scholarly journals Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships

2019 ◽  
Vol 23 (2) ◽  
pp. 207-227
Author(s):  
Sérgio Almeida Migowski ◽  
Iuri Gavronski ◽  
Cláudia de Souza Libânio ◽  
Eliana Rustick Migowski ◽  
Francisco Dias Duarte
Keyword(s):  
Quality Management ◽  
Organizational Performance ◽  
Interpersonal Relationships ◽  
Document Analysis ◽  
Southern Brazil ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
Efficiency Losses ◽  
Formal Leadership ◽  
Over Time

Abstract Despite all quality management and integration literature prescriptions to implement strategies for a better organizational performance, healthcare organizations support a model that is inefficient, expensive, and unsustainable over time. This work aims to examine the interpersonal relationships in three large hospitals located in Southern Brazil and its relation with organizational efficiency. Through a qualitative and explanatory research, semi-structured interviews were applied to 32 professionals, in addition to a document analysis. The data analysis shows that integration occurs at the formal leadership level only in one of the organizations and does not involve the medical and operational professionals. Quality management seems not to be fully incorporated into care routines, and are related to efficiency losses. This scenario is probably related to the lack of integration among the professionals and the consolidation of trust, leadership, and communication.

ISO 9001 QUALITY MANAGEMENT SYSTEMS AND ORGANIZATIONAL PERFORMANCE: A STUDY OF METAL MECHANICAL COMPANIES FROM SOUTHERN BRAZIL

2021 ◽  
Vol 33 (1) ◽  
pp. 1
Author(s):  
Leonardo Stertz Sfreddo ◽  
Guilherme Bergmann Borges Vieira ◽  
Gabriel Vidor ◽  
Roberto Birch Gonçalves ◽  
Cintia Paese Giacomello
Keyword(s):  
Quality Management ◽  
Organizational Performance ◽  
Iso 9001 ◽  
Management Systems ◽  
Southern Brazil ◽  
Quality Management Systems

scholarly journals Perception of Hospital Accreditation Impact among Quality Management Professionals in India: A Survey-Based Multicenter Study

2021 ◽  
Vol 4 (2) ◽  
pp. 58-64
Author(s):  
Lallu Joseph ◽  
Vijay Agarwal ◽  
Umashankar Raju ◽  
Arun Mavaji ◽  
Princy Rajkumar
Keyword(s):  
Quality Management ◽  
Organizational Performance ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
Hospital Staff ◽  
Primary Data ◽  
P Value ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
The Impact

ABSTRACT Introduction Accreditation ensures the standard of healthcare, yet accreditation effects on service quality are much debated. Some perceive it as improving quality and organizational performance, whereas others see it as overly bureaucratic and time-consuming, so adding it has limited advantage. The aim of the present study was to understand the perception of hospital staff working in quality management (i.e., doctors, nurses, and administrators) on accreditation, and determine whether years of accreditation have had any impact on their perception. Methods This was a cross-sectional, descriptive, data-based study initiated by the Consortium of Accredited Healthcare Organizations. It consisted of primary data obtained in form of responses to a 30-item questionnaire and collected from 415 respondents. A probability (p) value of less than 0.05 was considered statistically significant. Results For all 30 items, a significantly greater number of participants had a favorable response (p < 0.001). A greater number of administrators, as compared with doctors and nurses, responded positively on the impact of accreditation (p < 0.05). Participants from hospitals with 1–4 years of accreditation, as compared with participants from hospitals with 4–12 years of accreditation, gave a favorable response (p < 0.05). Conclusion One of the most important hurdles to implementing accreditation programs is the dilemma of healthcare professionals, especially senior hospital staff, regarding the positive impact of accreditation. The need to educate healthcare professionals about the potential benefits of accreditation, which should resolve any cynical attitude of healthcare professionals towards accreditation, is of utmost importance.

scholarly journals Measuring and monitoring patient safety in hospitals in Saudi Arabia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yazeed Kaud ◽  
Sinéad Lydon ◽  
Paul O’Connor
Keyword(s):  
Saudi Arabia ◽  
Patient Safety ◽  
Surveillance System ◽  
Saudi Arabian ◽  
Document Analysis ◽  
Second Phase ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
Safety Surveillance ◽  
Key Stakeholders

