Healthcare Managers Research Articles

An ICT-enabled community oriented primary care intervention in mining communities during COVID-19 (2019–2022): perceived changes in the role and place of community health workers

BackgroundThis is a study of service provider perceptions of the place, role and practices of CHWs in a four-year, large-scale private sector funded, public service ICT-enabled COPC intervention with rural and remote mining communities. Like all South African communities, apart from large mining house employees and some contractors, most people use available public healthcare services and private traditional as well as limited allopathic private sector providers. In addition to the limitations of facility centred primary healthcare and a fragmented health care system, the many negative health effects of mining on the communities, go unattended.MethodsThis is a rapid, qualitative pragmatic study. Using site and participation convenience sampling, 37 semi-structured individual or group interviews were conducted with 57 stakeholders from 38 of the 135 intervention PHC facilities. Using a data driven, inductive approach, the results were analysed thematically in terms of perceived changes in the role and place of CHWs.ResultsCHWs registered 42 490 households and captured the demographic and social profiles as well as the health status of over 154 910 individuals using AitaHealth™. These data provided healthcare professionals and managers with knowledge about community demographics, at-risk groups and vulnerable individuals. The intervention changed the locational focus of CHW practice and expanded their scope of work and competencies in household comprehensive health education, advice and care. It led to a growth in community and professional confidence in CHWs as trusted members of mining community PHC teams and to more focused and efficient clinic work.ConclusionThis ICT-enabled COPC intervention adopted a comprehensive approach to healthcare delivery that started by including CHWs in PHC teams and locating them in communities. Inclusive and systematic continuous learning, clinically-led CHW service support and ICT-enabled information technology engendered trust in CHWs as competent PHC members, and grew community confidence in them and the PHC system as a whole. Although health, care and other professionals and workers valued the changes the intervention brought to their work as well as people’s lives in underserved and vulnerable mining communities, its sustainability is contingent on the vagaries of political will and financial commitment.

Factors influencing leadership styles of healthcare managers

Factors influencing leadership styles of healthcare managers

Effect of telenursing on self-efficacy among myocardial infarction patients: A systematic review

A systematic review was conducted to investigate the impact of telenursing on self-efficacy in patients who have experienced Myocardial infarction (MI). We systematically searched international electronic databases, including Scopus, PubMed, and Web of Science, from their inception to September 1, 2023, using keywords derived from Medical Subject Headings such as "telenursing", "self-efficacy", and "myocardial infarction". Furthermore, we explored Iranian databases like Iranmedex and Scientific Information Database. The quality of randomized controlled trials (RCTs) and quasi-experimental studies was assessed using the critical assessment checklist from the Joanna Briggs Institute (JBI). A total of 220 MI patients were enrolled in four studies. Of the MI patients, 67.29% were male and 50.00% were in the intervention group. The mean age of participants was 57.25 (SD=7.34) years. Of the included studies, four were quasi-experimental studies, three studies were conducted in Iran, and one study was conducted in Egypt. The mean study follow-up was 6 weeks. Also, the mean duration of the intervention was 11.67 minutes. In all studies, interventions were effective in increasing MI patients' self-efficacy. In sum, the findings demonstrated that telenursing can be effectively utilized by nurses to enhance the self-efficacy of patients. We recommend that healthcare managers and policymakers establish a platform that not only incorporates telenursing via telephone calls but also integrates other methods, such as video calls. This approach should aim to balance the costs associated with different telenursing methods, ensuring accessibility for all individuals. Consequently, in addition to traditional telephone calls, alternative telenursing modalities can be employed to enhance self-efficacy.

