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 in th...
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 health u...
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