Liaison Role Research Articles

Family Visitation in the Postanesthesia Care Unit: Implementation of a Nurse Liaison Role

The purpose of this article was to report on the nurse liaison role developed at a 400-bed community hospital in response to a previously published best practice project on the effect of family visitation in the PACU on family member anxiety. The evidence resulted in the development of the nurse liaison role, which changed nursing practice and involved each area of perioperative services as we embarked on family-centered care (FCC). The nurse liaison program has served as a model for other hospital departments as well as area hospitals. Guidelines for implementation of the program, which included FCC, are discussed as well as job guidelines, job descriptions, challenges, and outcomes.

373 Role of the learning disability liaison nurse in cystic fibrosis

373 Role of the learning disability liaison nurse in cystic fibrosis

Shifting expectations: Revisiting core concepts of academic librarianship in undergraduate classes with a digital humanities focus

ABSTRACTThis article explores best practices for supporting digital humanities (DH) activity and pedagogy in the undergraduate classroom on campuses without a DH center in the library. By examining specific aspects of librarians' curricular engagements, with a particular focus on reference and instructional activity, we discuss how reenvisioning these services aids in the development of effective support for both faculty and students engaged in DH. An included case study illustrates how redefining “traditional” librarian liaison roles and shifting expectations of faculty from one-shot instruction sessions to embedded librarianship models can be put into practice in undergraduate classrooms with a DH focus. The article concludes with a discussion of the librarian as digital humanist and how this role can positively impact undergraduate curricula.

Separating supervisory roles in a New Zealand student teaching practice

A persistent international problem in teacher education supervision is the dilemma between working with a teacher as a friendly colleague and simultaneously having to evaluate the teacher. In New Zealand, educators at the University of Waikato resolve this dilemma by separating the liaison and evaluative roles of the university supervisor. The model was explored through analysis of the perspectives of, and dialogues between student teachers, associate teachers, liaison and evaluative lecturers. While common supervisory tasks overlap, differentiated supervisory roles were seen during observations, heard in conference dialogue, and identified on student teacher surveys.

Purchasing-logistics integration and supplier performance: an information-processing view

PurposeThe purpose of this paper is to develop a purchasing-logistics integration (PLI) conceptualization along two dimensions: mutual responsibility and integrative efforts. This conceptualization is then tested as to whether it provides any insights for supplier performance.Design/methodology/approachInformation-Processing Theory is used to posit hypotheses linking the dimensions of PLI with various measures of supplier performance. Hypotheses are then tested with a dyadic data set of purchasing and logistics managers, using multiple regression methods.FindingsPurchasing managers found mutual responsibility to positively influence supplier delivery speed, whereas logistics managers found it to positively influence supplier price performance. Generally speaking, purchasing managers perceived a stronger linkage between formal integrative efforts (liaison roles and joint reward systems) and supplier performance, whereas logistics managers perceived this linkage to be stronger for informal integrative efforts such as information exchange and collaboration.Research limitations/implicationsStudy results are cross-sectional in nature and consist of three major industry groupings. The dyadic data were analyzed separately to avoid significant data loss.Practical implicationsSupply chain managers will find the areas where purchasing and logistics managers overlap in their perceptions (as well as where they differ) useful. In addition, an understanding of how PLI influences supplier performance should help improve organizational effectiveness.Originality/valuePLI is a highly important, yet understudied, internal connection. This study provides a useful framework in helping academics and practitioners better understand this crucial internal connection, and how it relates to the performance extracted from suppliers.

Effective communication of public health guidance to emergency department clinicians in the setting of emerging incidents: a qualitative study and framework

BackgroundEvidence to inform communication between emergency department clinicians and public health agencies is limited. In the context of diverse, emerging public health incidents, communication is urgent, as emergency department clinicians must implement recommendations to protect themselves and the public. The objectives of this study were to: explore current practices, barriers and facilitators at the local level for communicating public health guidance to emergency department clinicians in emerging public health incidents; and develop a framework that promotes effective communication of public health guidance to clinicians during emerging incidents.MethodsA qualitative study was conducted using semi-structured interviews with 26 key informants from emergency departments and public health agencies in Ontario, Canada. Data were analyzed inductively and the analytic approach was guided by concepts of complexity theory.ResultsEmergent themes corresponded to challenges and strategies for effective communication of public health guidance. Important challenges related to the coordination of communication across institutions and jurisdictions, and differences in work environments across sectors. Strategies for effective communication were identified as the development of partnerships and collaboration, attention to specific methods of communication used, and the importance of roles and relationship-building prior to an emerging public health incident. Following descriptive analysis, a framework was developed that consists of the following elements: 1) Anticipate; 2) Invest in building relationships and networks; 3) Establish liaison roles and redundancy; 4) Active communication; 5) Consider and respond to the target audience; 6) Leverage networks for coordination; and 7) Acknowledge and address uncertainty. The qualities inherent in local relationships cut across framework elements.ConclusionsThis research indicates that relationships are central to effective communication between public health agencies and emergency department clinicians at the local level. Our framework which is grounded in qualitative evidence focuses on strategies to promote effective communication in the emerging public health incident setting and may be useful in informing practice.

Family Presence During Resuscitation (FPDR): Observational case studies of emergency personnel in Victoria, Australia

IntroductionFamily Presence During Resuscitation (FPDR), although not a new concept, remains inconsistently implemented by emergency personnel. Many larger metropolitan emergency departments (ED) have instigated a care coordinator role, however these personnel are often from a non-nursing background and have therefore limited knowledge about the clinical aspects of the resuscitation. In rural emergency departments there are simply not enough staff to allocate an independent role. A separate care coordinator role, who is assigned to care for the family and not take part in the resuscitation has been well documented as essential to the successful implementation of FPDR. MethodsOne rural and one metropolitan emergency department in the state of Victoria, Australia were observed and data was collected on FPDR events. The participants consisted of resuscitation team members, including; emergency trained nurses, senior medical officers, general nurses and doctors. The participants were not told that the data would be recorded around interactions with family members or team discussions regarding family involvement in the resuscitation, following ethical approval involving limited disclosure of the aims of the study. ResultsSeventeen adult presentations (Metro n=9, Rural n=8) were included in this study and will be presented as resuscitation case studies. The key themes identified included ambiguity around resuscitation status, keeping the family informed, family isolation and inter-professional communication. ConclusionDuring 17 adult resuscitation cases, staff were witnessed communicating with family, which was often limited and isolation resulted. Family were often uninformed or separated from their family member, however when a family liaison person was available it was found to be beneficial. This research indicated that staff could benefit from a designated family liaison role, formal policy and further education.

A survey of medical scientific liaisons in the pharmaceutical industry in Spain

This report presents the findings of an online 38-item survey on the emerging role of medical scientific liaison in the pharmaceutical industry in Spain. A total of 44 complete surveys were receive...

女性がん患者に対する生活へのサポート : リエゾン精神看護師の立場から(シンポジウム「女性のがんと心のケア」, 第41回日本女性心身医学会学術集会報告)

女性がん患者に対する生活へのサポート : リエゾン精神看護師の立場から(シンポジウム「女性のがんと心のケア」, 第41回日本女性心身医学会学術集会報告)

Leveraging Librarian Liaison Expertise in a New Consultancy Role

ABSTRACT This paper presents a case study of an advisory role that librarians successfully developed with faculty editors to increase the visibility and readership of an open access scholarly publication. The study represents an example of how expertise among liaison librarians and other library service professionals can be leveraged in new consultancy roles in support of evolving library service models. It also depicts local application of a hybrid model for librarianship that combines the functional specialist and subject librarian liaison roles in implementing advisory activities and recommendations. The liaison librarians successfully used their knowledge of scholarly communications and applied innovative bibliometric analysis to help enhance the discoverability and user experience of an online journal publication. The librarians made specific recommendations for optimizing journal website content organization, search functionality, metadata standards and marketing opportunities that were subsequently implemented by the editors and platform managers. The faculty editor places a high value on these recommendations, and the librarian advisory role continues to develop. Our study also outlines many of the essential considerations that scholar-editors and librarian advisors can use to help implement open access scholarly publishing projects successfully.

Distinctive Roles: Engagement, Innovation, and the Liaison Model

Bent on improving the teaching and learning experience, enhancing the productivity of researchers, and increasing the visibility of research outputs, libraries are redistributing staff, reallocating resources, and reorganizing internal structures, all to better partner campus-wide. Nowhere is the impact of this push for service innovation and user engagement greater than on the workload, direction, and even future of liaison librarian programs. This article provides brief historical context as it explores a cross section of libraries that recently redefined or restructured their liaison roles and begins a larger look at the corresponding impact of organizational climate and structure that may influence future success.

'Being the bridge and the beacon': a qualitative study of the characteristics and functions of the liaison role in child and family health services in Australia.

