Organizational Factors in Health Informatics

2011 ◽  
pp. 1373-1380
Author(s):  
Michelle Brear
Keyword(s):  
Health Informatics ◽  
Organizational Factors ◽  
Exact Nature ◽  
Specific Research ◽  
Healthcare Settings ◽  
General Recognition

There is a general recognition that numerous organizational factors will influence the success of an informatics intervention. This is supported by a body of evidence from multi-disciplinary and health-specific research. Organizational factors are highly interrelated and the exact nature and contribution of each to the success of an intervention is not clear. A health-specific understanding and recognition of these factors is necessary if informatics applications are to reach their potential in healthcare settings.

Organizational Factors in Health Informatics

2011 ◽  
pp. 410-418 ◽  
Author(s):  
Michelle Brear
Keyword(s):  
Health Informatics ◽  
Organizational Factors ◽  
Exact Nature ◽  
Specific Research ◽  
Healthcare Settings ◽  
General Recognition

There is a general recognition that numerous organizational factors will influence the success of an informatics intervention. This is supported by a body of evidence from multi-disciplinary and health-specific research. Organizational factors are highly interrelated and the exact nature and contribution of each to the success of an intervention is not clear. A health-specific understanding and recognition of these factors is necessary if informatics applications are to reach their potential in healthcare settings.

Organizational Factors

2009 ◽  
pp. 315-322
Author(s):  
Michelle Brear
Keyword(s):  
Health Informatics ◽  
Health Sector ◽  
Implementation Process ◽  
Organizational Factors ◽  
Short Review ◽  
Social Spending ◽  
Sociological Research ◽  
Clear Understanding ◽  
Healthcare Provision ◽  
Aging Populations

The influence of organizational factors on the success of informatics interventions in healthcare has been clearly demonstrated. This health specific research, informed by a larger body of evidence emerging from interdisciplinary organizational, psychological and sociological research, has confirmed the view that organizational factors can be the decisive factor in the success of an intervention (Lorenzi et al, 1997). However it remains rare for organizational factors to be explicitly addressed in the implementation process. As such their contribution to the success or failure of informatics applications is not properly understood. This has implications for future interventions. Applications which were not utilized or did not perform adequately in a particular setting may be dismissed, while other, less appropriate systems may be adopted because organizational factors influenced their success. Explicit study of the role of organizational factors on the implementation of health informatics interventions is necessary to develop an understanding of their influence in the healthcare context. Healthcare organizations tend to be highly task oriented, labor intensive and dependent on interdisciplinary teamwork, so the influence of organizational factors within them may differ considerably from the business settings in which they have traditionally been studied (Chau, 2001). Health organisations are also increasingly underresourced due to the global downturn in government social spending, health sector privatization and aging populations. It is these characteristics which necessitate rapid uptake of informatics applications, capable of automating aspects of healthcare provision and reducing labor intensity (Coiera, 2004). From a technical perspective, rapid and fundamental transformation of the healthcare sector through informatics is achievable. However, without a clear understanding of, and ability to manage organizational factors it is unlikely that informatics applications will realize their potential in the health sector. This short review provides an overview of the key organizational factors influencing the success of informatics interventions. It begins by positioning informatics interventions in the broader context of organizational change, before discussing the current understanding of selected factors.

scholarly journals Exploring Factors that May Influence Ontario Nurse Practitioners’ Patient Panel Size in Primary Healthcare Settings

2021 ◽  
Author(s):  
Nicole Bennewies
Keyword(s):  
Nurse Practitioners ◽  
Workforce Planning ◽  
Improve Patient Care ◽  
Organizational Factors ◽  
Panel Size ◽  
Healthcare Settings ◽  
Number Of Patients ◽  
Appointment Time ◽  
Support Optimization ◽  
Improve Patient

Limited knowledge exists about the factors that may influence nurse practitioner (NP) patient panel size. Patient panel size refers to the number of patients for whom a NP is their usual care provider. Increased knowledge of these factors may improve patient care, NP practice, and primary health care (PHC) workforce planning. Two hundred and eighty-three NPs working in Ontario PHC were surveyed to explore patient, NP, and organizational factors that may influence NP patient panel size. Three factors were associated with NP panel size. Higher percentages of certain health conditions and/or longer appointment time for multi-morbid and palliative care were associated with smaller NP patient panel size. NPs who worked more hours per week had larger patient panels. Also, the PHC practice model was related to NP patient panel size, which was largest in NP-led clinics. Decision makers can use these findings to support optimization of NP patient panel size.

