To Catch a Thief: Protecting Proprietary Information Including Trade Secrets From Corporate Espionage
This article provides helpful guidance for managers to maximize protection against theft of proprietary information. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2019 Category: Health Management Tags: Article Source Type: research

Managing Security Risk: Modeling the Root Causes of Data Breaches
Health care data breaches are occurring at unprecedented rates, but breach causes are challenging to identify. The purpose of this exploratory study was to identify potential root causes associated with health care data breaches and to create a model of potential data breach factors to inform risk assessment and future predictive analysis. We considered organizational factors, business processes, and technological tools that may be associated with health care data breach occurrences. Using legal requirements, security industry frameworks, and health care standards, we developed a testable health care data breach model. Thi...
Source: The Health Care Manager - October 1, 2019 Category: Health Management Tags: Article Source Type: research

The 340b Program, Contract Pharmacies, Hospitals, and Patients: An Evolving Relationship Impacting Health Care Delivery
The 340B Drug Pricing Program, created by Congress in 1992 through the Veterans Health Care Act, has provided discounted drug prices to hospitals and other health care organizations serving a wide population of low-income patients. Some 340B programs use contract pharmacies, an arrangement whereby the hospital or health care organization signs a contract directly with a pharmacy to provide covered pharmacy services at discounted prices. The federal 340B Drug Pricing Program has provided access to reduced price prescription drugs to more than 35 000 individual health care facilities and sites certified by the US Department ...
Source: The Health Care Manager - October 1, 2019 Category: Health Management Tags: Article Source Type: research

Prenatal Opioid Maintenance in the United States and Its Effect on Neonatal Abstinence Syndrome: The Case of West Virginia’s Opioid Epidemic: Erratum.
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2019 Category: Health Management Tags: Erratum Source Type: research

Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention
The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Canada. This was a secondary analysis of 11 nurses' semistructured one-on-one interviews. Additional data were collected through 6 days of observations, informal conversations, field notes, and a journal. A thematic analysis followed. Interprofessional relations and the need for rec...
Source: The Health Care Manager - October 1, 2019 Category: Health Management Tags: Article Source Type: research

Succession Planning and Perceived Barriers to Achieving Career Optimization Among Health Care Administrators
Achieving career optimization is especially important for health care administrators working in United States (US) hospitals. Succession planning is a critical and essential process for nurturing future leaders. Succession planning occurs when there is an immediate change in leadership such as when a leader voluntarily or involuntarily vacates a position resulting in substantial loss of organizational knowledge and experience. This descriptive quantitative study fulfilled gaps in knowledge pertaining to the role of succession planning and perceived barriers to achieving career optimization among health care administrators ...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Transformational Leadership Style and Employee Creativity: A Case Study in Yazd Medical University
The present study was conducted to explore the relationship between transformational leadership style and employee creativity in Shahid Sadoughi University of Medical Sciences in 2014. This was a descriptive cross-sectional study with a sample of 365 workers from Shahid Sadoughi University of Medical Sciences conducted in 2014. Three questionnaires (including transformational leadership style, creative atmosphere, and employee creativity) were used to collect data. Correlation coefficient tests, along with coefficient of determination, scatter diagrams, and regression analysis, were applied to respond the research question...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Integrating Physician Practice Management Courses Into Health Administration Curricula
In today's health care industry, physicians face considerable regulatory and social trends that compel them to modify their practices—and these changes will continue throughout their careers. Emerging reimbursement systems are increasingly tying payment to quality metrics. To appropriately obtain and report patient data to payors, physician practices should adopt electronic health records. Physician practices have the opportunity to complete a clinical care redesign that meets the requirements of health care reform's focus on value-based care. With the shift toward value, patients are taking an active participation i...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

