The strategic leadership of nursing directorates in the context of healthcare system reform.

In Quebec, the strategic leadership of nursing directorates remains poorly documented despite its importance for the performance of their organizations. Using three focus groups and 31 individual semistructured interviews, a qualitative descriptive study was conducted, including 35 participants from 18 of the Quebec 34 health institutions created in 2015 by the last reform. Seven themes emerged: (1) taking ownership of the strategic positioning, (2) developing and communicating a vision, (3) making strategic, systematic, and measured choices, (4) reframing roles, (5) getting involved in the strategic decision-making processes, (6) developing the political capacity, and (7) building alliances. Four professional and organizational components influenced the nursing directorates' leadership capacity: clinical credibility, a sufficient number of people educated at the graduate level, organizational culture, and size of the institution. It is expected that these results regarding nursing directorates' exercise of strategic leadership will lead to better governance and quality of nursing care.

[Collaboration among health professionals (I). Context, dynamics and determining factors]. / La colaboración entre los profesionales de la salud (I). Contexto, dinámica y elementos determinantes.

More often at present times, services offered by health organizations are based on the collaboration among distinct professionals. In this team work approach, nursing professionals have an important role to play Having as our objective providing nursing professionals with a theoretical basis which facilitates understanding collaboration, the authors publish an article having two sections. In the first section, the authors expound on the theoretical bases giving in depth analysis to the concept of inter-professional collaboration and describing those factors which, according to literature, determine the success of this collaboration in practice.

La colaboración entre los profesionales de la salud (I). Contexto, dinámica y elementos determinantes / Collaboration among health professionals (I). Context, dynamics and determining factors

Los servicios ofrecidos por las organizaciones de salud se basan cada vez más en la colaboración entre distintos profesionales. En este trabajo en equipo, los profesionales de enfermerfa tienen un importante rol quedesempeñar. Así pues, con el objetivo de ofrecer una base teórica que facilite la comprensión de la colaboración, presentamos un artículo en dos partes. En el primero se exponen las bases teóricas profundizando en el concepto de colaboración interprofesional y describiendo aquellos elementos que, según la literatura determinarán el éxito en la práctica

More often at present times, services offered by health organizations are based on the collaboration amond distinct professionals. In this team work approach, nursing professionals have an important role to play. HAving as our objective providing nursing professionals with a theoretical basis which facilitates understanding collaboration, the authors publish an article having two sections. In the first section, the authors expound on the theoretical bases giving in depth analysis to the concept of inter-professional collaboration and describing those factors which, according to literature, determine the success of this collaboration in practice

The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks.

Interprofessional collaboration is a key factor in initiatives designed to increase the effectiveness of health services currently offered to the public. It is important that the concept of collaboration be well understood, because although the increasingly complex health problems faced by health professionals are creating more interdependencies among them, we still have limited knowledge of the complexity of interprofessional relationships. The goal of this literature review was to identify conceptual frameworks that could improve our understanding of this important aspect of health organizations. To this end, we have identified and taken into consideration: (A) the various definitions proposed in the literature and the various concepts associated with collaboration, and (B) the various theoretical frameworks of collaboration. Our results demonstrate that: (1) the concept of collaboration is commonly defined through five underlying concepts: sharing, partnership, power, interdependency and process; (2) the most complete models of collaboration seem to be those based on a strong theoretical background, either in organizational theory or in organizational sociology and on empirical data; (3) there is a significant amount of diversity in the way the various authors conceptualized collaboration and in the factors influencing collaboration; (4) these frameworks do not establish clear links between the elements in the models and the outputs; and (5) the literature does not provide a serious attempt to determine how patients could be integrated into the health care team, despite the fact that patients are recognized as the ultimate justification for providing collaborative care.

The determinants of successful collaboration: a review of theoretical and empirical studies.

Successful collaboration in health care teams can be attributed to numerous elements, including processes at work in interpersonal relationships within the team (the interactional determinants), conditions within the organization (the organizational determinants), and the organization's environment (the systemic determinants). Through a review of the literature, this article presents a tabulated compilation of each of these determinant types as identified by empirical research and identifies the main characteristics of these determinants according to the conceptual work. We then present a "showcase" of recent Canadian policy initiatives--The Canadian Health Transition Fund (HTF)--to illustrate how the various categories of determinants can be mobilized. The literature review reveals that very little of the empirical work has dealt with determinants of interprofessional collaboration in health, particularly its organizational and systemic determinants. Furthermore, our overview of experience at the Canadian HTF suggests that a systemic approach should be adopted in evaluative research on the determinants of effective collaborative practice.