Organizational Factors

2011 ◽  
pp. 1295-1303 ◽  
Author(s):  
Michelle Brear
Keyword(s):  
Health Informatics ◽  
Health Sector ◽  
Implementation Process ◽  
Organizational Factors ◽  
Short Review ◽  
Social Spending ◽  
Sociological Research ◽  
Clear Understanding ◽  
Healthcare Provision ◽  
Aging Populations

The influence of organizational factors on the success of informatics interventions in healthcare has been clearly demonstrated. This health specific research, informed by a larger body of evidence emerging from interdisciplinary organizational, psychological and sociological research, has confirmed the view that organizational factors can be the decisive factor in the success of an intervention (Lorenzi et al, 1997). However it remains rare for organizational factors to be explicitly addressed in the implementation process. As such their contribution to the success or failure of informatics applications is not properly understood. This has implications for future interventions. Applications which were not utilized or did not perform adequately in a particular setting may be dismissed, while other, less appropriate systems may be adopted because organizational factors influenced their success. Explicit study of the role of organizational factors on the implementation of health informatics interventions is necessary to develop an understanding of their influence in the healthcare context. Healthcare organizations tend to be highly task oriented, labor intensive and dependent on interdisciplinary teamwork, so the influence of organizational factors within them may differ considerably from the business settings in which they have traditionally been studied (Chau, 2001). Health organisations are also increasingly underresourced due to the global downturn in government social spending, health sector privatization and aging populations. It is these characteristics which necessitate rapid uptake of informatics applications, capable of automating aspects of healthcare provision and reducing labor intensity (Coiera, 2004). From a technical perspective, rapid and fundamental transformation of the healthcare sector through informatics is achievable. However, without a clear understanding of, and ability to manage organizational factors it is unlikely that informatics applications will realize their potential in the health sector. This short review provides an overview of the key organizational factors influencing the success of informatics interventions. It begins by positioning informatics interventions in the broader context of organizational change, before discussing the current understanding of selected factors.

Becoming a Canadian Nurse With International Experience

2021 ◽  
pp. 385-401
Author(s):  
Zubeida Ramji ◽  
Josephine Etowa
Keyword(s):  
Organizational Context ◽  
Organizational Factors ◽  
International Experience ◽  
Transition Phase ◽  
Internationally Educated Nurses ◽  
Critical Gap ◽  
Healthcare Settings ◽  
Global North ◽  
The Individual

The inequitable distribution of nurses globally compels high-income countries like Canada to ensure that internationally educated nurses gain professional satisfaction and stay in nursing. To fill a critical gap in nursing literature, the authors conducted a qualitative case study of an inner-city teaching hospital in Canada, to examine workplace integration of IENs beyond the transition phase. They found that workplace integration is a “two-way” process, which has implications for interventions at both the individual IEN and organizational levels. The workplace organizational context requires deliberate “policies promoting equity principles” and when an IEN is integrated, s/he has worked hard to go beyond the transition phase and get recognized as “a Canadian nurse with international experience”. Understanding these individual and organizational factors is essential for how nurses educated in another country especially in the global south, can be successfully integrated in healthcare settings in the global north.

scholarly journals Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise

10.2196/17022 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17022
Author(s):  
Marta Krasuska ◽  
Robin Williams ◽  
Aziz Sheikh ◽  
Bryony Dean Franklin ◽  
Catherine Heeney ◽  
...  
Keyword(s):  
Health Care ◽  
Health Informatics ◽  
Health Care Systems ◽  
Organizational Factors ◽  
Hospital Staff ◽  
Digital Transformation ◽  
Free Text ◽  
Technological Capabilities ◽  
Health And Social Care ◽  
Care Systems

Background Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals. Objective Our aim was to develop an international agreement on a defined set of technological capabilities to assess digital excellence in hospitals. Methods We conducted a two-stage international modified electronic Delphi (eDelphi) consensus-building exercise, which included a qualitative analysis of free-text responses. In total, 31 international health informatics experts participated, representing clinical, academic, public, and vendor organizations. Results We identified 35 technological capabilities that indicate digital excellence in hospitals. These are divided into two categories: (a) capabilities within a hospital (n=20) and (b) capabilities enabling communication with other parts of the health and social care system, and with patients and carers (n=15). The analysis of free-text responses pointed to the importance of nontechnological aspects of digitally enabled change, including social and organizational factors. Examples included an institutional culture characterized by a willingness to transform established ways of working and openness to risk-taking. The availability of a range of skills within digitization teams, including technological, project management and business expertise, and availability of resources to support hospital staff, were also highlighted. Conclusions We have identified a set of criteria for assessing digital excellence in hospitals. Our findings highlight the need to broaden the focus from technical functionalities to wider digital transformation capabilities.

scholarly journals Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise (Preprint)

2019 ◽  
Author(s):  
Marta Krasuska ◽  
Robin Williams ◽  
Aziz Sheikh ◽  
Bryony Dean Franklin ◽  
Catherine Heeney ◽  
...  
Keyword(s):  
Health Care ◽  
Health Informatics ◽  
Health Care Systems ◽  
Organizational Factors ◽  
Hospital Staff ◽  
Digital Transformation ◽  
Free Text ◽  
Technological Capabilities ◽  
Health And Social Care ◽  
Care Systems

