Strong leadership, communication and teamwork are essential to successful organizations, especially health care facilities. However, how those organizations achieve improvement is not clearly understood, says a University of Missouri researcher.
Amy Vogelsmeier, assistant professor in the Sinclair School of Nursing, found that leadership is critical to supporting open communication and relationship building to generate improvement, such as enhanced safety practices and new technology adoption, in health care organizations.
The Patient Protection and Affordable Care Act and the American Recovery and Reinvestment Act include mandates and incentives to promote the use of new technology in health care. As the aging population increases, the effective use of resources and care practices is essential to enacting health care reform and ensuring patients receive quality care.
"Although technology plays a role in improving resident safety, technology alone isn't the answer," Vogelsmeier said. "The reality is that implementation is much more complicated than people realize. It's not just a bring it in and turn it on kind of thing; it will take strong leadership within organizations to implement technological systems in ways that will enhance patient safety rather than hinder it."
Current challenges for health care providers and facilities include helping patients transition to nursing homes and long-term care, managing chronic illnesses, such as diabetes and heart disease, and coordinating care from different sectors, including hospitals, community clinics and specialists.
"Not only are the numbers in health care facilities increasing, but the complexities of residents' conditions also are increasing as well," Vogelsmeier said. "We need more sophisticated ways to take care of the aging population. Strong leadership is necessary for all organizations to move toward growth and improvement."
Vogelsmeier analyzed data from an intervention study of nursing homes that implemented electronic medication systems and focused quality improvement efforts to enhance medication safety practices. Vogelsmeier compared how nurse leaders from the highest- and lowest-performing nursing homes differed in their communication and teamwork strategies.
The nurse leader from the highest-performing nursing home encouraged team members to share their perspectives and ideas for solving problems. Leaders provided accurate and timely feedback, which motivated team members to work together and establish common goals. As input and feedback occurred, improvement in the nursing home occurred. The nurse leader from the lowest-performing home did not value the team's opinions, resulting in disengagement and lack of improvement in the nursing home.
The findings support the national push for quality health care. Notably, this month's launch of the Care About Your Care campaign, to inform citizens about health care quality and how they can become more engaged patients, by the Robert Wood Johnson Foundation, the U.S. Department of Health and Human Services and TV's 'Dr. Oz.' For more information, visit: www.careaboutyourcare.org
Vogelsmeier is a John A. Hartford Foundation Claire M. Fagin Fellow at MU. The study, "Achieving Quality Improvement in the Nursing Home: Influence of Nursing Leadership on Communication and Teamwork," was published in September in the Journal of Nursing Care Quality. It was funded by the Agency for Healthcare Research and Quality.
Emily Martin | EurekAlert!
Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington
New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)
An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.
Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...
Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.
Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...
Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.
As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...
Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.
With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...
Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine
Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...
19.06.2017 | Event News
13.06.2017 | Event News
13.06.2017 | Event News
26.06.2017 | Life Sciences
26.06.2017 | Physics and Astronomy
26.06.2017 | Information Technology