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self leadership

Heather Wagenschutz, Erin L McKean, Rajesh Mangrulkar, Katie Zurales, Sally Santen
BACKGROUND: The established medical hierarchy, dramatic expansion of scientific knowledge and emphasis on value-based health care means that graduating physicians need to know how to manage and lead positive change. There is a critical gap in the teaching of these skills in undergraduate medical education. METHODS: Our medical school developed a first-year medical student competency-based leadership curriculum that focused on: leading yourself; teams and teamwork; influence and communication; problem solving; and systems thinking...
March 19, 2019: Clinical Teacher
Dong Ju, Li Ma, Run Ren, Yichi Zhang
The paper studies how leaders can break employee silence. Drawing upon self-determination theory, we argue that empowering leadership can activate employees' intrinsic motivation such that employees are more willing to break the silence at work; furthermore, the effect is stronger when employees have high (vis-à-vis low) levels of job autonomy. We collected time-lagged and multi-source data in a large company to test our hypotheses. The results show that intrinsic motivation mediates the relationship between empowering leadership and employee silence...
2019: Frontiers in Psychology
Pamela N Clarke, Diana Berkland
The paradox of being-nonbeing is explored from the perspective of the Vice President of Nursing and Clinical Services for a large rural integrated healthcare system in the United States. Being-nonbeing for the nurse leader is experienced daily. Being-nonbeing is experienced with self and others as she provides vision, leadership, and courageous support to the workplace and care environment.
April 2019: Nursing Science Quarterly
Mariel Colella, Mark Bisanzo, Carey Farquhar, Rashidah Nambaziira, Elizabeth Carter, Sarah Gimbel, Gabrielle O'Malley
Introduction: Leadership and teaching skills are essential, but not often emphasized, components of medical training. As emergency care develops as a specialty in Uganda, two cadres of providers are being trained: physicians and non-physician clinicians (NPCs). Building formal leadership and educator training into these curricula is essential. Methods: A week long continuing education (CE) course on leadership and teaching is described and evaluated for effectiveness using Kirkpatrick's framework for learner-centred outcomes...
March 2019: African Journal of Emergency Medicine Revue
Ming Kuo, Michael Barnes, Catherine Jordan
Do experiences with nature - from wilderness backpacking to plants in a preschool, to a wetland lesson on frogs-promote learning? Until recently, claims outstripped evidence on this question. But the field has matured, not only substantiating previously unwarranted claims but deepening our understanding of the cause-and-effect relationship between nature and learning. Hundreds of studies now bear on this question, and converging evidence strongly suggests that experiences of nature boost academic learning, personal development, and environmental stewardship...
2019: Frontiers in Psychology
Seval Gündemir, Ashley E Martin, Astrid C Homan
We present a review of the diversity ideologies literature from the target's perspective. In particular, we focus on how diversity ideologies-beliefs or organizational practices with regards to how to approach diversity-affect racial minorities' and women's self-perceptions and experiences at work. This review suggests that a diversity aware ideology (i.e., multiculturalism) is more beneficial than a diversity blind ideology (i.e., colorblindness) for racial-ethnic minorities (e.g., better performance outcomes; more psychological engagement, inclusion, and workplace satisfaction; more positive leadership self-perceptions; and reduced perceptions of bias and turnover intentions)...
2019: Frontiers in Psychology
Anna Camille Svirsko, Bryan A Norman, David Rausch, Jennifer Woodring
INTRODUCTION: Nurse scheduling within an emergency department can be a very time-consuming process as nursing leadership works to reach sufficient nurse-staffing levels across every day of the schedule while also working to satisfy nurse preferences. METHODS: A mathematical model is formulated to determine nursing shifts to minimize the number of shifts across a day while accounting for staffing level requirements, nurse preferences, and meal breaks. RESULTS: A daily schedule based on nursing shifts was created and used within the self-scheduling process...
March 7, 2019: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Kathleen Z Wisser, Robert L Massey
This article contrasts the nursing leadership styles of introverts and extraverts and examines what each brings to the nurse leader role. While introverts and extraverts bring unique strengths, it may appear to introverts that extraverts garner the preponderance of attention in meetings and committee work. Strategies for the self-identified introvert nurse leader to successfully lead in an extraversion-centric workplace are described. The article ends with the personal journey of 2 nurse leaders who embraced their introversion traits and learned ways to flourish in health care and academic settings...
April 2019: Nursing Administration Quarterly
Janis P Bellack, Mary Dickow
To be successful, nurse leaders must be able to develop and articulate a vision for their areas of responsibility, build strong relationships with those they lead, and execute strategies and actions to achieve shared goals. Emotional intelligence and mastering self, interpersonal, and team relationships, while understanding organizational culture and systems, are critical components of successful leadership. Nurse leaders must be aware of their own strengths and weaknesses, be able to manage their emotions, exhibit social awareness of others' emotions, and successfully manage their relationships with others within their sphere of influence...
April 2019: Nursing Administration Quarterly
Michael Buyck, Sergio Manzano, Kevin Haddad, Anne-Catherine Moncousin, Annick Galetto-Lacour, Katherine Blondon, Oliver Karam
Background: Pediatric resuscitations are rare events. Simulation-based training improves clinical and non-clinical skills, as well as survival rate. We assessed the effectiveness of using blindfolds to further improve leadership skills in pediatric simulation-based training. Methods: Twelve teams, each composed of 1 pediatric emergency fellow, 1 pediatric resident, and 2 pediatric emergency nurses, were randomly assigned to the blindfold group (BG) or to the control group (CG). All groups participated in one session of five simulation-based resuscitation scenarios...
2019: Frontiers in Pediatrics
Sara M Clifton, Kaitlin Hill, Avinash J Karamchandani, Eric A Autry, Patrick McMahon, Grace Sun
Women have become better represented in business, academia, and government over time, yet a dearth of women at the highest levels of leadership remains. Sociologists have attributed the leaky progression of women through professional hierarchies to various cultural and psychological factors, such as self-segregation and bias. Here, we present a minimal mathematical model that reveals the relative role that bias and homophily (self-seeking) may play in the ascension of women through professional hierarchies...
February 2019: Chaos
Lucas Monzani, Michael Knoll, Steffen Giessner, Rolf van Dick, José María Peiró
Managers are installed by the organization's stakeholders and shareholders to increase the organization's value; at the same time, they depend on their subordinates' acceptance to fulfill this leadership role. If the interest of the organization collides with the interest of their team, some managers act in the interest of their followers accepting potential disadvantages for their organizations and/or external stakeholders. In two experimental studies comprised mainly of German (N = 111) and US (N = 323) managers, we examined combined effects of authentic leadership, organizational identification, and self-perceived team prototypicality on managerial integrity operationalized as expressing work-related concerns to prevent organizations from harm (i...
March 1, 2019: Spanish Journal of Psychology
Sabine Sonnentag, Caterina Schiffner
Research has shown that psychological detachment from work during nonwork time is an important recovery experience and is crucial for employee well-being. Integrating research on job-stress recovery with research on leadership and employee mental health and well-being, this study examines how a leader's psychological detachment from work during nonwork time directly relates to subordinate psychological detachment from work and indirectly to employee exhaustion and need for recovery. Based on self-report data from 137 employees and their supervisors, this study revealed that leader psychological detachment was related to subordinate psychological detachment and that leader psychological detachment was indirectly related to low subordinate exhaustion and low subordinate need for recovery, also when controlling for negative affectivity and leader-member-exchange...
March 1, 2019: Spanish Journal of Psychology
Kristen Noles, Rebekah Barber, David James, Nancy Wingo
BACKGROUND: The clinical nurse leader (CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation competencies have never been assessed in this group. PURPOSE: The purpose of this study was to determine whether CNLs have different perceptions of innovation and their own competence to lead it, compared with other nurse leaders. METHODS: A web-enabled concurrent mixed-method survey design was used to compare self-reported innovation competencies between nurses in a leadership role and certified CNLs at a large academic medical center...
