scholarly journals Managers' role in supporting resilience in healthcare: a proposed model of how managers contribute to a healthcare system's overall resilience

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eline Ree ◽  
Louise A. Ellis ◽  
Siri Wiig
Keyword(s):  
Quality Care ◽  
Future Research ◽  
High Quality ◽  
Content Type ◽  
High Quality Care ◽  
Safety Work ◽  
Implementation Studies ◽  
Model Of Management ◽  
Managerial Strategies ◽  
One Year

PurposeTo discuss how managers contribute in promoting resilience in healthcare, and to suggest a model of managers' role in supporting resilience and elaborate on how future research and implementation studies can use this to further operationalize the concept and promote healthcare resilience.Design/methodology/approachThe authors first provide an overview of and discuss the main approaches to healthcare resilience and research on management and resilience. Second, the authors provide examples on how managers work to promote healthcare resilience during a one-year Norwegian longitudinal intervention study following managers in nursing homes and homecare services in their daily quality and safety work. They use this material to propose a model of management and resilience.FindingsThe authors consider managerial strategies to support healthcare resilience as the strategies managers use to engage people in collaborative and coordinated processes that adapt, enhance or reorganize system functioning, promoting possibilities of learning, growth, development and recovery of the healthcare system to maintain high quality care. The authors’ model illustrates how managers influence the healthcare systems ability to adapt, enhance and reorganize, with high quality care as the key outcome.Originality/valueIn this study, the authors argue that managerial strategies should be considered and operationalized as part of a healthcare system's overall resilience. They propose a new model of managers' role in supporting resilience to be used in practice, interventions and future research projects.

Effective quality systems: implementation in Australian public hospitals

2018 ◽  
Vol 31 (8) ◽  
pp. 1044-1057 ◽  
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Quality Improvement ◽  
Quality Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Quality Systems ◽  
High Quality ◽  
Content Type ◽  
High Quality Care ◽  
Self Evaluation ◽  
Focus Group Data

Purpose The purpose of this paper is to review the implementation of seven components of quality systems (QSs) linked with quality improvement in a sample of Australian hospitals. Design/methodology/approach The authors completed a systematic review to identify QS components associated with measureable quality improvement. Using mixed methods, the authors then reviewed the current state of these QS components in a sample of eight Australian hospitals. Findings The literature review identified seven essential QS components. Both the self-evaluation and focus group data suggested that none of the hospitals had all of these seven components in place, and that there were some implementation issues with those components that were in use. Although board and senior executives could point to a large number of quality and safety documents that they felt were supporting a vision and framework for safe, high-quality care, middle managers and clinical staff described the QSs as compliance driven and largely irrelevant to their daily pursuit of safe, high-quality care. The authors also found little specific training in quality improvement for staff, lack of useful data for clinicians on the quality of care they provide and confusion about how organisational QSs work. Practical implications This study provides a clearer picture of why QSs are not yet achieving the results that boards and executives want to achieve, and that patients require. Originality/value This is the first study to explore the implementation of QSs in hospitals in-depth from the perspective of hospital staff, linking the findings to the implementation of QS component identified in the literature.

Collective leadership for cultures of high quality health care

2014 ◽  
Vol 1 (3) ◽  
pp. 240-260 ◽  
Author(s):  
Michael A. West ◽  
Joanne Lyubovnikova ◽  
Regina Eckert ◽  
Jean-Louis Denis
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Quality Care ◽  
Quality And Safety ◽  
Healthcare Organizations ◽  
Collective Leadership ◽  
High Quality ◽  
Quality Health Care ◽  
Content Type ◽  
High Quality Care

Purpose – The purpose of this paper is to examine the challenges that health care organizations face in nurturing and sustaining cultures that ensure the delivery of continually improving, high quality and compassionate care for patients and other service users. Design/methodology/approach – Based on an extensive review of the literature, the authors examine the current and very challenging context of health care and highlight the core cultural elements needed to enable health care organizations to respond effectively to the challenges identified. Findings – The role of leadership is found to be critical for nurturing high-quality care cultures. In particular, the authors focus on the construct of collective leadership and examine how this type of leadership style ensures that all staff take responsibility for ensuring high-quality care for patients. Practical implications – Climates for quality and safety can be accomplished by the development of strategies that ensure leaders, leadership skills and leadership cultures are appropriate to meet the challenges health care organizations face in delivering continually improving, high quality, safe and compassionate patient care. Originality/value – This paper provides a comprehensive integration of research findings on how to foster quality and safety climates in healthcare organizations, synthesizing insights from academic literature, practitioner reports and policy documents to propose clear, timely and much needed practical guidelines for healthcare organizations both nationally and internationally.

Process and outcomes in general practice consultations: Problems in defining high quality care

1995 ◽  
Vol 41 (7) ◽  
pp. 969-975 ◽  
Author(s):  
Helen R. Winefield ◽  
Timothy G. Murrell ◽  
Julie Clifford
Keyword(s):  
General Practice ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care

scholarly journals Influencing factors for high quality care on postpartum haemorrhage in the Netherlands: patient and professional perspectives

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Mallory D. Woiski ◽  
Evelien Belfroid ◽  
Janine Liefers ◽  
Richard P. Grol ◽  
Hubertina C. Scheepers ◽  
...  
Keyword(s):  
The Netherlands ◽  
Influencing Factors ◽  
Postpartum Haemorrhage ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care ◽  
Professional Perspectives

Teledermatology Can Produce High-Quality Care at Low Cost

2003 ◽  
Vol 11 (4) ◽  
pp. 209-215 ◽  
Author(s):  
Keng Chen ◽  
Stephen Shumack ◽  
Richard Wootton
Keyword(s):  
Low Cost ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care

Further steps to define and deliver high quality care for care clusters: the mental health care clusters and pathways website

2013 ◽  
Vol 18 (1) ◽  
pp. 4-13
Author(s):  
Michael Clark ◽  
Clare Hilton ◽  
Wendy Shiels ◽  
Carole Green ◽  
Christina Walters ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care

Palliative Care For Patients with Advanced COPD in Primary Care

Praxis ◽  
2021 ◽  
Vol 110 (15) ◽  
pp. 902-906
Author(s):  
Tanja Fusi-Schmidhauser
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Symptom Management ◽  
Quality Care ◽  
Symptom Burden ◽  
High Quality ◽  
High Quality Care ◽  
Care And Support ◽  
Care Approach ◽  
Advance Planning

Abstract. Patients with advanced COPD have a high symptom burden that is often multidimensional. Identification of patients who might benefit from palliative care through validated identification tools, multidimensional symptom management, and timely discussion of advance planning are elements of a palliative care approach for these patients and their families. Coordination among stakeholders providing care and support to these patients is central to ensuring high-quality care and meeting all of their needs.

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