose:
This paper ...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Do learning collaboratives strengthen communication? A comparison of organizational team communication networks over time
This study highlights key future research directions that can disentangle the relationship between learning collaboratives and team networks. (Source: Health Care Management Review)
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections
Background:
Approximately 250,000 central line-associated bloodstream infections (CLABSIs) occur annually in the United States, with 30,000 related deaths. CLABSIs are largely preventable, and the Comprehensive Unit-Based Safety Program (CUSP) is a proven sustainable model that can be used to reduce CLABSIs. CUSP is a resource intensive program that, although widely used, has not been universally adopted.
Purpose:
The purpose of this study is to identify the significant factors of safety culture prior to CUSP implementation associated with a reduction or elimination of CLABSIs. By identifying these factors, hospitals ...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project
Background:
Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But far too many health care organizations still do not treat cultural competency as a business imperative and driver of strategy.
Purposes:
The aim of the study was to examine the impact of a systematic, multifaceted, and organizational level cultural competency initiative on hospital performance metrics at ...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
The protective role of self-efficacy against workplace incivility and burnout in nursing: A time-lagged study
Conclusion:
Relational occupational coping self-efficacy is an important protective factor against negative work behavior.
Practice Implications:
Organizations should provide nurses with opportunities to build their coping strategies for managing job demands and difficult interpersonal interactions. Similarly, providing exposure to effective role models and providing meaningful verbal encouragement are other sources of efficacy information for building nurses’ relational coping self-efficacy. (Source: Health Care Management Review)
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Leading on the edge: The nature of paramedic leadership at the front line of care
Background:
Health care organizations are considered complex systems that represent both formal leadership as well as more informal and shared leadership models. Implementing these models is essential for optimizing care and patient outcomes. The paramedic profession specifically, although considered informally, leads out of hospital patient care.
Purpose:
To date, few empirical studies investigate shared leadership in health care settings. In paramedicine specifically, studies of leadership are scarce, despite paramedics' essential role in leading on the front lines of care. Using an exemplar of paramedics, we examin...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
Longitudinal analysis of high-technology medical services and hospital financial performance
Background:
U.S. hospitals have been investing in high-technology medical services as a strategy to improve financial performance. Despite the interest in high-tech medical services, there is not much information available about the impact of high-tech services on financial performance.
Purpose:
The aim of this study was to examine the impact of high-tech medical services on financial performance of U.S. hospitals by using the resource-based view of the firm as a conceptual framework.
Methodology/Approach:
Fixed-effects regressions with 2 years lagged independent variables using a longitudinal panel sample of 3,268...
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Features Source Type: research
At the intersection of teaching and research: Mapping the health care management literature
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - December 1, 2017 Category: American Health Tags: Department: Editorial Source Type: research
