The Quality Management System of One Polytechnic College

The purpose of this research is to evaluate the Quality Management System of Camarines Sur Polytechnic Colleges (CSPC) as an ISO 9001-2015 certified state college and identify the benefits derived by the college along with its certification. Process owners, teaching and Non-Teaching personnel, and students' perceptions were validated using weighted mean and rank order statistic designs. The study revealed that they were satisfied with the customer focus, leadership, engagement of people, process approach, continual improvement, evidence-based decision-making, and systematic approach to management. As a result of the ISO certification of the college, gained a positive image to the community and raised to competitors' level or even at a higher level, increased the quality of services, and raised staff awareness were among the positive remarks of the college its stakeholders. Identify problems in good time wherein they can be quickly taken to avoid the same mistakes and achieve local, national, and international quality recognition were among the benefits derived by the college as an ISO-certified institution. Using Freidman's test, there is no significant difference in the perceived satisfaction among the three groups of respondents. Although the study shows a remarkable satisfaction rate, a proposed suggested recommendation will make the Quality Management system of the college more vibrant and value-adding.

Seen and Heard: Learning from Young People's Experiences Sharing Power in Faith Communities

Faith communities have been shown to provide a sense of belonging and community while also providing a rich environment for youth to engage and grow as leaders. Yet, few current studies have explored faith communities as spaces for sharing power and sustained youth leadership development. Using a thematic analysis approach, this qualitative study of 222 participants across Jewish, Muslim, and Christian faith communities aimed to explore the role of developmental relationships in young people's lives and their faith and spiritual development. Through the analyses, multiple and varied examples of sharing power emerged, leading us to investigate more fully the roles of leadership, engagement, and participation in young people's experiences in their faith communities. Findings demonstrated that faith communities can provide welcoming, engaging spaces for youth to have voice and develop as leaders. Youth across faith communities experienced authentic opportunities to build and apply leadership skills. These experiences led to positive youth outcomes, including increased confidence, building relational skills, feelings of belonging, and greater engagement. Findings from this study can inform youth development programs more broadly by illuminating concrete ways adults and youth can share power, leading to young people’s sense of engagement and belonging.

In This Issue

This issue is the fourth and final issue of the Journal for 2021. It reflects a widespread interest in the Asia Pacific with 30 articles from 11 countries. These countries include Australia, India, Iran, Indonesia, the Philippines, Saudi Arabia, Bangladesh. Vietnam, Thailand, Turkey and Hong Kong, China. This represents a significant collaboration of healthcare managers, leaders, academics, students, and health professionals from diverse health systems. This is a credit to them all and our reviewers. The topics addressed within the issue continue to be dominated by Covid_19 but are also more extensive than that topic. The topics include leadership, engagement, health literacy, employee performance, job satisfaction, mentoring, , artificial intelligence, big data to name many but not all. This is extensive collection of health management topics that should be of interest. Another continuing feature of this issue is the interest in publishing articles from international conferences. There are articles from four recent conferences. These included the 2021 Shape Symposium conducted from Australia and online, “Shaping the future for health management education and research in a time of flux and uncertainty”, held online in July and available at http://shape.org.au/. The Hong Kong Polytechnic University’s College of Professional and Continuing Education (CPCE) Conference “Post-pandemic health and long-term care: A new paradigm”. September 2021 with online and ‘in presence’ attendance. Two conferences highlighted in this issue are recognised from India with some eight articles published from these conferences. The conferences were the AICTE sponsored International Conference on Circular Economy, Management and Industry Leading towards Sustainability, October 2021 and the 2nd Conference on Business Data Analytics, November 2021 We wish to specifically mention these conferences and recognise the conference organisers and our guest co -editors on this occasion, who assisted us with the 8 selected articles. The guest co-editors are Mr. Anuj Kumar, Assistant Professor, Apeejay School of Management, Dwarka, Delhi, India https://www.apeejay.edu/asm/?utm_source=google&utm_medium=google+business+listing&utm_campaign=organic. (Top PGDM Colleges Delhi NCR) and Dr. Nimit Gupta, Professor, School of Management, The NorthCap University, Gurugram, India https://www.ncuindia.edu/educate-india- society/.

Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings

Background: We have previously reported that the Pathways to Comorbidity Care (PCC) training program for alcohol and other drug (AOD) clinicians improved identification of comorbidity, self-efficacy, and attitudes toward screening and monitoring of comorbidity. We aimed to identify barriers and facilitators of implementation of the PCC training program in drug and alcohol settings.Methods: The PCC training program was implemented across 6 matched sites in Australia as per (1), and 20 clinicians received training. PCC training included seminar presentations, workshops conducted by local “clinical champions,” individual clinical supervision, and access to an online information portal. We examined barriers and facilitators of implementation according to the Consolidated Framework for Implementation Research.Results: Barriers included inner setting (e.g., allocated time for learning) and characteristics of individuals (e.g., resistance). Facilitators included intervention characteristics (e.g., credible sources), inner setting (e.g., leadership), and outer setting domains (e.g., patient needs). Clinical champions were identified as an important component of the implementation process.Conclusions: Barriers included limited specific allocated time for learning. A credible clinical supervisor, strong leadership engagement and an active clinical champion were found to be facilitators of the PCC training program.

A Look at the Seventh-day Adventist Church:

The Seventh-day Adventist Church is a worldwide Christian denomination with a rich heritage. Thus, the Adventist Church considers itself to be set apart from the world with a unique mission; members also follow distinctive lifestyle practices. But are Seventh-day Adventists really a unique denomination or are they just a different flavor of mainstream Protestantism? Using data from the FACT 2020 survey and comparing the Adventist sample (N = 313) with the entire interfaith sample (N = 15,278), researchers compared different aspects of church life, including vitality and church growth, local church leadership, engagement in spiritual practices, and engagement in relational spiritual activities. While the data from the FACT 2020 survey present unique strengths of Adventist congregations, weaknesses were also revealed, as compared with the interfaith sample.

Factors associated with adherence to guideline-recommended cardiovascular disease prevention among HIV clinicians

Integrating cardiovascular disease (CVD) prevention in routine HIV care remains a challenge. This study aimed to identify factors associated with adherence to guideline-recommended CVD preventive practices among HIV clinicians. Clinicians from eight HIV clinics in Atlanta were invited to complete an online survey. The survey was informed by the Consolidated Framework for Implementation Research and assessed the following: clinician CVD risk screening and advice frequency (never to always), individual characteristics (clinician beliefs, self-efficacy, and motivation), inner setting factors (clinic culture, learning climate, leadership engagement, and resources available), and outer setting factors (peer pressure and patient needs). Bivariate correlations examined associations between these factors and guideline adherence. Thirty-eight clinicians completed the survey (82% women, mean age 42 years, 50% infectious disease physicians). For risk screening, clinicians always check patient blood pressure (median score 7.0/7), while they usually ask about smoking or check their blood glucose (median score 6.0/7). For advice provision, clinicians usually recommend quitting smoking, controlling cholesterol or controlling blood pressure (median score 6.0/7), while they often recommend controlling blood glucose, losing weight, or improving diet/physical activity (median score 5.5/7). Clinician beliefs, motivation and self-efficacy were positively correlated with screening and advice practices (r = .55−.84), while inner setting factors negatively correlated with lifestyle-related screening and advice practices (r = −.51 to −.76). Peer pressure was positively correlated with screening and advice practices (r = .57–.89). Clinician psychosocial characteristics and perceived peer pressure positively influence adherence to guideline-recommended CVD preventive practices. These correlates along with leadership engagement could be targeted with proven implementation strategies.

