Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 39.619
Filtrar
1.
Texto & contexto enferm ; 29: e20200213, Jan.-Dec. 2020. graf
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1127494

RESUMEN

ABSTRACT Objective: to report the experience in the structuring and managing process of a specific unit for COVID-19, highlighting the role of nurses in decision-making. Method: an experience report on the creation and management of the Coronavirus Disease 2019 (COVID-19) unit, in March 2020, in 2020, in a philanthropic hospital of the state of Santa Catarina. Results: the unit was structured with 10 intensive care beds and 20 infirmary beds. Meetings were held to make decisions, as well as to create protocols and flows with active participation of the nurse. In questions related to direct assistance, adaptations were developed in the nursing process performed at the hospital and the organization of new flows and routines. The physical space was structured, considering the high risk of transmissibility for the disease. Professionals were hired with staffing readjustment according to the complexity of the service, making up a team of professionals with experience in critical care. There were trainings for developing knowledge and skills prior to the first cases, which were systematically maintained. In addition, it was observed that the nurses were concerned about the mental health of the professionals working in this unit and, therefore, support actions were programmed. Conclusion: the foundation in the scientific evidence and recommendations of the competent bodies at the world and national levels for the structuring of the COVID-19 unit is emphasized. The role of the nurse in all the interfaces stands out, assuming a fundamental role from the composition of the commissions, going through the planning and functioning of the physical structure, management of human resources, and construction of care protocols and flows, in addition to acting directly in the care provided.


RESUMEN Objetivo: reportar la experiencia en el proceso de estructuración y gestión de una unidad específica para COVID-19, destacando el protagonismo del enfermero en la toma de decisiones. Método: informe de experiencia sobre la creación y gestión de la unidad Coronavirus Disease 2019 (COVID-19), en marzo de 2020, en un hospital filantrópico del estado de Santa Catarina. Resultados: la unidad se estructuró con 10 camas de cuidados intensivos y 20 de enfermería. Se realizaron reuniones para tomar decisiones y crear protocolos y flujos con participación activa del enfermero. En las cuestiones relacionadas con la asistencia directa, se desarrollaron adaptaciones en el proceso de enfermería realizado en el hospital y se organizaron nuevos flujos y rutinas. Se estructuró el espacio físico, en vistas del elevado riesgo de transmisibilidad de la enfermedad. Se contrataron profesionales con readecuación de número según la complejidad del servicio, conformándose así un equipo de profesionales con experiencia en cuidados críticos. Se realizaron sesiones de capacitación para el desarrollo de conocimientos y habilidades antes de que surgieran los primeros casos, que se mantuvieron sistemáticamente. Además, se observó cierta preocupación entre el personal de Enfermería con relación a la salud mental de los profesionales actuantes en esa unidad y, por lo tanto, se programación acciones de apoyo. Conclusión: se forjan las bases sobre las evidencias científicas y las recomendaciones de los organismos competentes a nivel mundial y nacional para la estructuración de la unidad COVID-19. Se destaca el protagonismo de los enfermeros en todas las interfaces, quienes asumen un rol fundamental desde la composición de las comisiones, pasando por la planificación y el funcionamiento de la estructura física, la gestión de recursos humanos y, finalmente, la elaboración de protocolos y flujos de atención, además de su actuación directa en la asistencia provista.


RESUMO Objetivo: relatar a experiência no processo de estruturação e gestão de uma unidade específica para COVID-19, ressaltando o protagonismo do enfermeiro nas tomadas de decisão. Método: relato de experiência sobre a criação e a gestão da unidade Coronavirus Disease 2019 (COVID-19), em março de 2020, em um hospital filantrópico do Estado de Santa Catarina. Resultados: a unidade foi estruturada com 10 leitos de terapia intensiva e 20 de enfermaria. Realizaram-se reuniões para a tomada de decisões, criação de protocolos e fluxos com participação ativa do enfermeiro. Nas questões relacionadas à assistência direta, desenvolveram-se adaptações no processo de enfermagem realizado no hospital e ordenamento de novos fluxos e rotinas. O espaço físico foi estruturado, considerando-se o alto risco de transmissibilidade da doença. Realizou-se contratação de profissionais com readequação do dimensionamento conforme a complexidade do serviço, formando-se uma equipe de profissionais com experiência em cuidados críticos. Houve treinamentos para o desenvolvimento de conhecimentos e habilidades anteriormente aos primeiros casos, que foram mantidos sistematicamente. Ademais, observou-se preocupação dos enfermeiros com relação à saúde mental dos profissionais atuantes nesta unidade e, portanto, programaram-se ações de suporte. Conclusão: enfatiza-se o alicerce nas evidências científicas e recomendações dos órgãos competentes a níveis mundial e nacional para a estruturação da unidade COVID-19. Destaca-se o protagonismo do enfermeiro em todas as interfaces, o qual assume papel fundamental desde a composição das comissões, perpassando pelo planejamento e funcionamento da estrutura física, gestão de recursos humanos e construção de protocolos e fluxos de cuidado, além de atuar diretamente na assistência.


Asunto(s)
Humanos , Adulto , Gestión de Riesgos , Manejo de Atención al Paciente , Enfermería , Liderazgo , Infecciones por Coronavirus
2.
Texto & contexto enferm ; 29: e20180432, Jan.-Dec. 2020.
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059134

RESUMEN

ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.


RESUMEN Objetivos: identificar las situaciones de violencia en la rutina laboral de los profesionales de salud de la Estrategia de Salud de la Familia y describir las conductas que adoptan estos profesionales ante las situaciones de violencia identificadas. Método: estudio cualitativo, descriptivo y exploratorio que tuvo como escenario a una Clínica de Salud Familiar del municipio de Río de Janeiro. Participaron 18 profesionales de la salud. Los datos se recolectaron a través de entrevistas semiestructuradas y se los sometió a análisis de contenido. Resultados: surgieron tres categorías temáticas: Situaciones de violencia laboral en la Estrategia de Salud de la Familia; Consecuencias de la violencia laboral en la Estrategia de Salud de la Familia y Desempeño de los enfermeros como líderes de los equipos de Salud de la Familia y las estrategias adoptadas ante la violencia laboral. Conclusiones: se identificaron situaciones de violencia interpersonal y colectiva, ejemplificadas por el contacto con la violencia armada en el campo de acción, discriminación racial, violencia entre pares y violencia sufrida por el usuario, como ser la violencia doméstica, que afecta directamente al profesional. Se destaca la importancia del desempeño de los enfermeros como líderes de los equipos de la Estrategia de Salud de la Familia, con vistas a manejar las situaciones de violencia laboral, muchas veces desatendidas.


RESUMO Objetivos: identificar as situações de violência no cotidiano de trabalho dos profissionais de saúde da Estratégia de Saúde da Família e descrever as condutas adotadas por esses profissionais perante as situações de violência identificadas. Método: estudo qualitativo, descritivo e exploratório cujo cenário foi uma Clínica da Família do município do Rio de Janeiro. Participaram 18 profissionais da saúde. Os dados foram coletados através de entrevistas semiestruturadas e submetidos à análise de conteúdo. Resultados: emergiram três categorias temáticas: Situações de violência no trabalho na Estratégia de Saúde da Família; Consequências da violência no trabalho na Estratégia de Saúde da Família; Atuação do enfermeiro como líder da Equipe de Saúde da Família e as estratégias adotadas perante a violência no trabalho. Conclusões: foram identificadas situações de violência interpessoal e a violência coletiva, exemplificadas pelo contato com a violência armada no território, discriminação racial, violência entre os pares e violência sofrida pelo usuário, como a violência doméstica, afetando diretamente o profissional. Destaca-se a importância da atuação do enfermeiro como líder da equipe da Estratégia de Saúde da Família vislumbrando o gerenciamento das situações de violência no trabalho, muitas vezes negligenciadas.


