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Poku CA, Attafuah PYA, Anaba EA, Abor PA, Nketiah-Amponsah E, Abuosi AA. Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs. BMC Health Serv Res 2023; 23:1072. [PMID: 37803364 PMCID: PMC10559624 DOI: 10.1186/s12913-023-10000-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 09/04/2023] [Indexed: 10/08/2023] Open
Abstract
BACKGROUND Patient safety incidents (PSIs) in healthcare settings are a critical concern globally, and Ghana is no exception. Addressing PSIs to improve health outcomes requires various initiatives to be implemented including improving patient safety culture, teamwork and communication between healthcare providers during handoffs. It is essential to acknowledge the significance of teamwork, communication openness, and effective handoffs in preventing and managing such incidents. These factors play a pivotal role in ensuring the well-being of patients and the overall quality of healthcare services. AIM This study assessed the occurrence and types of PSIs in health facilities in Ghana. It also examined the role of teamwork, handoffs and information exchange, and communication openness in response to PSIs by health professionals. METHODS A cross-sectional study was conducted among 1651 health workers in three regions of Ghana. Using a multi-staged sampling technique, the Survey on Patient Safety Culture Hospital Survey questionnaire and the nurse-reported scale were used to collect the data and it was analysed by descriptive statistics, Pearson correlation, and linear multiple regression model at a significance of 0.05. RESULTS There was a reported prevalence of PSIs including medication errors (30.4%), wound infections (23.3%), infusion reactions (24.7%), pressure sores (21.3%), and falls (18.7%) at least once a month. There was a satisfactory mean score for responses to adverse events (3.40), teamwork (4.18), handoffs and information exchange (3.88), and communication openness (3.84) among healthcare professionals. Teamwork, handoffs and information exchange and communication openness were significant predictors of response to PSIs, accounting for 28.3% of the variance. CONCLUSIONS Effective teamwork, handoffs and information exchange, and communication openness in the healthcare environment are critical strategies to enhance PSI response. Creating a culture that encourages error response through teamwork, communication and handoffs provides healthcare professionals with opportunities for learning and improving patient outcomes. Training programs should therefore target health professionals to improve patient safety and competency. Through the implementation of evidence-based practices and learning from past incidents, the healthcare system will be able to deliver safe and high-quality care to patients nationwide. Patient safety must be recognized as an ongoing process. Therefore, a meaningful improvement in patient outcomes requires all stakeholders' commitment.
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Affiliation(s)
- Collins Atta Poku
- Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Emmanuel Anongeba Anaba
- Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana
| | - Patience Aseweh Abor
- Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana
| | | | - Aaron Asibi Abuosi
- Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana
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Al Sabei SD, Ross AM. The Relationship between Nursing Leadership and Patient Readmission Rate: A Systematic Review. Can J Nurs Res 2023; 55:267-278. [PMID: 36734052 DOI: 10.1177/08445621231152959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Nurse leaders play a fundamental role in improving patient quality care delivery, thus improving patient clinical outcomes. PURPOSE This systematic review examined the knowledge to date of nursing leadership on reducing patient readmission rates. METHODS A literature review was conducted using seven electronic databases: Medline Ovid, PubMed, Cumulative Index to Nursing and Allied Health (CINAHL) Plus, Emerald, PsycINFO, ABI/INFORM collection, and EBSCO, with the addition of references for relevant papers reviewed. FINDINGS The search resulted in a total of 15 articles. Findings revealed that leadership practices of nurses have an impact on reducing patient readmission rates. CONCLUSIONS The results suggest a need for further rigorous studies investigating the mechanism of how nursing leadership relates to patient readmission rates and how to translate this into practice across diverse cultures.
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Affiliation(s)
- Sulaiman Dawood Al Sabei
- Fundamentals and Nursing Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman
| | - Amy M Ross
- Systems & Organizational Leadership Program, Oregon Health and Science University, School of Nursing, Portland, OR, USA
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Buelow JR, Tillman P, Taggart H. Introspective Learning From Interprofessional Virtual Grand Rounds. Nurse Educ 2023; 48:E79-E84. [PMID: 36729872 DOI: 10.1097/nne.0000000000001340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Interprofessional collaboration in health care settings improves patient safety and outcomes, yet collaboration among health professionals requires specific competencies and skills. Providing nursing students with interprofessional learning experiences with multiple health professions is possible yet challenging. PROBLEM Opportunities for effective online interprofessional learning are lacking. APPROACH This article explores nursing students' reflections on how an interprofessional learning experience, Virtual Grand Rounds (VGRs), influenced their personal development and provided meaningful learning that they can use in their practices as professional nurses. Thematic analysis was done on the open-ended questions in students' final reflection assignment. OUTCOMES Analysis of student reflections identified 5 learning themes including the value of teamwork and collaboration, the importance of communication skills, professional identity, plans to engage diverse health professions, and the desire for future learning. CONCLUSIONS Student reflections indicate the VGR was an effective method for nursing students to experience collaboration with multiple health professions without disrupting curriculums.
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Affiliation(s)
- Janet R Buelow
- Professor (Dr Buelow), Health Sciences and Kinesiology-Health Administration, Associate Professor (Dr Tillman), Health Sciences and Kinesiology-Health Informatics, and Professor (Dr Taggart), School of Nursing, Water's College of Health Professions, Georgia Southern University, Savannah
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4
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Zhai Y, Cai S, Chen X, Zhao W, Yu J, Zhang Y. The relationships between organizational culture and thriving at work among nurses: The mediating role of affective commitment and work engagement. J Adv Nurs 2023; 79:194-204. [PMID: 36104977 DOI: 10.1111/jan.15443] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/22/2022] [Accepted: 08/30/2022] [Indexed: 12/15/2022]
Abstract
AIM Guided by the social embeddedness model of thriving at work, this paper explores how nursing organizational culture, work engagement and affective commitment affect nurses' thriving at work. BACKGROUND Thriving at work has implications for better employee and organization outcomes. The antecedents of thriving at work among the nursing population needs to be expanded by analysing the cross-level impact of organizational and individual characteristics. METHODS A cross-sectional design was used to collect data from 1437 frontline nurses in a tertiary teaching hospital in China between April and May 2020 through an online survey about perceived nursing culture, work engagement, affective commitment and thriving at work. Data were analysed using SPSS, and a structural equation model was established using the PROCESS macro. RESULTS Our results showed that work engagement and affective commitment mediated the relationship between nurses' perceived nursing culture and their thriving at work. Among nurses, work engagement was positively correlated to affective commitment. CONCLUSION Our study confirmed the social embeddedness model of thriving at work by showing that both contextual and dispositional factors can influence nurses' thriving at work. Nurse leaders can foster nursing staff's thriving at work by building an inclusive work environment and by providing adequate resources to staff. Future research is needed to elaborate on employee and organizational outcomes associated with thriving at work. IMPACT Nurse leaders should be the advocate for nurses to improve their organizational identification, fostering their thriving at work. Individual nurses can also take an active role in developing work-related resources to sustain their thriving through self-adaption processes. Collective thriving in the nursing workforce is needed to overcome adversity and hardship in the ever-changing and increasingly demanding health care industry and to further contribute to the vitality of the broader social and public environments. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution. This study did not involve patients, service users, caregivers or members of the public.
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Affiliation(s)
- Yue Zhai
- School of Nursing, Fudan University, Shanghai, China.,Department of Nursing, Zhongshan Hospital, Shanghai, China
| | - Shining Cai
- Department of Nursing, Zhongshan Hospital, Shanghai, China
| | - Xiao Chen
- Department of Nursing, Zhongshan Hospital, Shanghai, China
| | - Wenjuan Zhao
- Department of Nursing, Shanghai Cancer Center, Shanghai, China
| | - Jingxian Yu
- Department of Nursing, Zhongshan Hospital, Shanghai, China
| | - Yuxia Zhang
- School of Nursing, Fudan University, Shanghai, China.,Department of Nursing, Zhongshan Hospital, Shanghai, China
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5
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Algeri EDBDO, Silveira RSD, Barlem JGT, Costa MCMDDR, Stigger DADS, Dan CDS. Authentic leadership in nurses' professional practice: an integrative review. Rev Bras Enferm 2022; 75:e20210972. [PMID: 36259920 DOI: 10.1590/0034-7167-2021-0972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 07/09/2022] [Indexed: 06/16/2023] Open
Abstract
OBJECTIVES to identify the primary constructs concerning authentic leadership and its relevance for nurses' professional practice. METHODS integrative literature review conducted between 2015 and 2020 in LILACS, SciELO, and PubMed databases. RESULTS the United States published most of the 31 studies analyzed, with eight studies (25.8%), followed by Canada with seven studies (22.6%), and Brasil with five (16.1%). Most studies adopted a quantitative approach (77.41%), and 96.8% presented weak evidence. Three categories emerged: Work Engagement/Job Satisfaction and Organizational Commitment; Healthy Work Environment; and Intention to Quit the Job and Mental Exhaustion. FINAL CONSIDERATIONS authentic leadership positively contributes to management and nursing care practice, promoting healthy work environments, structural empowerment, greater work engagement, and organizational commitment, decreasing absenteeism and mental exhaustion.
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Affiliation(s)
| | | | | | | | | | - Cristiane de Sá Dan
- Universidade Federal da Grande Dourados. Dourados, Mato Grosso do Sul, Brazil
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6
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Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev 2022; 10:CD013850. [PMID: 36214207 PMCID: PMC9549469 DOI: 10.1002/14651858.cd013850.pub2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Collective leadership is strongly advocated by international stakeholders as a key approach for health service delivery, as a response to increasingly complex forms of organisation defined by rapid changes in health technology, professionalisation and growing specialisation. Inadequate leadership weakens health systems and can contribute to adverse events, including refusal to prioritise and implement safety recommendations consistently, and resistance to addressing staff burnout. Globally, increases in life expectancy and the number of people living with multiple long-term conditions contribute to greater complexity of healthcare systems. Such a complex environment requires the contribution and leadership of multiple professionals sharing viewpoints and knowledge. OBJECTIVES: To assess the effects of collective leadership for healthcare providers on professional practice, healthcare outcomes and staff well-being, when compared with usual centralised leadership approaches. SEARCH METHODS We searched CENTRAL, MEDLINE, Embase, five other databases and two trials registers on 5 January 2021. We also searched grey literature, checked references for additional citations and contacted study authors to identify additional studies. We did not apply any limits on language. SELECTION CRITERIA Two groups of two authors independently reviewed, screened and selected studies for inclusion; the principal author was part of both groups to ensure consistency. We included randomised controlled trials (RCTs) that compared collective leadership interventions with usual centralised leadership or no intervention. DATA COLLECTION AND ANALYSIS Three groups of two authors independently extracted data from the included studies and evaluated study quality; the principal author took part in all groups. We followed standard methodological procedures expected by Cochrane and the Effective Practice and Organisation of Care (EPOC) Group. We used the GRADE approach to assess the certainty of the evidence. MAIN RESULTS We identified three randomised trials for inclusion in our synthesis. All studies were conducted in acute care inpatient settings; the country settings were Canada, Iran and the USA. A total of 955 participants were included across all the studies. There was considerable variation in participants, interventions and measures for quantifying outcomes. We were only able to complete a meta-analysis for one outcome (leadership) and completed a narrative synthesis for other outcomes. We judged all studies as having an unclear risk of bias overall. Collective leadership interventions probably improve leadership (3 RCTs, 955 participants). Collective leadership may improve team performance (1 RCT, 164 participants). We are uncertain about the effect of collective leadership on clinical performance (1 RCT, 60 participants). We are uncertain about the intervention effect on healthcare outcomes, including health status (inpatient mortality) (1 RCT, 60 participants). Collective leadership may slightly improve staff well-being by reducing work-related stress (1 RCT, 164 participants). We identified no direct evidence concerning burnout and psychological symptoms. We are uncertain of the intervention effects on unintended consequences, specifically on staff absence (1 RCT, 60 participants). AUTHORS' CONCLUSIONS: Collective leadership involves multiple professionals sharing viewpoints and knowledge with the potential to influence positively the quality of care and staff well-being. Our confidence in the effects of collective leadership interventions on professional practice, healthcare outcomes and staff well-being is moderate in leadership outcomes, low in team performance and work-related stress, and very low for clinical performance, inpatient mortality and staff absence outcomes. The evidence was of moderate, low and very low certainty due to risk of bias and imprecision, meaning future evidence may change our interpretation of the results. There is a need for more high-quality studies in this area, with consistent reporting of leadership, team performance, clinical performance, health status and staff well-being outcomes.
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Affiliation(s)
| | | | | | - Marina Peduzzi
- Professional Orientation Department, University of Sao Paulo, Sao Paulo, Brazil
| | - Reema Harrison
- School of Population Health, University of New South Wales, Sydney, Australia
| | - Andreas Xyrichis
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
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White-Williams C, Bittner V, Eagleson R, Feltman M, Shirey M. Interprofessional Collaborative Practice Improves Access to Care and Healthcare Quality to Advance Health Equity. J Healthc Qual 2022; 44:294-304. [PMID: 36036780 DOI: 10.1097/jhq.0000000000000353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Healthcare disparites exist in cardiovascular care, including heart failure. Care that is not equitable can lead to higher incidence of heart failure, increased readmissions, and poorer outcomes. The Heart Failure Transitional Care Services for Adults Clinic is an interprofessional collaborative practice that provides guideline-directed medical therapy and education to underserved patients with heart failure. Little is known regarding healthcare equity and quality metrics in relation to interprofessional teams. Thus, the purpose of this study was to examine if an interprofessional collaborative practice care delivery model can affect access to care and healthcare quality outcomes in underserved patients with heart failure. As evidenced by control charts over a two and a half year period, the Heart Failure Transitional Care Services for Adults Clinic was able to show improvements in access to care and quality metrics results without variation. An interprofessional collaborative practice can be an effective delivery model to address health equity and quality of care outcomes.
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8
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Algeri EDBDO, Silveira RSD, Barlem JGT, Costa MCMDDR, Stigger DADS, Dan CDS. A liderança autêntica no exercício profissional do enfermeiro: uma revisão integrativa. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0972pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
RESUMO Objetivos: identificar os principais construtos adotados sobre a liderança autêntica e sua relevância para a prática profissional do enfermeiro. Métodos: revisão integrativa da literatura no período de 2015 a 2020, nas bases de dados: LILACS, SciELO e PubMed. Resultados: dos 31 estudos analisados, os países que mais publicaram foram Estados Unidos, com 8 estudos (25,8%), Canadá com 7 (22,6 %) e Brasil com 5 (16,1%); houve predomínio de estudos de abordagem quantitativa (77,41%), e 96,8% apresentaram nível de evidência fraca. Emergiram três categorias para discussão: Engajamento/Satisfação no trabalho e comprometimento organizacional; Ambiente de trabalho saudável; Intenção de sair do emprego e desgaste mental. Considerações Finais: a liderança autêntica contribui positivamente na gestão e na prática do cuidado do enfermeiro, proporcionando ambientes de trabalho mais saudáveis, empoderamento estrutural, maior engajamento no trabalho e comprometimento organizacional, além de contribuir para diminuição das taxas de absenteísmo e desgaste mental.
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Mikkonen K, Kuivila HM, Sjögren T, Korpi H, Koskinen C, Koskinen M, Koivula M, Koskimäki M, Lähteenmäki ML, Saaranen T, Sormunen M, Salminen L, Mäki-Hakola H, Wallin O, Holopainen A, Tuomikoski AM, Kääriäinen M. Social, health care and rehabilitation educators' competence in professional education-Empirical testing of a model. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e75-e85. [PMID: 34009683 DOI: 10.1111/hsc.13414] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 02/22/2021] [Accepted: 04/04/2021] [Indexed: 06/12/2023]
Abstract
The social and health care educator's role in educating future professionals need to be stronger emphasised and deserves international recognition. The purpose of this study was to develop and test an empirical model of social and health care educators' competence in higher and professional education. The presented research employed a cross-sectional study design. Data were collected using HeSoEduCo-instrument from 28 educational institutions in Finland. The model was empirically tested with confirmatory factor analysis through Structural Equation Modelling that applied the Full Imputation Maximum Likelihood estimator. A total of 422 social and health care educators participated in the study. The empirical model of social and health care educators including eight competence areas: leadership and management, collaboration and societal, evidence-based practice, subject and curriculum, mentoring students in professional competence development, student-centred pedagogy, digital collaborative learning, and cultural and linguistic diversity. All of the connections between concepts of the empirical model were found to be statistically significant. There were strong connections between most of the identified competence concepts; however, two weak connections were found, namely, the link between competence in evidence-based practice and competence in subject and curriculum, along with the link between competence in digital collaborative learning and competence in student-centred pedagogy. The presented empirical model can help stakeholders identify which areas of social and health care educators' curricula should be further developed. The model is also relevant for improving continuous education, allowing educators to assess their competence levels and evaluating educators' performance at the organisational level.
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Affiliation(s)
- Kristina Mikkonen
- Faculty of Medicine, Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
| | - Heli-Maria Kuivila
- Faculty of Medicine, Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
| | - Tuulikki Sjögren
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Hilkka Korpi
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Camilla Koskinen
- Faculty of Education and Welfare Studies, Department of Caring Science, Åbo Akademi University, Vaasa, Finland
- Faculty of Health Sciences, Department of Caring and Ethics, University of Stavanger, Stavanger, Norway
| | - Monika Koskinen
- Faculty of Education and Welfare Studies, Department of Caring Science, Åbo Akademi University, Vaasa, Finland
| | - Meeri Koivula
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Minna Koskimäki
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | | | - Terhi Saaranen
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Marjorita Sormunen
- Faculty of Health Sciences, Institute of Public Health and Clinical Nutrition and Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Leena Salminen
- Faculty of Medicine, Department of Nursing Science, Tukru University Hosital, Turku, Finland
| | - Hanne Mäki-Hakola
- Pedagogical R&D, Tampere University of Applied Sciences, Tampere, Finland
| | - Outi Wallin
- Degree Programme in Social Services, Tampere University of Applied Sciences, Tampere, Finland
| | - Arja Holopainen
- Nursing Research Foundation, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Affiliated Group, Finland
- WHO Collaborating Centre for Nursing, Helsinki, Finland
| | - Anna-Maria Tuomikoski
- Nursing Research Foundation, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Affiliated Group, Finland
- WHO Collaborating Centre for Nursing, Helsinki, Finland
| | - Maria Kääriäinen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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Socialisation into interprofessional teams: A mixed-methods study among early health professional learners who engaged in a teams and teamwork module / Sozialisierung in interprofessionellen Teams: Eine Mixed-Methods-Studie zum Effekt eines Team- und Teamwork-Moduls bei Auszubildenden im Gesundheitswesen. INTERNATIONAL JOURNAL OF HEALTH PROFESSIONS 2022. [DOI: 10.2478/ijhp-2022-0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract
Introduction
Early health profession learners hold stereotypes about their own and other professions. Socialising students through interprofessional education (IPE) early in their training facilitates the development of their beliefs and values surrounding their professional and interprofessional identities. This study evaluates the effect of a 3-week, virtual IPE intervention in early health professional learners.
Methods
Students reflected on their functioning as an interprofessional team through discussion and written prompts which were coded by two faculty members for themes and trends. Exposure to developing an interprofessional identity and socialisation within an IPE team were measured through pre- and post-intervention surveys containing the Interprofessional Socialisation and Valuing Scale (ISVS).
Results
Students increased their positive attitudes towards IPE from pre- to post-intervention module as well as socialisation and readiness across all ISVS subscales: self-perception of working together, value, and comfort (all p < .001). Students reflected that ‘taking time to get to know each other’ (n = 23 teams; 42%) and ‘allowing everyone to contribute’ (= 17; 31%) were key factors for team development. Individual reflections on what students would work on the next time they worked in an interprofessional team revealed ‘communication’ as important (n = 87; 45%).
Discussion
Health profession students who engaged in the module reflected on how their interprofessional team functioned and identified what helped or hindered them to work as a team. The opportunities to reflect on how their own professional identity within the context of an interprofessional team led to evidence of socialising into an interprofessional team. Students who are challenged to socialise into a team early in their education will better understand their beliefs and values surrounding interprofessional collaboration.
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11
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Chaney A. Building your team and talent. J Am Assoc Nurse Pract 2021; 33:761-762. [PMID: 35561227 DOI: 10.1097/jxx.0000000000000649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Amanda Chaney
- Department of Transplant, Mayo Clinic, Jacksonville, Florida
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12
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Blanch J, Gil F, Rodriguez A, Antino M. Authentic Leadership and Innovation: The Mediating Role of Affective and Cognitive Integration, and Engagement in Work Teams. INTERNATIONAL JOURNAL OF INNOVATION AND TECHNOLOGY MANAGEMENT 2021. [DOI: 10.1142/s0219877021400046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This study explores the relationship between authentic leadership and innovation at the team level of analysis. The proposed research model outlines the intervention of three mediating variables: cognitive integration, affective integration, and work engagement. Data were collected from 32 organizations (132 teams) ascribed to the so-called digital ecosystem, an organizational context in which the needs for authentic leadership and innovation seem to be integral to the firm’s performance to succeed in the marketplace. The research supported the presence of a positive relationship between authentic leadership and innovation in work teams. Additionally, affective integration and engagement were found to mediate the relationship between the dependent and the independent variables. Cognitive integration, however, did not manifest any mediating effect. Theoretically, these findings support the consideration of authentic leadership as a job resource that is able to enhance the organizational outcomes, according to the Job Demand and Resources Model.
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Affiliation(s)
- Javier Blanch
- ESIC Business & Marketing School, Avenida Valdenigrales, Pozuelo de Alarcón, 28223 Madrid, Spain
| | - Francisco Gil
- Universidad Complutense de Madrid, Facultad de Psicología, Campus de Somosagua Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid, Spain
| | - Alfredo Rodriguez
- Universidad Complutense de Madrid, Facultad de Psicología, Campus de Somosagua Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid, Spain
| | - Mirko Antino
- Universidad Complutense de Madrid, Facultad de Psicología, Campus de Somosagua Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid, Spain
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13
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Labrague LJ, Al Sabei SD, AbuAlRub RF, Burney IA, Al Rawajfah O. Authentic leadership, nurse-assessed adverse patient events and quality of care: The mediating role of nurses' safety actions. J Nurs Manag 2021; 29:2152-2162. [PMID: 33960043 DOI: 10.1111/jonm.13356] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 04/25/2021] [Accepted: 05/02/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Authentic leadership has been consistently cited as a strong precursor of sustained job performance and work effectiveness in nurses; however, studies linking authentic leadership with nurses' safety actions, nurse-assessed adverse patient events and nursing care quality are scarce. AIM To examine whether nurses' safety actions mediate the relationship between authentic leadership, nurse-assessed adverse events and nursing care quality. METHODS A multi-centre, cross-sectional study involving 1,608 nurses employed in acute care facilities in Oman. Multi-stage regression analysis was conducted in testing for the mediation model. FINDINGS Nurse managers in Oman were perceived to be highly authentic by their staff nurses. Authentic leadership significantly predicted nurses' safety actions (β = 0.168, p < .001), decrease in nurse-assessed adverse events (β = -0.017, p = .024) and increase in care quality (β = 0.121, p < .001). Further, the association between authentic leadership and nurse-assessed adverse events (β = -0.063, p = .057) and care quality (β = 0.038, p = .002) was mediated by nurses' safety actions. CONCLUSION Results suggest the importance of developing nurse managers' authentic leadership to foster nurses' safety actions and reduce adverse patient outcomes and promote nursing care quality. IMPLICATIONS FOR NURSING MANAGEMENT Organizational efforts to address patient safety issues should be directed towards developing authentic leadership in nurse managers through leadership programmes, periodic evaluation of leadership competencies (e.g., 360-degree or a bottom-up performance evaluation), and a creation of a safe culture in which nurses can openly report safety concerns for corrective action.
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Affiliation(s)
- Leodoro J Labrague
- Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Sulaiman Dawood Al Sabei
- Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Raeda F AbuAlRub
- Community and Mental Health Nursing Department, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Ikram A Burney
- Department of Medicine, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Rawajfah
- Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Oman.,College of Nursing, Al al-Bayt University, Mafraq, Jordan
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Sahraei Beiranvand M, Beiranvand S, Beiranvand S, Mohammadipour F. Explaining the effect of authentic and ethical leadership on psychological empowerment of nurses. J Nurs Manag 2021; 29:1081-1090. [PMID: 33410211 DOI: 10.1111/jonm.13246] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 12/23/2020] [Accepted: 01/01/2021] [Indexed: 01/23/2023]
Abstract
OBJECTIVE This study aimed to explain the effect of authentic and ethical leadership on the psychological empowerment of nurses. BACKGROUND Ethics-related leadership styles can play an important role in improving employee performance by influencing job satisfaction. However, no study has investigated ethics-related leadership and its impact on the psychological empowerment of nurses. METHOD The present study is a descriptive correlational study with emphasis on structural equations. A random sample of 384 nurses in public hospitals in Tehran responded to three self-report questionnaires. RESULTS The authentic leadership variable explains 74.5% of the variance of the psychological empowerment variable. In addition, the variable of ethical leadership explains 87.7% of the variance of psychological empowerment variable. CONCLUSION Ethical and authentic leadership is effective on the nurses' psychological empowerment. IMPLICATIONS FOR NURSING MANAGEMENT Ethical and authentic leadership is necessary for managers to psychologically empower nursing staff. Increasing awareness of capabilities of nurses and how decisions and behaviours affect them, balanced information processing, observance of ethics in the workplace, transparency in communication, information and power sharing, all impact justice in the workplace.
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Affiliation(s)
- Mahdi Sahraei Beiranvand
- Leadership and Education Development Group, Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran
| | - Shabnam Beiranvand
- Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Shokoufeh Beiranvand
- Sport Management Department, Physical Education and Sports Science, Shahid Beheshti University, Tehran, Iran
| | - Fatemeh Mohammadipour
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.,Lorestan University of Medical Sciences, Khorramabad, Iran
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15
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Nursing Allies in ANAC: One Psychologist's Perspective. J Assoc Nurses AIDS Care 2020; 31:361-363. [PMID: 32356957 DOI: 10.1097/jnc.0000000000000170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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16
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Shirey MR, Selleck CS, White-Williams C, Talley M, Harper DC. Interprofessional Collaborative Practice Model to Advance Population Health. Popul Health Manag 2020; 24:69-77. [PMID: 32074013 DOI: 10.1089/pop.2019.0194] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The purpose of this paper is to describe the development, implementation, and lessons learned associated with an interprofessional collaborative practice (IPCP) care delivery model initiated at the University of Alabama at Birmingham (UAB). The model emphasizes transitional care coordination in chronic disease management for underserved and vulnerable populations. The model operates within a clinic environment with care providers from a variety of disciplines who integrate individual case management and actualize leadership taken by the appropriate discipline based on the needs of each patient. Two clinics will be discussed - Providing Access to Healthcare (PATH) and Heart Failure Transitional Care Services for Adults (HRTSA) - both of which leverage the resources of an existing academic-practice partnership between the UAB School of Nursing and UAB Hospital (UABH) and Health System. Clinic target patient populations are uninsured adults with diabetes (PATH Clinic) and uninsured or underinsured adults with heart failure (HRTSA Clinic) who are discharged from UABH with no source for ongoing care. The model uses a nurse-led, team-based approach that involves multiple professions working together to provide care for high-need, high-cost patients. Clinics use 4 simultaneous bundles of care that include evidence-based treatment guidelines, transitional care coordination activities, patient activation strategies, and behavioral health integration. Engaged patients indicate very high levels of satisfaction with care and improved physical and mental health outcomes resulting in significant cost savings for the health system. Finally, IPCP team members report joy in their work within the clinics.
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Affiliation(s)
- Maria R Shirey
- University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Family, Community and Health Systems Department, University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA
| | - Cynthia S Selleck
- University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Family, Community and Health Systems Department, University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA
| | - Connie White-Williams
- University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Family, Community and Health Systems Department, University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Center for Nursing Excellence, University of Alabama at Birmingham University Hospital, Birmingham, Alabama, USA
| | - Michele Talley
- University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Acute, Chronic and Continuing Care Department, University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA
| | - Doreen C Harper
- University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.,Family, Community and Health Systems Department, University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA
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17
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Shirey MR, Selleck CS, White-Williams C, Talley M, Harper DC. Sustainability of an Interprofessional Collaborative Practice Model for Population Health. Nurs Adm Q 2020; 44:221-234. [PMID: 32511181 DOI: 10.1097/naq.0000000000000429] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Sustainability is an important concept in implementation science, yet little about sustainability is published in leadership journals. Leaders are charged on a daily basis with initiating programs that make a difference; however, they are often not well prepared to design effective strategies to sustain their efforts. In a value-based health care industry where facilitating access to care, enhancing the patient experience, improving health outcomes, and reducing the cost of care are imperative, creating sustainability strategies that achieve these results is key. In this article, we describe the successful efforts within an academic-practice partnership to implement a sustainable interprofessional collaborative practice model emphasizing transitional care coordination in chronic disease management for advancing population health with underserved populations. A sustainability framework is presented along with lessons learned.
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Affiliation(s)
- Maria R Shirey
- University of Alabama at Birmingham School of Nursing, Birmingham (Drs Shirey, Selleck, White-Williams, Talley, and Harper); and Center for Nursing Excellence, University of Alabama at Birmingham University Hospital, Birmingham (Dr White-Williams)
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