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Jankelová N, Joniaková Z, Skorková Z, Gažová Adamková H. Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers' Resilience. Risk Manag Healthc Policy 2024; 17:883-901. [PMID: 38623577 PMCID: PMC11018137 DOI: 10.2147/rmhp.s453351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 03/24/2024] [Indexed: 04/17/2024] Open
Abstract
Objective The purpose of this article is to investigate the relationship between the structural empowerment of first-line health managers and health facility performance, examining the mediating roles of resilience and social climate in shaping the ratings of Slovak hospitals. Additionally, we aim to investigate the deeper mechanisms of this relationship, particularly the impact of resilience and the social climate, which can positively influence it. Materials and Methods The data collection was conducted through a questionnaire survey in February 2022. Respondents included 540 healthcare managers at the first level of management from 44 Slovak hospitals, all of which were part of the evaluation by the Institute for Economic and Social Reforms (INEKO). The analysis involved the use of the PLS-SEM method to examine the relationships between variables and assess direct and indirect effects, utilizing SmartPLS 3.3 software. Results The findings reveal a positive association between the structural empowerment of first-level managers and the ranking of health facilities. The hypotheses regarding the mediation of both variables - First-Level Managers' (FLMs) resilience and social climate - are supported, whether considered separately or jointly. In the case of joint mediation, a significant portion of the indirect effect is conveyed through FLMs' resilience, suggesting a potential avenue of support from hospital management to enhance health facility ratings. Conclusion Structural empowerment of first-line managers establishes the conditions for improving the ratings of health facilities. The total effect is significantly more pronounced in promoting their resilience and fostering a supportive social climate.
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Affiliation(s)
- Nadežda Jankelová
- Department of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, Slovakia
| | - Zuzana Joniaková
- Department of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, Slovakia
| | - Zuzana Skorková
- Department of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, Slovakia
| | - Hana Gažová Adamková
- Department of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, Slovakia
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Borzuchowska M, Kilańska D, Kozłowski R, Iltchev P, Czapla T, Marczewska S, Marczak M. The Effectiveness of Healthcare System Resilience during the COVID-19 Pandemic: A Case Study. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:medicina59050946. [PMID: 37241178 DOI: 10.3390/medicina59050946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/19/2023] [Accepted: 05/06/2023] [Indexed: 05/28/2023]
Abstract
Introduction: The outbreak of the COVID-19 pandemic was a period of uncertainty and stress for healthcare managers due to the lack of knowledge (about the transmission of the virus, etc.) and also due to the lack of uniform organisational and treatment procedures. It was a period where the ability to prepare for a crisis, to adapt to the existing conditions, and to draw conclusions from the situation were of critical importance to keep ICUs (intensive care units) operating. The aim of this project is to compare the pandemic response to COVID-19 in Poland during the first and second waves of the pandemic. This comparison will be used to identify the strengths and weaknesses of the response, including challenges presented to health professionals and health systems and ICUs with COVID-19 patients according to the European Union Resilience Model (2014) and the WHO Resilience Model (2020). The WHO Resilience model was suitable to the COVID-19 situation because it was developed based on this experience. Methods: A matrix of 6 elements and 13 standards assigned to them was created using the EC and WHO resilience guidelines. Results: Good governance in resilient systems ensures access to all resources without constraints, free and transparent flow of information, and a sufficient number of well-motivated human resources. Conclusions: Appropriate preparation, adaptation to the existing situation, and effective management of crisis situations are important elements of ensuring the resilience of ICUs.
