Transformation Of Health Care Services Research Articles

Impact of organizational energy on digital transformation in healthcare services: the movement of human resources from inertia to flexibility

PurposeWhile scholarly studies focus on the role of technology in digital transformation, an important direction of research still requires examining HR-related factors in this regard specifically. This study aims to analyze factors pertaining to human and organizational resources in the context of digital transformation within healthcare enterprises. The study examines the possible impacts of organizational energy (OE) and human resource flexibility (HRF) on digital transformation (DT). The study also seeks to investigate the influence of organizational inertia (OI) on the relationships being examined, according to the theory of change principles.Design/methodology/approachThe empirical study used a survey method on 355 Mansoura University Hospitals employees, Egypt. The study data were analyzed using structural equations modeling with WarpPLS V. 8.0.FindingsThe results showed that all OE dimensions directly affected DT and HRF dimensions. Through HRF, OE indirectly affected DT. The study also found that all dimensions of OI negatively moderated the OE-DT and HRF-DT relationships. Based on the study's results, theoretical and practical implications were drawn.Originality/valueThis study develops a novel model to empirically investigate the quantitative relationships between OE, HRF, OI, and DT. This study provides an addition to understanding how human resources and organizational mechanisms work in technology-based experiments such as digital transformation and adds contributions in this regard to the health sector in particular.

Healthcare Leadership in the COVID-19 Pandemic: From Innovative Preparation to Evolutionary Transformation.

PurposeIn pandemics, centralized healthcare leadership is a critical requirement. The objective of this study was to analyze the early development, operation, and effectiveness of a COVID-19 organizational leadership team and transformation of healthcare services at West Virginia University Hospitals and Health System (WVUHS). The analysis focused on how Kotter’s Leading Change eight-stage paradigm could contribute to an understanding of the determinants of successful organizational change in response to the COVID-19 pandemic.MethodsThe fifteen core leaders of WVUHS COVID-19 strategic system were interviewed. A qualitative thematic analysis of the interviews was used to evaluate key aspects of leadership dynamics and system-wide changes in healthcare policies and protocols to contain the pandemic. Outcome measures included the degree to which WVUHS could handle and contain COVID-19 cases as well as COVID-19 death and vaccination rates in West Virginia compared with other states.ResultsThe leadership team radically and rapidly revamped nearly all healthcare policies, procedures, and protocols for WVUHS hospitals and clinics, and launched a Hospital Incident Command System. As a result of this effective leadership team and strategic plan, WVUHS surge capacity was adequate for COVID-19 cases. In addition, West Virginia was an early frontrunner in COVID-19 vaccination rates as well as lower death rates.ConclusionWVUHS’s leadership response to the COVID-19 pandemic followed Kotter’s eight-stage paradigm for Leading Change in organizations, including the establishment of a sense of urgency, formation of a powerful guiding coalition, creation of a vision, communication of the vision, empowerment of others to act on the vision, plan for and creation of short-term wins, consolidation of improvements and production of more changes, and institutionalization of new approaches. This approach was effective in limiting the spread and impact of COVID-19 within the hospital network and across the state, with many lessons learned along the way.

Digital Transformation in Indonesian Healthcare

<p>Digital transformation in the health sector is a necessity. The context of a pandemic has indeed accelerated these transformations but experiencing some challenges. Using surface web searching and a systematic review of google scholar data, this manuscript tries to elaborate on Indonesian healthcare digital transformation. Digital transformation in healthcare services in Indonesia has several challenges in its development. Apart from legal and ethical issues, there are social, political, and cultural contexts that make existing transformations at risk of creating conflict relations in health services. It can be concluded, the benefits of digital transformation of health services need some mitigate conflicts potential. In order to improve access and quality, its risk potential should be reduced</p><p> </p>Keywords: digital transformation, digital healthcare, health apps, risk potential.

Effectiveness of Webinar Learning on Challenges in Management of Cancer Patients During Covid-19 Pandemic

COVID-19 has caused social disturbance which has, triggered a rapid, still ongoing, transformation of healthcare services on global level. Oncology patients have been particularly affected, since they are highly vulnerable group in the current pandemic. As the corona virus pandemic continuously impacting the health care, patients with cancer still need treatment and assistance. Nurses are facing challenges to find a balance between life-saving cancer care and alleviating the risks of COVID-19. Webinar establishes a medium to share their knowledge and experiences to treat patients with cancer during the corona virus pandemic for oncology care team members in and around the world. The main aim of the study was to assess the effectiveness of webinar learning on challenges in management of cancer patient during covid -19 pandemic. The objectives of the study were to assess the effectiveness of webinar learning program and to associate the level of knowledge and attitude on management of cancer patient during covid -19. Pre-experimental one group pretest post test design was adapted for this study. 269 samples were selected using purposive sampling technique. Data was collected using a knowledge and attitude questionnaire on challenges in management of cancer patients during covid-19 through virtual platform. Inferential and descriptive statistics were used to analyze the data. The study revealed that there is a significant difference in the knowledge and attitude scores after webinar learning (t value=18.18; 3.96; p<0.01). The study also revealed that there is a strong positive correlation of knowledge on attitude. (r=0.0488).

Digital Transformation of Healthcare Services - Recent Initiatives and Advancements

Digital Transformation of Healthcare Services - Recent Initiatives and Advancements

DIGITAL TRANSFORMATION IN HEALTHCARE SERVICES SECTOR OF BANGLADESH: CURRENT STATUS, CHALLENGES AND FUTURE DIRECTION

Digital transformation in healthcare services has massive potential to ensure healthcare quality, accessibility, equality & affordability in developing countries. Bangladesh is not exception to this trend for digitalization of healthcare sector as a part of vision 2021 of digital Bangladesh. This paper aims to explore the current standing of the digital transformation in healthcare services sector of the public, private & NGOs, as well as the managerial and technical challenges facing the digitalization of healthcare projects in Bangladesh. The digital transformation in healthcare is at the introductory stage in Bangladesh. Studies explored that although digitalization of this sector remains somewhat problematic, the difficulties and challenges could be overcome. Due to lack of technological knowhow, literacy, poverty, trust, attitudes, resistance to change and infrastructural facilities, this project does not work effectively and efficiently. Based on the assessment of this sector, the scope of some fields requires further improvement. The findings will help government agencies, policymakers, healthcare providers and mobile phone companies to make effective decisions regarding the digitalization of Healthcare services.

Position of the Academy of Nutrition and Dietetics and the Society for Nutrition Education and Behavior: Food and Nutrition Programs for Community-Residing Older Adults

Given the increasing number and diversity of older adults and the transformation of health care services in the United States, it is the position of the Academy of Nutrition and Dietetics and the Society for Nutrition Education and Behavior that all older adults should have access to evidence-based food and nutrition programs that ensure the availability of safe and adequate food to promote optimal nutrition, health, functionality, and quality of life. Registered dietitian nutritionists and nutrition and dietetics technicians, registered, in partnership with other practitioners and nutrition educators, should be actively involved in programs that provide coordinated services between the community and health care systems that include regular monitoring and evaluation of programming outcomes. The rapidly growing older population, increased demand for integrated continuous support systems, and rising cost of health care underscore the need for these programs. Programs must include food assistance and meal programs, nutritional screening and assessment, nutrition education, medical nutrition therapy, monitoring, evaluation, and documentation of evidence-based outcomes. Coordination with long-term care services and support systems is necessary to allow older adults to remain in their homes; improve or maintain their health and manage chronic disease; better navigate transitions of care; and reduce avoidable hospital, acute, or long-term care facility admissions. Funding of these programs requires evidence of their effectiveness, especially regarding health, functionality, and health care–related outcomes of interest to individuals, caregivers, payers, and policy makers. Targeting of food and nutrition programs involves addressing unmet needs for services, particularly among those at high risk for poor nutrition. Registered dietitian nutritionists and nutrition and dietetics technicians, registered must increase programmatic efforts to measure outcomes to evaluate community-based food and nutrition services. Position StatementIt is the position of the Academy of Nutrition and Dietetics and the Society for Nutrition Education and Behavior that older adults should have access to evidence-based food and nutrition programs that ensure the availability of safe and adequate food to promote optimal nutrition, health, functionality, and quality of life. Registered dietitian nutritionists and nutrition and dietetics technicians, registered, in partnership with other practitioners and nutrition educators, should be actively involved in programs that provide coordinated services between the community and health care systems that include regular monitoring and evaluation of programming outcomes. The rapidly growing older population, increased demand for integrated continuous support systems, and rising cost of health care underscore the need for these programs.

Curriculum Development of a Health Informatics Master Course in Understanding Technology.

Education in health informatics is an important contribution to the digital transformation in health care services, and there is a need to combine health and technology competencies. Traditional ways with separation of health sciences and computer science have shortcomings, and there is need for individuals with a holistic view and relevant education background for improving the technology-supported clinical work processes. This paper presents how the curriculum was organised in a course in "Understanding Technology", which was a part of a Master's Programme in Health Informatics. The course targeted different aspects of technology for students with a diverse background, and it was organised with the aim to provide the students with theoretical technical insights and apply the knowledge through problem-solving and practical use. The course was decentralised and had a student-centred teaching approach over one semester.

The Leadership Role of Nurse Educators in Mental Health Nursing

Leadership behaviors and actions influence others to act, and leadership in clinical practice is an important mediator influencing patient outcomes and staff satisfaction. Indeed, positive clinical leadership has been positioned as a crucial element for transformation of health care services and has led to the development of the Practice Doctorate Movement in the United States. Nurse educators in health care have a vital leadership role as clinical experts, role models, mentors, change agents, and supporters of quality projects. By enacting these leadership attributes, nurse educators ensure a skilled and confident workforce that is focused on optimizing opportunities for students and graduates to integrate theory and practice in the workplace as well as developing more holistic models of care for the consumer. Nurse educators need to be active in supporting staff and students in health care environments and be visible leaders who can drive policy and practice changes and engage in professional forums, research, and scholarship. Although nurse educators have always been a feature of the nursing workplace, there is a paucity of literature on the role of nurse educators as clinical leaders. This discursive article describes the role and attributes of nurse educators with a focus on their role as leaders in mental health nursing. We argue that embracing the leadership role is fundamental to nurse educators and to influencing consumer-focused care in mental health. We also make recommendations for developing the leadership role of nurse educators and provide considerations for further research such as examining the impact of clinical leaders on client, staff, and organizational outcomes.

TECHNOLOGY MANAGEMENT IN THE PUBLIC HEALTH SECTOR: PROFESSIONAL VIEW FROM EQUIPMENT MAINTENANCE EXPERTS

South Africa has tried various strategies to improve access, quality and cost-efficiency in the health care delivery systems. However it is clear that the optimal approach has yet to be found. It has been recognised that health technology is an important element of this transformation, and will continue to play a vital role. It is almost evident that the way health technology is managed in health care institutions directly affects the quality of treatment patients receive. Although strategic importance of technology in health care has been documented widely in scientific literature; technology planning, procurement and management have not received the attention they deserve in the transformation of health care services in the country. The survey discussed in this paper investigated health care equipment maintenance problems and associated technological constraints from point of view of health technology managers, biomedical and clinical engineers. It also provides recommendations for competitive utilisation of technology in the public health sector.

Transformational leadership training programme for charge nurses

This paper is a report of an evaluation of the effects of a transformational leadership training programme on Unit Charge Nurses' leadership practices. Current healthcare regulations in the European Union and accreditation efforts of hospitals for their services mandate transformation in healthcare services in Turkey. Therefore, the transformational leadership role of nurse managers is vital in determining and achieving long-term goals in this process. The sample consisted of 30 Unit Charge Nurses with a baccalaureate degree and 151 observers at two university hospitals in Turkey. Data were collected using the Leadership Practices Inventory-Self and Observer (applied four times during a 14-month study process from December 2005 to January 2007). The transformational leadership training programme had theoretical (14 hours) and individual study (14 hours) in five sections. Means, standard deviations and percentages, repeated measure tests and two-way factor analysis were used for analysis. According the Leadership Practices Inventory-Self and Observer ratings, leadership practices increased statistically significantly with the implementation of the programme. There were no significant differences between groups in age, length of time in current job and current position. The Unit Charge Nurses Leadership Practices Inventory self-ratings were significantly higher than those of the observers. There is a need to develop similar programmes to improve the leadership skills of Unit Charge Nurses, and to make it mandatory for nurses assigned to positions of Unit Charge Nurse to attend this kind of leadership programme.

The diversity of prevention and health promotion services offered by Quebec Community Health Centres: a study of infant and toddler programmes

Research has shown that preventive and health promotion (PHP) services offered by community health centres are often vulnerable in times of health reform or budgetary cutbacks. The present study was conducted in Québec, Canada, approximately 10 years after the start of a major transformation of health care services. The objectives were: (1) to examine the diversity of infant/toddler prevention and health promotion services offered by centres locaux de services communautaires (CLSCs, local community health and social services centres); and (2) to investigate the organisational and environmental correlates of such diversity. All Québec CLSCs were invited to complete a survey questionnaire regarding their PHP services (response rate = 69%). Data on environmental and organisational factors were extracted from existing Québec government data sets. Bivariate and multivariate analyses were performed to identify the correlates of the CLSCs' level of diversity of PHP services. The results revealed that CLSCs varied greatly in terms of their diversity of PHP services. The number of full-time equivalents in the Child and Family Services Programme (one of two programmes aimed at reaching the targeted clientele) and the degree of CLSC collaboration with other community-based organisations in the planning and delivery of PHP activities were positively associated with the level of diversity, whereas the unemployment rate in the population served was a negative predictor. This study makes an important contribution in being one of the very few which contribute to building our knowledge about the performance of community health centres. Identifying the correlates of diversity among PHP services offered by CLSCs helps us to begin to understand the processes at work in the production of PHP activities, as well as the potential leveraging forces.

Strategic management of technology in public health sector in Kenya and South Africa

To investigate factors contributing to health care equipment problems and associated technological investments in public hospitals. The article reviews the processes of equipment planning, procurement and management. Analysis of results and observations from experts leads to recommendations and suggestions on good equipment management practices in public hospitals. It also provides recommendations for competitive utilisation of equipment in the public health sector. Health care equipment management in Kenya and South Africa in 1999/2000. INSTITUTIONS: A total of 10 public equipment maintenance institutions, and 38 equipment maintenance experts participated in the survey. Majority of the participants were drawn from teaching hospitals. It is evident that the way health technology is managed in health care institutions directly affects the quality of treatment patients receive. Although strategic importance of technology in health care has been documented widely in scientific literature; equipment planning, procurement and management have not received the attention they deserve in the transformation of health care services in the two countries under the survey. The growing demand for more and better health care greatly expands the role of health care equipment in the delivery of health services. Kenya and South Africa have tried various strategies to improve access, quality and cost-efficiency in the health care delivery systems. However it is clear that the optimal method has yet to be found. Good management of health care equipment increases efficiency in health care services and enhances health outcomes.

“Your health is our duty, our commitment, our life's work”: Pharmacists in South Africa claim new ground

Abstract Against a background of transformation of health care services and a shift towards Primary Health Care, this article aims to present, discuss and analyse the changes that have taken place in Community Pharmacy (CP) in South Africa. Particular emphasis is placed on the concurrent shifts from the dominant focus on disease and illness to that of health, and from the exclusive reliance on Allopathic Medicine (AM) to an incorporation of Complementary and Alternative Medicine (CAM) and in some cases traditional/indigenous medicine. The analysis is based on official documentation, two surveys of community pharmacies in Johannesburg, as well as interviews with key informants. The main argument is that in its efforts to change its own role definition, CP is responding to demands from the public as well as to economic and professional opportunities presented. In the process, it is becoming a place for health rather than disease, incorporating lay and complementary healing systems by working with other marginal health professions such as nurses and CAM healers, with a view to generating economic rewards within a holistic framework. The article highlights the main changes and demonstrates how they converge with similar factors to those of the growth of CAM and the rise of the new public health. Concepts such as ‘the healthism movement’, ‘culture of fitness’, ‘consumerism’, ‘medical dominance’ and ‘professional boundaries and jurisdictions’ are invoked in the course of the discussion in order to explain the current developments as well as to point the direction in which community pharmacy in South Africa is likely to develop.