Using Organizational Development for Electronic Medical Record Transformation
With mandates requiring the transition from paper medical records to the use of electronic medical records, organizations are embarking on a change process. To engender this process, organizational development models and interventions based predominantly on the theories of Chris Argyris, Warren Bennis, and the team of Paul Lawrence and Jay Lorsch are explored. Interventions are subdivided into behavioral and structural as organizations benefit by recognizing a need for change and, perhaps, a cultural shift in addition to refocusing their mission. To support these interventions, a champion or super user is recommended to ma...
Source: The Health Care Manager - October 1, 2016 Category: Health Management Tags: Article Source Type: research

A Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside
Concerns about patient bedside change-of-shift reporting at a community hospital in northern Indiana stimulated the development of this qualitative phenomenological study. A review of the literature revealed a research deficit in acute care nurses’ perceptions of bedside reporting in relation to compliance. The research question addressed in this study was, “What are acute care nurses’ perceptions of the change-of-shift report at the patients’ bedside?” Personal interviews were conducted on 7 medical, surgical, and intensive care unit nurse participants at a community hospital in northern Indiana. Five themes wer...
Source: The Health Care Manager - October 1, 2016 Category: Health Management Tags: Article Source Type: research

The Experience of Patients Engaged in Co-designing Care Processes
This study highlights the importance of creating opportunities for patients and health care providers to share their unique experiences and expertise to better understand each other’s reality. In this context, they developed a more comprehensive understanding of the issues and worked together to implement realistic changes on behalf of the patients. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2016 Category: Health Management Tags: Article Source Type: research

From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2016 Category: Health Management Tags: Article Source Type: research

How Does Supervisor Support Influence Turnover Intent Among Frontline Hospital Workers? The Mediating Role of Affective Commitment
Turnover among frontline hospital service workers can disrupt organizational effectiveness, reduce profitability, and limit the ability to provide high-quality, patient-centered care. This concern is compounded by the increasing reliance on frontline supervisors to manage this workforce, often without necessary training and support. However, research addressing the relationship between frontline supervisor support and intent to turnover among service workers and the process by which these variables are related is limited. By surveying 270 housekeeping and dietary service workers employed at 2 US hospitals, this study exami...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Increasing Registered Nurse Retention Using Mentors in Critical Care Services
Discussion in this study includes the effect of implementing a mentor program into the critical care services area of a 325-bed not-for-profit community hospital in northern Indiana. Based on this study, nurses with a mentor were retained at a 25% higher rate than those not mentored. Implementation of a mentor program reduced the training cost to the facility and increased retention and morale. (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Spa Goers’ Repeated Visits for Health and Wellness and the Influential Factors: An Exploratory Study of the UK Spa Goers
This study aims to explore the influential factors on spa goers’ repeated visits and their practical applications in the health and wellness spa industry. The identified factors were used as the measurement variables to examine the relation with spa goers’ repeated visits. The proposed concept was tested by a mixed method combining a self-administered questionnaire and semistructured interview with 54 survey participants and 6 interviewees. It was meaningful to use a sample of the UK spa goers from the southwest region since global spa trends stem from the EU spas, and the United Kingdom is one of the market leaders. T...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Management of Stress and Anxiety Among PhD Students During Thesis Writing: A Qualitative Study
This article addresses the causes and different strategies of coping with this phenomena by PhD students at Iranian Universities of Medical Sciences. The study was conducted by a qualitative method using conventional content analysis approach. Through purposive sampling, 16 postgraduate medical sciences PhD students were selected on the basis of theoretical sampling. Data were gathered through semistructured interviews and field observations. Six hundred fifty-four initial codes were summarized and classified into 4 main categories and 11 subcategories on the thematic coding stage dependent on conceptual similarities and d...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

The Influence of Hospital Market Competition on Patient Mortality and Total Performance Score
The objective of the study was to examine the relationship between quality of hospital care and hospital competition using the quality-quantity behavioral model of hospital behavior. The quality-quantity behavioral model of hospital behavior was used as the conceptual framework for this study. Data from the American Hospital Association database, the Hospital Compare database, and the Area Health Resources Files database were used. Multivariate regression analysis was used to examine the effect of hospital competition on patient mortality. Hospital market competition was significantly and negatively related to the 3 mortal...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Case in Health Care Management Source Type: research

Neonatal Intensive Care Unit Nurses Working in an Open Ward: Stress and Work Satisfaction
There is some research on the impact of open-ward unit design on the health of babies and the stress experienced by parents and nurses in neonatal intensive care units. However, few studies have explored the factors associated with nurse stress and work satisfaction among nurses practicing in open-ward neonatal intensive care units. The purpose of this study was to examine what factors are associated with nurse stress and work satisfaction among nurses practicing in an open-ward neonatal intensive care unit. A cross-sectional correlational design was used in this study. Participants were nurses employed in a 34-bed open-wa...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Value-Based Purchasing: The Effect of Hospital Ownership and Size
This research tests the effect of hospital ownership and size on value-based purchasing scores. Representative samples were randomly selected of short-term acute-care hospitals from across the nation and grouped into 3 categories of both ownership and size. The ownership categories are as follows: (1) for-profit, (2) nonprofit, and (3) government. The size categories are as follows: (1) small, 99 beds or fewer; (2) medium, 100 to 249 beds; (3) large, 250 beds or more. Value-based purchasing scores for the 12 process-of-care (PC) measures and the 8 patient experience-of-care (Hospital Consumer Assessment of Healthcare Provi...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Palliative Care: A Partnership Across the Continuum of Care
This study evaluates characteristics that distinguish hospitals with a palliative care program from hospitals without such a program in order to better define the markets and environments that promote the creation and usage of these programs. This study demonstrates that palliative care programs are more likely in communities with favorable economic factors and higher Medicare populations. Large hospitals with high occupancy rates and a high case mix index use palliative care programs to better meet patient needs and improve hospital efficiency. Managerial, nursing, and policy implications are discussed relating to further...
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2016 Category: Health Management Tags: Article Source Type: research

Preparing a Health Care White Paper: Providing Structure to the Writing Process
Health care leaders operate in a very complex and turbulent business environment. Both government regulations and market forces are very active in the industry. Thus, health care managers have many multifaceted and, sometimes, contradictory expectations placed upon them and their organizations. To ensure professional accountability, health care executives often join professional associations and strive for licenses and certifications that are intended to place the professional above the rest. One important avenue to achieve various licensing and certification accomplishments involves writing a white paper about a specific ...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research