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Leadership in Health Services

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https://read.qxmd.com/read/30702045/leader-identity-development-in-healthcare-an-existential-phenomenological-study
#1
Anne Koskiniemi, Hanna Vakkala, Ville Pietiläinen
PURPOSE: The purpose of this study is to take an existential-phenomenological perspective to understand and describe the experienced leader identity development of healthcare leaders working in dual roles. Leader identity development under the influence of strong professional identities of nurses and doctors has remained an under-researched phenomenon to which the study contributes. DESIGN/METHODOLOGY/APPROACH: Existential-phenomenology serves as a perspective underpinning the whole research, and an existential-phenomenological method is applied in the interview data analysis...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702044/existential-leadership-coaching-in-a-medical-partnership
#2
Eric David Spencer, Ruth Albertyn
PURPOSE: This paper aims to report on a case study conducted in a private medical partnership of more than 50 specialist physicians where the researcher applied a leadership coaching model grounded in existential philosophy. The paper asserts that existential leadership coaching can be a novel and effective means to address leadership development needs in the unique context of a professional partnership. DESIGN/METHODOLOGY/APPROACH: The qualitative phenomenological study used a bounded case study design using four purposively selected specialist physicians who were involved in four individual structured coaching sessions over an eight-week period...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702043/leadership-set-up-wishful-thinking-or-reality
#3
Bettina Ravnborg Thude, Egon Stenager, Christian von Plessen, Erik Hollnagel
PURPOSE: The purpose of the study is to determine whether one leader set-up is better than the others according to interdisciplinary cooperation and leader legitimacy. DESIGN/METHODOLOGY/APPROACH: The study is a qualitative study based on semi-structured interviews at three Danish hospitals. FINDINGS: The study found that the leadership set-up did not have any clear influence on interdisciplinary cooperation, as all wards had a high degree of interdisciplinary cooperation independent of which leadership set-up they had...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702042/the-influence-of-change-oriented-leadership-on-work-performance-and-job-satisfaction-in-hospitals-the-mediating-roles-of-learning-demands-and-job-involvement
#4
Aslaug Mikkelsen, Espen Olsen
PURPOSE: The purpose of this paper is to examine the mechanisms through which change-oriented leadership in hospitals influences job performance and employee job satisfaction. The authors examine the direct and the mediating effects of perceived learning demands and job involvement. DESIGN/METHODOLOGY/APPROACH: This cross-sectional study is based on a survey of four public hospitals in a regional health authority in Norway. FINDINGS: The findings illustrate how change-oriented leadership directly and indirectly influences work performance and job satisfaction...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702041/developing-an-innovative-business-model-for-hospital-services-in-iran-a-case-study-of-moheb-hospitals
#5
Marjan Miremadi, Kamyar Goudarzi
PURPOSE: This paper aims to focus on the role of hospital business models by examining the innovative business model of Moheb Hospitals, which have successfully achieved the goal of reducing costs and delivering high-quality health-care services in Iran by encouraging public-private partnership. DESIGN/METHODOLOGY/APPROACH: This paper is a single case study. FINDINGS: The study results illustrate the hospital's current business model and its underlying elements...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702040/brazilian-nursing-professionals-leadership-to-generate-positive-attitudes-and-behaviours
#6
Claudia Affonso Silva Araujo, Kleber Fossati Figueiredo
PURPOSE: This paper aims to identify the kind of work environment that should be offered by hospital leaders to their nursing staff in Brazil to generate job satisfaction, organizational commitment and organizational citizenship behaviour within their field of expertise. DESIGN/METHODOLOGY/APPROACH: A survey was applied to 171 nurses and 274 nursing technicians who work at five private hospitals in Brazil. Both factor analysis and regression analysis were used to analyse the study model...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702039/successful-implementation-of-self-managing-teams
#7
Wilke Weerheim, Lisa Van Rossum, Wouter Dirk Ten Have
PURPOSE: Following health-care organisations, many mental health-care organisations nowadays consider starting to work with self-managing teams as their organisation structure. Although the concept could be effective, the way of implementing self-managing teams in an organisation is crucial to achieve sustainable results. Therefore, this paper aims to examine how working with self-managing teams can be implemented successfully in the mental health-care sector where various factors for the successful implementation are distinguished...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702038/implementing-quality-improvement-through-knowledge-brokering-a-dutch-case-study