Asunto(s)
Humanos , Adulto , Persona de Mediana Edad , Adulto Joven , Violencia , Salud de la Familia , Personal de Salud , Atención Primaria de Salud , Rol de la Enfermera , Violencia Laboral , Liderazgo , Enfermeras y Enfermeros
3.
Pan Afr Med J ; 35(Suppl 2): 146, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33193961

RESUMEN

Prevention of exposure to the COVID-19 virus in the general population is an essential strategy to slow community transmission. This paper shares the experiences and challenges of community engagement in COVID-19 prevention in the Kilimanjaro region, Northern Tanzania implemented by our team from the Institute of Public Health (IPH), Kilimanjaro Christian Medical University College (KCMUCo) in collaboration with the COVID-19 response team in the Moshi Municipality. We conducted an education session with the COVID-19 response team and together brainstormed transmission hotspots and which interventions would be most feasible in their settings. The first hotspot identified was crowded local market spaces. Suggested interventions included targeted and mass public health education through the engagement of market opinion leaders, public announcements, and radio shows. We conducted participatory rural appraisal techniques to enable market vendors and clients to visualize two-meter distances and provided a prototype hand-washing facility that was foot operated. We found mass public health educational campaigns essential to inform and update the public about COVID-19 pandemic and to address rumors and misinformation, which hampers compliance with public health interventions. Coordinated efforts among stakeholders in the country are necessary to develop context-specific prevention and case management strategies following the national and international guidelines. Local ownership of recommended interventions is necessary to ensure compliance.


Asunto(s)
Betacoronavirus , Control de Enfermedades Transmisibles/organización & administración , Participación de la Comunidad , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Desinfección de las Manos/instrumentación , Educación en Salud/métodos , Educación en Salud/organización & administración , Humanos , Colaboración Intersectorial , Liderazgo , Medios de Comunicación de Masas , Aplicaciones Móviles , Equipo de Protección Personal , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Instalaciones Privadas , Salud Pública , Población Rural , Participación de los Interesados , Tanzanía/epidemiología
5.
J Clin Pediatr Dent ; 44(5): 323-331, 2020 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-33181841

RESUMEN

OBJECTIVE: To analyze gender differences in personal and professional demographics, job perceptions and work satisfaction between male and female pediatric dentistry academic leaders in the United States and Canada. STUDY DESIGN: A 40-question survey was sent electronically to department chairs requesting information about demographics, current circumstances of the position, professional history, and opinions about the position. Data was analyzed by the sex of the respondent. RESULTS: Eighty-eight surveys were distributed electronically and 55 chairs responded (response rate: 62.5%). Women comprised 29.5% of the sample, were younger and had less leadership training than men. Men had served longer in the position (t(41)=2.02, p=0.05) and had higher ranking academic titles. Women spent more time managing personnel (p=0.026), creating courses and programs (p=0.029), and teaching (p=0.006) than men. Female chairs perceived to have a difficult relationship with the faculty (p=0.027), felt they received less faculty support (p=0.002), and were significantly more dissatisfied in the job (p=0.037). Men were more stressed about a heavy workload than women (p=0.001). CONCLUSION: Gender was significantly related to the demographics, experience, perceptions of the skills and abilities required for job performance, time management and job satisfaction for pediatric dentistry department chairs in American and Canadian institutions.


Asunto(s)
Centros Médicos Académicos , Odontología Pediátrica , Canadá , Niño , Femenino , Humanos , Liderazgo , Masculino , Factores Sexuales , Estados Unidos
6.
J Nurs Adm ; 50(12): 623-628, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33181524

RESUMEN

OBJECTIVE: The study examined relationships between nurses' perceptions of implicit rationing of nursing care and leadership style in the nursing work environment. BACKGROUND: Nurses' perceptions of higher amounts of implicit rationing of nursing care relate to perceptions of lower quality of care and poorer patient outcomes. This study was the 1st to examine leadership style and implicit rationing of nursing care. METHODS: Using a cross-sectional survey study design, 35 039 RNs were randomly sampled during September 2017 to March 2018. RESULTS: Findings support an association between nurses' perceptions of an emotionally intelligent leadership style and lower amounts of implicit rationing of nursing care. CONCLUSION: Implicit rationing of nursing care in the nursing work environment is significantly associated with emotionally intelligent leadership style. Nurse executives, and nursing faculty in administrative-focused graduate programs, can provide development and education in emotionally intelligent leadership skills.