February 25, 2019: Journal of Nursing Care Quality
Fahad AlSohime, Akram NurHussen, Mohamad-Hani Temsah, Majed Alabdulhafez, Ayman Al-Eyadhy, Gamal M Hasan, Abdullah Al-Huzaimi, Abdulrahman AlKanhal, Deemah Almanie
Objective: The leadership skills of pediatric residents during cardiopulmonary resuscitation (CPR) may have major impacts on their performance. These skills should be addressed during the pediatric residency training program. Therefore, we aimed to identify the perceptions of residents regarding their level of confidence in providing or leading a real pediatric CPR code, and to identify different factors that might influence their self-confidence when assuming the role of a team leader during a real CPR...
September 2018: International Journal of Pediatrics & Adolescent Medicine
Stefan Sammito, Klaus Schöne, Annika Claus, Dirk-Matthias Rose
AIM OF STUDY: An occupational health management system was initiated at 11 departments under the German Ministry of Defense (MoD) at the beginning of 2015. The departments were characterized by the heterogeneity of employees and the tasks of the departments. The aim of this pilot phase was to get experience and knowledge for implementation of this system in other departments. At the beginning of the pilot phase, an employee attitude survey was conducted to examine the situation. METHODS: The survey included all 9,267 employees of the eleven departments...
February 25, 2019: Das Gesundheitswesen
Karyn L Wulf, Larry Hurtubise, Heather Brod, Philip F Binkley
Introduction: Traditional needs assessments often rely on self-reported skill levels. To gather more objective and growth-focused data, we developed a behavior-based inventory to measure perceived faculty competence and desired areas for growth in four common domains of academic medicine: clinical, administrative/leadership, research, and education (CARE). Methods: Competencies in teaching, research, and professional development and leadership noted in the literature were used as the foundation of our instrument...
October 15, 2018: MedEdPORTAL Publications
Jonathan M Keller, Trevor C Steinbach, Rosemary Adamson, David J Carlbom, Nicholas J Johnson, Jennifer Clark, Patricia A Kritek, Başak Çoruh
Introduction: Management of airway emergencies is a core skill for critical care fellows. There is no standardized training mechanism for difficult airway management among critical care fellowships, although fellows frequently cite management of airway catastrophes as an area of educational need. Methods: Three simulation cases that are each approximately 15 minutes in length are presented. The cases represent airway emergencies encountered in the intensive care unit consisting of angioedema, endotracheal tube dislodgement, and endotracheal tube occlusion...
August 24, 2018: MedEdPORTAL Publications
Kelly Karpa, Casey Pinto, Anthony Possanza, Jason Dos Santos, Melissa Snyder, Angela Salvadia, Daniel Panchik, Robin Myers, Michael Fink, Andrew Dunlap
Introduction: Integration of interprofessional education (IPE) activities into health professions curricula aims to promote collaborative practice with a goal of improving patient care. Methods: Through intercollegiate collaborations involving four different educational organizations and an academic health center, an interprofessional stroke simulation involving standardized patients was developed and instituted for IPE-naive student learners from medicine, nursing, physician assistant, occupational therapy, and physical therapy programs with additional involvement from pharmacy and social work learners...
March 29, 2018: MedEdPORTAL Publications
Donald E Nease, Dee Burton, Sarah L Cutrona, Lauren Edmundson, Alex H Krist, Michael Barton Laws, Montelle Tamez
Introduction: Effective patient engagement is central to patient-centered outcomes research. A well-designed infrastructure supports and facilitates patient engagement, enabling study development and implementation. We sought to understand infrastructure needs from recipients of Patient-Centered Outcomes Research Institute (PCORI) pilot grant awards. Methods: We surveyed recipients of PCORI pilot project awards on self-perceived strengths in engagement infrastructure through PCORI's Ways of Engaging-Engagement Activity Tool survey, and interviewed leaders of 8 projects who volunteered as exemplars...
August 2018: Journal of Clinical and Translational Science
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