Effects of reflexology on pain in patients with rheumatoid arthritis: A systematic review

This systematic review was conducted to investigate the impact of reflexology on pain management in individuals diagnosed with rheumatoid arthritis. A comprehensive search was executed on international electronic databases, including Scopus, PubMed, Web of Science, and Iranian electronic library including Iranmedex and Scientific Information Database, covering the earliest available data up to January 25, 2024. The search employed keywords derived from Medical Subject Headings such as "reflexology", "pain", and "rheumatoid arthritis". The quality assessment of randomized controlled trials (RCTs) was conducted using the Joanna Briggs Institute's (JBI) critical assessment checklist. A total of four studies, encompassing 206 participants, were included in the review. Notably, 70.97% of the enrolled patients were female, with 61.17% assigned to the intervention group. The mean age of participants was 50.06 (standard deviation [SD]=8.48) years. The average study duration and follow-up period were approximately 25 and 5 weeks, respectively, with an intervention duration averaging 40 minutes. In three studies interventions were effective in decreasing pain of patients with rheumatoid arthritis. However, in one study, the intervention was not effective in decreasing pain of patients with rheumatoid arthritis. The findings indicated that health professionals, including nurses, can effectively employ reflexology as a means to alleviate pain in individuals with rheumatoid arthritis. Consequently, it is recommended that healthcare managers and policymakers create an enabling environment within hospitals, facilitating the integration of reflexology into patient care protocols. This strategic approach holds the potential for reducing the pain experienced by patients afflicted with rheumatoid arthritis.

Effect of acupressure on anxiety among cancer patients undergoing chemotherapy: A systematic review

This systematic review was conducted to investigate the impact of acupressure on anxiety levels among cancer patients undergoing chemotherapy. Comprehensive searches were performed in international electronic databases including Scopus, PubMed, and Web of Science, as well as Iranian databases such as Iranmedex, from inception to February 1, 2024, utilizing keywords derived from Medical Subject Headings such as "acupressure", "anxiety", and "chemotherapy". The methodological quality of randomized controlled trials (RCTs) and quasi-experimental studies was assessed using the Joanna Briggs Institute's critical appraisal checklist. A total of five studies, encompassing 401 cancer patients undergoing chemotherapy, were included in the review. Among these patients, 83.26% were female, with 54.36% assigned to the intervention group. The mean age of participants was 51.01 (SD=8.52) years. Of the included studies, three were RCTs and two were quasi-experimental studies. The average study duration and follow-up period were approximately 31 weeks and 35 days, respectively. Moreover, the average duration of the intervention was 18 minutes. Across all studies, acupressure interventions demonstrated efficacy in reducing anxiety levels among cancer patients undergoing chemotherapy. The findings suggest that healthcare professionals, particularly nurses, can effectively utilize acupressure techniques to alleviate anxiety in this patient population. It is recommended that healthcare managers and policymakers facilitate the integration of acupressure interventions into hospital settings, thereby enhancing the provision of care and support for cancer patients undergoing chemotherapy.

Effect of acupressure on anxiety in hemodialysis patients: A systematic review

This systematic review was conducted to investigate the impact of acupressure on anxiety levels among patients undergoing hemodialysis. International electronic databases, including Scopus, PubMed, and Web of Science, were meticulously searched from the inception of the databases to January 8, 2024, employing keywords derived from Medical Subject Headings such as "Acupressure", "Anxiety", and "Hemodialysis". Additionally, Iranian databases such as Iranmedex were scrutinized. The quality of randomized controlled trials was assessed using the Joanna Briggs Institute's (JBI) critical assessment checklist. A total of four studies, encompassing 496 participants, were included in the analysis. Among the participants, 51.00% were female, with 67.34% allocated to the intervention group. The mean age of the participants was 40.48 (SD=8.75) years. The average study duration and follow-up period were approximately 28 and 4 weeks, respectively. The average intervention duration was 8.33 minutes. The findings underscored the efficacy of acupressure administered by healthcare professionals, such as nurses, in mitigating anxiety levels. This underscores the recommendation for healthcare managers and policymakers to create an environment conducive to the utilization of acupressure by healthcare professionals within hospital settings. Such measures can contribute to the alleviation of anxiety among patients undergoing hemodialysis.

The impact of the nursing work environment on compassion fatigue: The mediating role of general self-efficacy.

To explore the interplay between the perceived nursing work environment, general self-efficacy, and compassion fatigue among registered nurses in Chinese hospitals. Compassion fatigue emerges as a significant occupational stress response globally, with the nursing work environment being a pivotal influencer. There is a knowledge gap in understanding how the nursing work environment and general self-efficacy interrelate to affect compassion fatigue, particularly among Chinese nurses. Employing a cross-sectional, descriptive design, this study utilized validated questionnaires to gather data from 7085 nurses across public and private hospitals in China. The analysis focused on assessing the interrelations among the perceived nursing work environment, general self-efficacy, and different dimensions of compassion fatigue. More than half (65.67%) of the participants experienced moderate or high burnout levels, with 76.43% experiencing secondary traumatic stress. The lowest rating in the nursing work environment was for nurse/physician collaboration (10±2.07), while general self-efficacy scored higher (27.54±6.26). A positive relationship existed between the work environment and both general self-efficacy and compassion satisfaction, with a negative correlation to burnout and traumatic stress. General self-efficacy was a partial mediator in the link between work environment and compassion fatigue, suggesting that improving the work environment can decrease compassion fatigue by boosting nurses' self-efficacy. This study underscores the profound impact of the nursing work environment on compassion fatigue, mediated by general self-efficacy. It highlights the necessity of fostering a supportive work environment to enhance nurses' self-efficacy and overall well-being. Healthcare managers and institutions must create supportive work environments to reduce compassion fatigue among nurses. This includes professional development programs to enhance self-efficacy and job satisfaction. Policies should address high workloads and inadequate support. Nurse leaders should foster environments that promote psychological well-being, improving outcomes for both nurses and patients. Regular assessments and adjustments of work conditions are essential to maintain a healthy work environment.

Advance Healthcare Directives: the Irish Implementation Reality from an Interdisciplinary Group Concept Mapping Study

Abstract Background Advance Healthcare Directives became legal in Ireland on 26th April 2023. While Advance Healthcare Directives are primarily rooted in patients’ legally binding refusal of treatments or interventions, they also encourage patients to set out their care preferences for the future (Government of Ireland 2015). Despite care of the older adult broadly transitioning from acute hospital to community, and a greater than ever focus on keeping older adults living at home for longer, low awareness of, and professional uncertainty around, Advance Healthcare Directives and how to integrate them into the care of the older adult has been widely expressed by Irish hospital physicians (Crowley and Doran 2022). Methods In this implementation study, Group Concept Mapping, using the relatively novel ‘GroupWisdom™’ software, is used to collect and analyse data from multiple healthcare professions to identify contextual issues that affect the implementation of Advance Healthcare Directives. 44 frontline healthcare professionals including Hospital Consultants (n=6), General Practitioners (n=5), Paramedics (n=7), Advance Nurse Practitioners (n=4), Clinical Nurse Specialists (n=4), Public Health Nurses (n=5), Critical Care Nurses (n=3), Nurse Managers (n=2), Healthcare Managers (n=2), Occupational Therapists (n=2) and Social Workers (n=4) participate in this mixed method study. Policymakers and other stakeholders are also involved throughout. Results The main implementation issues for Advance Healthcare Directives in order of importance as outlined by Healthcare Professionals are: 1) Public Education; 2) Homecare Services; 3) Timing and Location; 4) Family Members; 5) Lack of Education for the Healthcare Professional; 6) Complications for the Healthcare Professional; 7) Individual and Cultural Beliefs. Conclusion This study contributes a valuable understanding of where the implementation issues reside for healthcare professionals and policymakers, and how these can be addressed to ensure successful implementation. This implementation study focuses on practical considerations, offering multiple workable solutions to help to resolve these implementation issues on the ground.