Asunto(s)
Inteligencia Emocional , Asignación de Recursos para la Atención de Salud , Liderazgo , Enfermeras Administradoras/psicología , Atención de Enfermería/estadística & datos numéricos , Estudios Transversales , Humanos , Lugar de Trabajo/psicología
7.
J Nurs Adm ; 50(12): 618-622, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33181598

RESUMEN

The nurse manager role is increasingly complex, and oftentimes, leadership competencies are learned through experience rather than an effective role transition. The need for a transition-to-practice program for new nurse managers is frequently cited in the literature. This evidence-based practice project resulted in significant improvement in leadership competencies and was used in the development of an American Organization for Nursing Leadership nurse manager transition-to-practice program to be offered in 2021.


Asunto(s)
Capacitación en Servicio/estadística & datos numéricos , Liderazgo , Enfermeras Administradoras/organización & administración , Competencia Profesional , Autoevaluación , Humanos , Internet , Personal de Enfermería en Hospital/organización & administración
8.
Artículo en Ruso | MEDLINE | ID: mdl-33161665

RESUMEN

In actual conditions health care priority is in increasing population size and its life expectancy including duration of healthy life, reducing morbidity, mortality and disability of population, observance of rights of citizens related to health protection that can effectively be achieved by adherence of healthy lifestyle. In order to determine possibility of improving motivation of population to lead healthy lifestyle, through formation of leadership qualities in medical specialists, the study applied such methods as expert evaluation, questionnaire survey, interview, monographic and statistical techniques. The sampling consisted of 46 employees of the I. M. Sechenov First Moscow State Medical University as experts, 107 students of this educational organization were involved in questionnaire survey and interviewing, and 68 of them were included in the group with pronounced leadership qualities, and 39 respondents consisted the control group. Involving population into healthy lifestyle is priority task of all medical specialists that is regulated by work functions of their professional standards. The effective direction of this work is to influence internal motivation of citizens. The presence of leadership qualities in future medical specialists increases their ability to motivate the population to lead healthy lifestyle at the level of theoretical training by 33.3% and practical training by 65.5% as compared to control group. The main directions of improving motivational work to involve population into healthy lifestyle by future medical specialists is refusal by students' bad habits, teaching them specialized topics in all related disciplines, formation of students' leadership potential. To develop student's leadership skills, training program can be applied in the laboratory of excellence "Factory of health leaders", implemented at the N. A. Semashko Department of public health and health care.


Asunto(s)
Motivación , Especialización , Estilo de Vida Saludable , Humanos , Liderazgo , Moscú
9.
Rev Lat Am Enfermagem ; 28: e3388, 2020.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-33174994

RESUMEN

OBJECTIVE: to identify the guiding axes of the documents that grounded the Nursing Now campaign and relate the recommendations of these documents to the campaign goals. METHOD: documentary research, based on the analysis of the documents that promoted the Nursing Now campaign. The data were collected between March and April 2020, using a form structured into: background, scope, challenges and potentials of health/nursing professionals and recommendations for the future. RESULTS: the challenges and the need for investments in the health and nursing workforce to achieve the Sustainable Development Goals were evidenced. The report of the High Level Commission on health Employment and Economic Growth presents important recommendations, also introduced in the Triple Impact Report and in the Strategic Directions for Nursing and Midwifery, converging to the goals of the Nursing Now campaign, stimulating a profile of nurses with technical, political and leadership skills, engaged in health policy-making, and the effectiveness of their practice is clear to the entire society. CONCLUSION: knowledge about the dynamics of the factors that converged to the development of the Nursing Now campaign may be a condition for achieving its goals. This reality reveals evidence that global health will not be ensured without strengthening Nursing first.


Asunto(s)
Salud Global , Partería , Humanos , Liderazgo , Embarazo
10.
Biomedica ; 40(Supl. 2): 104-115, 2020 10 30.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33152194

RESUMEN

Introduction: The propagation of COVID-19, an infectious disease caused by the novel SARS-CoV-2 coronavirus, has become a pandemic which, along with its rapid dissemination worldwide, has brought about an exponential increase in the amount of research related to the subject to which Latin American researchers have contributed actively. Objective: To conduct a descriptive bibliometric study of the main trends in research on COVID-19 produced in Latin America. Materials and methods: We searched in the Web of Science, Scopus, and Pubmed databases to retrieve the Latin American scientific production on COVID-19. Bibliometric indicators of production, visibility, impact, and collaboration were analyzed to assess the regional participation in studies on the subject. Results: The analysis of 142 documents evidenced an exponential growth of scientific production in the period analyzed, an important level of international collaboration (51.4%) in scientific production, and the leadership of regional institutions (71%) in the research with publications in high-visibility jounals especially in Colombia, Brazil, and México. Conclusions: The results regarding the regional participation in the research on COVID-19 were relevant not only in relation to its quantity and exponential growth during the period analyzed but also in terms of its quality and excellence with a high rate of international collaboration and publications in important scientific journals, which besides their visibility, represent a considerable contribution to the research compared to the other geographical contexts.


Asunto(s)
Bibliometría , Infecciones por Coronavirus , Pandemias , Neumonía Viral , Academias e Institutos/estadística & datos numéricos , Autoria , Betacoronavirus , Bases de Datos Bibliográficas , Eficiencia , Humanos , Internacionalidad , América Latina , Liderazgo , Publicaciones Periódicas como Asunto/estadística & datos numéricos
11.
J Emerg Manag ; 18(5): 399-409, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33174193

RESUMEN

OBJECTIVE: The objective of this study was to explore perceptions of senior leadership in hospitals on the motivations, cost, benefits, barriers, and facilitators of investment in emergency preparedness. STUDY DESIGN: This is a qualitative study which used a grounded theory approach to develop a theory of hospital emergency preparedness. SETTING AND STUDY PARTICIPANTS: A purposive sample of hospital leaders (n = 11) in the US state of Nebraska were interviewed. RESULTS: Results showed that the environmental risk associated with the hospital location, the hospital's position in the community, and the preparedness requirements of the Centers for Medicare and Medicaid Services contribute to investment decisions. Rural hospitals face unique challenges in preparing for disasters, for example, lack of trained personnel. Facilitators of disaster preparedness include the availability of federal funds, the commitment of leadership, and an organizational mission aligned toward emergency preparedness. Hospitals invest in hazard vulnerability assessments; partnerships with other organizations in the community; staff trainings and infrastructure. CONCLUSIONS: The authors concluded that hospitals in Nebraska are committed toward investing in preparedness activities. The theory of hospital emergency preparedness developed will be used in a subsequent study to develop a decision-support framework for hospital investment in preparedness.


Asunto(s)
Defensa Civil , Planificación en Desastres , Anciano , Humanos , Liderazgo , Medicare , Nebraska , Estados Unidos
12.
J Med Life ; 13(3): 362-370, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33072209

RESUMEN

Transformational management properties could make the weakest organizations strong with the right and efficient approach build. The aim of this study was to determine the transformational management properties among hospital managers in Gonbad-e-Kavus. In terms of data collection, the present study is an an applied research involving objective and descriptive-analytical surveys. The statistical population includes all staff hospitals that were selected randomly in Gonbad-e-Kavous city. The present study was performed including 7 hospitals and 346 respondents. Castiglion transformational management properties questionnaire (2006) was used to collect the required data, with Cronbach's alpha coefficient (0.946). Based on the findings of the research, 67.3% (233 subjects) of the participants in the study evaluated the transformational management properties of the managers of the hospitals at a good level (with a score of 140. 76 ± 27.76), with Payambar Hospital having the highest (151.57 ± 20.31) and Taleghani Hospital the lowest score (130.22 ± 28.10) attributed to the management properties affecting change management. Based on the findings of the research and the impact of effective transformational management properties among the managers of the understudy hospitals, it is recommended to form all effective management transformational management properties, through founding special educational units and holding classes for hospital managers, in order to form various skills and competencies such as communication skills, skills to influence others, trusting, attention skills, and providing sufficient independence which all play an essential role in the success of managers and pave the ground for the flourishment of transformation and innovation in the hospitals.


Asunto(s)
Personal de Salud , Hospitales Privados/organización & administración , Hospitales Públicos/organización & administración , Liderazgo , Ciudades , Humanos , Irán , Masculino , Encuestas y Cuestionarios
15.
Acad Med ; 95(10): 1485-1487, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33002905

RESUMEN

In this Invited Commentary, the author applies a historical lens to explore a fundamental paradox in U.S. medical education: the fact that long after women gained parity with men in matriculation to medical school, women remain highly underrepresented in leadership positions in academic medicine. The reasons for this are many and complex, but at the core are the subtle but hurtful indignities ("microinequities") experienced by women physicians and an academic culture that expects single-minded dedication to work, regardless of the costs to faculty members' personal lives. Achieving parity for women in academic leadership will require changing the culture of medical schools and teaching hospitals to correct these 2 fundamental obstacles. In recent years, many medical schools and teaching hospitals have made efforts to improve opportunities and satisfaction for women trainees and physicians, enacting reforms to improve work-life balance for all faculty. It is plausible to imagine a future in which flexible time frames to achieve tenure and promotion are universally available to both women and men, with high scholarly standards firmly maintained. If this occurs, it will represent a profound legacy for women in academic medicine, for their generations of professional sacrifice and advocacy for a more equitable culture will have changed its culture.


Asunto(s)
Centros Médicos Académicos/organización & administración , Docentes Médicos/organización & administración , Cultura Organizacional , Médicos Mujeres/organización & administración , Sexismo/historia , Centros Médicos Académicos/historia , Docentes Médicos/historia , Femenino , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Liderazgo , Médicos Mujeres/historia
16.
Acad Med ; 95(10): 1479-1482, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33006867

RESUMEN

The Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program for Women is designed to promote the careers of senior female leaders in academic health care in a way that ultimately seeks to transform culture and promote gender equity far beyond the careers of its participants. In an era of increased awareness of gender inequity within academic medicine, the longevity of the ELAM program raises several important questions. First, why is such a program still needed? Second, what exactly does it do, and what has been its influence on its participants and beyond? And third, what lessons can ELAM's example provide to help guide the medical profession as it strives to promote gender equity in the field? In this Invited Commentary, the authors seek to answer these questions from the perspective of a recent program participant and the current program director. The authors review the evidence that identifies how women, even today, face accumulating disadvantage over the course of their academic careers, stemming from repeated encounters with powerful unconscious biases and stereotypes, societal expectations for a gendered division of domestic labor, and still-present overt discrimination and sexual harassment. They describe ELAM's approach, which builds the knowledge and skills of the women who participate in the program, while also intentionally raising their visibility within their home institutions so that they have opportunities to share with institutional leaders what they have learned in ways that not only promote their own careers but also support gender equity in the broader environment. The authors conclude by offering thoughts on how ELAM's model may be leveraged in the future, ideally in partnership with the numerous professional societies, funding agencies, and other organizations that are committed to accelerating the rate of progress toward gender equity at all levels of academic medicine.


Asunto(s)
Docentes Médicos/educación , Predicción , Liderazgo , Ejecutivos Médicos/educación , Médicos Mujeres/organización & administración , Centros Médicos Académicos/organización & administración , Docentes Médicos/organización & administración , Femenino , Identidad de Género , Humanos , Ejecutivos Médicos/organización & administración , Evaluación de Programas y Proyectos de Salud
17.
J Nurs Adm ; 50(11): 557-559, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33105330

RESUMEN

Nurse leaders must be proficient at fostering organizational learning within their teams and throughout their companies. Organizational learning can be achieved by creating a culture conducive to learning, integrating learning practices into the team's routines, and leveraging the impact of learning by cultivating a strong, vibrant institutional memory. Authors describe the concept of organizational learning, provide strategies for fostering a culture where organizational learning thrives, and underscore the nurse leaders' role in leading organizations to achieve and sustain exemplary practice.


Asunto(s)
Liderazgo , Aprendizaje , Personal de Enfermería , Cultura Organizacional , Humanos
18.
J Nurs Adm ; 50(11): 578-583, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33105334

RESUMEN

Improving work conditions and the provision of high-quality care and patient safety is an issue in European hospitals. Inspired by a US program for nursing excellence, Magnet Recognition, a Belgian hospital shared their experiences by organizing a summer school in 2019 with nurses of 21 hospitals from 9 countries. This article explains the hospital's research program, the link between the journey and the content of the summer school, lessons learned, and the extent to which participants of European hospitals were interested in nursing excellence and Magnet designation.


Asunto(s)
Liderazgo , Proceso de Enfermería/normas , Personal de Enfermería en Hospital/normas , Europa (Continente) , Humanos , Calidad de la Atención de Salud
19.
PLoS One ; 15(10): e0239307, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33027287

RESUMEN

INTRODUCTION: China has made considerable progress with health system reforms in recent years. Rural China, however, has lagged behind as the diversity of needs of China's 3,000 rural counties were not always well addressed by national top-down reforms. China's Rural Health Reform Project Health XI (HXI) piloted a hybrid process of top down and bottom up implementation of health system reforms which were tailored to rural county level needs and covered a population of more than 21 million. Different studies provide evidence that HXI counties have achieved substantial benefits given the relatively limited investment. The Effectiveness of HXI subsequently raises the question how the hybrid approach may have resulted in effective implementation of interventions. We answer this question to advance understanding of hybrid approaches in general and in the rural Chinese context in particular, where the bottom-up elements might match poorly with the traditional organisational culture and learning style. MATERIALS & METHODS: We conducted an in-depth qualitative analysis in three 'best practice' counties, performing document-analyses, observations, semi-structured individual and group interviews. In alignment with the research question, this study is of an explorative nature and follows a sequence of deductive and inductive steps. RESULTS: HXI struggled initially as counties had difficulties to take initiative and autonomously select and adapt their own reforms. The initial reforms required multiple improvement iterations before achieving the planned results. The effectiveness of these bottom up reform processes has been aided by tight top down supervision and extensive domestic expert involvement. County level leadership is seen as essential to align the top down and bottom up structures and processes. Where successful, HXI has changed mind-sets and counties developed generic health improvement capabilities. CONCLUSION: Tailoring innovations to fit local needs formed a severe challenge for the three 'best practice' counties studied. A 'change of mindset' to actively take initiative and assume autonomy was needed to advance. Top down supervision and extensive support of experts was required to overcome the barriers. The studied counties finally achieved sustainable improvements and developed double loop learning capabilities beyond HXI objectives. Taken together, the above findings suggest that the continuum of healthcare reform implementation approaches in which hybrid approaches reside-from bottom up to top down-has two dimensions: a content dimension and a procedural dimension. Enabled by top down procedures, counties were able to bottom up tailor the content of best practice innovations to fit local needs.


Asunto(s)
Prestación de Atención de Salud , China , Reforma de la Atención de Salud , Humanos , Liderazgo , Población Rural
20.
Artículo en Inglés | MEDLINE | ID: mdl-33114350

RESUMEN

During the COVID-19 pandemic, there has been intense interest in political leaders' nonverbal communicative structures (NCS) during televised appearances. This study analyzes the effect of gender on leaders' NCS and presents theoretical and analytical frameworks of gendered NCS. We analyzed 20 televised appearances by 10 heads of state (five males and five females) from democratic Western countries during the COVID-19 pandemic. The findings revealed that gender had a significant effect on leaders' NCS, indicating that leaders presented NCS that corresponded to their gender. Male leaders' masculine NCS included competition, warning, threatening, and scaring behavior, broad proxemics, tension leakage, and illustrative gestures, while female leaders presented feminine NCS of cooperativeness, emotional communication, empathy, optimism, eye contact, and flexible expressions. Furthermore, the effect of gender on leaders' NCS had an interaction effect with the situation of the pandemic, indicating that countries with a female leader had fewer diseased and severe cases and more calmness and healing NCS. The conclusions present theoretical and analytical frameworks that explain the central effect of gender on contemporary leaders' NCS. This study develops advanced distinctive profiles for male versus female leaders' NCS of emotions, cognition, and behavior during a crisis.


Asunto(s)
Infecciones por Coronavirus , Identidad de Género , Liderazgo , Comunicación no Verbal , Pandemias , Neumonía Viral , Betacoronavirus , Conducta Cooperativa , Femenino , Humanos , Masculino , Factores Sexuales
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA