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1.
BMC Med Educ ; 21(1): 468, 2021 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-34474670

RESUMO

BACKGROUND: Academic medical centers invest considerably in faculty development efforts to support the career success and promotion of their faculty, and to minimize faculty attrition. This study evaluated the impact of a faculty development program called the Leadership in Academic Medicine Program (LAMP) on participants' (1) self-ratings of efficacy, (2) promotion in academic rank, and (3) institutional retention. METHOD: Participants from the 2013-2020 LAMP cohorts were surveyed pre and post program to assess their level of agreement with statements that spanned domains of self-awareness, self-efficacy, satisfaction with work and work environment. Pre and post responses were compared using McNemar's tests. Changes in scores across gender were compared using Wilcoxon Rank Sum/Mann-Whitney tests. LAMP participants were matched to nonparticipant controls by gender, rank, department, and time of hire to compare promotions in academic rank and departures from the organization. Kaplan Meier curves and Cox proportional hazards models were used to examine differences. RESULTS: There were significant improvements in almost all self-ratings on program surveys (p < 0.05). Greatest improvements were seen in "understand the promotions process" (36% vs. 94%), "comfortable negotiating" (35% vs. 74%), and "time management" (55% vs. 92%). There were no statistically significant differences in improvements by gender, however women faculty rated themselves lower on all pre-program items compared to men. There was significant difference found in time-to-next promotion (p = 0.003) between LAMP participants and controls. Kaplan-Meier analysis demonstrated that LAMP faculty achieved next promotion more often and faster than controls. Cox-proportional-hazards analyses found that LAMP faculty were 61% more likely to be promoted than controls (hazard ratio [HR] 1.61, 95% confidence interval [CI] 1.16-2.23, p-value = 0.004). There was significant difference found in time-to-departure (p < 0.0001) with LAMP faculty retained more often and for longer periods. LAMP faculty were 77% less likely to leave compared to controls (HR 0.23, 95% CI 0.16-0.34, p < 0.0001). CONCLUSIONS: LAMP is an effective faculty development program as measured subjectively by participant self-ratings and objectively through comparative improvements in academic promotions and institutional retention.


Assuntos
Liderança , Autoeficácia , Centros Médicos Acadêmicos , Mobilidade Ocupacional , Docentes de Medicina , Feminino , Humanos , Masculino
2.
JNMA J Nepal Med Assoc ; 59(237): 523-525, 2021 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-34508418

RESUMO

"Only those who will risk going too far can possibly find out how far one can go"-TS Elliot. Joining the editorial support as a medical student, at the Journal of Nepal Medical Association, full-time responsibilities, were challenging to perform. Applying and getting into the Journal of Nepal Medical Association team was only the start of a very vast learning experience. Learning leadership qualities, time management skills, communication skills and technical skills, helped me to excel in my duty as assistant editor and a medical student. Involving in the training and working with authors and the editorial team, I have learned about the actual research and its scenario in Nepal.


Assuntos
Estudantes de Medicina , Humanos , Liderança , Nepal
3.
BMC Med Educ ; 21(1): 479, 2021 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493263

RESUMO

BACKGROUND: Residents need to be trained across the boundaries of their own specialty to prepare them for collaborative practice. Intraprofessional learning (i.e. between individuals of different disciplines within the same profession) has received little attention in the postgraduate medical education literature, in contrast to the extensive literature on interprofessional learning between individuals of different professions. To address this gap, we performed a scoping review to investigate what and how residents learn from workplace-related intraprofessional activities, and what factors influence learning. METHODS: The PRISMA guidelines were used to conduct a scoping review of empirical studies on intraprofessional workplace learning in postgraduate medical education published between 1 January 2000 to 16 April 2020 in Pubmed, Embase, PsycINFO, ERIC and Web of Science. This study applied 'best fit' framework-based synthesis to map the existing evidence, using the presage-process-product (3P) model developed by Tynjälä (2013). RESULTS: Four thousand three hundred thirty records were screened, and 37 articles were included. This review identified influencing (presage) factors that derived from the sociocultural environment, learner and learning context. Studies described that complexity of care can both facilitate and hinder learning. Furthermore, intraprofessional learning is threatened by professional stereotyping and negative perceptions, and awareness of learning opportunities and explicit reflection are critical in intraprofessional workplace learning. Studies described a range of informal and formal intraprofessional activities (process) under the headings of collaboration in clinical practice, rotations or placements, formal educational sessions and simulated workplace training. In general, learners responded well and their attitudes and perceptions improved, learners reported increased knowledge and skills and positive behavioural changes (product). Learning outcomes were reported in the domains of patient-centred care, collaborative attitudes and respect, mutual knowledge and understanding, collaborative decision making, communication, leadership, teamwork and reflexivity. CONCLUSIONS: This review gives insight into the high learning potential of intraprofessional activities. Many of the included studies relied on self-reported perceptions of change, therefore, future research should focus on generating more robust evidence including objectively examined outcome measures. This review offers a comprehensive overview of the factors that influence intraprofessional workplace learning in postgraduate medical education. Finally, we provide recommendations for enhancing intraprofessional learning in clinical practice.


Assuntos
Educação Médica , Local de Trabalho , Competência Clínica , Humanos , Liderança
4.
Mil Med ; 186(12 Suppl 2): 1-3, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34468003

RESUMO

Military nurses have been placed in the forefront of clinical and leadership roles during the COVID-19 pandemic. Serving in critical roles, military nurses have spearheaded innovations in clinical practice, conducted research, and implemented evidence-based practice projects that have advanced the capabilities of the Armed Forces Nurse Corps. This collection captures and highlights many of these military nursing contributions combating the COVID-19 pandemic.


Assuntos
COVID-19 , Enfermagem Militar , Enfermeiras e Enfermeiros , Humanos , Liderança , Papel do Profissional de Enfermagem , Pandemias , SARS-CoV-2
5.
Mil Med ; 186(12 Suppl 2): 9-14, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34468004

RESUMO

The COVID-19 pandemic requires military nurse leaders in various patient care settings to engage in disaster response. Evidence supports essential leadership attributes for nurses that include skilled communication, organizational influence, and personnel management. Yet, nursing expertise that shapes nurse leader responsibilities during disaster management remains unclear. A description of how military nurse leaders contributed their nursing expertise during the COVID-19 pandemic response at one U.S. Military health care facility is provided to begin to delineate disaster management responsibilities.


Assuntos
COVID-19 , Enfermeiras Administradoras , Humanos , Liderança , Pandemias/prevenção & controle , SARS-CoV-2
6.
Mil Med ; 186(12 Suppl 2): 50-55, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34469527

RESUMO

The coronavirus disease 2019 pandemic stressed healthcare systems worldwide and exposed major flaws in military and civilian healthcare systems. Landstuhl Regional Medical Center (LRMC) serves as the only military medical center for over 205,000 U.S. service members, beneficiaries, and coalition partners stationed throughout Europe, Africa, and the Middle East. The pandemic response required LRMC leaders to reconfigure services to meet pandemic concerns while providing lifesaving care to injured service members from combatant commands. The quickly evolving pandemic challenged leaders to ensure healthcare delivery amid constant change and imperfect information. While LRMC senior leaders developed a strategic pandemic response plan, a multidisciplinary team of nurses, doctors, and technicians collaborated to create an inpatient team to support the dual mission of coronavirus disease 2019 response and casualty care for the warfighter. In this manuscript, we discuss how a multidisciplinary clinical working group at a regional medical center prepared and responded to the pandemic, strategically planned patient care, and ensured support to combatant commands for ongoing forward military operations. Additionally, we share our experiences and lessons learned to inform other military facilities across the medical community and global healthcare systems.


Assuntos
COVID-19 , Militares , Humanos , Pacientes Internados , Liderança , SARS-CoV-2
7.
Ethiop J Health Sci ; 31(3): 533-542, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34483610

RESUMO

Background: Developing a practical model to assess hospital performance improves the quality of services and leads to patient satisfaction. This study aims to develop and present such a model using the IPOCC (Input, Process, Output, Control and Context) approach. Methods: This study used a mixed-method research. The statistical population of the qualitative part included 27 experts who were purposefully selected and the sampling process was continued by the snowball method until the data saturation was reached. The quantitative part included 334 managers at different levels within a hospital, who were selected by a random sampling method based on Cochran's formula. Results: The hospital evaluation model has 5 dimensions with 20 factors: input (human, financial, physical, information and equipment), process (treatment, para-clinical, prevention, management, and leadership processes), outcome (patient, staff and community outcomes and key performance index), control (internal control, external control), context (hospital culture, hospital status, the role of evaluators and community conditions). The value of chi-square was 4689.154, the degree of freedom was 2385, and the ratio of chi-square to the degree of freedom in the model was 1.966, which is an acceptable value. The values obtained from CFI, GFI, and IFI fit indices were acceptable. The SRMR index was 0.1130. Conclusions: Using a performance assessment model along with the IPOCC approach evaluates hospital processes and the output obtained from the proper implementation of these processes in all areas. The areas include the hospital provided services like the control and context, or the traditional perspectives like physical, human, financial, and equipment resources.


Assuntos
Hospitais , Satisfação do Paciente , Humanos , Liderança , Inquéritos e Questionários
9.
Am J Epidemiol ; 190(9): 1727-1729, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34467406

RESUMO

In the article by Nobles et al. (Am J Epidemiol. 2021;190(9):1710-1720), characteristics of those epidemiologists selected for various chair and presentation roles at the annual meetings of the Society for Epidemiologic Research (SER) from 2015 through 2017 were examined. Characteristics that were compared included inferred gender, institutional affiliation, subject area, and h-index. Important disparities were observed between session chairs, speakers, and poster presenters. SER leadership considers diversity and equity to be priorities and is committed to positive change. New programs and processes have been used to broaden participation and improve diversity since 2018, but the SER must continue its efforts to change processes and monitor of the experiences of SER members. A diversity of perspectives within the SER membership and at its meetings will improve all aspects of our practice of epidemiology.


Assuntos
Epidemiologistas , Sociedades Médicas , Humanos , Liderança
10.
Artigo em Inglês | MEDLINE | ID: mdl-34501637

RESUMO

Strengthening the health systems through gaps identification is necessary to ensure sustainable improvements especially in facing a debilitating outbreak such as COVID-19. This study aims to explore public perspective on health systems' response towards COVID-19, and to identify gaps for health systems strengthening by leveraging on WHO health systems' building blocks. A qualitative study was conducted using open-ended questions survey among public followed by in-depth interviews with key informants. Opinions on Malaysia's health systems response towards COVID-19 were gathered. Data were exported to NVIVO version 12 and analysed using content analysis approach. The study identified various issues on health systems' response towards COVID-19, which were then mapped into health systems' building blocks. The study showed the gaps were embedded among complex interactions between the health systems building blocks. The leadership and governance building block had cross-cutting effects, and all building blocks influenced service deliveries. Understanding the complexities in fostering whole-systems strengthening through a holistic measure in facing an outbreak was paramount. Applying systems thinking in addressing gaps could help addressing the complexity at a macro level, including consideration of how an action implicates other building blocks and approaching the governance effort in a more adaptive manner to develop resilient systems.


Assuntos
COVID-19 , Surtos de Doenças , Programas Governamentais , Humanos , Liderança , Saúde Pública , SARS-CoV-2
11.
An. psicol ; 37(2): 311-322, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202554

RESUMO

Desde la teoría del liderazgo transformacional, este estudio tenía como objetivo analizar las propiedades psicométricas de una versión adaptada al ámbito educativo del Multifactor Leadership Questionnaire (MLQ-5X). Un total de 1551 estudiantes españoles (M = 15,47 años ± 0,72; 679 chicos y 872 chicas) de 31 centros de enseñanza secundaria participaron en el estudio. El análisis factorial confirmatorio de la estructura inicial de nueve factores de la escala determinó la necesidad de eliminar dos ítems del factor dirección por excepción pasiva, agrupando en un solo factor el liderazgo pasivo. En un segundo modelo de ocho factores, se hallaron altas correlaciones entre los factores del liderazgo transformacional, señalando la necesidad de establecer un factor de primer orden. Finalmente, se testó un tercer modelo que obtuvo valores adecuados de validez y fiabilidad, que estaba compuesto por 34 ítems distribuidos en 4 factores principales (liderazgo transformacional, recompensa contingente, dirección por excepción activa y liderazgo pasivo) y 5 factores secundarios para el liderazgo transformacional (influencia idealizada conducta, influencia idealizada atribuida, motivación inspiracional, estimulación intelectual y consideración individualizada. Por tanto, la versión española del MLQ-5X en el ámbito educativo puede ser utilizada para evaluar el liderazgo transformacional de los docentes desde la percepción del alumnado


Drawing on the transformational leadership theory, this study aimed to analyze the psychometric properties of a version adapted to the educational environment of the Multifactor Leadership Questionnaire (MLQ-5X). A total of 1551 Spanish students (M = 15.47 years ± 0.72; 679 boys and 872 girls) from 31 secondary schools participated in the study. The confirmatory factor analysis of the initial nine-factor structure of the scale determined the need to eliminate two items of the passive exception management factor, grouping passive leadership into a single factor. A second eight-factor model found high correlations between the factors of transformational leadership, revealing the need to establish a first-order factor. Finally, a third model, which obtained adequate values of validity and reliability, was composed of 34 items distributed in 4 main factors (transformational leadership, contingent reward, leadership by active exception, and passive leadership) and 5 secondary factors for transformational leadership (idealized influence behavior, attributed idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration). The Spanish version of the MLQ-5X in the educational field can be used to assess the students' perception of teacher leadership


Assuntos
Humanos , Masculino , Feminino , Adolescente , Inquéritos e Questionários/normas , Liderança , Estudantes/psicologia , Ensino Fundamental e Médio , Análise Fatorial , Valores de Referência , Reprodutibilidade dos Testes , Fatores Sexuais , Espanha
12.
An. psicol ; 37(2): 352-360, mayo-sept. 2021.
Artigo em Espanhol | IBECS | ID: ibc-202558

RESUMO

El presente estudio bibliométrico tuvo como objetivo conocer y analizar la actividad científica disponible sobre percepción y detección de violencia de género (VG) e identificación como víctimas. Se realizó una búsqueda sin límite temporal en la base de datos Scopus hallando 2.152 documentos. Para reducir el ruido documental de la búsqueda, se cribaron los resultados y se analizaron 974 documentos finales procedentes de 465 fuentes documentales, 160 revistas, 2.758 autores/as, 159 instituciones y 79 países. Los resultados muestran un aumento en la producción en los últimos años, destacando la publicación de artículos originales. Asimismo, predomina la autoría única por país, siendo Estados Unidos el país puntero. Entre los objetivos de los documentos más citados se encuentra la detección de VG por el personal sanitario, la valoración del riesgo de reincidencia mediante la percepción de las víctimas, así como el estudio de percepciones y actitudes de diferentes actores hacia la VG


This bibliometric study seeks to know and analyse the available scientific activity on the perception and detection of gender violence as well as in the identification as victims. An unlimited search was conducted in the Scopus database, finding 2,152 documents. Subsequently, the results were screened by reducing the documentary noise. The results were obtained from 1984-2020 and the final 974 documents were analysed from 465 documentary sources, 160 journals, 2,758 authors, 159 institutions, and 79 countries. The results show an increase in production in recent years, highlighting the publication of original articles. Likewise, the single author-ship per country predominates, being the United States the leading country. The main objectives of the most cited documents are detection of gender violence by healthcare personnel, assessment of the risk of recidivism through the perception of the victims, as well as the study of perceptions and attitudes of different actors towards gender-violence


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Liderança , Estudantes/psicologia , Aspirações Psicológicas , Engajamento no Trabalho , Identidade de Gênero , Fatores Sexuais , Inquéritos e Questionários , Autoavaliação (Psicologia) , Análise Fatorial
13.
J Nurs Adm ; 51(9): 430-438, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34411063

RESUMO

OBJECTIVE: The aim of this study was to identify and prioritize research topics for nursing administration and leadership science. BACKGROUND: Nursing administration and leadership research priorities should provide a framework for building the science needed to inform practice. METHODS: The Association for Leadership Science in Nursing (ALSN) and American Organization for Nursing Leadership (AONL) Foundation (AONL-F) for Nursing Leadership and Education collaborated on a Delphi study. Initial input on research priority items were received from ALSN and AONL members. National experts participated in a 3-round Delphi study. RESULTS: Top-ranked priorities included: 1) nurses' health, well-being, resiliency, and safety in the workplace; 2) developing and managing a nursing workforce to meet current and future healthcare needs; 3) healthy work/practice environments for direct care nurses; 4) healthy work/ practice environments for nurse leaders; 5) quantification of nursing's value across the healthcare delivery system; and 6) nurse leader development and essential competencies. CONCLUSIONS: Researchers and funders should use these priorities to guide future studies.


Assuntos
Liderança , Supervisão de Enfermagem , Técnica Delfos , Humanos , Recursos Humanos de Enfermagem , Estados Unidos
14.
J Nurs Adm ; 51(9): 439-447, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432736

RESUMO

OBJECTIVE: The purpose of this study was to develop and test a tool to monitor a nursing orientee's progress to competence. BACKGROUND: The literature suggests that, during orientation, consistent documentation and communication among educators, preceptors, and nurse leaders facilitate a timely progression to independent practice for new nurses. METHODS: A 2-phase methodological study was conducted. Nurse educators clarified goals, identified essential competencies, and developed the Baptist Health Lexington Nursing Orientation Progression Tool (OPT). The tool was used to monitor orientees' progression through orientation. RESULTS: Content validity assessment of the OPT (content validity index = 0.98) demonstrated strong validity. Testing of the tool revealed 31 nurses completed orientation early, 12 completed orientation on time, and 18 nurses required extended orientation time. All requiring an extension were new graduates. CONCLUSION: The OPT guided preceptors to facilitate timely completion of orientation among newly hired nurses. Findings suggest that new graduates may need more assistance than experienced nurses.


Assuntos
Competência Clínica , Capacitação em Serviço , Liderança , Recursos Humanos de Enfermagem , Bacharelado em Enfermagem , Humanos , Preceptoria
15.
J Nurs Adm ; 51(9): 448-454, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432737

RESUMO

OBJECTIVE: The aim of this study was to compare self-perception of leadership practices among nurse managers (NMs), day shift nurses, and night shift nurses (NSNs). BACKGROUND: Nurse managers have complex roles in healthcare, with clinical, administrative, and 24-hour accountability for unit activities. Transformational leadership inspires performance beyond expectations, while transcending self-interest for the good of the organization. METHODS: A comparative, secondary data analysis study of the Leadership Practices Inventory (LPI) 2018. RESULTS: Day shift nurses' and NSNs' mean scores had lower perceptions of leadership practices than NMs' self-assessment. Day shift nurses, NSNs, and NMs identified the highest mean scores in "enable others to act" (8.57, 8.62, and 8.82, respectively). CONCLUSIONS: The LPI assessment, the defined observer groups, and unique data visualization informed development of a comprehensive follow-up plan supporting individual and group leadership development. Research examining differences in perceptions of LPI practices across observer groups, particularly direct report staff nurses, is warranted.


Assuntos
Liderança , Enfermeiras Administradoras , Recursos Humanos de Enfermagem no Hospital/organização & administração , Inovação Organizacional , Humanos , Satisfação no Emprego , Enfermeiras Administradoras/psicologia
18.
J Nurs Adm ; 51(7-8): 355-358, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405973

RESUMO

Organizations across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs, and, ultimately, produce better population health. Leaders from the American Organization for Nursing Leadership engaged key stakeholders to discuss the role nursing can play and the toolkit that will be introduced this year to guide nurse leaders in striving for value.


Assuntos
Benchmarking/organização & administração , Liderança , Enfermeiras Administradoras/organização & administração , Competência Profissional , Sociedades de Enfermagem/organização & administração , Humanos , Guias de Prática Clínica como Assunto , Estados Unidos
19.
J Nurs Adm ; 51(7-8): 359-361, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405974

RESUMO

In the changing healthcare climate, a robust continuous professional development program is critical to ensure excellent patient care and the best outcomes. It is essential for educators and leaders to understand the factors that enhance the impact of continuous professional development. Organizational leadership must support successful education programs and the ability to provide educational activities. In this month's Magnet® Perspectives, we will review how the Institute of Medicine and Quadruple Aim framework can support structural empowerment through continuous professional development to improve outcomes.


Assuntos
Liderança , Enfermeiras Administradoras/organização & administração , Supervisão de Enfermagem/organização & administração , Inovação Organizacional , Humanos , Relações Interprofissionais , Recursos Humanos de Enfermagem no Hospital , Qualidade da Assistência à Saúde/organização & administração
20.
J Nurs Adm ; 51(7-8): 362-363, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405975

RESUMO

This column reviews the concept of humanism in leadership. After surviving a year perceived by many healthcare professionals as the most challenging of a generation, the author reflects on leadership essentials for rebuilding our nursing workforce.


Assuntos
Liderança , Enfermeiras Administradoras/organização & administração , Supervisão de Enfermagem/organização & administração , Inovação Organizacional , Competência Profissional , Atitude do Pessoal de Saúde , Humanos , Relações Interprofissionais
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