Abstract Background There is much variability in the measurement and monitoring of patient safety across healthcare organizations. With no recognized standardized approach, this study examines how the key components outlined in Vincent et al’s Measuring and Monitoring Safety (MMS) framework can be utilized to critically appraise a healthcare safety surveillance system. The aim of this study is to use the MMS framework to evaluate the Saudi Arabian healthcare safety surveillance system for hospital care. Methods This qualitative study consisted of two distinct phases. The first phase used document analysis to review national-level guidance relevant to measuring and monitoring safety in Saudi Arabia. The second phase consisted of semi-structured interviews with key stakeholders between May and August 2020 via a video conference call and focused on exploring their knowledge of how patient safety is measured and monitored in hospitals. The MMS framework was used to support data analysis. Results Three documents were included for analysis and 21 semi-structured interviews were conducted with key stakeholders working in the Saudi Arabian healthcare system. A total of 39 unique methods of MMS were identified, with one method of MMS addressing two dimensions. Of these MMS methods: 10 (25 %) were concerned with past harm; 14 (35 %) were concerned with the reliability of safety critical processes, 3 (7.5 %) were concerned with sensitivity to operations, 2 (5 %) were concerned with anticipation and preparedness, and 11 (27.5 %) were concerned with integration and learning. Conclusions The document analysis and interviews show an extensive system of MMS is in place in Saudi Arabian hospitals. The assessment of MMS offers a useful framework to help healthcare organizations and researchers to think critically about MMS, and how the data from different methods of MMS can be integrated in individual countries or health systems.

Innovation in Scenario Building

2012 ◽  
pp. 302-325
Author(s):  
Ariane Hinça Schneider ◽  
Laila Del Bem Seleme ◽  
Felipe Fontes Rodrigues ◽  
Marilia de Souza ◽  
Helio Gomes de Carvalho
Keyword(s):  
National Economy ◽  
Document Analysis ◽  
Data Sources ◽  
Metropolitan Region ◽  
Automotive Sector ◽  
Southern Brazil ◽  
Review Of The Literature ◽  
Structured Interviews ◽  
Scenario Building ◽  
New Approach

Situated in Paraná state in southern Brazil, the Metropolitan Region of Curitiba (MRC) is home to an automotive sector which plays a major role in the local and national economy. In order to expand the development of the automotive sector and to create new local and worldwide opportunities, the Federation of Industries of Paraná (FIEP) developed and employed an innovative scenario building methodology to analyze the automotive industry’s potential for innovation and attendance of new market demands for 2020; which is Sector Foresight. Therefore, results allow the players to have a clearer managerial view of the industry’s possible future. This chapter seeks to publicize the experience as well as the results of this innovative project by focusing on the methodology and tools. Data sources included a review of the literature, document analysis, direct observation, semi-structured interviews and two rounds of questionnaires. This experience contributed to innovate the organizational and methodological processes of FIEP, and to improve the perspective of innovation in the automotive sector through a new approach to scenario building. Results also shown this methodology can be applied to other industries in future studies.

scholarly journals Intervening conditions on governance of the nursing practice at an obstetrics centre

2014 ◽  
Vol 35 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Roberta Juliane Tono de OLIVEIRA ◽  
Fernanda Hannah da Silva COPELLI ◽  
Aline Lima PESTANA ◽  
José Luís Guedes dos SANTOS ◽  
Vitória Regina Petters GREGÓRIO ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Interpersonal Relationships ◽  
Nursing Practice ◽  
Physical Structure ◽  
Professional Autonomy ◽  
Communication Satisfaction ◽  
University Hospital ◽  
Southern Brazil ◽  
Structured Interviews ◽  
Grounded Theory Method

Governance refers to all processes that grant nurses autonomy, control and authority over the nursing practice. The aim of this study was to identify intervening conditions on governance of nursing practice at an obstetrics centre. This is a qualitative study based on the Grounded Theory method. Data were collected between January and May 2013 by means of semi-structured interviews with 27 participants of a university hospital in southern Brazil, divided into four sampling groups. Data were analysed using open, axial and selective coding. Governance is reinforced by experience and professional autonomy, coordination of the care and management dimension, interpersonal communication, satisfaction and engagement with the profession. It is limited by difficulties with interpersonal relationships, work overload and precarious physical structure of the maternity units. This study provides arguments for the discussion on improvements in healthcare and the professional satisfaction of nurses and nursing teams.

scholarly journals “A debriefer must be neutral” and other debriefing myths: a systemic inquiry-based qualitative study of taken-for-granted beliefs about clinical post-event debriefing

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Julia Carolin Seelandt ◽  
Katie Walker ◽  
Michaela Kolbe
Keyword(s):  
Interpersonal Relationships ◽  
Western Europe ◽  
Ad Hoc ◽  
Scientific Evidence ◽  
Clinical Event ◽  
Clinical Settings ◽  
Healthcare Organizations ◽  
The Usa ◽  
Open Coding ◽  
Healthcare Administrators

Abstract Background The goal of this study was to identify taken-for-granted beliefs and assumptions about use, costs, and facilitation of post-event debriefing. These myths prevent the ubiquitous uptake of post-event debriefing in clinical units, and therefore the identification of process, teamwork, and latent safety threats that lead to medical error. By naming these false barriers and assumptions, the authors believe that clinical event debriefing can be implemented more broadly. Methods We interviewed an international sample of 37 clinicians, educators, scholars, researchers, and healthcare administrators from hospitals, universities, and healthcare organizations in Western Europe and the USA, who had a broad range of debriefing experience. We adopted a systemic-constructivist approach that aimed at exploring in-depth assumptions about debriefing beyond obvious constraints such as time and logistics and focused on interpersonal relationships within organizations. Using circular questions, we intended to uncover new and tacit knowledge about barriers and facilitators of regular clinical debriefings. All interviews were transcribed and analyzed following a comprehensive process of inductive open coding. Results In total, 1508.62 min of interviews (25 h, 9 min, and 2 s) were analyzed, and 1591 answers were categorized. Many implicit debriefing theories reflected current scientific evidence, particularly with respect to debriefing value and topics, the complexity and difficulty of facilitation, the importance of structuring the debriefing and engaging in reflective practice to advance debriefing skills. We also identified four debriefing myths which may prevent post-event debriefing from being implemented in clinical units. Conclusion The debriefing myths include (1) debriefing only when disaster strikes, (2) debriefing is a luxury, (3) senior clinicians should determine debriefing content, and (4) debriefers must be neutral and nonjudgmental. These myths offer valuable insights into why current debriefing practices are ad hoc and not embedded into daily unit practices. They may help ignite a renewed momentum into the implementation of post-event debriefing in clinical settings.

scholarly journals An intervention to decrease burnout and increase retention of early career nurses: a mixed methods study of acceptability and feasibility

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Judy Brook ◽  
Leanne M. Aitken ◽  
Julie-Ann MacLaren ◽  
Debra Salmon
Keyword(s):  
Mixed Methods ◽  
Nursing Students ◽  
Focus Groups ◽  
Academic Staff ◽  
Skills Training ◽  
Early Career ◽  
Mixed Methods Study ◽  
Healthcare Organisation ◽  
Structured Interviews ◽  
Over Time

Abstract Aims To understand the experiences of nursing students and academic staff of an intervention to decrease burnout and increase retention of early career nurses, in order to identify acceptability and feasibility in a single centre. Background Internationally, retention of nurses is a persistent challenge but there is a dearth of knowledge about the perspectives of stakeholders regarding the acceptability and feasibility of interventions to resolve the issue. This study reports an intervention comprising of mindfulness, psychological skills training and cognitive realignment to prepare participants for early careers as nurses. Methods This is an explanatory sequential mixed methods study, conducted by a UK university and healthcare organisation. Participants were final year pre-registration nursing students (n = 74) and academics (n = 7) involved in the implementation of the intervention. Pre and post measures of acceptability were taken using a questionnaire adapted from the Theoretical Framework of Acceptability. Wilcoxon Signed Ranks test was used to assess change in acceptability over time. Qualitative data from semi-structured interviews, focus groups and field notes were thematically analysed, adhering to COREQ guidelines. Data were collected February to December 2019. Results One hundred and five questionnaires, 12 interviews with students and 2 focus groups engaging 7 academic staff were completed. The intervention was perceived as generally acceptable with significant positive increases in acceptability scores over time. Student nurses perceived the intervention equipped them with skills and experience that offered enduring personal benefit. Challenges related to the practice environment and academic assessment pressures. Reported benefits align with known protective factors against burnout and leaving the profession. Conclusion Planning is needed to embed the intervention into curricula and maximise relationships with placement partners. Evaluating acceptability and feasibility offers new knowledge about the value of the intervention for increasing retention and decreasing burnout for early career nurses. Wider implementation is both feasible and recommended by participants.

Changes in commitment to change among leaders in home help services

2015 ◽  
Vol 28 (3) ◽  
pp. 216-227 ◽  
Author(s):  
Kristina Westerberg ◽  
Susanne Tafvelin
Keyword(s):  
Organizational Change ◽  
Structured Interviews ◽  
Change Initiatives ◽  
Commitment To Change ◽  
Content Type ◽  
Team Meetings ◽  
Home Help ◽  
Home Help Services ◽  
One Year ◽  
Over Time

Purpose – The purpose of the this study was to explore the development of commitment to change among leaders in the home help services during organizational change and to study this development in relation to workload and stress. During organizational change initiatives, commitment to change among leaders is important to ensure the implementation of the change. However, little is known of development of commitment of change over time. Design/methodology/approach – The study used a qualitative design with semi-structured interviews with ten leaders by the time an organizational change initiative was launched and follow-up one year later. Thematic content analysis was used to analyze the interviews. Findings – Commitment to change is not static, but seems to develop over time and during organizational change. At the first interview, leaders had a varied pattern reflecting different dimensions of commitment to change. One year later, the differences between leaders’ commitment to change was less obvious. Differences in commitment to change had no apparent relationship with workload or stress. Research limitations/implications – The data were collected from one organization, and the number of participants were small which could affect the results on workload and stress in relation to commitment to change. Practical implications – It is important to support leaders during organizational change initiatives to maintain their commitment. One way to accomplish this is to use management team meetings to monitor how leaders perceive their situation. Originality/value – Qualitative, longitudinal and leader studies on commitment to change are all unusual, and taken together, this study shows new aspects of commitment.

A Qualitative Analysis of Factors Affecting the Successful Completion of Postgraduate Studies

2021 ◽  
Vol 12 (3) ◽  
pp. 152-161
Author(s):  
Abdul Munir Ismail Et.al
Keyword(s):  
Interpersonal Relationships ◽  
Relevant Information ◽  
Learning Approaches ◽  
Successful Completion ◽  
Structured Interviews ◽  
Postgraduate Students ◽  
Factors Affecting ◽  
Face To Face ◽  
Postgraduate Studies ◽  
Research Findings

The study aims to highlight the current learning approaches used by postgraduate students to complete their postgraduate studies on time, as studies have shown many students have failed to finish their studies as planned. In particular, this study focuses on factors and methods that are perceived to be most effective by students to help them complete their studies on time.  Methodology: Thisstudy was based on a qualitative approach involving semi-structured interviews. The study sample consisted of 14 postgraduate students and one lecturers as respondents. The research instrument was based on interview questions to elicit relevant information on their demography and learning practices. Data were collected and organized into four themes and were subsequently analyzed descriptively.     Findings: The findings showed that face-to-face discussions were the most popular practice adopted by the respondents. The findings also showed several factors had significant impacts on student learning, such as interpersonal relationships between students and supervisors, commitment, financial commitment, and moral support, which needs to be taken into account in helping students to complete on time.     Significance: The research findings can inform all the stakeholders, notably students, supervisors, and administrative officers, factors that have profound impacts on postgraduate students’ efforts to graduate on time.

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