Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study

Yin, Emily S.; Downing, Nicholas S.; Li, Xi; Singer, Sara J.; Curry, Leslie; