Abstract:Using POSH, this paper examines what consumers and practitioners value about health services; it also illustrates how brilliance can be theorized into health service management research and practice.
“…POSH seeks to study triumphs and achievements because of their inherent appeal (Cameron & Spreitzer, ). Rather than focus on the gaps, issues and problems associated with the fundamentals of care, POSH redirects attention to achievements to reveal opportunities for capacity building (Dadich et al, ). POSH does not disregard negative organisational practices (Oliver, ).…”
Section: Methodsmentioning
confidence: 99%
“…Rather, it purposefully attempts to redress the preoccupation with deficits. POSH is gaining considerable traction, largely because of the Brilliance Group and its research programme dedicated to promoting brilliant health service management (Dadich et al, ; Fulop et al, ; Karimi et al, ).…”
Aims and objectives:To clarify how high-quality fundamentals of care for people with dementia and/or delirium were practised in a specialist geriatric evaluation and management unit.Background: Older people with cognitive impairment represent a significant number of people who are admitted to hospital. They are at increased risk of dying, readmission and long hospital stays, relative to those without cognitive impairment. There is an urgent need to elucidate the conditions that underpin safe and high-quality fundamental care for these patients and their families.
Methods:Using the innovative methodologies of positive organisational scholarship in healthcare and video-reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people with dementia and/or delirium in South Australia. Patients, family members and staff members (managerial, clinical and nonclinical) participated by allowing researchers to document ethnographic fieldwork notes and film their practices and/or accounts thereof; and/or interpreting digital recordings with researchers in order to make sense of data in a process of co-analysis. This study is reported using Standards for Reporting Qualitative Research reporting guidelines.
Results:High-quality fundamental care for people with dementia and/or delirium in hospital and their families was associated with the special space of the hospital unit;an aptitude for people with dementia; a capacity to translate person-centred fundamentals of care from rhetoric to reality; and an appreciation for teamwork.
Conclusion:This study clarified how teams working in hospital can practise high-quality fundamentals of care for older people with dementia and/or delirium. Delivery of high-quality fundamental care in this setting was dependent, not only on nurses, but the entire ward team working cohesively in a "weave of commitment."
“…POSH seeks to study triumphs and achievements because of their inherent appeal (Cameron & Spreitzer, ). Rather than focus on the gaps, issues and problems associated with the fundamentals of care, POSH redirects attention to achievements to reveal opportunities for capacity building (Dadich et al, ). POSH does not disregard negative organisational practices (Oliver, ).…”
Section: Methodsmentioning
confidence: 99%
“…Rather, it purposefully attempts to redress the preoccupation with deficits. POSH is gaining considerable traction, largely because of the Brilliance Group and its research programme dedicated to promoting brilliant health service management (Dadich et al, ; Fulop et al, ; Karimi et al, ).…”
Aims and objectives:To clarify how high-quality fundamentals of care for people with dementia and/or delirium were practised in a specialist geriatric evaluation and management unit.Background: Older people with cognitive impairment represent a significant number of people who are admitted to hospital. They are at increased risk of dying, readmission and long hospital stays, relative to those without cognitive impairment. There is an urgent need to elucidate the conditions that underpin safe and high-quality fundamental care for these patients and their families.
Methods:Using the innovative methodologies of positive organisational scholarship in healthcare and video-reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people with dementia and/or delirium in South Australia. Patients, family members and staff members (managerial, clinical and nonclinical) participated by allowing researchers to document ethnographic fieldwork notes and film their practices and/or accounts thereof; and/or interpreting digital recordings with researchers in order to make sense of data in a process of co-analysis. This study is reported using Standards for Reporting Qualitative Research reporting guidelines.
Results:High-quality fundamental care for people with dementia and/or delirium in hospital and their families was associated with the special space of the hospital unit;an aptitude for people with dementia; a capacity to translate person-centred fundamentals of care from rhetoric to reality; and an appreciation for teamwork.
Conclusion:This study clarified how teams working in hospital can practise high-quality fundamentals of care for older people with dementia and/or delirium. Delivery of high-quality fundamental care in this setting was dependent, not only on nurses, but the entire ward team working cohesively in a "weave of commitment."
“…Although POSH does not eschew concerns with negativity, it does not start with these as the prime focus – this helped to yield a perspective that is rich with insight (Dadich et al. ; Fulop et al. ).…”
Section: Methodsmentioning
confidence: 99%
“…Constant comparison analysis involved methodically coding the material to identify 'especially positive outcomes, processes, and attributes of organisations and their members' (Cameron, Dutton and Quinn 2003, 4), and constructing themes from the codes (Onwuegbuzie and Combs 2010). Although POSH does not eschew concerns with negativity, it does not start with these as the prime focusthis helped to yield a perspective that is rich with insight (Dadich et al 2015;Fulop et al 2013). Themes were identified in relation to the focus of the study and were compared among the researchers.…”
Section: Methodsmentioning
confidence: 99%
“…This article also addresses some of the limitations of studies that draw on POS. These include the relative absence of health services from this scholarship (Cameron and Spreitzer 2012), as well as the considerable attention on narratives that reflect a North American perspective, within hospital or acute care settings (Dadich et al 2015;Fulop et al 2013).…”
To redress the scholarly preoccupation with problems, there is a need to focus on practices that exceed expectation. This study is the first to explicate healthcare professionals’ perceptions of brilliance within their health service. Via online discussions, 78 postgraduate health management students from an Australian university shared their experiences with, and perceptions of brilliant health services in their organisation. Researchers thematically analysed the text and workshopped the findings to extend current understandings of human resource management using positive organisational scholarship in health‐care (POSH). Preliminary codes organised well into six key themes – teamwork, leadership, innovation, exceptional individuals, empowerment and patient‐centred care. Although the results reflect health service management research, POSH helped to clarify those aspects of people management that are associated with brilliant health services. These include developing interagency networks; adopting an understanding of innovation; and recognising the extraordinary in the seemingly ordinary.
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