Scoping Review of the Core Elements of Technical Assistance Models and Frameworks

PurposeThe purpose of this study is to review research on hospital-based shared governance (SG), focussing on its core elements.Design/methodology/approachA scoping review was conducted by searching the Medline (Ovid), CINAHL (EBSCO), Medic, ABI/INFORM Collection (ProQuest) and SveMed+ databases using SG and related concepts in hospital settings as search terms (May 1998–February 2019). Only original research articles examining SG were included. The reference lists of the selected articles were reviewed. Data were extracted from the selected articles by charting and then subjected to a thematic analysis.FindingsThe review included 13 original research articles that examined SG in hospital settings. The studied organizations had implemented SG in different ways, and many struggled to obtain satisfactory results. SG was executed within individual professions or multiple professions and was typically implemented at both unit- and organization-levels. The thematic analysis revealed six core elements of SG as follows: professionalism, shared decision-making, evidence-based practice, continuous quality improvement, collaboration and empowerment.Practical implicationsAn SG framework for hospital settings was developed based on the core elements of SG, the participants and the organizational levels involved. Hospitals considering SG should prepare for a time-consuming process that requires belief in the core elements of SG. The SG framework can be used as a tool to implement and strengthen SG in organizations.Originality/valueThe review resumes the tradition of systematically reviewing SG literature, which had not been done in the 21st century. General tendencies of the research scene and research gaps are pointed out.

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Designing and delivering facilitated storytelling interventions for chronic disease self-management: a scoping review

10.32920/14638794 ◽

2021 ◽

Author(s):

Enza Gucciardi ◽

Nicole Jean-Pierre ◽

Grace Karam ◽

Souraya Sidani

Keyword(s):

Chronic Disease ◽

Support Groups ◽

Scoping Review ◽

Meaning Making ◽

Active Role ◽

Self Management ◽

The Core ◽

Management Interventions ◽

Similar Disease ◽

Core Elements

Background Little is known about how to develop and deliver storytelling as an intervention to support those managing chronic illnesses. This scoping review aims to describe the core elements of storytelling interventions in order to help facilitate its implementation. Methods A scoping review was conducted in seven databases for articles published up to May 2014 to identify interventions that describe in detail how storytelling was used to support people in disease self-management interventions. Results Ten articles met all inclusion criteria. Core elements consistently observed across the storytelling interventions were: reflection and interactive meaning-making of experiences; principles of informality and spontaneity; non-directional and non-hierarchical facilitation; development of group norms and conduct to create a community among participants; and both an individual and collective role for participants. Differences were also observed across interventions, such as: the conceptual frameworks that directed the design of the intervention; the type and training of facilitators; intervention duration; and how session topics were selected and stories delivered. Furthermore, evaluation of the intervention and outcome assessment varied greatly across studies. Conclusion The use of storytelling can be a novel intervention to enhance chronic disease self-management. The core elements identified in the review inform the development of the intervention to be more patient-centred by guiding participants to take ownership of and lead the intervention, which differs significantly from traditional support groups. Storytelling has the potential to provide patients with a more active role in their health care by identifying their specific needs as well as gaps in knowledge and skills, while allowing them to form strong bonds with peers who share similar disease-related experiences. However, measures of impact differed across interventions given the variation in chronic conditions. Our findings can guide future development and implementations of storytelling interventions.

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Designing and delivering facilitated storytelling interventions for chronic disease self-management: a scoping review

10.32920/14638794.v1 ◽

2021 ◽

Author(s):

Enza Gucciardi ◽

Nicole Jean-Pierre ◽

Grace Karam ◽

Souraya Sidani

Keyword(s):

Chronic Disease ◽

Support Groups ◽

Scoping Review ◽

Meaning Making ◽

Active Role ◽

Self Management ◽

The Core ◽

Management Interventions ◽

Similar Disease ◽

Core Elements

Background Little is known about how to develop and deliver storytelling as an intervention to support those managing chronic illnesses. This scoping review aims to describe the core elements of storytelling interventions in order to help facilitate its implementation. Methods A scoping review was conducted in seven databases for articles published up to May 2014 to identify interventions that describe in detail how storytelling was used to support people in disease self-management interventions. Results Ten articles met all inclusion criteria. Core elements consistently observed across the storytelling interventions were: reflection and interactive meaning-making of experiences; principles of informality and spontaneity; non-directional and non-hierarchical facilitation; development of group norms and conduct to create a community among participants; and both an individual and collective role for participants. Differences were also observed across interventions, such as: the conceptual frameworks that directed the design of the intervention; the type and training of facilitators; intervention duration; and how session topics were selected and stories delivered. Furthermore, evaluation of the intervention and outcome assessment varied greatly across studies. Conclusion The use of storytelling can be a novel intervention to enhance chronic disease self-management. The core elements identified in the review inform the development of the intervention to be more patient-centred by guiding participants to take ownership of and lead the intervention, which differs significantly from traditional support groups. Storytelling has the potential to provide patients with a more active role in their health care by identifying their specific needs as well as gaps in knowledge and skills, while allowing them to form strong bonds with peers who share similar disease-related experiences. However, measures of impact differed across interventions given the variation in chronic conditions. Our findings can guide future development and implementations of storytelling interventions.