Artificial Intelligence Adoption and Project Success: A Mixed-Method Study

AI's growing acceptance is changing project management's human-centric approach. Project management is using AI to automate and support duties. This change could improve workflows, decision-making, and project efficiency. The full influence of AI on project success is unknown. There is little empirical evidence linking AI use to project outcomes. This ignorance highlights the necessity to study AI's impact on project management. The project management AI industry is expected to expand 38% annually. Since the late 1980s, AI has improved project management by providing more intelligent and autonomous help. Data privacy, accountability, strategic leadership, communication, innovation, and emotional intelligence are important ethical issues. This study examines how AI adoption affects project success through communication and feedback. This mixed-method study examines how AI adoption affects project success. The quantitative phase measured AI communication, feedback, and project progress via a predefined questionnaire. The sample includes construction, IT, manufacturing, healthcare, and finance project managers and team members. Multiple regression analysis and structural equation modelling were employed in IBM SPSS AMOS to examine AI adoption and project success measures. A qualitative phase of semi-structured interviews with respondents contextualised the quantitative data. Thematic analysis gleaned insights from interview transcripts. AI's impact on project success was examined using integrated data, with ethics in mind. The study examined AI tool-project success relationships using a structural equation model. Communication mode, feedback style, and frequency explained 3% of project success variance. Quantitative research showed that AI communication frequency improves project success, whereas mode and style negatively impact it. Participants' qualitative comments indicated six themes that match quantitative findings, and their replies enhance quantitative results and recommend improvements. The study concluded that AI communication frequency positively increases project success, while mode and style negatively affect it. The mixed-methods approach showed that AI tools alone cannot ensure project success; communication style and frequency are. The study recommended among others that organisations should integrate AI tools into project management systems, match AI communication modes to project team preferences, optimise feedback styles, and provide regular updates to improve AI communication. Project teams need ongoing training.

Perception of Nurses Toward Working at High Reliability Healthcare Organizations: The Association to Nurses' Psychological Safety and Intention to Stay

Background: High-reliability organizations (HROs) of healthcare are facing tough challenges to improve nurses’ psychological safety and intent to stay through maintaining organizational resources, work flexibility, environmental safety, and effectively managing stress and anxieties the nurses face in the workplace. Aim: This study aims to identify the relation between perception of working at HRO, psychological safety and intent to stay among Dar Al-Fouad Hospital nurses. Design: A correlational ex-post facto research. Setting: The study was conducted at Dar Al Fouad Hospital. Study subjects: A simple random sample of nurses who are working in Dar Al Fouad Hospital n=225. Tools: Three instruments were used in this study: the instrument one Part (1) - personnel data, Part (2) - Safety Organizing Scale; instrument two - team psychological safety scale, and instrument three - nurses’ intent to stay scale. Results: The total perception levels of HRO was moderate 64.5%, psychological safety was moderate 75.6%, and intent to stay was moderate 89.3% among the studied sample. Conclusion: There was negative statistical significance relation between staff nurses’ total perception level regarding HRO, and psychological safety and intent to stay. Recommendation: Health care managers at HRO work to improve nurses’ psychological safety and intent to stay through providing personal and professional support, encouraging to report mistakes, ask questions, receive effective feedback, and see mistakes as opportunities to learn. Keywords: High reliability organization; Intent to stay; Psychological safety.

The Nexus between Environmental Factors and Behaviour Change in the Upper East Region of Ghana: The Mediating Role of Marketing Strategies

This study aimed to explore the mediating role of marketing strategies in the relationship between environmental factors and behavior change in healthcare utilisation. A cross-sectional survey design was conducted using a random sampling technique to select 474 healthcare workers from six Health Directorates across Municipalities and Districts in the Upper East Region of Ghana. The target population from which the sample size was determined was 1980. The theories that guided this study were the Health Belief Model and the Theory of Planned Planned Behaviour. A structured questionnaire was designed using a five-point Likert scale and administered to the respondents. The data was collected over three months from February to April. A Structural Equation Model (SEM) with AMOS was employed to analyse the data. Findings revealed that marketing strategies mediate the relationship between environmental factors and behaviour change. The predicted hypotheses were found to be positive and significant. The study highlights the importance of marketing strategies in disseminating health-related information, which influences positive behaviour change toward healthcare utilisation. The study found that marketing strategies play a crucial role in disseminating health information and promoting behaviour change. The mediating role of marketing strategies in the relationship between environmental factors and behaviour change was established. All hypotheses were confirmed, demonstrating the key role of marketing strategies in improving health outcomes through behaviour modification. It is recommended that healthcare facility managers consider incorporating marketing strategies into their strategic plans to optimise outcomes.

The Role of Healthcare Managers in Ensuring Patient Safety and Satisfaction during Radiation Therapy for Lung Cancer Patients in Saudi Arabia: A Systematic Review

Radiation therapy is a complicated treatment technique that calls for meticulous coordination, strict adherence to safety procedures, and care that is concentrated on the patient. Managers in the healthcare industry play an essential role in supervising and improving these various facets of care delivery. This systematic analysis aims to evaluate the significant role that healthcare managers play in ensuring patient safety and satisfaction during radiation therapy for patients in Saudi Arabia who have lung cancer. The research analyzes the existing literature in order to identify the unique roles, problems, and tactics that healthcare managers in Saudi Arabia apply in order to improve patient safety and satisfaction during radiation therapy for patients with lung cancer. The findings of this research contribute to improving the quality of care provided to lung cancer patients undergoing radiation therapy in Saudi Arabia, which ultimately leads to better patient outcomes.

Evaluating the implementation fidelity of basic emergency obstetrics and neonatal care services in Beyeda District, Northwest Ethiopia: a case study evaluation.

Worldwide, nearly 830 women die from complications of pregnancy and childbirth daily. Ninety-nine per cent of these maternal deaths take place in low and middle-income countries. Basic Emergency Obstetric Care (BEmONC) is one method of reducing maternal mortality related to pregnancy and childbirth complications. However, the status of its implementation fidelity has not been investigated. Therefore, this study sought to evaluate the implementation fidelity of BEmONC services in Beyeda District, Northwest Ethiopia. A single case study design with mixed method was employed from June 01 to July 30, 2022. 415 client exit interviews, 14 key informants' interviews and 423 retrospective document reviews were conducted. Adherence, participant responsiveness and quality of delivery dimensions from Carroll's conceptual framework, with a total of 21 indicators were used in this evaluation. The overall implementation fidelity status of BEmONC service was judged based on the pre-seated judgmental criteria as; low, medium, and high fidelity. The overall degree of implementation fidelity of the BEmONC services was 74.5%. Moreover, the implementation fidelity status of adherence, quality of delivery, and participant responsiveness dimensions were 74.7%, 77.2%, and 71.5% respectively. Uterotonic drugs were not administered as per the recommended protocol. Participants' engagement towards the neonatal resuscitation service delivery was inadequate. Likewise, healthcare providers' respect for the clients was not sufficient. Furthermore, women aged >30 years, being government employed and ANC visits four and above were variables positively associated with the quality of delivery of BEmONC services. The overall implementation fidelity of the BEmONC services was judged as implemented in medium fidelity. Moreover, the adherence, participant responsiveness and quality of delivery dimensions were found to be implemented in medium fidelity. Therefore, public health sectors at all levels should strive to enhance the implementation fidelity of BEmONC services. Moreover, healthcare providers should adhere to the BEmONC implementation protocol guideline during service delivery. Healthcare managers should facilitate a continuous awareness creation for mothers regarding the merit of neonatal resuscitation for neonatal complications. Furthermore, healthcare providers should give due respect to mothers while delivering the services.

Fighting fear: the buffering of well-being-HRM on the effects of nurses’ fear of COVID-19 on job stress and patient care

PurposePre-pandemic research demonstrated the challenges of the nursing workforce and the provision of quality of patient care. Such challenges have been significantly intensified during the COVID-19 pandemic, not least in the workplace and fear of staff catching and transmitting COVID-19. We draw on conservation of resources (COR) theory to examine the impact of the fear of COVID-19 on nurses and the role of well-being-HRM (WBHRM) in negating the fear of COVID-19 and its impact on job stress and perceived quality of patient care.Design/methodology/approachWe collected data from 260 nurses (treating COVID-19 patients) employed in US hospitals across two-waves. Data were analyzed using mediated regression and moderated mediation.FindingsThe results indicated that when nurses report higher levels of fear of COVID-19, this translates into higher levels of nursing job stress. This, in turn, reduces nurses’ perceptions of quality of patient care they can provide. As previous research has found, decreased perceptions of quality of patient care is a significant factor driving intentions to leave the profession. The results demonstrated that WBHRM practices buffer the negative impact of fear of COVID-19 on job stress, and in turn, the perceived quality of patient care.Originality/valueOur paper contributes to new knowledge for healthcare managers on WBHRM bundles and their efficacy in buffering the effects of fear on job stress and quality of patient care. We contribute new knowledge on fear at work and how to manage employees’ fear through WBHRM practices.

How to Stop Worrying About What Other People Think of You at Work

This article discusses the negative impacts of worrying excessively about others' perceptions at work and provides strategies for overcoming people-pleasing tendencies through cultivating self-awareness, acceptance, and focusing on valuable outputs rather than impressions management or competitive comparisons. Constantly seeking approval and validation can be mentally and emotionally draining as well as hinder productivity and creativity, as research shows this stems from a lack of self-worth conditioned from childhood, particularly for women socialized to prioritize others. The article recommends developing self-awareness of intrinsic values and communication techniques like learning to say no comfortably, speaking concisely with purpose, and welcoming feedback graciously. Real-world case studies across industries illustrate applying these, such as a nonprofit director focusing meetings on solutions rather than disclaimers, a healthcare account manager prioritizing metrics over expectations, and an engineering lead openly discussing decisions while welcoming different perspectives. Overcoming ingrained people-pleasing allows professionals to feel empowered contributing their best work through self-development and outcome-driven mindsets.

An innovative patient clustering method using data envelopment Analysis–Discriminant analysis and artificial neural networks: A case study in healthcare systems

A major lesson healthcare managers learned from the COVID-19 outbreak is the need for more effective patient classification and medical resource allocation for future pandemics. In their view, hospitalization mortality could be greatly reduced if more effective systems for patient classification were in place before the outbreak to evaluate and assign treatment facilities. This study presents a scalable patient clustering approach using a Self-Organizing Map (SOM) of the Artificial Neural Network (ANN) to cluster patients for appropriate treatment allocation. The patients’ membership is forecasted using Data Envelopment Analysis–Discriminant Analysis (DEA-DA). The objectives of this research are to develop a flexible framework that healthcare systems can adopt to cluster patients based on specific testing criteria from medical records and to assign them to suitable medical centers with appropriate treatment resources. This method aims to enhance healthcare system efficiency by ensuring patients with severe illnesses receive care at well-equipped centers, while those with milder symptoms are directed to other suitable facilities. The approach is scalable and adaptable to any type of widespread illness and aims to increase recovery rates and decrease mortality rates, as confirmed by the case study results.

헬스케어 공급망 리스크 주요 이슈 분석: 뉴스기사를 중심으로

This study investigates the major risk issues and their causes in healthcare supply chains, using network analysis and qualitative analysis of news media publications, and then proposes response and operational strategies for managing healthcare supply chain risks. We divided our study into two time periods for a comparative analysis of key risk issues in different degrees of environmental uncertainty. The year 2020 marked the emergence of the COVID-19 pandemic. The first period of our analysis is four years covering 2016-2019, prior to COVID-19 disruptions. The second period is also four years during 2020-2023 when the full force of COVID-19 disruptions affected healthcare supply chains. The keywords used to collect news media publications were “healthcare,” “healthcare industry,” “healthcare services,” “hospital,” “health center,” and “medicine.” The results of the study indicated that the major risks experienced in healthcare supply chains were due to the following factors: the type of patients who needed healthcare services, care services provided (lab tests, treatment, prescriptions, etc.), care service methods used (surgery, utilization of medical devices), and examination and diagnostics (clinical kits, etc.). While these factors were identified as possible causes of risk in the healthcare supply chains involving procurement of supplies and raw materials, these risks tend to intensify in the increased disruption period (year 2020-2023). Managing these risk issues in the disruptive periods contributes significantly not only to the performance of healthcare organizations but also to the well-being of the society at large. This study offers theoretical implications in that it analyzes the causes of risks in the healthcare supply chains and provides a basis for a comparative analysis of the relationships of risk factors in healthcare supply chains during a normal environment and a very disruptive environment. From a practical perspective, this study suggests effective countermeasures for managing healthcare supply chain risks with examples that can be used as a guideline by healthcare executives, managers, and policy-makers of healthcare services.

Occupational Therapy Practice Guidelines for Adults Living With and Beyond Cancer

Abstract Importance: Occupational therapy practitioners play an important role in addressing the impairments, occupational performance, and participation needs of adults living with and beyond cancer. Objective: These Practice Guidelines aim to assist occupational therapy practitioners, educators, and researchers in applying evidence and expert opinion to occupational therapy practice across the cancer continuum of care, including identifying gaps in care. Key focus areas include psychosocial function, fatigue, cognition, pain, sleep, and physical activity. These guidelines can serve as a reference for policymakers, health care professionals, health care managers, regulators, third-party payers, and managed care organizations to manage, reimburse, and set policy. Method: We examined, synthesized, and integrated the results of systematic reviews, supporting literature, and expert opinion to develop and provide clinical recommendations for practice in the care of adults living with and beyond cancer. Results: Sixteen systematic reviews with moderate to strong strength of evidence published between 2019 and 2022 served as the foundation for these Practice Guidelines. Conclusions and Recommendations: To support symptom management for adults living with and beyond cancer, occupational therapy practitioners can consider using psychosocial interventions for anxiety, depression, posttraumatic growth, and overall psychological distress. Practitioners can consider using physical activity interventions for cancer-related fatigue, cognitive performance, and sleep. Practitioners could also consider using interventions for cognition, pain management, and self-management for the improvement of cancer-related symptoms. Plain-Language Summary: These Practice Guidelines provide strong and moderate levels of evidence for occupational therapy practitioners to support adults living with and beyond cancer. They provide specific guidance for addressing pain, cancer-related fatigue, cancer-related cognitive impairments, psychosocial well-being, sleep, and physical activity. The guidelines also include case examples and an infographic to support occupational therapy practitioners in integrating evidence to support interventions in cancer care, and they highlight gaps and expert opinions in practice for continued clinically relevant research.

Identifying the Components of Organizational Culture in Hospital Environments: A Qualitative Study

Background: Weak organizational culture is one of the main factors of inefficiency in hospitals. Identifying the type of organizational culture of hospitals is an important step in increasing productivity. Therefore, this study was conducted with the aim of identifying the components of organizational culture. Methods: This qualitative study was conducted in Shahid Sadoughi Hospital in Yazd in 1400. The statistical population included the nurses of Shahid Sadoughi Hospital in Yazd. The sampling method used in this study was purposive and snowball sampling. To collect data, semi-structured interviews were used. The content analysis method was used to analyze the texts using MAXQDA version 10 software. Results: In this study, 13 experts were interviewed. The results of the data analysis showed that the 11 main components of organizational culture at Yazd University of Medical Sciences are rational, ideological, agreement and participation, hierarchical, constructive, passive, work and open culture, club, stronghold, flexible, Learner, and value orientation. Conclusion: The identified components of organizational culture can help healthcare managers and policymakers to improve service quality, job satisfaction, and organizational commitment of employees, improve organizational performance, and increase patient satisfaction.

Financial management, efficiency, and care quality: A systematic review in the context of Health 4.0.

This article investigates the intersection between innovation, Health 4.0, and financial management in the healthcare industry, emphasizing the importance of operational efficiency and quality of care. The study aims to analyze how financial management processes in healthcare relate to Health 4.0 and enhance care quality. It begins with a thorough theoretical grounding, proposing a framework that connects Health 4.0 with financial management practices. A systematic review of the literature was conducted, identifying trends, challenges, and opportunities in the financial management of Health 4.0. The results highlight selected articles on responsible innovation, Health 4.0 technologies, investments in health, hospital efficiency, performance forecasting, and high-cost patient management. These articles were clustered into "Data Analysis and Machine Learning in Healthcare" and "Health Management and Sustainability," providing a categorized understanding of the topics. The study reveals that Health 4.0 offers significant opportunities for process efficiency and cost reduction without compromising service quality. It highlights strategic advantages in addressing contemporary healthcare challenges by optimizing processes, improving financial projections, and incorporating advanced technologies efficiently. The successful implementation of Health 4.0 can lead to substantial improvements in service quality, adding value to patients and driving local economic development. This article offers valuable insights for healthcare professionals and managers, emphasizing the transformative potential of Health 4.0 and outlining strategies for its effective implementation. The clustering of articles provides a clearer understanding of current research in Health 4.0, contributing significantly to the field and guiding future research directions.