A Scoring Index of Prioritization Factors Between Patients: An Iberian Comparison
This study intends to develop a Prioritization Scoring Index of Iberian Peninsula comprising Portuguese and Spanish citizens, to weigh the importance assigned to rationing criteria used to prioritize patients. Data were collected through an online survey from 2 samples of 355 Portuguese and 564 Spanish members of the general public. Respondents faced 12 hypothetical rationing scenarios and should reveal their level of agreement with each one according to a Likert scale. The statements comprise 3 allocative considerations: egalitarianism, efficiency, and equity. Findings suggest that Portuguese and Spanish respondents gave ...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Prenatal Opioid Maintenance in the United States and Its Effect on Neonatal Abstinence Syndrome: The Case of West Virginia's Opioid Epidemic
West Virginia's opioid epidemic has been the cause of more than 42 000 deaths each year. Opioid abuse has become an issue among pregnant mothers and has increased the effects of neonatal abstinence syndrome (NAS) in infants. The purpose of this study was to evaluate the participation of prenatal opioid maintenance to determine whether it has decreased the amount of treatment needed for NAS in infants in West Virginia. The methodology utilized a literature review complemented with a semistructured interview. Thirty-six sources were referenced for this literature review. It was found that buprenorphine maintenance therapy ha...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Digital Health Care and the Fourth Industrial Revolution
We live in a world where big medical data are being compiled. Many people make use of biometric information gathered by a variety of health care devices linked to smartphones, such as Fitbit devices. In addition, the development of medical information management schemes and the introduction of health information systems have greatly increased the possibility of using medical records stored in medical institutions. With the development of sensor technology and analytical capabilities, we have gained new knowledge through big data, stemming from the collection of data that was not important in the current medical area. Digit...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

The Best of Both Models: Key Components of a Successful Hybrid Project Management Office Model in a Health Care Organization
Project management (PM) is considered an important competency for improving organizational efficiencies, and its practice is evolving in health care organizations. As a medium-sized health care organization, Ontario Shores Centre for Mental Health Sciences used a hybrid PM office model and created a PM network to connect the small, centralized PM office to the decentralized project leaders. The key components to create the PM network were (1) skilled leader, (2) organizational support, (3) infrastructure, and (4) session content. Membership grew from 12 to 45 members within the first year. The network continues to evolve t...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Work-Life Balance, Burnout, and Physician Wellness
This article seeks to provide a brief background in the area of work-life balance, burnout, and physician wellness. It will also review key points of the current literature and provide a combination of solutions suggested by experts in the field. (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Team Resource Management Perception Under Managerial Coaching Skills and Organizational Climate: Cross-Level Analysis in Taiwan's Hospitals
This article studied the influence of organizational climate and managerial coaching skills on team perception of team resource management (TRM) and coaching techniques in selected hospitals in Taiwan. Structural survey method was used to measure the relationship between organizational climate, managerial coaching skills, and team perception of TRM. The participants of this research were 530 administrative staff from 12 hospitals in Taiwan. Cross-level relationship between organizational climate (group level), managerial coaching skills (individual level), and team perception of TRM (individual level) was examined. The res...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Workplace Empowerment and Job Satisfaction in Portuguese Nurses: An Explicative Model
This study evaluated the relationship between empowerment and job satisfaction, supported by Kanter's theory of structural empowerment. This study used a convenience sample of 151 nurses from public Portuguese hospitals. The adjustment of the model and the effect of mediation were carried out with a structural equation model (path analysis) through the statistical software STATA. The results show the mediator effect of global empowerment on the relationship between structural empowerment and job satisfaction and the direct and indirect effects of “access to opportunities” in job satisfaction. Managers of these ...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Health Care Management 2019 Style: Are We Having Fun Yet?
This article explores eight structural factors that collectively explain why health care managers report having much less fun at work recently. It suggests redefining what having fun at work means in the first instance and proposes a new conception focused on pursuing worthwhile health care goals. Health care managers should abandon many former notions of fun, let fun evolve from the work itself, and trust staff members to determine what they consider to be fun at work. (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Effects of Using Music Therapy for Patients Suffering From Dementia
The purpose of this study was to discuss the mental and physical effects of using music therapy with patients suffering with dementia. Like any type of therapy, there are guidelines for measuring the effects. Music therapy can be used as a substitute for pharmaceuticals with dementia patients. The earlier the diagnosis and the earlier treatment commences for dementia patients, the more likely the treatment will work. Music therapy can reach the part of the brain where we hold memories, which is why it is used as a treatment option for dementia patients. Alzheimer disease and dementia are among the most expensive diseases t...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