Characteristics of nursing home units with high versus low levels of person-centred care in relation to leadership, staff- resident- and facility factors: findings from SWENIS, a cross-sectional study in Sweden

Background The context of care consists of factors that determines the extent to which staff can offer person-centred care. However, few studies have investigated factors that can explain variation in levels of person-centred care among nursing home units. The aim of this study was to explore factors characterizing nursing home units with high and low degree of person-centred care, with focus on leadership, staff, resident and facility factors. Methods Cross-sectional data from residents, staff, and managers in 172 randomly selected nursing homes in Sweden were collected in 2014. Activities of Daily Living Index, Gottfries’ cognitive scale, Person-centred Care Assessment Tool together with demographic information and estimations of leadership engagement was used. Independent samples t-test and Chi2 test were conducted. Results Highly person-centred units were characterised by leaders engaging in staff knowledge, professional development, team support and care quality. In highly person-centred units’ staff also received supervision of a nurse to a larger extent. Highly person-centred units were also characterised as dementia specific units, units with fewer beds and with a larger proportion of enrolled nurses. No differences in degree of person-centred care were seen between public or private providers. Conclusions This study provides guidance for practitioners when designing, developing and adapting person-centred units in aged care contexts. Managers and leaders have an important role to promote the movement towards a person-centred practice of care, by supporting their staff in daily care, and engaging in staff knowledge and professional development. Targeting and adjusting environmental factors, such as provide small and dementia adapted environments to match the residents’ personal preferences and capacity are also important when striving towards person-centredness.

Negotiating (dis-)engagement in K-12 blended learning

It is well-recognised that engagement is critical for learning and school success. Engagement (and disengagement) are, however, also influenced by context. Thus, as digital technologies add complexity to the educational context, they influence classroom leadership, lesson designs and related practices, and thereby engagement. Despite being critical, engagement and disengagement are not well explored concerning these influences, with a lack of research undertaken within socially disadvantaged schools. In this qualitative study, 14 classroom observations were conducted, during five months, in twelve classes in an upper secondary school in Sweden, along with dialogues with teachers (n=12) and students (n=32). The data were analysed using thematic analysis and descriptive statistics. Identified themes include digital context, teacher leadership, engagement and disengagement. A network of relations between the (dis-)engagement compound and themes is presented. The results identified processes in which engagement shifted into disengagement and vice versa; in particular, that the intention of active learning does not automatically translate to active learning for all students, although teachers employed a higher work pace than did their students. Teacher self-efficacy and awareness of how to manage digital technologies in and outside the classroom was found to play a vital role in facilitating engagement. Understanding the (dis-)engagement compound in blended learning environments is key to inform active and visible learning for future research and supportive organisational structures.

A strategic guide for the development of a corporate sepsis program

Background: Sepsis is a major health burden. Guidelines call for healthcare providers to establish sepsis care improvement programs to enhance patient care and outcome. A comprehensive sepsis program has been developed at Hamad Medical Corporation (HMC) and implemented across its 13 facilities before embarking on a bigger journey. Methods: Senior leadership engagement and collaboration with pertinent departments are key to any initiative's success. A subject matter expert was appointed as Clinical Lead and Chair of the Program and held accountable to sponsors. Stakeholders were identified and invited to participate in the corporate steering group. Given that facilities may have differing challenges, patient population, or resources, a facility-level sepsis committee was established adopting a similar structure to the corporate committee. Each facility committee reviewed, implemented, and reported to the respective local quality and safety committee. Training, reporting and monitoring were undertaken at the local followed by the corporate level. Standardized sepsis pathways and guidelines were developed and implemented. Monitoring is crucial to ensure a program remains on track. This was attained using a corporate dashboard in which all cases of sepsis, irrespective of facility, time or age were reported and reviewed. Regular reports were sent to the Corporate Quality Improvement and Safety Committee. This, subsequently, is discussed at the Executive Management Committee. Findings: The implementation of a Corporate Sepsis Program was successful and extended to include other organisations (Sidra Medicine, Primary Health Care Corporation and the Qatar Red Crescent). An education subcommittee designed and delivered a nursing training program and e-learning as a collaboration between the Hamad International Training Centre (HITC), clinical and nursing informatics, and medical and nursing education. This resulted in timely and appropriate management. Conclusion: HMC Sepsis Program improved sepsis outcome in Qatar. A systematic approach, application of evidence-based practice, staff empowerment, senior leadership engagement, a clear structure of governance, quality assurance and reporting are critical elements of its success.