#8
Julia Quartz-Topp
PURPOSE: Managerial quality improvement (QI) in terms of accountability management has become central to healthcare institutions. Yet, managerial QI is largely considered irrelevant by healthcare professionals. In consequence, the implementation of managerial QI implementation is hampered. Knowledge brokering is discussed as a means to foster the implementation of (QI) knowledge in healthcare. Yet, the benefit of knowledge brokering for managerial QI has so far been neglected. Therefore, this research asks how knowledge brokering can support the implementation of managerial QI...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702037/effects-of-ethical-leadership-on-bullying-and-voice-behavior-among-nurses
#9
Talat Islam, Ishfaq Ahmed, Ghulam Ali
PURPOSE: This study aims to investigate the effects of ethical leadership on employee's bullying and voice behavior, considering poor working conditions, organizational identification and workload as mediating variables. DESIGN/METHODOLOGY/APPROACH: Questionnaire survey design was used to elicit responses of 564 nurses from hospitals located in various cities of Pakistan. FINDINGS: Analysis through structural equation modeling proved that ethical leadership has a positive and significant impact on both organizational identification and voice behavior, but a negative and significant impact on workload, poor working conditions and bullying at the workplace...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30702036/servant-leadership-and-job-satisfaction-within-private-healthcare-practices
#10
Shelley Maeva Farrington, Riyaadh Lillah
PURPOSE: The purpose of this study is to investigate the influence of servant leadership on job satisfaction within private healthcare practices. DESIGN/METHODOLOGY/APPROACH: Criterion sampling has been used to draw a sample of private healthcare practitioners and their employees. The data collected from 241 useable questionnaires have been statistically analysed. Factor analysis and Cronbach's alpha coefficients have been used to assess the validity and reliability of the measuring instrument, and multiple regression analyses have been performed to test the influence of the dimensions of servant leadership on job satisfaction...
January 24, 2019: Leadership in Health Services
https://read.qxmd.com/read/30234456/incorporating-sustainability-in-small-health-care-facilities-an-integrated-model
#11
Kevin Wing Ki Chu, Lenis Lai Wan Cheung
Purpose It is challenging for small health-care facilities to implement changes when human and financial resources are limited for day-to-day operations. This paper aims to propose an integrated model for small- and medium-sized health-care facilities to integrate sustainability in their day-to-day operations, which have been derived from the leadership and change theories. Design/methodology/approach Drawing on previous research on leadership and change theories, the paper first critically reviewed the approaches to implementing changes and how applicable they are in the context of small- and medium-sized health-care facilities...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234455/organisational-learning
#12
John Duncan Edmonstone
Purpose The understanding of "organisations" has changed fundamentally from seeing them as concrete entities to viewing them as communities of meaning. Mature adults in healthcare learn best when addressing pressing problems in company of their peers. Healthcare is unlike other sectors because of the emotional labour which is part of the experience of clinical staff. Absorptive capacity offers a conceptual model for viewing organisational learning and the encouragement of systemic eloquence can be enabled through a variety of approaches, provided they are designed and delivered as part of a well-thought-through approach to developing local absorptive capacity...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234454/career-path-from-a-dentist-to-a-leader
#13
Tiina A Tuononen, Anna Liisa Suominen, Johanna Lammintakanen
Purpose The purpose of this paper was to study the career paths of leaders with a career background as a dentist from basic degree to chief or executive leadership positions and individual factors that influenced their decisions. Design/methodology/approach Semi-structured interview and a questionnaire were used to study 13 leaders using the structure of Edgar Schein's career anchor interview and career orientation inventory questionnaire. Theory-driven content analysis was used to analyze the data according to themes which included career paths, factors associated with job and career changes and thoughts about future careers...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234453/developing-health-leadership-with-health-leads-australia
#14
Elizabeth Shannon, Andi Sebastian
Purpose Leadership, and leadership development, in health and human services is essential. This review aims to draw conclusions from practice within the Australian context. Design/methodology/approach This review is an overview of health leadership development in Australia, with a particular focus on the implementation of the national health leadership framework, Health LEADS Australia (HLA). Findings Since its inception, the HLA has influenced the development of health leadership frameworks across the Australian states and territories...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234452/the-influence-of-leadership-behavior-organizational-commitment-organizational-support-subjective-career-success-on-organizational-readiness-for-change-in-healthcare-organizations