Medicare Access and CHIP Reauthorization Act and Rural Hospitals
The cost of health care within the United States has continued to increase, whereas the quality of patient care has generally decreased in some areas. With the continued use of Medicare's former physician reimbursement algorithm, termed sustainable growth rate, national expenditures within the United States have been expected to increase 5.6% annually. To modernize the delivery and financing of care, Congress has introduced the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which has permanently eliminated and replaced the sustainable growth rate. The purpose of this study was to review MACRA and its impleme...
Source: The Health Care Manager - July 1, 2019 Category: Health Management Tags: Article Source Type: research

The Opioid Epidemic in West Virginia
This study conducted a literature review using 37 references that were published between the years 2009 and 2018, complemented with a semistructured interview. The number of people injecting drugs has increased from 36% in 2005 to 54% in 2015. The total US cost of prescription opioid abuse in 2011 has been estimated at $25 billion, and criminal justice system costs to $5.1 billion. The reasons for this opioid epidemic incidence in West Virginia have been a combination of sociocultural factors, a depressed economy, lack of education, and a high rate of prescribing and dispensing of prescription opioids. (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

To Rate or Not to Rate? Autonomic Response and Psychological Well-being of Employees During Performance Review
Organizational research started including neurosciences exploring pivotal phenomena and promoting organizational well-being. Leadership was investigated by assessing psychophysiological responses during performance review characterized by narrative or quantitative assessments and their effects on employees' well-being. As is known, rating could be perceived as threatening for employees' ranking and status perception, leading to avoidant behaviors. Design and Methodology: Here, manager-employee dyads were assigned to 2 conditions: in the nonrate scenario, managers were asked to describe the employee's performance; in the ra...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

The Factors Affecting Hospital Employees' Turnover Intentions: A Case of Iran
Hospital employees' turnover is one of the problems with which both public and private organizations have been faced for many years. Employees' turnover can cause many organization's investments in employees to be wasted and the stability and continuity of the organizational activities to be undermined. The present study aimed to investigate the effects of social support and mediating factors on the turnover intention of administrative and financial employees working in the teaching hospitals affiliated to Shiraz University of Medical Sciences, Iran, using structural equation modeling in 2017. This was an applied, cross-se...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

Shared Vision in Nursing: An Evolutionary Concept Analysis Revealing Dualities Within the Profession
Shared vision has been used by the nursing community for over 20 years, but this concept and its language are not presented consistently. At its most basic level, shared vision consists of identifying what a group wants to create. The main objective of this study is to provide a concept analysis of shared vision from an evolutionary nursing perspective within health care organizations. Forty-eight nursing journal articles from 1989 to 2016 were included in the analysis. The concept is presented within the nursing literature as a process or an outcome relying on top-down or bottom-up approaches to defining the future of car...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Case in Health Care Management Source Type: research

An Analysis of Key Challenges Encountered by Various Stakeholders in the Evolving Private Hospital Ecosystem in India
Private hospitals and medical institutions play an important role in bridging the health care delivery gap in India. In addition to prescribing physicians, various stakeholders such as nurses, pharmacists, and hospital administrators working in these institutions contribute to the efficient delivery of health care services. The current survey was conducted with the aim of evaluating work-related challenges faced by these individual hospital stakeholders and gauging potential engagement opportunities with industry to improve the quality health care services delivered. This survey included 60 private hospitals with more than...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

The Role of Patient-Centered Medical Home Recognition in Addressing Public Health Priorities
American Public Health Association's (APHA's) vision for creating the healthiest nation in one generation has been driven by clear priorities to rebuild the public health infrastructure, to ensure access to care, and to reduce health disparities. The journey toward APHA's vision has required and benefited from a variety of interventions including congressional acts, government regulations, public health policy changes, innovative ideas and technology, novel health care reimbursement strategies, and voluntary certifications. American Public Health Association's endorsement of the Patient-Centered Medical Home (PCMH) model o...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

