Healthcare Management Practices Research Articles

Concussion Assessment and Management Self-efficacy Among Irish Clinicians.

This study explored concussion assessment and management self-efficacy and practices of allied healthcare professionals in Ireland. (1) Self-efficacy levels and practices vary across different concussion assessment and management skills, (2) the ability to practice skills impacts self-efficacy most. Cross-sectional. Level 3. Survey of allied healthcare professionals (285 responders), investigating (1) demographics, (2) concussion assessment (immediate and office) and management (postconcussion advice and management/rehabilitation) self-efficacy levels and practices, and (3) factors affecting self-efficacy. Levels of self-efficacy among clinicians were 64.5 ± 26.6 (immediate assessment) and 56.6 ± 25.4 (postconcussion advice) (highest scores: concussion symptom checklist [80 ± 28.4], physical rest advice [80.1 ± 27.8]; lowest: Child Sport Concussion Assessment Tool [44.6 ± 41.2] and nutrition advice [34.1 ± 33.7]). Overall levels of self-efficacy among Certified Athletic Therapists and Chartered Physiotherapists were 51.5 ± 20.1 (assessment) and 62.1 ± 20.9 (management) (highest scores: history/clinical evaluation nonspecific to concussion [86.6 ± 16.2], physical rest advice [86.3 ± 20]; lowest: paper/pencil neuropsychological test [16.7 ± 28.6], advice on medication use [39.2 ± 35]). A strong positive correlation was observed between clinician self-efficacy and frequency of use of overall (r = 0.795; P < 0.01) and immediate (r = 0.728; P < 0.01) assessment, advice (r = 0.805; P < 0.01), and management (r = 0.812; P < 0.01) skills. Factors with greatest positive impact on clinician self-efficacy were the ability to practice skills during clinical placement (3.3 ± 0.9) and remaining emotionally (3.3 ± 0.8) and physically (3.3 ± 0.8) calm while practicing. Clinicians in Ireland had moderate self-efficacy in concussion care. Those who used concussion-relevant skills frequently in practice displayed higher self-efficacy for those skills. Concussion-related self-efficacy can be enhanced through practice in a clinical environment and through experiencing composure while practicing.

Included and engaged: thesignificance of perceived inclusion among healthcare workers.

This study investigates the impact of perceived inclusion among healthcare employees on intrinsic motivation and its subsequent effects on work engagement and stress levels. Drawing from multiple theoretical frameworks, the study hypothesizes the following: (a) perceived inclusion positively influences employees' intrinsic motivation, and (b) perceived inclusion and intrinsic motivation serve as resources that enhance employee well-being by promoting work engagement and reducing stress. Data were collected from 407 healthcare workers across the European Union. The research objectives were achieved through statistical analysis of the gathered responses. The results indicate a positive relationship between perceived inclusion and intrinsic motivation. Importantly, both perceived inclusion and intrinsic motivation emerged as significant predictors of work engagement. Additionally, perceived inclusion was found to have a negative association with stress levels, underscoring its importance in healthcare management. The study is subject to certain limitations, including the cross-sectional design and reliance on self-reported data, which may affect the generalizability of the findings. The findings highlight the importance of fostering perceived inclusion and intrinsic motivation among healthcare employees to enhance work engagement and reduce stress, thus offering valuable insights for healthcare management practices. This study contributes to the existing literature by examining the complex interplay between perceived inclusion, intrinsic motivation, work engagement and stress within the healthcare sector. It also identifies avenues for future research in this area.

Optimizing data management in healthcare: Lessons from clinical trials and beyond

This study comprehensively explores the optimization of data management in healthcare by drawing on lessons learned from clinical trials and extending these insights to broader healthcare contexts. The study's purpose is to examine the challenges, strategies, and technological innovations that are essential for effective data management in modern healthcare systems. Utilizing a detailed literature review, the study identifies key methodologies from clinical trials that have successfully enhanced data integrity, accuracy, and security, such as the implementation of electronic data capture (EDC) systems and rigorous data governance frameworks. These methods are crucial in managing the increasing volume and complexity of healthcare data. The study's findings reveal that big data analytics and artificial intelligence (AI) are pivotal in transforming healthcare data management, enabling personalized and precise patient care. However, these technologies also introduce challenges related to data security, interoperability, and ethical considerations, particularly concerning patient privacy and the transparency of AI-driven decision-making processes. In conclusion, the study emphasizes the need for continuous innovation and improvement in healthcare data management practices. Recommendations include the integration of blockchain technology, cloud computing, and real-time data from wearable devices to address existing challenges and enhance data management capabilities. The study advocates for a balanced approach that prioritizes patient privacy, ethical governance, and regulatory compliance to ensure that technological advancements contribute positively to patient outcomes and healthcare efficiency.

Achieving the sustainable waste management of medical plastic packaging using a life cycle assessment approach

Hospital waste management often classifies all waste, including uncontaminated plastic packaging, as hazardous, leading to incineration as the primary treatment method. While effective for safe treatment, incineration incurs high costs and significant environmental impacts. This study explores an alternative approach through the segregation and sustainable management of plastic packaging waste derived from medical device use to mitigate these environmental consequences. Using a Life Cycle Assessment, this research evaluates and compares the environmental impacts of three waste disposal scenarios of plastic packaging: hazardous waste incineration, general waste landfill, and plastic recycling. The analysis focuses on 1 kg of plastic packaging waste generated from medical devices at the Limb Vascular Center, Konkuk University Hospital, South Korea. The results show that general waste landfill has an environmental impact of 79.7 % and plastic recycling has an impact of just 11.8 %, highlighting their significantly lower environmental impacts compared to hazardous waste incineration. These findings underscore the significant benefits of adopting more sustainable waste management practices in healthcare and offering valuable insights for enhancing environmental, social, and governance (ESG) practices within hospitals.

Healthcare can't stop evolving: innovation as the catalyst for unleashing the managerial potential of value-based healthcare by stimulating intangible assets and enhancing organizational resilience.

With increasing healthcare service utilization and the introduction of costly therapies, healthcare organizations are pressured to deliver cost-effective services within constrained budgets. Rising costs and the need for efficient healthcare delivery are major concerns for governments, insurers, and health plans. It aims to understand the impact of these intangible assets on creating value and organizational resilience in healthcare, informing better practices and strategies for VBHC implementation. An applied research approach using the Work Breakdown Structure (WBS) methodology was adopted. The research was divided into seven interconnected Work Packages (WPs), each designed to investigate different aspects of the integration between VBHC and intangible assets, with a focus on enhancing organizational resilience through innovative health processes. Key methodologies included literature reviews and qualitative analyses, employing Open Innovation and Design Thinking. The study revealed a dynamic interplay between VBHC, organizational resilience, and intangible assets. It showed that managerial effectiveness is influenced by direct patient outcomes and elements like intellectual capital and organizational reputation. Data integration from various Work Packages provided new insights into how intangible assets underpin VBHC strategies, proposing novel management approaches. Findings highlight the essential role of intangible assets in enhancing service delivery and fostering sustainable healthcare practices. The study highlights a significant oversight in the integration of intangible assets within healthcare organizations, despite their crucial role in optimizing VBHC. It supports literature emphasizing the importance of intellectual capital and organizational culture in enhancing healthcare management efficiency and resilience. A paradigm shift in VBHC to include these assets is needed for building a more adaptable and sustainable healthcare system. This integration can lead to better clinical outcomes, patient satisfaction, and overall healthcare efficiency, aligning more closely with VBHC goals. Recognizing and effectively managing intangible assets are paramount for the successful implementation of VBHC and enhanced organizational resilience. Strategic integration of these assets into healthcare management practices can significantly improve patient outcomes and create a more sustainable, patient-centered, and resilient healthcare system. Future studies should develop methodologies for robust measurement and integration of these assets to fully realize the potential of VBHC.

