scholarly journals Routes to the top: the developmental journeys of medical, clinical and managerial NHS chief executives

BMJ Leader ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 64-68 ◽  
Author(s):  
Alex Till ◽  
Gerry McGivern
Keyword(s):  
Leadership Development ◽  
Health Service ◽  
Development Strategy ◽  
Quality Care ◽  
Qualitative Interviews ◽  
Chief Executive ◽  
High Quality ◽  
Cross Sectional ◽  
Chief Executives ◽  
Formal Leadership

IntroductionLeadership, and the role of a Chief Executive in healthcare organisations, has never been more important. This review provides one of the first retrospective cross-sectional analyses of the developmental journeys of chief executives within the National Health Service (NHS).MethodsTwenty-eight semi-structured qualitative interviews were conducted with medical, clinical and non-clinical NHS chief executives from the Health Service Journal’s list of ‘Top Chief Executives’ 2014–2018. Through a thematic analysis of their narratives, lessons for the development of aspiring NHS chief executives emerge.ResultsFew proactively sought leadership opportunities and there was a lack of an active leadership development strategy. Yet the ‘seeds of leadership development’ took root early. Combined with a blended approach of formal leadership development and ‘on-the-job’ informal leadership development, emerging NHS chief executives were exposed to multiple ‘crucible moments’ that helped them develop into and excel at the top of their field.DiscussionTop NHS chief executives possess inherent values and a strong sense of social responsibility that underpin their developmental journeys, guide their behaviour, and strengthen their resilience. Capable, high quality leaders are needed from all professional backgrounds to support high quality care and much more needs to be done, particularly for medical and clinical professionals but for non-clinicians too, to maximise leadership potential within the NHS and develop a pipeline of aspiring NHS chief executives.

scholarly journals Gambaran Kebutuhan Orangtua Dengan Bayi Yang Sakit Kritis di RSUD Prof.dr. Margono Soekarjo Purwokerto

2019 ◽  
Vol 11 (02) ◽  
pp. 64-76
Author(s):  
ADIRATNA SEKAR SIWI
Keyword(s):  
Care Setting ◽  
Quality Care ◽  
Total Sample ◽  
Descriptive Study ◽  
Psychological Problem ◽  
Family Needs ◽  
High Quality ◽  
Cross Sectional ◽  
Consecutive Sampling

Patient’s parent is an essential part of holistically care treatment, especially when the patients are still too young to responsible for their own. Nurse have to understand regarding parents need to deliver high quality care for patients and their family. Parents’ needs during accompanying their children could be very specific and unique. The knowledge regarding this issue is crucial to increase the quality of care and prevent parents’ psychological problem. This is a descriptive study with cross sectional approach. Total sample in this study are respondent who are chosen by using consecutive sampling. The NICU Family Needs Inventory (NFNI) was used in this study. This study shows that the parents’ needs during accompanying their children in critical care setting are need for closeness with their children, Certainty regarding patient condition, comfort, information, and the needs of support.

Clinical Leadership Development in Surgery: Building for the Future

2012 ◽  
Vol 94 (3) ◽  
pp. 1-3
Author(s):  
AM Birnie ◽  
M Hobkirk ◽  
D Fawcett
Keyword(s):  
Leadership Development ◽  
Quality Care ◽  
High Quality ◽  
Clinical Leadership ◽  
High Quality Care ◽  
The Future ◽  
National Leadership ◽  
A Priority ◽  
Outstanding Leadership

Leadership is now a priority for the NHS. Established in 2009, the NHS National Leadership Council has a vision of an 'NHS with outstanding leadership and leadership development at every level to ensure high-quality care for all'. In June 2011 'clinical advice and leadership' was one of the four core themes of the NHS listening exercise, which resulted in the NHS Future Forum recommending that the 'NHS Commissioning Board should have substantial multi-professional clinical leadership embedded within it including visible leadership for key groups' and that NHS organisations 'should ensure that appropriate leadership development and support are in place'.

scholarly journals Bridging existing governance gaps: five evidence-based actions that boards can take to pursue high quality care

2019 ◽  
Vol 43 (2) ◽  
pp. 126
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Health Service ◽  
Health Services ◽  
Care Delivery ◽  
Quality Care ◽  
Successful Implementation ◽  
Evidence Based ◽  
Quality And Safety ◽  
Quality Systems ◽  
High Quality ◽  
High Quality Care

Objective To explore the impact of the organisational quality systems on quality of care in Victorian health services. Methods During 2015 a total of 55 focus groups were conducted with more than 350 managers, clinical staff and board members in eight Victorian health services to explore the effectiveness of health service quality systems. A review of the quality and safety goals and strategies outlined in the strategic and operating plans of the participating health services was also undertaken. Results This paper focuses on the data related to the leadership role of health service boards in ensuring safe, high-quality care. The findings suggest that health service boards are not fully meeting their governance accountability to ensure consistently high-quality care. The data uncovered major clinical governance gaps between stated board and executive aspirations for quality and safety and the implementation of these expectations at point of care. These gaps were further compounded by quality system confusion, over-reliance on compliance, and inadequate staff engagement. Conclusion Based on the existing evidence we propose five specific actions boards can take to close the gaps, thereby supporting improved care for all consumers. What is known about this topic? Effective governance is essential for high-quality healthcare delivery. Boards are required to play an active role in their organisation’s pursuit of high quality care. What does this paper add? Recent government reports suggest that Australian health service boards are not fully meeting their governance requirements for high quality, safe care delivery, and our research pinpoints key governance gaps. What are the implications for practitioners? Based on our research findings we outline five evidence-based actions for boards to improve their governance of quality care delivery. These actions focus on an organisational strategy for high-quality care, with the chief executive officer held accountable for successful implementation, which is actively guided and monitored by the board.

scholarly journals Quality gap in maternal and newborn healthcare: a cross-sectional study in Myanmar

2019 ◽  
Vol 4 (2) ◽  
pp. e001078 ◽  
Author(s):  
Sumiyo Okawa ◽  
Hla Hla Win ◽  
Hannah H Leslie ◽  
Keiko Nanishi ◽  
Akira Shibanuma ◽  
...  
Keyword(s):  
Quality Care ◽  
Newborn Care ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
High Quality ◽  
Cross Sectional ◽  
High Quality Care ◽  
Maternal And Newborn

IntroductionAccess to maternal and newborn healthcare has improved in Myanmar. However, regular contact with skilled care providers does not necessarily result in quality care. We assessed adequate contact made by women and newborns with skilled care providers, reception of high-quality care and quality-adjusted contacts during antenatal care (ANC), peripartum care (PPC) and postnatal care (PNC) in Myanmar.MethodsThis cross-sectional study was conducted in a predominantly urban township of Yangon and a predominantly rural township of Ayeyawady in March 2016. We collected data from 1500 women. We measured quality-adjusted contact, which refers to adequate contact with high-quality care, as follows: ≥4 ANC contacts and receiving 11–14 of 14 intervention items; facility-based delivery assisted by skilled care providers, receiving 7 of 7 PPC intervention items; and receiving the first PNC contact ≤24 hours postpartum and ≥2 additional contacts, and receiving 16–17 of 17 intervention items. Using multilevel logistic regression analysis with a random intercept at cluster level, we identified factors associated with adequate contact and high-quality ANC, PPC and PNC.ResultsThe percentage of crude adequate contact was 60.9% for ANC, 61.3% for PPC and 11.5% for PNC. However, the percentage of quality-adjusted contact was 14.6% for ANC, 15.2% for PPC and 3.6% for PNC. Adequate contact was associated with receiving high-quality care at ANC, PPC and PNC. Being a teenager, low educational level, multiparity and low level in the household wealth index were negatively associated with adequate contact with healthcare providers for ANC and PPC. Receiving a maternal and child health handbook was positively associated with adequate contact for ANC and PPC, and with receiving high-quality ANC, PPC and PNC.ConclusionWomen and newborns do not receive quality care during contact with skilled care providers in Myanmar. Continuity and quality of maternal and newborn care programmes must be improved.

scholarly journals The postnatal review: The task of the midwife

Curationis ◽  
1992 ◽  
Vol 15 (3) ◽  
Author(s):  
C.A. Benn ◽  
W.J. Kotzé ◽  
A.G.W. Nolte
Keyword(s):  
Health Care ◽  
Health Service ◽  
Women’S Health ◽  
Women's Health ◽  
Quality Care ◽  
High Quality ◽  
Actual Structure ◽  
Port Elizabeth ◽  
Comprehensive Health ◽  
The Ideal

There is growing realization that women’s health and involvement in health care are essential keys to health for all. One way in which the midwifery profession can contribute to women’s health is by providing high quality care during the six week postnatal review/checkup. A study in three provincial hospitals in the Port Elizabeth area showed that the actual structure of the postnatal review fell far short of the ideal as specified by the literature. Of all the elements included in the ideal postnatal review, only 23,5% of these were performed or supervised by the midwife. Seventy percent (70%) of these elements were not performed at all, thus emphasising the fact that a comprehensive health service is not being provided at the postnatal clinics in Port Elizabeth.

Identifying discursive resources for pluralising leadership: Looping chief executive officers and the frontline across hierarchy

2019 ◽  
pp. 001872671989066
Author(s):  
Rhiannon Lloyd ◽  
Brigid Carroll
Keyword(s):  
Leadership Development ◽  
Chief Executive Officers ◽  
Power Relations ◽  
Health And Safety ◽  
Chief Executive ◽  
Theory And Practice ◽  
Chief Executives ◽  
Asymmetrical Power ◽  
Executive Officers ◽  
Discursive Resources

The promise of leadership being spread across levels and parts of an organisation beckons scholars and practitioners alike, yet the theory and practice of it remains partial and elusive. We show how cross-hierarchical leadership understanding and practice might be better embedded in organisations through discursive resources with the potential to connect groups, even temporarily, across asymmetrical power relations. Our study empirically draws on a rare leadership development workshop bringing together chief executives and frontline leadership to explore the complexities of leadership in a health and safety context. This inquiry draws iteratively between workshop interactions and subsequent interviewing of those present to identify discursive resources firstly hindering and secondly contributing to moments of pluralising and spreading leadership. Whereas frontline leadership drew on discourses of embedding, collaborative and grounding leadership, and chief executives alternatively on analytic, overseeing and cascading discourses, our interest was provoked by the shared discursive resources of reframing identities, constructing intermediaries, overcoming distance, sparking engagement and inviting translation with the potential to loop hierarchy and bring power relations across hierarchical differences into (re)negotiation.

scholarly journals Psychiatric leadership development in postgraduate medical education and training

2021 ◽  
pp. 1-8
Author(s):  
Alex Till ◽  
Radhika Sen ◽  
Helen Crimlisk
Keyword(s):  
Mental Health ◽  
Leadership Development ◽  
Medical Training ◽  
Postgraduate Medical Education ◽  
Quality Care ◽  
Psychiatric Training ◽  
Postgraduate Medical Training ◽  
Medical Education And Training ◽  
Formal Leadership ◽  
Medical Leadership

Summary The value of strong, compassionate medical leadership in the delivery of high-quality care to patients within mental health services is clear. Leadership development, however, is far less well explored. This article is for psychiatric trainees, trainers and mental health organisations. It provides an introduction to the importance of leadership development within postgraduate medical training, the theory that should underpin its delivery, and the opportunities for both informal and formal leadership development within psychiatric training.

Patterns of performance and improvement in US Medicare’s Hospital Star Ratings, 2016–2017

2018 ◽  
Vol 28 (6) ◽  
pp. 486-494 ◽  
Author(s):  
Paula Chatterjee ◽  
Karen Joynt Maddox
Keyword(s):  
Acute Care ◽  
Quality Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Study ◽  
Quality Data ◽  
High Quality ◽  
Cross Sectional ◽  
Star Rating ◽  
Logistic Regression Models ◽  
To Receive

BackgroundPublicly reported quality data can help consumers make informed choices about where to seek medical care. The Centers for Medicare and Medicaid Services developed a composite Hospital Compare Overall Star Rating for US acute-care hospitals in 2016. However, patterns of performance and improvement have not been previously described.ObjectiveTo characterise high-quality and low-quality hospitals as assessed by Star Ratings.DesignWe performed a retrospective cross-sectional study of 3429 US acute-care hospitals assigned Overall Star Ratings in both 2016 and 2017. We used multivariable logistic regression models to identify characteristics associated with receiving 4 or 5 stars.ResultsSmall hospitals were more likely to receive 4 or 5 stars in 2016 (33% of small hospitals, 26% of medium hospitals and 21% of large hospitals, OR for medium 0.78, p=0.02, and for large, 0.61, p=0.003). Non-profit status (OR 1.37, p=0.01), midwest region (OR=2.30, p<0.001), west region (OR 1.30 in 2016, p=0.06) and system membership (OR 1.33, p=0.003) were associated with higher odds of achieving a higher Star Rating. Hospitals with the most Medicaid patients were markedly less likely to receive 4 or 5 stars (OR for highest quartile=0.32, p<0.001), and hospitals with the highest proportion of Medicare patients were somewhat less likely to do so (OR for highest quartile=0.68, p=0.01). These associations remained largely consistent over the first two years of reporting and were also associated with the highest likelihood of improvement.ConclusionsSmall hospitals with fewer Medicaid patients had the highest odds of performing well on Star Ratings. Further monitoring of these trends is needed as patients, clinicians and policymakers strive to use this information to promote high-quality care.

scholarly journals Factors Analyze on the Performance of Nurses in the Implementation of Patient Safety

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Ida Sukaesi
Keyword(s):  
Patient Safety ◽  
Quality Care ◽  
Sampling Technique ◽  
High Quality ◽  
Cross Sectional ◽  
Quality Performance ◽  
Near Misses ◽  
Calculation Results ◽  
The Individual ◽  
Safety Knowledge

Nurse have an important good role for safety of patients by monitoring the patients' condition to prevent the occurrence of incidents, provide health education, detect faults and near misses, and perform other tasks to solve a problem of the patients by high-quality care. The problems have been existing in ER related to the implementation of patient safety is that the patient safety has not been accomplished in accordance with the SPO and Patient Safety Guide. The purpose of this study is to analyze the factors associated with the performance of nurses in the implementation of patient safety. The research uses analytical descriptive design with cross sectional approach. The number of samples used is 23 respondents with total sampling technique . The calculation results of multiple regression analysis of patient safety knowledge factors have the most dominant influence with standardized ß coefficient of 0.678 and 0.329 meaning that it has a significant effect while the supervision does not. Optimizing the development of the individual nurse requires efforts to increase knowledge and skills in the context of patient safety; therefore, they are able to show high-quality performance.

scholarly journals Patient’s Rights: Assessment of Knowledge and Practices of Physicians at Benha University Hospitals

2021 ◽  
Author(s):  
Abed-Rahim Shoulah ◽  
Rabaa Abed Al-Hady ◽  
Rasha EL-Desouky ◽  
Eman Araby ◽  
Enjy E. Khedr
Keyword(s):  
Work Experience ◽  
Quality Care ◽  
Length Of Hospital Stay ◽  
Working Hours ◽  
Cross Sectional Study ◽  
University Hospitals ◽  
Healthcare Organizations ◽  
High Quality ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background: Patients' rights (PRs) mean a set of rights that an individual has in the healthcare organizations that ensure that they receive ethical treatment and high quality of care. PRs became an important topic in healthcare practices worldwide and essential for providing high quality care. Aim: This study looked for assessment of knowledge and practices of physicians working in the authors’ Benha University Hospitals, about PRs. Method: A cross-sectional study was conducted using structured questionnaire included 20 questions concerning PRs. Study participants were 230 physicians & 300 patients. Results: 97.0% of the physicians achieved satisfactory score regarding knowledge about PRs ,but only 14.7% of them showed satisfactory score of practices (from patients’ point of view). There is statistically significant difference between score of knowledge and practices of PRs (p<0.001). The score of knowledge was affected by physicians’ age, gender, highest qualification, work position, work experience and average number of working hours, while patients’ opinion in physicians’ practices of PRs was affected by patients’ gender, educational level and department of admission. Patients’ residence & their length of hospital stay (LOS) did not significantly influenced their opinion. Conclusion: There was discrepancy between knowledge and practices of PRs.

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