BACKGROUND Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals. OBJECTIVE Our aim was to develop an international agreement on a defined set of technological capabilities to assess digital excellence in hospitals. METHODS We conducted a two-stage international modified electronic Delphi (eDelphi) consensus-building exercise, which included a qualitative analysis of free-text responses. In total, 31 international health informatics experts participated, representing clinical, academic, public, and vendor organizations. RESULTS We identified 35 technological capabilities that indicate digital excellence in hospitals. These are divided into two categories: (a) capabilities within a hospital (n=20) and (b) capabilities enabling communication with other parts of the health and social care system, and with patients and carers (n=15). The analysis of free-text responses pointed to the importance of nontechnological aspects of digitally enabled change, including social and organizational factors. Examples included an institutional culture characterized by a willingness to transform established ways of working and openness to risk-taking. The availability of a range of skills within digitization teams, including technological, project management and business expertise, and availability of resources to support hospital staff, were also highlighted. CONCLUSIONS We have identified a set of criteria for assessing digital excellence in hospitals. Our findings highlight the need to broaden the focus from technical functionalities to wider digital transformation capabilities.

Becoming a Canadian Nurse With International Experience

2021 ◽  
pp. 211-228
Author(s):  
Zubeida Ramji ◽  
Josephine Etowa
Keyword(s):  
Organizational Context ◽  
Organizational Factors ◽  
International Experience ◽  
Transition Phase ◽  
Internationally Educated Nurses ◽  
Critical Gap ◽  
Healthcare Settings ◽  
Global North ◽  
The Individual

The inequitable distribution of nurses globally compels high-income countries like Canada to ensure that internationally educated nurses gain professional satisfaction and stay in nursing. To fill a critical gap in nursing literature, the authors conducted a qualitative case study of an inner-city teaching hospital in Canada, to examine workplace integration of IENs beyond the transition phase. They found that workplace integration is a “two-way” process, which has implications for interventions at both the individual IEN and organizational levels. The workplace organizational context requires deliberate “policies promoting equity principles” and when an IEN is integrated, s/he has worked hard to go beyond the transition phase and get recognized as “a Canadian nurse with international experience”. Understanding these individual and organizational factors is essential for how nurses educated in another country especially in the global south, can be successfully integrated in healthcare settings in the global north.

scholarly journals Exploring Factors that May Influence Ontario Nurse Practitioners’ Patient Panel Size in Primary Healthcare Settings

2021 ◽  
Author(s):  
Nicole Bennewies
Keyword(s):  
Nurse Practitioners ◽  
Workforce Planning ◽  
Improve Patient Care ◽  
Organizational Factors ◽  
Panel Size ◽  
Healthcare Settings ◽  
Number Of Patients ◽  
Appointment Time ◽  
Support Optimization ◽  
Improve Patient

Limited knowledge exists about the factors that may influence nurse practitioner (NP) patient panel size. Patient panel size refers to the number of patients for whom a NP is their usual care provider. Increased knowledge of these factors may improve patient care, NP practice, and primary health care (PHC) workforce planning. Two hundred and eighty-three NPs working in Ontario PHC were surveyed to explore patient, NP, and organizational factors that may influence NP patient panel size. Three factors were associated with NP panel size. Higher percentages of certain health conditions and/or longer appointment time for multi-morbid and palliative care were associated with smaller NP patient panel size. NPs who worked more hours per week had larger patient panels. Also, the PHC practice model was related to NP patient panel size, which was largest in NP-led clinics. Decision makers can use these findings to support optimization of NP patient panel size.

Compound Symbiosis in Peridinium Balticum

1973 ◽  
Vol 31 ◽  
pp. 500-501
Author(s):  
R. N. Tomas
Keyword(s):  
Endoplasmic Reticulum ◽  
Nuclear Envelope ◽  
The Other ◽  
Exact Nature ◽  
Symbiotic Relationship

Peridinium balticum appears to be unusual among the dinoflagellates in that it possesses two DNA-containing structures as determined by histochemical techniques. Ultrastructurally, the two dissimilar nuclei are contained within different protoplasts; one of the nuclei is characteristically dinophycean in nature, while the other is characteristically eucaryotic. The chloroplasts observed within P. balticum are intrinsic to an eucaryotic photosynthetic endosymbiont and not to the dinoflagellate. These organelles are surrounded by outpocketings of endoplasmic reticulum which are continuous with the eucaryotic nuclear envelope and are characterized by thylakoids composed of three apposed lamellae. Girdle lamellae and membranebounded interlamellar pyrenoids are also present. Only the plasmalemma of the endosymbiont segregates its protoplast from that of the dinophycean cytoplasm. The exact nature of this symbiotic relationship is at present not known.

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