Impact of COVID-19 on Healthcare Management Practices: A Systematic Literature Review

Impact of COVID-19 on Healthcare Management Practices: A Systematic Literature Review

“Straight from the Horse’s Mouth”: Equine-Assisted Services Curriculum Development Using Industry-Based Survey Assessment of Horse Welfare and Healthcare Management Practices

Equine-assisted services (EAS) is a relatively new area of study within higher education requiring the development of a curriculum that best prepares the undergraduate student for the demands of the industry. Further, coursework targeting the specific management challenges for ensuring the welfare of horses utilized within EAS is limited. Therefore, the objective of this study was to apply an industry-based survey assessment utilizing EAS professionals within the United States to document management practices associated with healthcare and pain management challenges in the EAS horse. Suggested curriculum for undergraduate students targeting a career in EAS is given, utilizing data collected from the survey. Participant responses (n = 30) indicated that all of the surveyed facilities cared for more than three geriatric horses within their program, with the majority (60% responding “definitely yes”) utilizing regularly functionally lame horses, although the prevalence of lameness was not correlated with number of geriatric horses within a program (0.20, p = 0.22). While lameness is a common healthcare challenge within EAS, gastrointestinal conditions (73%) were one of the other leading health concerns for these facilities. The most common equine pain detection method for EAS facilities was behavior assessment (93%), in which this method was positively correlated with years of horse experience (0.51, p = 0.01). Horse pain was primarily managed through annual alternative therapeutic interventions (76%), daily prescriptions (73%), and nutritional supplements (73%). As such, the curriculum for undergraduate EAS degree programs should cover healthcare practices targeting geriatric horse management and associated health issues such as gastrointestinal conditions and lameness, including early detection and pharmaceutical, nutritional, and alternative therapeutic treatments.

Hospital Performance and Operational Management: A Bibliometric Review of Key Factors Affecting Effectiveness

This study employs bibliometric and co-authorship network analyses to investigate the landscape of research in hospital performance and operational management. Using VOSviewer, key themes were visualized to depict the concentration and evolution of research areas from technology integration to quality management within healthcare settings. The study identifies central researchers and maps collaborative networks, revealing both densely interconnected groups and isolated researchers. Practical implications are discussed for academic researchers, hospital administrators, and policymakers, highlighting areas for strategic development and potential collaboration. Limitations such as selection bias and the exclusion of qualitative impact underscore the need for cautious interpretation of the results. The study provides a foundational tool for stakeholders to understand the current research environment and to guide future healthcare management practices effectively.

Factors Influencing SIMRS Quality at Al-Islam H.M Mawardi General Hospital

This quantitative study investigates the impact of organizational factors on Hospital Management Information Systems (HMIS), employing the PRISM framework. The absence of a search menu linked to the primary key of national identity number in the HMIS was scrutinized for its effects. Results reveal significant influences of organizational factors on technical and behavioral aspects of HMIS. Notably, periodic evaluations by the IT team significantly enhance technological advancements within hospitals, while frequent training sessions for HMIS users markedly improve their comprehension of system functionalities. These findings underscore the pivotal role of organizational strategies in shaping the effectiveness and efficiency of HMIS, offering valuable insights for optimizing healthcare information management practices. Highlights : Organizational factors significantly influence technical enhancements in Hospital Management Information Systems. Frequent evaluations by the IT team contribute to technological advancements within hospital systems. Regular user training sessions enhance comprehension and utilization of HMIS functionalities Keywords: Hospital Management Information Systems, Organizational Factors, PRISM Analysis, Technology Improvement, User Training

Adoption of Improved Buffalo Husbandry Practices in Peri-Urban Areas of Surat City, Gujarat

The present study was carried out in the peri urban areas of Surat city of Gujarat to find out the adoption of improved buffalo husbandry practices. A random sample of 50 buffalo farm owners were selected and interviewed for the interview schedule prepared about adoption of improved dairy husbandry practices in six major aspects of housing, feeding, breeding, health care, milking and calf rearing management was studied. Housing in separate located place (100%), providing proper floor space (98%) and proper height and ventilation (90%) were more adopted in housing practices. Provision of clean and fresh drinking water (100%), feeding extra ration to advance pregnant animals (64%) and feeding balance concentrate mixture on the basis of milk production (64%) were more adopted in feeding management. In adoption of breeding management, keeping watch on oestrus cycle and heat symptoms of animals (100%), artificial insemination of animals (100%) and practicing pregnancy diagnosis between 60-90 days after service (91%) were more adopted by buffalo owners. Observing animals daily for signs of sickness (100%), timely and regularly vaccination (100%) and treatment of reproductive disorders (75%) were more adopted by respondents in health care management practices. In milking and calf rearing practices, washing pails and hands before milking (100%) and regularity in milking time (100%), early solid feeding (100%) and milk feeding to calves up to three months of age (96%) were more adopted by the buffalo owners.

Assessment of sustainable healthcare management policies and practices in Oman: A comprehensive analysis using an ai-based literature review

Health Vision 2050 Oman is a strategic plan to establish Oman as a regional leader and a research base for world-class health research. The vision emphasises prioritising health research to allocate and plan available resources appropriately. A sustainable healthcare management system is a holistic approach that seeks to balance economic, social, and environmental concerns to ensure the long-term viability and efficacy of healthcare services. There are numerous obstacles to implementing a sustainable healthcare management system in Oman. For example, assessing patient safety culture in primary healthcare settings in Muscat has revealed patient safety concerns throughout the healthcare system. It is critical to address these difficulties to improve the quality and safety of healthcare services, both of which are essential for sustainable healthcare management. The primary goal of this study is to identify the sustainable healthcare areas and policies required for Oman's Healthcare Management System. This research undertakes a comprehensive literature review using artificial intelligence (AI) to analyse Oman's sustainable healthcare management policies and practices. This study uses two AI tools, Scite.ai and SciSpace, to discover areas and policies related to Oman's sustainable healthcare management system. The study highlighted environmental sustainability, public health initiatives, infrastructure development, waste management, and community engagement and education. Furthermore, a variety of interconnected policies are discernible within each domain. This study provides significant data about Oman's sustainable healthcare practices and can guide policymakers and healthcare sector stakeholders. This study contributes significantly to creating sustainable healthcare management strategies and establishing resilient healthcare systems in Oman by focusing on critical domains and policies.

Effective nursing leadership as a catalyst for person-centered care and positive nursing-patient interactions: evidence from a public Ghanaian hospital

Person-centered care (PCC) is crucial to patient engagement in healthcare enhancing patients’ participation in critical care decision-making, increasing care disclosure, reducing medication errors, and promoting satisfaction with care outcomes. Healthcare management and leadership practices contribute to effective communication and interactions between healthcare providers and patients, which is vital for quality PCC outcomes and patient perceptions of care providers. However, little is known about how nursing leadership influences PCC and clinical interactions in the Ghanaian setting, which this study saw as a gap and aims to fill. This paper reports data from interdisciplinary exploratory qualitative research to examine the impacts of nursing leadership practices on nurse-patient relationships and care outcomes. Nurses (11), patients (22), and caregivers (11) participated in the study. Data were gathered in Ghana through interviews, focus groups, and participant observations and analyzed thematically. The three themes which emerged were: hospital leadership and the nursing staff, healthcare management practices, and communication barriers regarding how nursing leadership impacts PCC. Poor relationships between nurses and hospital leaders affected nurses’ caring practices. Management practices, including an annual rotation of nurses across different patient wards and exigent patient record management routines, negatively impacted care delivery and patient-provider interactions. These leadership practices and the strained relationships between nurses and hospital leaders potentially derail effective PCC. Nursing and hospital managers must embrace transformational leadership and healthcare management practices, especially in resource-scare settings, that foster a trusting care culture and/or environment for therapeutic nurse-patient relationships to thrive and for PCC to be actualized.

System‐failing creativity in health care

AbstractIntroductionHealth care professionals often generate novel solutions to solve problems during day‐to‐day patient care. However, less is known about generating novel and useful (i.e., creative) ideas in the face of health care system failure. System failures are high‐impact and increasingly frequent events in health care organizations, and front‐line professionals may have uniquely valuable expertise to address such occurrences.MethodsOur interdisciplinary team, blending expertise in health care management, economics, psychology, and clinical practice, reviewed the literature on creativity and system failures in health care to generate a conceptual model that describes this process. Drawing on appraisal theory, we iteratively refined the model by integrating various theories with key concepts of system failures, creativity, and health care worker's well‐being.ResultsThe SFC model provides a conceptualization of creativity from front‐line care professionals as it emerges in situations of failure or crisis. It describes the pathways by which professionals respond proactively to a systems failure with creative ideas to effectively address the situation and affect these workers' well‐being.ConclusionsOur conceptual model guides health care managers and leaders to use managerial practices to shape their systems and support creativity, especially when facing system failures. It introduces a framework for examining system‐failing creativity (SFC) and general creativity, aiming to improve health care quality, health care workers' well‐being, and organizational outcomes.