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Affiliation(s)
- Monika Borzuchowska
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Dorota Kilańska
- Institute of Nursing and Midwifery, Medical University of Gdansk, 80-210 Gdansk, Poland
- Department of Coordinated Care, Medical University of Lodz, Al. Kościuszki 4, 90-131 Lodz, Poland
| | - Remigiusz Kozłowski
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Petre Iltchev
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Tomasz Czapla
- Department of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland
| | - Sylwia Marczewska
- Department of Coordinated Care, Medical University of Lodz, Al. Kościuszki 4, 90-131 Lodz, Poland
| | - Michał Marczak
- Collegium of Management WSB University of Warsaw, 03-204 Warsaw, Poland
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Ahti M, Taipale-Walsh L, Kuha S, Kanste O. Health-care leaders' experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies. Leadersh Health Serv (Bradf Engl) 2023; ahead-of-print:595-610. [PMID: 37161983 PMCID: PMC10853848 DOI: 10.1108/lhs-10-2022-0104] [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] [Received: 10/28/2022] [Revised: 01/05/2023] [Accepted: 04/17/2023] [Indexed: 05/11/2023]
Abstract
PURPOSE This paper aims to synthesize health-care leaders' experiences of the competencies required for crisis management. DESIGN/METHODOLOGY/APPROACH The systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject headings and peer-reviewed qualitative studies published in English, Finnish and Swedish and was not limited by year or country of publication. The databases searched in March 2022 were Scopus, PubMed, CINAHL, ABI/INFORM and the Finnish database Medic. Gray literature was searched using MedNar and EBSCO Open Dissertations. Studies were screened by title and abstract (n = 9,014) and full text (n = 43), and their quality was assessed by two independent reviewers. Eight studies were included. The data was analyzed using meta-aggregation. FINDINGS Fifty-one findings (themes and subthemes) were extracted, and 11 categories were created based on their similarities. Five synthesized findings were developed: the competence to comprehend the operational environment; the competence to stay resilient amidst change; the competence to adapt to and manage change; the competence to manage and take care of staff; and the competence to co-operate and communicate with diverse stakeholders. ORIGINALITY/VALUE This systematic review produced novel information about health-care leaders' experiences of the competencies required for crisis management during COVID-19. This study complements the field of research into crisis management in health care by introducing five original and unique competency clusters required for crisis management during the acute phase of COVID-19.
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Affiliation(s)
- Miro Ahti
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland
| | - Leonie Taipale-Walsh
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland
| | - Suvi Kuha
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland and Finnish Centre for Evidence-Based Health
Care, Helsinki, Finland
| | - Outi Kanste
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland and Finnish Centre for Evidence-Based Health
Care, Helsinki, Finland
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Muduzu L, Wei L, Cope V. Exploring Nursing Staff's Experiences and Perspectives of COVID-19 Lockdown in a Residential Aged Care Setting in Australia. J Gerontol Nurs 2023; 49:34-39. [PMID: 36852989 DOI: 10.3928/00989134-20230210-01] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
An exploratory qualitative study was performed to evaluate the experiences of nursing staff (N = 10) working in a residential aged care facility (RACF) during the coronavirus disease 2019 (COVID-19) pandemic lockdown. Semi-structured, in-person interviews were performed, and thematic analysis was used to analyze the data. Care staff had little or no knowledge of how to cope with a lockdown necessitated by a pandemic. However, management developed proactive plans as they aligned with the changing care circumstances and ongoing government directives. Five major themes were identified: Prolonged Use and Shortage of Personal Protective Equipment; "Blind Leading the Blind"; Communication and Teamwork; Lack of Education; and Resident Response. RACF staff described working under stressful conditions during the initial COVID-19 pandemic lockdown; yet with experience, care staff and the management team adapted to pandemic requirements to meet the needs of residents in their care. RACFs should be prepared for the impact of pandemics on staff and ensure care resources and support are available for the continuity of safe and quality care of residents. [Journal of Gerontological Nursing, 49(3), 34-39.].
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Budrevičiūtė A, Raila G, Paukštaitienė R, Valius L. Crisis management: the perspectives of physicians working in family physician teams in Lithuania. Prim Health Care Res Dev 2023; 24:e6. [PMID: 36617854 PMCID: PMC9884525 DOI: 10.1017/s1463423622000615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 09/05/2022] [Accepted: 09/09/2022] [Indexed: 01/10/2023] Open
Abstract
AIM To assess the opinions of physicians working in family physician teams regarding COVID-19 (threat perception, overall work satisfaction, patient satisfaction with services provided, patient access to services, and the need for new tools for service provision). METHODS An anonymous survey of physicians (N = 191) working in family physician teams. Questionnaires were distributed among family physicians with the permission of the managers of their institutions and were collected by the lead researcher within 1-8 weeks. The quantitative study was conducted from 21 June 2021 to 17 September 2021. In total, 398 questionnaires were distributed, yielding a response rate of 48%, or 9% of the total population. Thirty-nine primary health care institutions (PHCIs) were randomly selected for the study: 11 public and 28 private. FINDINGS Older respondents and those with more years of work experience strongly agreed that the COVID-19 pandemic threatened their lives and safety, as well as that of their colleagues. Work satisfaction decreased during the pandemic among older respondents, those with more years of work experience, and those who had been employed at their current institution for longer. Respondents with more work experience believed that patient satisfaction with the services provided by their family medical institution decreased. Older respondents with more work experience asserted that patient access to services decreased during the pandemic. Physicians working further away from urban centers indicated a greater need for new tools in the effort to provide consultations compared to city-based physicians. CONCLUSIONS The current health care crisis prompted by the COVID-19 pandemic is defined by the perception of threats to life and safety among physicians, an overall drop in their work satisfaction, decreased patient satisfaction with services provided, reduced patient access to services, and a greater need for new tools for providing consultations.
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Affiliation(s)
- Aida Budrevičiūtė
- Chief researcher of the biomedical study “Challenges of COVID-19 in Family Medicine”, Lithuania
| | - Gediminas Raila
- Lithuanian University of Health Sciences, Department of Family Medicine, Kaunas, Lithuania
| | - Renata Paukštaitienė
- Lithuanian University of Health Sciences, Medical Academy, Department of Physics, Mathematics, and Biophysics, Kaunas, Lithuania
| | - Leonas Valius
- Lithuanian University of Health Sciences, Department of Family Medicine, Kaunas, Lithuania
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Annisa Rahmi Galleryzki, Tutik Sri Hariyati RR, Kuntarti, Jainurakhma J. Nurses' Perceptions of Patient Safety Culture During the Pandemic in Covid-19 Referral Hospitals. JOURNAL OF HEALTH SCIENCES 2022. [DOI: 10.33086/jhs.v15i03.2885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Patient safety culture is essential in creating a safe and healthy hospital environment. This study aims to portray nurses' perceptions of patient safety culture during the Pandemic in COVID-19 Referral Hospitals. This paper was a descriptive study. The population was nurses working in inpatient, Covid-19 isolation, intensive, and emergency rooms. In addition, the sample was 268 nurses with a stratified random sampling. Data collection used a questionnaire using Google Forms. It consisted of the demographic characteristics of respondents (name, gender, age, marital status, working time, education, nurse position, levels of nursing, and patient safety training) also nurses' perception of patient safety culture. The Hospital Survey on Patient Safety Culture (HSOPC) was an instrument to assess patient safety culture. Data analysis used IBM SPSS Statistics version 22.0 to describe the mean, median, minimum, and maximum values and presentation. Results showed that the mean patient safety culture among nurses in COVID-19 referral hospitals was 147.09 (62.55%). In addition, the lowest dimension of patient safety culture was feedback and communication (31.75%), while the highest was an organizational improvement (73.16%). Thus, the patient safety culture in the COVID-19 referral hospital still needed improvement. A good patient safety culture can increase patient safety and the quality of health services. Therefore, hospital management should optimize all dimensions of patient safety culture to ensure patient safety. Future research could explore predisposing factors of patient safety culture
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Ali Awad NH, Al-Anwer Ashour HM. Crisis, ethical leadership and moral courage: Ethical climate during COVID-19. Nurs Ethics 2022; 29:1441-1456. [PMID: 35724327 PMCID: PMC9209857 DOI: 10.1177/09697330221105636] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Background The global COVID-19 pandemic has challenged nurse leaders in ways that one
could not imagine. Along with ongoing priorities of providing high quality,
cost-effective and safe care, nurse leaders are also committed to promote an
ethical climate that support nurses’ moral courage for sustaining excellence
in patient and family care. Aim This study is directed to develop a structure equation model of crisis,
ethical leadership and nurses’ moral courage: mediating effect of ethical
climate during COVID-19. Ethical consideration Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria
University, Egypt. Methods A cross-sectional design was used to conduct this study using validated
scales to measure the study variables. It was conducted in all units of two
isolated hospitals in Damanhur, Egypt. A convenient sample of 235 nurses was
recruited to be involved in this study. Results This study revealed that nurses perceived a moderate mean percent (55.49 ±
3.46) of overall crisis leadership, high mean percent (74.69 ± 6.15) of
overall ethical leadership, high mean percent (72.09 ± 7.73) of their moral
courage, and moderate mean percent of overall ethical climate (65.67 ±
12.04). Additionally, this study declared a strong positive statistical
significant correlation between all study variables and indicated that the
independent variable (crisis and ethical leadership) can predict a 0.96,
0.6, respectively, increasing in the dependent variable (nurses’ moral
courage) through the mediating impact of ethical climate. Conclusion Nursing administrators should be conscious of the importance of crisis,
ethical leadership competencies and the role of ethical climate to enhance
nurses’ moral courage especially during pandemic. Therefore, these findings
have significant contributions that support healthcare organizations to
develop strategies that provide a supportive ethical climate. Develop
ethical and crisis leadership competencies in order to improve nurses' moral
courage by holding meetings, workshops, and allowing open dialogue with
nurses to assess their moral courage.