This article explores the characteristics and functions of the liaison role in child and family health services in Australia. Liaison roles are increasingly being used to improve communication between health services and professionals and to facilitate access to support for individuals and families in need. Nurses are commonly, although not always, the professionals who undertake these roles. Research on the role and outcomes of liaison positions in child and family health services is limited in Australia and internationally. A qualitative interpretive design informed this study. Interviews and focus groups were conducted with 40 liaison and other health professionals, primarily nurses, working with families with newborn and young children in two Australian States. Data were analysed thematically. Three major themes were identified reflecting the importance of defining the role and tasks which included building bridges between services and professionals, supporting families during transition between services and supporting clinicians. Several facilitators and barriers were identified, including concerns about sustainability of the roles. Professionals working in a liaison role in child and family health services emphasise that these positions have the potential to link services and professionals, thereby providing more effective care pathways for children and families especially for those with complex and multiple vulnerabilities. While a few children and family health services in Australia provide liaison services, the extent of liaison support and the outcomes for families in Australia is unknown. Nurses working with children and families are the most likely health professionals to undertake a liaison role. In many nursing contexts, liaison roles are relatively new and those in the role have the responsibility to define the key purpose of their role. Liaison roles are multifaceted requiring the nurse to have excellent communication and negotiation skills to effectively link diverse professionals and services, while simultaneously engaging with and supporting vulnerable families and children. Nurses in these roles also support and educate clinical colleagues.

Developing a matrix and using self-reported scoring to measure librarian engagement on campus

Purpose – The library’s strategic plan calls for the author to “Transform the role of the subject liaison librarian to better engage the campus community.” This statement specifically focusses on the aspect of the liaison role that builds relationships with the campus partners, “to better engage the campus community.” And like the peers, liaison librarians at this mid-size research institution have been struggling not only with implementing but also determining how to measure this new role. The purpose of this paper is to develop one measure of librarian engagement with the campus community. Design/methodology/approach – The author developed a “campus relationship matrix” that articulates dozens of products that could potentially be the result of liaison work, such as co-authoring a grant proposal, developing a class, co-presenting a workshop on article impact metrics, etc. These relationship products were generated by examining the own work and by scanning liaison responsibility statements from other institutions. These products fall into three relationship status levels: emergent, generative, and productive. Each subject librarian was asked to rate his and her relationship with each department he or she serves. Additionally, in order to achieve consistency across the organization in understanding of three relationship levels, the author engaged in an exercise to calibrate the categorization of these work products. During this exercise and through the discussions, greater nuances were revealed about what the author is hoping to achieve with the strategic goal. A review and summary of the ratings is presented. Findings – Baseline counts of relationship types were completed. The author is working to establish goals for next year’s comparisons. In actuality, the specific goals matters much less than the conversations surrounding these results about what work the author should be doing and why and how is valued. Originality/value – This study presents a tool useful for the exploration and measure of librarian relationships with campus.

Medical mall founders' satisfaction and integrated management requirements

SummaryMedical malls help provide integrated medical services and the effective and efficient independent management of multiple clinics, pharmacies and other medical facilities. Primary care in an aging society is a key issue worldwide and the establishment of a new model for primary care in Japanese medical malls is needed. Understanding the requirements of integrated management that contribute to the improvement of medical mall founders' satisfaction levels will help provide better services. We conducted a questionnaire survey targeting 1840 medical facilities nationwide; 351 facilities responded (19.1%). We performed comparative analyses on founders' satisfaction levels according to years in business, department/area, founder's relationship, decision‐making system and presence/absence of liaison role. A total of 70% of medical malls in Japan have adjacent relationships with no liaison role in most cases; however, 60% of founders are satisfied. Integrated management requirements involve establishing the mall with peers from the same medical office unit or hospital, and establishing a system in which all founders can participate in decision‐making (council system) or one where each general practitioner (GP) independently runs a clinic without communicating with others. The council system can ensure the capability of general practitioners to treat many primary care patients in the future. © 2016 The Authors. The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd

An audit of the quality of inpatient care for adults with learning disability in the UK

ObjectivesTo audit patient hospital records to evaluate the performance of acute general and mental health services in delivering inpatient care to people with learning disability and explore the influence of...

General Practitioners' experience of child and adolescent suicidal ideation and behaviour - a survey.

A major cause of death in Irish men aged 15-24 is suicide and the rates for those aged 15-19 are amongst the highest in Europe. Despite concerns over suicidal ideation or behaviour, little research has been done in the Irish primary care context. We therefore aimed to carry out a study of Irish General Practitioners (GPs)' experience regarding suicidal ideation or behaviour in children and adolescents. The study design was a descriptive, cross-sectional, questionnaire survey. We randomly selected 480 GPs and invited them to participate via post. In total, 198 GPs replied, representing a response rate of 41% with a sampling error of ±6.8%. In total, 184 of respondents (93%) saw more than 50 children and adolescent patients annually, however, presentations of suicidal ideation and behaviour were relatively rare, with 36% reporting seeing none, 58% seeing between one and five and 6% seeing more than five such presentations annually. In total, 119 (62%) of GPs reported a willingness to prescribe antidepressants for this age group. In total, 66% of GPs felt this was either 'always' or 'usually' a difficult patient group to manage, and the single most commonly reported difficulty by GPs was access to services [n=48 (33%)]. GPs reported that their management of children and adolescents with suicidal ideation or behaviour is often difficult. GPs play a key liaison role in the area of child and adolescent mental health, but our results indicate that GPs are also involved in the treatment of this patient group. However, ongoing education was not a priority according to GPs themselves.

Cancer screening for people with learning disabilities and the role of the screening liaison nurse

Purpose – The purpose of this paper is to describe the role of the screening liaison nurses for adults with learning disabilities employed by Peninsula Community Health. Design/methodology/approach – This paper reports on the national situation in regard to cancer screening for people with learning disabilities and explores the barriers which limit their participation in these screening programmes. It describes the screening liaison nurse role and presents case examples of the work they do. Findings – The local screening rates for people with learning disabilities have increased since the creation of this role in 2011. Originality/value – Increasing the uptake of cancer screening by people with learning disabilities is clearly in line with existing national priorities. To the author’s knowledge this is a unique role in this country and the authors propose that other areas would benefit from adopting this model of working.

Disaster Recovery and Reconstruction Following the 2011 Great East Japan Earthquake and Tsunami: A Business Process Management Perspective

The Tohoku Regional Bureau (TRB) of the Ministry of Land, Infrastructure, Transport and Tourism (MLIT) performed various actions in response to the 2011 Great East Japan Earthquake and Tsunami. The total disaster recovery and reconstruction period is expected to last for 10 years, of which the first five years are regarded as the concentrated reconstruction period. As of 2013, a majority of the mega projects that involved restoration actions have been completed, which indicates a more effective rate of completion compared with the MLIT projects performed in normal non-disaster situations. This short article explains the management process of the recovery and reconstruction utilized by the TRB—an inter-organizational process—from a business process management (BPM) perspective and creates a simple organization construction diagram of the entire process. The study focused on the transactions and actor roles to identify their strengths. The findings indicate the utilization of different operational procedures in some parts of the process, the importance of liaison role, as well as some obstacles. The lessons learned from this analysis can assist managers and researchers in designing and managing restoration processes for future disasters.

Contributions of brokerage roles to firms' innovation in a confectionery cluster

Scholars have provided valuable insights into the networking phenomenon and its impact on firms' performance. Nonetheless, a wide spectrum of issues remains unexplored. Using the network approach, this paper examines the different patterns of intermediation between otherwise disconnected firms and its impact on innovation performance. Our research was conducted on a well-known confectionery cluster in the Valencia region. The data allowed us to calculate four brokerage roles, depending on the affiliation of the organisations involved. Through these values, we open the ‘black box’ of brokerage by examining the differential contributions made to innovation performance by the coordinator, gatekeeper, representative, and liaison roles. These differences between roles are based on the tacit or explicit nature of the knowledge transferred and the specificities of each broker profile. Consequently, the research makes a relevant contribution to the network and cluster literatures and implies some useful recommendations for policy-makers and individual firms.

Absorbing knowledge from supply-chain, industry and science: The distinct moderating role of formal liaison devices on new product development and novelty

Building on open innovation literature and recent developments within absorptive capacity research, this paper addresses if the use of formal liaison devices by firms differently influences the effects of external knowledge acquisition from suppliers, customers, competitors and universities on new product development and novelty of new products. The results of a survey of 248 Spanish industrial high-tech firms show that whereas the use of these mechanisms positively moderates the relationship between knowledge acquisition from suppliers and competitors and new product development, they negatively moderate the effect of knowledge acquisition from universities and have no effect on knowledge acquired from customers. On the other hand, the use of these devices negatively moderates the relationship between knowledge acquisition from suppliers and novelty of new products, and has no effect on the knowledge acquired from customers, competitors and universities. Moreover, knowledge acquisition from universities has a direct negative effect on novelty. Contribution of these findings to open innovation and absorptive capacity research is discussed.