Knowledge and culture influences on quality of care: A mixed methods approach

Concerns about the quality of care provided to patients have been recently revisited in the healthcare management literature, driven by the aftermath of the COVID-19 pandemic. Quality of care is a complex measure of healthcare performance that relies on optimizing healthcare knowledge. Knowledge management initiatives and practices in healthcare remain difficult to implement and develop – presenting a managerial challenge that must coexist in a competitive environment. This paper aims to study the contribution of knowledge-management systems, knowledge-sharing behavior, and competitive culture to the quality of care provided to patients. We use a mixed-methods approach to explore a research model in a sequence of two studies. Research data comes from a sample of 323 healthcare professionals in Portuguese healthcare organizations. Quantitative results show that both knowledge-management systems and a competitive culture positively influence the quality of care. Results also show a positive influence of knowledge-sharing behavior on the quality of care. Complementarily, qualitative results reveal two configurations leading to quality of care. The first highlights the role of knowledge-management systems alone as sufficient to provide quality of care. A second configuration involves cumulative contributions of competitive culture and individual knowledge sharing, leading to quality of care. Theoretical and practical implications are discussed, and a model for quality of care creation is offered. Limitations are acknowledged and future work directions are presented.

A prescription for efficiency: optimizing the surgical item inventory management practices in a healthcare facility

PurposeThe primary objective of this article is to examine current procurement, inventory control and management practices in modern healthcare, with a particular focus on the procurement and management of surgical supplies in a prominent public, highly specialized healthcare sector.Design/methodology/approachThis study was conducted in three phases. In Phase 1, the study team interacted with various hospital management stakeholders, including the surgical hospital store, examined the current procurement process and identified challenges. Phase 2 focused on selecting items for a detailed study and collected the qualitative and quantitative details of the store department of the healthcare sector chosen. A detailed study analyzed revenue, output/demand, inventory levels, etc. In Phase 3, a decision-making framework is proposed, and inventory control systems are redesigned and demonstrated for the selected items.FindingsIt was observed that the demand for many surgical items had increased significantly over the years due to an increase in disposable/disposable items, while inventories fluctuated widely. Maximum inventory levels varied between 50 and 75%. Storage and availability were important issues for the hospital. It is assumed the hospital adopts the proposed inventory control system. In this case, the benefits can be a saving of 62% of the maximum inventory, 20% of the average stock in the system and optimal use of storage space, improving the performance and productivity of the hospital.Research limitations/implicationsThis study can help the healthcare sector administration to develop better systems for the procurement and delivery of common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels, and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.Practical implicationsThis study can help the healthcare sector administration develop better systems for procuring and delivering common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.Originality/valueThis study is an early attempt to develop a decision framework and inventory control system from the perspective of healthcare inventory management. The gaps identified in real hospital scenarios are investigated, and theoretically based-inventory management strategies are applied and proposed.

HEALTHCARE MANAGERS' ROLE IN ADDRESSING HEALTH DISPARITIES: A REVIEW OF STRATEGIES

This review paper comprehensively explores the pivotal role of healthcare managers in addressing health disparities. It examines their responsibilities, including strategic planning, cultural competence, and community engagement. The impact of managerial decisions on healthcare delivery and outcomes for diverse populations is scrutinized, highlighting the intricate challenges and systemic barriers. The paper emphasizes the influential intersection of healthcare policies, underscoring the need for policies that prioritize equity. Additionally, it elucidates the crucial role of education and training for healthcare managers, stressing continuous professional development in diverse healthcare settings. The future directions encompass precision approaches, technology integration, and a global perspective on health disparities. The conclusion emphasizes the significance of healthcare managers as transformative leaders in the ongoing pursuit of health equity, orchestrating strategies that transcend organizational boundaries and resonate within communities. This review serves as a roadmap for advancing healthcare management practices that contribute to dismantling disparities and fostering inclusivity in healthcare delivery&#x0D; Keywords: Health Disparities, Healthcare Management, Cultural Competence, Policy Implications, Continuous Professional Development.

Enhancing Patient Consent Management through Blockchain Technology: A Promising Approach for Healthcare Data Security

In contemporary healthcare systems, ensuring patient consent management while safeguarding data privacy and security is a paramount concern. Traditional approaches to managing patient consent often face challenges related to security vulnerabilities, data breaches, and lack of transparency. This research paper proposes a novel approach to address these challenges by leveraging blockchain technology for patient consent management. Blockchain, with its decentralized and immutable ledger, offers a promising solution for securely recording and managing patient consent in healthcare settings. This paper presents a detailed exploration of the concept, design, and implementation of a blockchain-based patient consent management system. Through a comprehensive literature review, methodology description, and evaluation of the proposed system, this research demonstrates the potential benefits of blockchain technology in enhancing patient privacy and data security. The findings of this study contribute to the advancement of healthcare data management practices and provide valuable insights for future research and development in this evolving field. Keywords— Patient consent management, Blockchain technology, Healthcare data security, Privacy protection, Decentralization, Immutable ledger, Transparency, System architecture, Data integrity, Healthcare information management

Assessment of the organizational factors in incident management practices in healthcare: A tree augmented Naive Bayes model.

Despite the exponential transformation occurring in the healthcare industry, operational failures pose significant challenges in the delivery of safe and efficient care. Incident management plays a crucial role in mitigating these challenges; however, it encounters limitations due to organizational factors within complex and dynamic healthcare systems. Further, there are limited studies examining the interdependencies and relative importance of these factors in the context of incident management practices. To address this gap, this study utilized aggregate-level hospital data to explore the influence of organizational factors on incident management practices. Employing a Bayesian Belief Network (BBN) structural learning algorithm, Tree Augmented Naive (TAN), this study assessed the probabilistic relationships, represented graphically, between organizational factors and incident management. Significantly, the model highlighted the critical roles of morale and staff engagement in influencing incident management practices within organizations. This study enhances our understanding of the importance of organizational factors in incident management, providing valuable insights for healthcare managers to effectively prioritize and allocate resources for continuous quality improvement efforts.

Adoption of health care and feeding management practices by the flood affected dairy farmers

Adoption of health care and feeding management practices by the flood affected dairy farmers

Reviewing business analytics in healthcare management: USA and African perspectives

This comprehensive review explores the application and impact of business analytics in healthcare management, focusing on the distinctive perspectives of the United States and Africa. In an era where data-driven decision-making is paramount, healthcare organizations globally are increasingly turning to business analytics to enhance efficiency, improve patient outcomes, and optimize resource allocation. The review begins by examining the state of business analytics in healthcare management within the United States, a pioneer in adopting advanced analytics solutions. The analysis encompasses the utilization of predictive modeling, data mining, and artificial intelligence to streamline operations, enhance clinical decision-making, and improve patient care. Case studies and success stories from leading healthcare institutions in the USA illustrate the transformative power of business analytics in areas such as patient risk stratification, resource optimization, and population health management. Contrastingly, the review delves into the unique challenges and opportunities that characterize the adoption of business analytics in healthcare across the African continent. Despite facing resource constraints and varying levels of technological infrastructure, African nations are increasingly recognizing the potential of analytics to address pressing healthcare challenges. The discussion encompasses initiatives and collaborations aimed at leveraging data analytics to improve healthcare delivery, disease surveillance, and resource management in the African context. The comparative analysis between the USA and Africa highlights the diversity of approaches and contexts in implementing business analytics in healthcare management. Factors such as data accessibility, infrastructure development, and cultural considerations emerge as critical determinants shaping the successful integration of analytics tools in healthcare decision-making. The review underscores the pivotal role of business analytics in reshaping healthcare management practices, while acknowledging the need for tailored strategies that align with the specific challenges and opportunities inherent in the USA and African healthcare landscapes. This study provides valuable insights for policymakers, healthcare administrators, and researchers seeking to navigate the evolving landscape of healthcare analytics on both a global and regional scale.