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Mun S, Moon Y, Kim H, Kim N. Current Discussions on Employees and Organizations During the COVID-19 Pandemic: A Systematic Literature Review. Front Psychol 2022; 13:848778. [PMID: 35496177 PMCID: PMC9039218 DOI: 10.3389/fpsyg.2022.848778] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 03/16/2022] [Indexed: 12/21/2022] Open
Abstract
New concerns have emerged during the COVID-19 pandemic that greatly impact employees and many other aspects in organizations. We have highlighted the major organizational issues during COVID-19 and classified the relevant research findings based on 45 recent articles. Main themes identified include (1) work setting, (2) perceptions of COVID-19, (3) employee wellbeing, (4) organizational strategies, and (5) influences on career behaviors. Employees have faced challenges due to work conditions that have shifted from traditional commuting to telework. Employees have also become aware of the negative current situation, so their overall wellbeing has been threatened. In response, organizations have strived to promote positive psychological capital for employees as they attempt to cope with this crisis. Organizations have tried to maintain and manage both their employees and their business. People tended to adjust their career-related behaviors based on how they perceived their own wellbeing and organizational strategies.
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Affiliation(s)
| | | | | | - Namhee Kim
- Department of Education, Ewha Womans University, Seoul, South Korea
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Hill M, Smith E, Mills B. Work-based concerns of Australian frontline healthcare workers during the first wave of the COVID-19 pandemic. Aust N Z J Public Health 2022; 46:25-31. [PMID: 34897889 PMCID: PMC9968589 DOI: 10.1111/1753-6405.13188] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 08/01/2021] [Accepted: 10/01/2021] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE This research sought to gauge the extent to which doctors, nurses and paramedics in Australia were concerned about contracting SARS-CoV-2 during the country's first wave of the virus in April 2020. METHODS Australian registered doctors, nurses and paramedics (n=580) completed an online questionnaire during April 16-30, 2020 (period immediately following the highest four-week period (first wave) of SARS-CoV-2 confirmed cases in Australia). RESULTS During April 2020, two-thirds of participants felt it was likely they would contract SARS-CoV-2 at work. Half the participants suggested Personal Protective Equipment (PPE) supplies were inadequate for them to safely perform their job, with two-thirds suggesting management advised them to alter normal PPE use. One-third of participants suggested they were dissatisfied with their employer's communication of COVID-19 related information. Conclusions and implications for public health: After reports of PPE shortages during Australia's first SARS-CoV-2 wave, and suggestions access to PPE was still limited during Australia's second wave five months later, we must forecast for this and future pandemics ensuring adequate access to PPE for frontline healthcare workers. Further, ensuring consistent and standardised pathways for communication to staff (acknowledging the reality that information may rapidly change) will help alleviate frustration and anxiety.
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Affiliation(s)
- Michella Hill
- School of Medical and Health Sciences, Edith Cowan University
| | - Erin Smith
- School of Medical and Health Sciences, Edith Cowan University
| | - Brennen Mills
- School of Medical and Health Sciences, Edith Cowan University,Correspondence to: Brennen Mills, School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA 6027
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