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What is the Core Elements of Social Innovation?

10.31409/kjswe.2019.45.83 ◽

2019 ◽

Vol 45 ◽

pp. 83-109

Author(s):

SangMi Cho ◽

JongSerl Chun ◽

SoYoung An ◽

JiYeon Jung

Keyword(s):

Social Innovation ◽

The Core ◽

Core Elements

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Duoethnography: A Polytheoretical Approach to (Re)Storing, (Re)Storying the Meanings That One Gives

The Oxford Handbook of Qualitative Research ◽

10.1093/oxfordhb/9780190847388.013.1 ◽

2020 ◽

pp. 396-423

Author(s):

John Joseph Norris ◽

Richard D. Sawyer

Keyword(s):

Social Justice ◽

Critical Theory ◽

Third Space ◽

The Third ◽

The Core ◽

Wide Range ◽

Core Elements ◽

Feminist Inquiry

This chapter summarizes the advancement of duoethnography throughout its fifteen-year history, employing examples from a variety of topics in education and social justice to provide a wide range of approaches that one may take when conducting a duoethnography. A checklist articulates what its cofounders consider the core elements of duoethnographies, additional features that may or may not be employed and how some studies purporting to be duoethnographies may not be so. The chapter indicates connections between duoethnography and a number of methodological concepts including the third space, the problematics of representation, feminist inquiry, and critical theory using published examples by several duoethnographers.

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178. Implementation of the Core Elements of Antibiotic Stewardship in Nursing Homes – National Healthcare Safety Network (NHSN), 2016–2018

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.222 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S96-S96

Author(s):

Katryna A Gouin ◽

Sarah Kabbani; Angela Anttila ◽

Josephine Mak ◽

Elisabeth Mungai ◽

Ti Tanissha McCray ◽

...

Keyword(s):

Nursing Homes ◽

Antibiotic Stewardship ◽

Care Facility ◽

Antibiotic Use ◽

Infection Prevention And Control ◽

Term Care ◽

Long Term Care Facility ◽

The Core ◽

Use Of Resources ◽

Core Elements

Abstract Background Since 2016, nursing homes (NHs) enrolled in the Centers for Disease Control and Prevention’s NHSN Long-term Care Facility (LTCF) Component have reported on their implementation of the core elements of antibiotic stewardship. In 2016, 42% of NHs reported implementing all seven core elements. Recent regulations require antibiotic stewardship programs in NHs. The objectives of this analysis were to track national progress in implementation of the core elements and evaluate how time dedicated to infection prevention and control (IPC) is associated with the implementation of the core elements. Methods We used the NHSN LTCF 2016–2018 Annual Surveys to assess NH characteristics and implementation of the core elements, defined as self-reported implementation of at least one corresponding stewardship activity. We reported absolute differences in percent implementation. We used log-binomial regression models to estimate the association between weekly IPC hours and the implementation of all seven core elements, while controlling for confounding by facility characteristics. Results We included 7,506 surveys from 2016–2018. In 2018, 71% of NHs reported implementation of all seven core elements, a 28% increase from 2016 (Fig. 1). The greatest increases in implementation from 2016–2018 were in Education (+19%), Reporting (+18%) and Drug Expertise (+15%) (Fig. 2). Ninety-eight percent of NHs had an individual responsible for antibiotic stewardship activities (Accountability), with 30% indicating that the role was fulfilled by an infection preventionist. Furthermore, 71% of NHs reported pharmacist involvement in improving antibiotic use, an increase of 27% since 2016. NHs that reported at least 20 hours of IPC activity per week were 14% more likely to implement all seven core elements, when controlling for facility ownership and affiliation, 95% CI: (1.07, 1.20). Conclusion NHs reported substantial progress in antibiotic stewardship implementation from 2016–2018. Improvements in accessing drug expertise, providing education and reporting antibiotic use may reflect increased stewardship awareness and use of resources among NH providers under new regulatory requirements. NHs with at least 20 hours dedicated to IPC per week may have greater capacity to implement all core elements. Disclosures All Authors: No reported disclosures

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Webside manner: maskless communication

Diagnosis ◽

10.1515/dx-2020-0159 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Ankit Mehta ◽

Benji K. Mathews

Keyword(s):

Communication Skills ◽

Rapid Expansion ◽

Technical Aspects ◽

The Core ◽

Core Elements ◽

Virtual Visits ◽

Virtual Platform ◽

Structured Approach

Abstract Telemedicine has seen a rapid expansion lately, with virtual visits ushering in telediagnosis. Given the shift in the interpersonal and technical aspects of communications in a virtual visit, it is prudent to understand its effect on the patient-provider relationships. A range of interpersonal and communication skills can be utilized during telemedicine consultations in establishing relationships, and reaching a diagnosis. We propose a construct of “webside manner,” a structured approach to ensure the core elements of bedside etiquette are translated into the virtual encounter. This approach entails the totality of any interpersonal exchange on a virtual platform, to ensure a clinician’s presence, empathy and compassion is translated through this medium.