Choice of a Short-term Prediction Model for Patient Discharge Before Noon: A Walk-Through of ARIMA Model
The objective is to find an appropriate autoregressive integrated moving average (ARIMA) model for forecasting the rate of patients out by noon based on the lowest error in a statistical forecast by applying the mean absolute percentage error. The results obtained demonstrate that a nonseasonal ARIMA model classified as ARIMA(2,1,1) offers a good fit to actual discharge-before-noon data and proposes hospital leaders short-term prediction that could facilitate decision-making process, which is important in an uncertain health care system environment. (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

Rethinking the Obvious: Time for New Ideas on Medical Malpractice Tort Reform
States have engaged in medical malpractice litigation reforms over the past 30 years to reduce malpractice insurance premiums, increase the supply of physicians, reduce the cost of health care, and increase efficiency. These reforms have included caps on noneconomic damages and legal procedural changes. Despite these reforms, health care costs in the United States remain among the highest in the world, provider shortages remain, and defensive medicine practices persist. The purpose of this study was to determine how successful traditional medical malpractice reforms have been at controlling medical costs, decreasing defens...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

Wolcott-Rallison Syndrome With Different Clinical Presentations and Genetic Patterns in Two Infants: Erratum
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Erratum Source Type: research

Management Approach for Population Health Outcomes and Economic Improvement: Appointing Health Services Early Careerists to Rural Communities for Leadership Development
Securing health services administrators to manage health care organizations in rural areas and small town communities presents unique challenges; however, potential benefits abound for residents in terms of improving population health outcomes from a community-based approach and stimulating the local economy. The influx of community-based approaches to revitalize small towns and rural communities is evident in the literature. Small towns and rural areas lack advanced health care practices, which results in poor health outcomes; economic development as a result of a poorly prepared workforce; and community connection to the...
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: Article Source Type: research

From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2019 Category: Health Management Tags: From the Editor Source Type: research

Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses
The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout—the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others—is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in ...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Case in Health Care Management Source Type: research

From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: From the Editor Source Type: research

