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Full-Text Articles in Medicine and Health Sciences
Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry
Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry
Antioch University Dissertations & Theses
Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …
Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari
Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari
Antioch University Dissertations & Theses
The Kingdom of Saudi Arabia (KSA) and the Kingdom of Bahrain (KB) are currently in the process of the rapid transformation of health care to a self-sustained autonomous system. Middle managers play a pivotal role in achieving this goal. The aim of this study is to develop a feasible, reliable, and valid scale for measuring the leadership and managerial competencies of MM in KSA and KB. Zhou’s (2019) conceptual framework using a mixed-method approach was followed. After procuring ethical clearance from concerned authorities and informed consent from all the participants (n = 27), semi-structured interviews were conducted across three groups: …
Exploring The Use Of Courageous Followership In Conversations With Nurses And Their Colleagues, Elizabeth L. Paxton
Exploring The Use Of Courageous Followership In Conversations With Nurses And Their Colleagues, Elizabeth L. Paxton
Antioch University Dissertations & Theses
Health care is fraught with communication issues, many of which can lead to patient safety errors and toxic behaviors. Communication in a hierarchical environment has been historically challenging, especially for nurses. Courageous followership, a style of leadership first introduced in the early 1990s, is a duality of “powerful leaders supporting powerful followers” (Chaleff, 2009, p. 3). The tenets of this leadership style empower both the leader and the follower to have the courage: to assume responsibility, serve, transform, challenge, take moral action, speak up to the hierarchy, and listen to the follower. All of these actions are needed in the …
Leading By Design: Physicians In Training And Leadership Awareness, Meridithe Anne Mendelsohn
Leading By Design: Physicians In Training And Leadership Awareness, Meridithe Anne Mendelsohn
Antioch University Dissertations & Theses
Patient-centered care requires robust physician leadership in all aspects of healthcare in order to lead organizations to this ideal.Programs in Graduate Medical Education provide inconsistent and limited exposure to formal leadership development experiences for physicians in their final year of residency training.Literature addressing leadership training for residents focuses on the scarcity of effective programs that deliver adequate training and provide measurable outcomes.The purpose of this study was to explore how chief medical and surgical residents develop leadership awareness and experience training in leadership and engage chief residents, faculty mentors, and program administrators in a collaborative process, developing a leadership training …
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
Navigating The Health Care Labyrinth: Portraits Of The Socioeconomically Disadvantaged, Thomas C. Crawford Phd
Navigating The Health Care Labyrinth: Portraits Of The Socioeconomically Disadvantaged, Thomas C. Crawford Phd
Antioch University Dissertations & Theses
In 2010, an estimated population of the 311,212,863 Americans generated approximately 1,014,688,290 physician office encounters (Moore, 2010). The frequency and number of professional interactions between caregivers and patients/family members in medical office settings equated to a staggering 1,931 visits per minute. Based on the massive volume of interactions that occurred between patients of different races, ethnicities, genders, sexual orientations, and socioeconomic standings that generated an average household income of $49,445 in 2010 (United States Census Bureau, 2010a) with a physician workforce that the Association of American Medical Colleges (2010) captured as being 75% White that earned (primary care specialties) in …
Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster
Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster
Antioch University Dissertations & Theses
The holding environment concept, developed by Donald Winnicott, has been used to represent the type of support that encourages adaptive change during psychosocial transitions. The leadership and change literature posited that the holding environment had the ability to shape the trajectory of the transition, yet did not test this empirically. The psychosocial breast cancer literature empirically researched support during and after treatments ended, but did not incorporate the holding environment concept. This presented the opportunity to inform both the leadership and breast cancer fields by studying holding environments in the breast cancer setting. This study had a twofold purpose: 1) …
Contextual Leadership: The Social Construction Of Leadership In A Comprehensive Healthcare System, Mark J. Moir
Contextual Leadership: The Social Construction Of Leadership In A Comprehensive Healthcare System, Mark J. Moir
Antioch University Dissertations & Theses
Healthcare is a complex and dynamic environment containing a plurality of social forces and perspectives that shape the organizational culture and the nature of the leadership. As leadership is a social phenomenon, it is important to understand the complex social processes that mediate our perceptions and that in turn influence processes of leader attribution. The central purpose of this study has been to illuminate the nature of culturally specific processes that emerge within a specific organizational setting and that fuel leader attribution and the social construction of leadership. Accordingly, this qualitative study has developed a Grounded Theory utilizing Situational Analysis …
Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study Of Supervisory Wisdom, Judith R. Ragsdale
Educating Clinical Pastoral Education Supervisors: A Grounded Theory Study Of Supervisory Wisdom, Judith R. Ragsdale
Antioch University Dissertations & Theses
Clinical Pastoral Education (CPE) is an 80 year old education modality that provides professional education for students of pastoral care. Supervision is central to the CPE process. Pastoral supervisors in the Association for Clinical Pastoral Education (ACPE) have done little writing about their work educating Students in Supervisory Education (SSEs). The purpose of this dissertation is to identify and interview those practitioners in ACPE who have been identified by their peers as excellent in practice, and to cull their wisdom by listening to and categorizing their experience of supervising SSEs. The research question to the supervisors was: What is your …