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Evidence for implementation of interventions to promote mental health in the workplace: a systematic scoping review protocol

Systematic Reviews ◽

10.1186/s13643-020-01570-9 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Charlotte Paterson ◽

Caleb Leduc ◽

Margaret Maxwell ◽

Birgit Aust ◽

Benedikt L. Amann ◽

...

Keyword(s):

Mental Health ◽

Health Promotion ◽

Scoping Review ◽

Mental Health Problems ◽

Evaluation Studies ◽

Grey Literature ◽

Mental Health Promotion ◽

Successful Implementation ◽

Health Promotion Interventions ◽

Promote Mental Health

Abstract Background Mental health problems are common in the working population and represent a growing concern internationally, with potential impacts on workers, organisations, workplace health and compensation authorities, labour markets and social policies. Workplace interventions that create workplaces supportive of mental health, promote mental health awareness, destigmatise mental illness and support those with mental disorders are likely to improve health and economical outcomes for employees and organisations. Identifying factors associated with successful implementation of these interventions can improve intervention quality and evaluation, and facilitate the uptake and expansion. Therefore, we aim to review research reporting on the implementation of mental health promotion interventions delivered in workplace settings, in order to increase understanding of factors influencing successful delivery. Methods and analysis A scoping review will be conducted incorporating a stepwise methodology to identify relevant literature reviews, primary research and grey literature. This review is registered with Research Registry (reviewregistry897). One reviewer will conduct the search to identify English language studies in the following electronic databases from 2008 through to July 1, 2020: Scopus, PROSPERO, Health Technology Assessments, PubMed, Campbell Collaboration, Joanna Briggs Library, PsycINFO, Web of Science Core Collection, CINAHL and Institute of Occupational Safety and Health (IOSH). Reference searching, Google Scholar, Grey Matters, IOSH and expert contacts will be used to identify grey literature. Two reviewers will screen title and abstracts, aiming for 95% agreement, and then independently screen full texts for inclusion. Two reviewers will assess methodological quality of included studies using the Mixed Methods Appraisal Tool and extract and synthesize data in line with the RE-AIM framework, Nielson and Randall’s model of organisational-level interventions and Moore’s sustainability criteria, if the data allows. We will recruit and consult with international experts in the field to ensure engagement, reach and relevance of the main findings. Discussion This will be the first systematic scoping review to identify and synthesise evidence of barriers and facilitators to implementing mental health promotion interventions in workplace settings. Our results will inform future evaluation studies and randomised controlled trials and highlight gaps in the evidence base. Systematic review registration Research Registry (reviewregistry897)

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Wrapping Blocks: A Fun Way to Teach Job Design

Management Teaching Review ◽

10.1177/2379298119836418 ◽

2019 ◽

Vol 5 (2) ◽

pp. 144-162

Author(s):

Regina Yanson ◽

Melissa J. Mann

Keyword(s):

Resource Management ◽

Human Resource Management ◽

Human Resource ◽

Job Characteristics ◽

Job Design ◽

Graduate Level ◽

Experiential Teaching ◽

The Core ◽

Job Characteristics Model ◽

Core Elements

This article provides an overview of job design and offers an experiential teaching exercise to help students develop a better comprehension of job design and redesign, as well as learn the importance and challenges of such undertakings. Understanding the core elements of job design is especially important because job design serves as the foundational block for a deeper understanding and application of other organizational phenomenon such as the job characteristics model. This exercise is intended for the introductory undergraduate and graduate-level human resource management course as well as any courses covering “staffing.” Additionally, this activity may be used in the undergraduate Principles of Management or associated introductory management class.

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Introducing Gamification in the AR-Enhanced Order Picking Process: A Proposed Approach

Logistics ◽

10.3390/logistics5010014 ◽

2021 ◽

Vol 5 (1) ◽

pp. 14

Author(s):

Athina G. Bright ◽

Stavros T. Ponis

Keyword(s):

Industry 4.0 ◽

Business Processes ◽

Cyber Physical Systems ◽

Order Picking ◽

Physical Systems ◽

The Core ◽

Complex Process ◽

Core Elements ◽

Game Elements ◽

Innovative Industry

In the last decade, the Industry 4.0 concept has introduced automation and cyber-physical systems as the core elements of future logistics, supported by an array of technologies, such as augmented reality (AR) providing the necessary support for the digital transformation of manufacturing and logistics and the smartification and digital refinement of traditional pre-Industry 4.0 processes. This paper studies the influence and the potential of gamification techniques in supporting innovative Industry 4.0-enhanced processes in the contemporary warehouse work ecosystem. Gamification in the workplace aims to motivate the employees and increase their involvement in an activity, while at the same time creating a sense of an everyday different experience rather than a set of repetitive and monotonous tasks. Since the design of such a system is a complex process, the most widespread design frameworks are studied, and the emphasis is on the principal game elements and their connection to mobilization mechanisms. Finally, an initial proposal of a gamification framework to support the AR-enhanced order picking process in contemporary logistics centers is provided with an emphasis on the mechanics of a fair and functional reward system. The proposed approach aims to showcase the potential alignment of business processes to human motivation, respecting the differences between tasks and the workers’ cognitive workload.

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