#15
Mahmoud Al-Hussami, Sawsan Hammad, Firas Alsoleihat
Purpose The purpose of this study is to investigate the influence of leadership behavior, organizational commitment, organizational support and subjective career success on organizational readiness for change in the healthcare organizations. The authors want to determine if nurses who had higher levels of organizational commitment, organizational support and subjective career success relationships were more open and prepared for change. Design/methodology/approach Cross-sectional, descriptive-correlational survey design was conducted using self-reported questionnaires to collect data from registered nurses...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234451/quality-improvement-in-curriculum-development
#16
Victor Maddalena, Amanda Pendergast, Gerona McGrath
Purpose There is a growing emphasis on teaching patient safety principles and quality improvement (QI) processes in medical education curricula. This paper aims to present how the Faculty of Medicine at Memorial University of Newfoundland engaged medical students in quality improvement during their recent curriculum renewal process. Design/methodology/approach In the 2013-2014 academic year, the Faculty of Medicine at Memorial University of Newfoundland launched an undergraduate medical education curriculum renewal process...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234450/prospective-sensemaking-of-a-national-quality-register-in-health-care-and-elderly-care
#17
Annika Maria Margareta Nordin, Boel Andersson Gäre, Ann-Christine Andersson
Purpose The purpose of this paper is to examine how external change agents (ECAs) engaged to disseminate a national quality register (NQR) called Senior alert nationwide in the Swedish health care and elderly care sectors interpret their work. To study this, sensemaking theories are used. Design/methodology/approach This is a qualitative inductive interview study including eight ECAs. To analyze the data, a thematic analysis is carried out. Findings Well-disseminated NQRs support health care organizations' possibility to work with quality improvement and to improve care for patient groups...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234449/factors-that-foster-or-prevent-sense-of-belonging-among-social-and-health-care-managers
#18
Mai-Stiina Lampinen, Anne Irmeli Konu, Tarja Kettunen, Elina Annikki Suutala
Purpose The purpose of this study is to identify factors that foster or prevent sense of belonging among frontline and middle managers in social and health-care services in Finland. Design/methodology/approach The data have been collected among social and health-care managers ( n = 135; 64 per cent nursing managers) through two open-ended questions in a questionnaire concerning sense of community. The results of the open-ended questions have been analyzed using qualitative content analysis. Findings Among managers, six categories of factors that foster sense of belonging (open interaction, effective conversation culture, support and encouragement, common values, a shared vision of the work and its objectives and structure of leadership) and five categories of factors that prevent sense of belonging (negative work atmosphere, lack of common time, structural solutions in the organization, problems that occur in the organizational level and problems related to leadership and management) have been identified...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234448/sensemaking-and-cognitive-shifts-learning-from-dissemination-of-a-national-quality-register-in-health-care-and-elderly-care
#19
Annika Maria Margareta Nordin, Boel Andersson Gäre, Ann-Christine Andersson
Purpose The purpose of this study is to examine and establish how sensemaking develops among a group of external change agents (ECAs) engaged to disseminate a national quality register nationwide in Swedish health care and elderly care. To study the emergent sensemaking, the theoretical concept of cognitive shift has been used. Design/methodology/approach The data collection method included individual semi-structured interviews, and two sets of interviews (initial sensemaking and renewed sensemaking) have been conducted...
October 1, 2018: Leadership in Health Services
https://read.qxmd.com/read/30234447/can-lean-six-sigma-be-used-to-reduce-medication-errors-in-the-health-care-sector
#20
Yaifa Trakulsunti, Jiju Antony
Purpose The purpose of this paper is to present the implementation of Lean Six Sigma (LSS) to reduce medication errors, by using four case examples. The paper will also suggest appropriate Lean and Sigma tools to improve the medication process. Design/methodology/approach The authors critically analyze four case examples that used LSS projects, to demonstrate the approach, benefits, success factors and lessons learnt. Findings LSS is a powerful process improvement methodology that could be applied by health-care sectors to reduce medication errors, increase patient safety and reduce operational costs...
October 1, 2018: Leadership in Health Services
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