Abstract:
BACKGROUND:Health care leaders have called for the development of communication and leadership skills to improve manager-employee relationships, employee job satisfaction, quality care, and work environments. PURPOSES:The aim of the study reported here was to pilot how a 2-day coaching workshop ("Coaching for Impressive CARE") conducted as a leadership development strategy influenced frontline care managers' coaching practices in residential long-term care (LTC) settings. We had four objectives: (a) to identify managers' perceptions of their role as a coach of employee performance in LTC facilities, (b) to understand managers' intentions to coach employee performance, (c) to examine opportunities and factors that contributed to or challenged implementation of workshop coaching skills in daily leadership/management practice, and (d) to examine managers' reports of using coaching practices and employee responses after the workshop. METHODS:We used an exploratory/descriptive design involving pre-/post-workshop surveys, e-mail reminders, and focus groups to examine participation of 21 LTC managers in a 2-day coaching workshop and their use of coaching practices in the workplace. FINDINGS:Focus group findings provided examples of how participants used their coaching skills in practice (e.g., communicating empathy) and how staff responded. Factors contributing to and challenging implementation of these coaching skills in the workplace were identified. Attitudes and intentions to be a coach increased significantly, and some coaching skills were used more frequently after the workshop, specifically planning for performance change with employees. PRACTICE IMPLICATIONS:The coaching workshop was feasible to implement, well received by participants, influenced their willingness to become coaches, and had some noted impact on their use of coaching behaviors in the workplace. Coaching skills by managers to improve staff performance with residents in LTC facilities can be learned.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Cummings G,Mallidou AA,Masaoud E,Kumbamu A,Schalm C,Spence Laschinger HK,Estabrooks CAdoi
10.1097/HMR.0b013e318294e586subject
Has Abstractpub_date
2014-07-01 00:00:00pages
198-209issue
3eissn
0361-6274issn
1550-5030journal_volume
39pub_type
杂志文章abstract::A survey was conducted to determine community health concerns, interests, and perceived health needs. The survey data were used in the selection of health promotion interventions. An index of Concern/Information Need/Participation Willingness (CIP) was developed as a model for planning, implementing, marketing, and ev...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::An important factor in pricing decisions is the concept of cost analysis. The objective of this article is to describe the relevant costs for pricing medical services in the managed care environment. It discusses how a proper understanding of costs enables one to make correct pricing decisions. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199701000-00011
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:As safety net providers, public hospitals operate in more challenging environments than private hospitals. Such environments put public hospitals at greater risk of financial distress, which may result in privatization and deterioration of the safety net. PURPOSE:The purpose of this study was to investigate...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000032
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Benchmarking has become very popular among managers to improve quality in the private and public sector, but little is known about its applicability in international hospital settings. PURPOSE:The purpose of this study was to evaluate the applicability of an international benchmarking initiative in eye hosp...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c22bdc
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Implementation of accountable care organizations (ACOs) is currently underway, but there is limited empirical evidence on the merits of the ACO model. PURPOSE:The aim was to study the associations between delivery system characteristics and ACO competencies, including centralization strategies to manage org...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000014
更新日期:2015-04-01 00:00:00
abstract::Time is running out for public health organizations, says Charles Harper. Their traditional role in the health system is eroding rapidly. To reestablish the place they deserve in the health system will require an aggressive and united effort on the part of all public health professionals. As a counterpoint to Harper's...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1979-10-01 00:00:00
abstract::This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract::Although HMOs very often obtain discounts for hospital services, there is little evidence that they create price competition among hospitals. Location and the availability of services and specialists, rather than price, appear to be the most important factors in the selection of hospitals by HMOs. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract:BACKGROUND:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
更新日期:2008-04-01 00:00:00
abstract::In past years, many SHAs formed in local urban markets to better compete for managed care contracts. In response to 1990s forces, these SHAs appear to have adapted product, production, and selling orientations to their markets, aimed at large institutional purchasers of health care. However, health care markets have e...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200204000-00004
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Improving the efficiency and effectiveness of primary care treatment of patients with chronic illness is an important goal in reforming the U.S. health care system. Reducing occupational conflicts and creating interdependent primary care teams is crucial for the effective functioning of new models being deve...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825f3df9
更新日期:2013-10-01 00:00:00
abstract::This article reports how continuous quality improvement (CQI) techniques were applied to physician care of patients with hypertension. A physician task force at an ambulatory care center used CQI methods to address the needs of two important "customer" groups: (1) third party payors and (2) patients with hypertension....
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Although small in number, hospitals are increasingly seeking bankruptcy protection. This article explores the potential forces that might motivate hospitals to seek bankruptcy protection and the potential consequences for hospitals that obtain it. Case reviews of 11 hospital bankruptcies that occurred in 1990 and 1991...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199401930-00006
更新日期:1994-07-01 00:00:00
abstract::This article discusses epidemiological methodology: comparing rates, confounding, the use of confidence intervals, Bayes' theorem, and occurrence screening. An appreciation of the limits of epidemiological methods will provide the manager with realistic expectations of the quality assurance process. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::In advising health care providers about care of the terminally ill in hospitals, risk managers generally take a legally conservative, narrow, risk avoidance approach. This orientation is generally unnecessary legally, since the legal risks in this context are exaggerated, and often lead to suboptimum medical treatment...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701220-00006
更新日期:1987-04-01 00:00:00
abstract::This study is the first empirical test of the strategic importance of member autonomy and open access in a managed care environment. The model utilized in this study assesses the relative importance of autonomy in selecting specialists (open access), service convenience, value/pricing, and HMO resources on member sati...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200010000-00004
更新日期:2000-10-01 00:00:00
abstract::The formation of health insurance purchasing alliances in Minnesota has caused a restructuring of the provider system. One of the results has been the formation of competing delivery systems that organize hospitals, physicians, and insurance plans into vertically and horizontally integrated organizations termed integr...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract::Academic health center hospitals face challenges to their survival in an increasingly competitive, challenging, and entrepreneurial environment. University hospitals face a number of major stresses and are responding in various ways to ensure their financial viability. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701230-00013
更新日期:1987-07-01 00:00:00
abstract::The impact of public policy can be effectively and favorably managed at the local hospital level. But to do so requires using some old resources in some new ways and navigating in some areas that many administrators find uncomfortable, and in which there has traditionally been only marginal interest. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1980-10-01 00:00:00
abstract:BACKGROUND:Expanding the opportunities for for-profit nursing home care is a central theme in the debate on the sustainable organization of the growing nursing home sector in Western countries. PURPOSES:We conducted a systematic review of the literature over the last 10 years in order to determine the broad impact of ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000121
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Numerous studies have identified disparities in nursing home quality of care. Although previous studies have found the overlap among Medicaid census, nursing home characteristics, and negative quality of care outcomes, few studies have examined how the psychosocial well-being of nursing home residents is ass...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181f8a864
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when th...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181d5b0f5
更新日期:2010-07-01 00:00:00
abstract::In a study at 55 hemodialysis facilities, turnover was not associated with organizational size, location, or ownership but varied according to administrative strategies. Technician turnover (32 percent) was lower in facilities with shorter hours and choice of work schedule even though workload was higher. Clerical tur...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199301840-00009
更新日期:1993-10-01 00:00:00
abstract::A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract:BACKGROUND:Hospital incentive payments are increasingly becoming tied to quality. However, the U.S. health care system continues to face rising health care costs and scarce workforce resources, making improving quality a challenge. Patient satisfaction and process quality are two areas of quality tied to reimbursement....
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000034
更新日期:2015-10-01 00:00:00
abstract::Survey data from a sample of physicians whose primary professional activity is administration were used to examine their previous administrative positions and career paths. Forty percent reported administrative positions in more than one type of health care organization, and time spent in administration increased with...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract:BACKGROUND:Because health care organizations (HCOs) are complex adaptive systems (CASs), phenomena of interest often are dynamic and unfold in unpredictable ways, and unfolding events are often unique. Researchers of HCOs may recognize that the subject of their research is dynamic; however, their research designs may n...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31819c8b38
更新日期:2009-04-01 00:00:00
abstract::The reform of the Medicare hospital reimbursement system proposed by HCFA may create incentives for hospitals to transfer costs to other payers, thus reducing the financial incentives to increase efficiency. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00010
更新日期:1984-07-01 00:00:00
abstract:BACKGROUND:The presence of hospital-based palliative care programs has risen over time in the United States. Nevertheless, organizational and environmental factors that contribute to the presence of hospital-based palliative care programs are unclear. PURPOSE:The aim of this study was to examine the role of organizati...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000031
更新日期:2015-10-01 00:00:00
abstract::An exploratory study of hospital planners was completed to determine if there was agreement between theory and practice concerning mission statement components and development. Results showed that mission statements have received little attention as part of the overall strategic planning process. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199001530-00005
更新日期:1990-07-01 00:00:00