scholarly journals The Role of Frontline Leaders in Building Health Professional Support for a New Patient Portal: Survey Study

10.2196/11413 ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. e11413
Author(s):  
Sari Kujala ◽  
Iiris Hörhammer ◽  
Tarja Heponiemi ◽  
Kim Josefsson
Keyword(s):  
Health Professional ◽  
Professional Support ◽  
Survey Study ◽  
Patient Portal ◽  
Frontline Leaders

scholarly journals The Role of Frontline Leaders in Building Health Professional Support for a New Patient Portal: Survey Study (Preprint)

2018 ◽  
Author(s):  
Sari Kujala ◽  
Iiris Hörhammer ◽  
Tarja Heponiemi ◽  
Kim Josefsson
Keyword(s):  
Health Professional ◽  
Health Professionals ◽  
Organizational Readiness ◽  
Professional Support ◽  
Survey Study ◽  
Successful Implementation ◽  
Patient Portal ◽  
Ehealth Services ◽  
Frontline Leaders

BACKGROUND Effective leadership and change management are thought to contribute to the successful implementation of health information technology innovations. However, limited attention has been paid to the role of frontline leaders in building health professional support for new technical innovations. OBJECTIVE First, we examined whether frontline leaders’ positive expectations of a patient portal and perceptions of its implementation were associated with their support for the portal. Second, we explored whether leaders’ positive perceptions influenced the same unit’s health professional support for the portal. METHODS Data were collected through an online survey of 2067 health professionals and 401 frontline leaders working in 44 units from 14 health organizations in Finland. The participating organizations run a joint self-care and digital value services project developing a new patient portal for self-management. The survey was conducted before the piloting and implementation of the patient portal. RESULTS The frontline leaders’ perception of vision clarity had the strongest association with their own support for the portal (ß=.40, P<.001). Results also showed an association between leaders’ view of organizational readiness and their support (ß=.15, P=.04). The leaders’ positive perceptions of the quality of informing about the patient portal was associated with both leaders’ own (ß=.16, P=.02) and subordinate health professionals’ support for the portal (ß=.08, P<.001). Furthermore, professional participation in the planning of the portal was positively associated with their support (ß=.57, P<.001). CONCLUSIONS Findings suggest that assuring good informing, communicating a clear vision to frontline leaders, and acknowledging organizational readiness for change can increase health professional support for electronic health (eHealth) services in the pre-implementation phase. Results highlight the role of frontline leaders in engaging professionals in the planning and implementation of eHealth services and in building health professionals’ positive attitudes toward the implementation of eHealth services.

Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention

2003 ◽  
Vol 9 (3) ◽  
pp. 177 ◽  
Author(s):  
Helen Lindner ◽  
David Menzies ◽  
Jill Kelly ◽  
Sonya Taylor ◽  
Marianne Shearer
Keyword(s):  
Chronic Illness ◽  
Health Professional ◽  
Behaviour Change ◽  
Professional Support ◽  
Self Management ◽  
Chronic Obstructive ◽  
Review Of The Literature ◽  
Adherence To Medication ◽  
Wide Range

Self-management is a necessary aim in the treatment of chronic illnesses, such as diabetes, heart disease, arthritis, lupus, and chronic obstructive pulmonary disease. Although effective treatments are available for these serious conditions, the rate of adherence to medication, dietary changes, physical activity, blood monitoring, or attendance to regular medical screenings is reported to be approximately only 50%. The role of health professional support in effective self-management of chronic illness has been recently acknowledged. Furthermore, numerous studies on professional support for self-management of chronic illness have focused on the health professional as a ?coach?. Coaching has been defined as an interactive role undertaken by a peer or professional individual to support a patient to be an active participant in the self-management of a chronic illness. A review of the literature revealed a limited number of empirical studies on coaching, with these focusing on one of three areas: disease-related education; behaviour change strategies; or, psychosocial support. Due to the small number of research investigations, only tentative support can be given to the efficacy of the different coaching approaches. However, it was apparent that education-based interventions have a significant role in self-management, but that these were not sufficient by themselves. The role of behaviour change-focused coaching was also shown to be an important factor. However, not all patients are ready for change, and therefore the need for coach interactions that move a patient to a stage of action were evident, as was the need to consider the emotional state of the patient. The challenges for future research is to investigate the relative strengths of these coaching approaches for the support of patient self-management of chronic illness, and the means to effectively integrate these approaches into routine health care, through a wide range of health professional groups.

scholarly journals Patients’ moral attitudes toward electronic health records: Survey study with vignettes and statements

2021 ◽  
Vol 27 (1) ◽  
pp. 146045822098003
Author(s):  
Tania Moerenhout ◽  
Ignaas Devisch ◽  
Laetitia Cooreman ◽  
Jodie Bernaerdt ◽  
An De Sutter ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
De Novo ◽  
Information Access ◽  
Survey Study ◽  
Sensitive Information ◽  
Patient Portal ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health ◽  
Moral Attitudes

Patient access to electronic health records gives rise to ethical questions related to the patient-doctor-computer relationship. Our study aims to examine patients’ moral attitudes toward a shared EHR, with a focus on autonomy, information access, and responsibility. A de novo self-administered questionnaire containing three vignettes and 15 statements was distributed among patients in four different settings. A total of 1688 valid questionnaires were collected. Patients’ mean age was 51 years, 61% was female, 50% had a higher degree (college or university), and almost 50% suffered from a chronic illness. Respondents were hesitant to hide sensitive information electronically from their care providers. They also strongly believed hiding information could negatively affect the quality of care provided. Participants preferred to be informed about negative test results in a face-to-face conversation, or would have every patient decide individually how they want to receive results. Patients generally had little experience using patient portal systems and expressed a need for more information on EHRs in this survey. They tended to be hesitant to take up control over their medical data in the EHR and deemed patients share a responsibility for the accuracy of information in their record.

scholarly journals How Does Service Environment Enhance Consumer Loyalty in the Sport Fitness Industry? The Role of Servicescape, Cosumption Motivation, Emotional and Flow Experiences

2021 ◽  
Vol 13 (11) ◽  
pp. 6414
Author(s):  
Yun-kyung Jeon ◽  
Daeh-wan Kim ◽  
Seung-jin Han ◽  
Yi-han Huang ◽  
Jin-jae Kim
Keyword(s):  
Knowledge Acquisition ◽  
Consumer Satisfaction ◽  
Emotional Experience ◽  
Survey Study ◽  
Consumer Loyalty ◽  
Fitness Centers ◽  
Fitness Industry ◽  
Service Environments ◽  
Flow Experiences

The purpose of the current study was to investigate the structural relationship between the servicescape, the emotional experience, space flow, satisfaction, and consumer loyalty in the context of sport fitness centers. Furthermore, the present study aimed to examine the moderating role of knowledge acquisition motivation in the effect of the servicescape on the emotional experience and space flow. For these research purposes, a survey study targeting 400 consumers of sport fitness centers was conducted via online and offline survey platforms in South Korea. After deleting 16 incomplete cases, 384 cases were included in the final data analysis. The results of latent moderated equations modeling (LMS) showed that the servicescape directly enhances the emotional experience and space flow. Also, it indirectly affects consumer loyalty via the emotional experience, space flow, and consumer satisfaction. Meanwhile, knowledge acquisition motivation was found to moderate the effect of the servicescape on space flow. The present study has several theoretical implications. First, the current study illuminates the process mechanism of the effect of the servicescape in sport fitness centers on consumer loyalty. Second, the present study empirically shows different patterns of consumer experiences and decision-making depending on consumption motivation. Based on the results, sport fitness center managers should not only pay more attention to the convenience of their servicescape but they should also design service environments maximizing consumers′ emotional experiences. Additionally, the results imply that assigning exercise beginners to an attractive physical environment is an effective strategy, because they are more likely to evaluate their experiences based on the perceived servicescape.

Size does matter – span of control in hospitals

2017 ◽  
Vol 31 (2) ◽  
pp. 192-206 ◽  
Author(s):  
Christina Holm-Petersen ◽  
Sussanne Østergaard ◽  
Per Bo Noergaard Andersen
Keyword(s):  
Design Methodology ◽  
Hospital Staff ◽  
Leadership Capacity ◽  
Decision Makers ◽  
Span Of Control ◽  
Content Type ◽  
Frontline Leaders ◽  
Practical Implications

Purpose Centralization, mergers and cost reductions have generally led to increasing levels of span of control (SOC), and thus potentially to lower leadership capacity. The purpose of this paper is to explore how a large SOC impacts hospital staff and their leaders. Design/methodology/approach The study is based on a qualitative explorative case study of three large inpatient wards. Findings The study finds that the nursing staff and their frontline leaders experience challenges in regard to visibility and role of the leader, e.g., in creating overview, coordination, setting-up clear goals, following up and being in touch. However, large wards also provide flexibility and development possibilities. Practical implications The authors discuss the implications of these findings for decision makers in deciding future SOC and for future SOC research. Originality/value Only few studies have qualitatively explored the consequences of large SOC in hospitals.

Operationalizing and Evaluating Synchronous Virtual Group Health Interventions: Wide-Scale Implementation at a Tertiary-Care Academic Hospital (Preprint)

2021 ◽  
Author(s):  
Neesha Hussain-Shamsy ◽  
Ian McMillan ◽  
Sheridan Cook ◽  
Alyssa Furfaro-Argier ◽  
Andrea Sadler ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Health Service Delivery ◽  
Health Interventions ◽  
Patient Portal ◽  
Academic Hospital ◽  
Implementation Quality ◽  
Group Visits ◽  
Wide Scale ◽  
Video Group

UNSTRUCTURED Group-based health interventions are an important component of health promotion and management. In order to provide continuity of care through the COVID-19 pandemic, our institution undertook a rapid pivot to deliver group-based health interventions via a videoconferencing service which was securely embedded into both the electronic medical record and the patient portal in order to sustainably address immediate health service delivery needs during the pandemic and beyond. In this paper, we: 1) describe the institutionally-driven operationalization of a system to provide integrated synchronous video group visits across our hospital, and 2) present a proposed strategy to comprehensively evaluate outcomes regarding their implementation, quality, and impact. Lessons for other institutions and the potential future role of synchronous video group visits to enhance the ways in which care can be scaled for delivery are discussed.

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