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1 – 5 of 5Paraskevi Angelopoulou and Efharis Panagopoulou
The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.
Abstract
Purpose
The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.
Design/methodology/approach
This scoping review was conducted and reported in accordance with the PRISMA. The review followed the four stages of conducting scoping review as defined by Arskey and O’Malley (2005).
Findings
Initially, 978 articles were identified through database search from which only 24 studies were considered relevant and included in the final review. Overall, eight types of non-clinical rounds were identified (death rounds, grand rounds, morbidity and mortality conferences, multidisciplinary rounds, patient safety rounds, patient safety huddles, walkarounds and Schwartz rounds) that independently of their format, goal, participants and type of outcomes aimed to enhance patient safety and improve quality of healthcare delivery in hospital settings, either by focusing on physician, patient or organizational system.
Originality/value
To the authors’ knowledge this is the first review that aims to provide a comprehensive summary to the types of non-clinical rounds that has been applied in clinical settings.
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Anthony Montgomery, Efharis Panagopoulou, Ian Kehoe and Efthymios Valkanos
To date, relatively little evidence has been published as to what represents an effective and efficient way to improve quality of care and safety in hospitals. In addition, the…
Abstract
Purpose
To date, relatively little evidence has been published as to what represents an effective and efficient way to improve quality of care and safety in hospitals. In addition, the initiatives that do exist are rarely designed or developed with regard to the individual and organisational factors that determine the success or failure of such initiatives. One of the challenges in linking organisational culture to quality of care is to identify the focal point at which a deficient hospital culture and inadequate organisational resources are most evident. The accumulated evidence suggests that such a point is physician burnout. This paper sets out to examine this issue.
Design/methodology/approach
The paper reviews the existing literature on organisational culture, burnout and quality of care in the healthcare sector. A new conceptual approach as to how organisational culture and quality of care can be more effectively linked through the physician experience of burnout is proposed.
Findings
Recommendations are provided with regard to how future research can approach quality of care from a bottom‐up organisational change perspective. In addition, the need to widen the debate beyond US and North European experiences is discussed.
Originality/value
The present paper represents an attempt to link organisational culture, job burnout and quality of care in a more meaningful way. A conceptual model has been provided as a way to frame and evaluate future research.
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Anthony Montgomery, Karolina Doulougeri and Efharis Panagopoulou
Health care organizations and hospitals in particular are highly resistant to change. The reasons for this are rooted in professional role behaviors, hierarchical structures and…
Abstract
Purpose
Health care organizations and hospitals in particular are highly resistant to change. The reasons for this are rooted in professional role behaviors, hierarchical structures and the influence of hidden curricula that inform organizational culture. Action research (AR) has been identified as a promising bottom-up approach that has the potential to address the significant barriers to change. However, to date no systematic review of the field in health care exists. The paper aims to discuss these issues.
Design/methodology/approach
A systematic review of the literature was conducted. Studies were reviewed with regard to the four stages of AR; problem identification, planning, implementation and evaluation.
Findings
Only 19 studies were identified that fit the inclusion criteria. Results revealed significant heterogeneity with regard to theoretical background, methodology employed and evaluation methods used.
Research limitations/implications
Only studies published and written in the English language were included.
Practical implications
The field of AR interventions would benefit from a theoretical framework that has the ability to guide the methodology and evaluation processes.
Originality/value
This is the first systematic review of AR in hospitals.
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Anthony J. Montgomery, Efharis Panagopolou and Alexos Benos
The emotionally taxing nature of health‐care work has been increasingly recognized. In parallel, the field of work and family has been searching for more specific antecedents of…
Abstract
Purpose
The emotionally taxing nature of health‐care work has been increasingly recognized. In parallel, the field of work and family has been searching for more specific antecedents of both work interference with family (WFI) and family interference with work (FWI). The current study aims to examine the relationship between surface acting and hiding negative emotions with WFI and FWI among Greek health‐care professionals.
Design/methodology/approach
The research is a cross‐sectional study of 180 Greek doctors and 84 nurses using self‐report measures.
Findings
Results indicated that, for doctors, surface acting at work was positively related to WFI and, for nurses, surface acting at home was positively related to FWI.
Research limitations/implications
The respondents were sampled on a convenience basis and the non‐random procedure may have introduced unmeasured selection effects. The present study is cross‐sectional and thus the postulated relationships cannot be interpreted causally.
Practical implications
Emotional management training and opportunities for emotional decompression for Greek health‐care professionals should be explored. In terms of medical education, the need to train students to understand and cope with emotional demands is an important first step. This research highlights the need for communication‐skills training courses facilitating emotional awareness and emotional management.
Originality/value
These findings position emotional labour as an important antecedent of both WFI and FWI.
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Anthony J. Montgomery, Efharis Panagopolou, Martijn de Wildt and Ellis Meenks
The purpose of the current study is to examine the relationship between emotional display rules/job focused labor, work‐family interference (WFI) and burnout among a sample of…
Abstract
Purpose
The purpose of the current study is to examine the relationship between emotional display rules/job focused labor, work‐family interference (WFI) and burnout among a sample of workers in a Dutch governmental organization.
Design/methodology/approach
The research is a cross‐sectional study of 174 workers from a Dutch governmental organization.
Findings
Emotional display rules and job‐focused labor were related to burnout and psychosomatic complaints. More specifically, the need to hide negative emotions and engage in surface acting was related to negative outcomes. In addition, WFI partially mediated the relationship between the hiding of negative emotion/surface acting and burnout/psychosomatic complaints.
Research limitations/implications
The present study is cross‐sectional and thus the postulated relationships cannot be interpreted causally.
Practical implications
In terms of training and/or interventions, there is a need for the worksite to provide structured opportunities for employees to decompress from the emotional demanding aspects of their jobs.
Originality/value
Emotional labor has been rarely examined as an antecedent of WFI. In addition, while emotional labor has been studied with individuals in the service sector, it has been rarely examined among individuals whose jobs are highly ceremonial in nature.
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