Estimation of Government Health Expenditures in Iran During 2006 to 2011, Using Panel Data
In this study, the data were collected and categorized separately for each province from documents in the Ministry of Health and the Statistical Center of Iran. The results showed that there were positive associations between health expenditures and some factors including age group of 20 to 39 years (P = .04), the number of women (P = .001), the number of physicians, the number of hospital beds, and annual budget (P (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Designing a Performance Measurement System for Accountability, Quality Improvement, and Innovation
The purpose of this article is to detail a system for the design of performance measures that will be used to assess the achievement of a health care organization's strategic goals and its need for change. The article begins by emphasizing the importance of accountability and the need for the presence of a dynamic learning culture that is premised on a foundation of accountability, continuous improvement, learning, and innovation. This is followed by describing the importance of utilizing an interdisciplinary team with physician and patient involvement to guide the design and implementation of the performance measurement s...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Global Challenges to Human Immunodeficiency Virus Prevention
This study reviewed the clinical development and political challenges associated with HIV infection. Organizing and disseminating clinical medical advances can help us eliminate social stigmas and the dishonor linked to MSM. In addition, dealing with the worldwide infection problem of MSM can help to reestablish international joint confrontation and political agendas to promote disease eradication efforts. In many countries, socioeconomic problems are not related to increased numbers of HIV infections. Improving social issues such as human rights and economic problems depending on the circumstances of each country should h...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Organizational Factors Associated With Quality Perinatal Care
Perinatal care has been recognized as an integral part of ensuring quality health care in hospitals, and the focus on perinatal care quality is increasing. The previous hospital literature has focused much attention on measuring and improving quality of care generally, but recently there has been a call for a more comprehensive approach to measuring quality in the perinatal care setting. The perinatal literature is limited in addressing the association between organizational factors and perinatal quality. Using chart audit data for more than 10 000 maternity patients, we used multiple regression analysis to examine the ass...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Patient-Centered Medical Home Graduate Internship, Benefits to a Practice Manager: Case Study
Graduate Health Information Management students can and should be involved in collaborations with the Patient-Centered Medical Home at primary care clinics. In this case, the student is not from a Health Services Management background as it was in the first internship article, but rather from a Health Information Management background. This case study is the second of 2 Patient-Centered Medical Home internship studies where the value of an intern to a practice manager is demonstrated. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Caffeine Intake Habits and the Perception of Its Effects on Health Among College Students
In conclusion, college students are aware of the negative effects of caffeine, yet 75% consumed one or more and some exceeding five servings daily. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Service Utilization and Costs of Patients at a Cash-Based Physical Therapy Clinic
This study is the first to present data regarding costs, utilization, and patient demographics for a cash-based physical therapy clinic. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Staff Perceptions of Improving Emergency Care for Children: A Qualitative Study
The objective of this study was to identify staff perceptions of a service improvement for pediatric emergency care at a university teaching hospital. Semistructured qualitative interviews of stakeholders were conducted, and grounded theory approach was used for analysis. Forty-one interviews were conducted with physicians, nurses, managers, and health care workers. Major themes emerging from the analysis included the physical space of and flow within the pediatric emergency department (ED), impact of technology, staffing in the ED, the effects of frontline pediatricians and emergency physicians managing children in the ED...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers
This report is among the first to describe changes in hospital readmissions and costs for TKR patients in a national sample of US acute care hospitals. Findings offer hospital managers a mechanism to benchmark their facilities' performances. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Job Satisfaction Among Physician Assistants Practicing Cardiovascular Medicine in the United States
We assessed overall job satisfaction and factors of job satisfaction among physician assistants (PAs) practicing cardiovascular medicine in the United States. Job satisfaction among health care providers is associated with provider satisfaction and retention, reduced health care costs, increased patient satisfaction, and improved health care. Research regarding job satisfaction among physicians and nurse practitioners has been conducted, but knowledge of job satisfaction among PAs is limited, dated, and inadequate. Job satisfaction among PAs in cardiology, a specialty with a disparity between provider supply and demand, ha...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses
The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout—the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others—is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in ...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Interpersonal Competence in the Management of People
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 ot...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Wolcott-Rallison Syndrome With Different Clinical Presentations and Genetic Patterns in 2 Infants
Wolcott-Rallison syndrome is a rare disease presenting with insulin-dependent diabetes mellitus (DM) before 6 months old, skeletal dysplasia after 6 months old, and liver failure. Other manifestations are renal failure, microcephaly, epilepsy, central hypothyroidism, neutropenia, and dental and dermal problems. The cases were 2 patients from 2 different states of Iran (Khoozestan and Fars) who had developed DM before 6 months old. The first one was a 7-month-old infant who was healthy; in the genetic study (screening), autosomal recessive pattern and novel deletion in EIF2AK3 were reported; her sister had died at 5.5 years...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Nurses’ Perceptions of Engaging With Patients to Reduce Restrictive Practices in an Inpatient Psychiatric Unit
Despite the evidence of harmful effects of restrictive practices on patients and nurses, restrictive practices are still commonly used in the inpatient psychiatric settings. There has been a paradigm shift of a collaborative approach and implementation of patient engagement to reduce the use of restrictive practices. The purpose of this study was to explore nurses' perceptions of engaging with patients to reduce the use of restrictive practices in an inpatient psychiatric unit. This qualitative-descriptive study was conducted on an inpatient psychiatric unit of a large university hospital in Canada. Semistructured individu...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Case in Health Care Management Source Type: research

The Nationwide Health Information Network: The Case of the Expansion of Health Information Exchanges in the United States
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 inc...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Case Study of Nurses’ Experiences Related to the Deaths of Their Patients
A qualitative case study methodology was applied to explore how nurses cope when their patients die. The study utilized a sample of 16 participants at a rural 123-bed community hospital. Nine themes regarding nurses dealing with grief emerged: (a) family issues, (b) patient alone at death, (c) knowing the community, (d) never-forgotten experiences, (e) first experiences, (f) time issues, (g) responses to unexpected deaths, (h) role of nurses, and (i) nurses’ response to death itself. It is concluded that nurses need to grieve. If nurses do not know how to cope with deaths of their patients, it may lead to personal he...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research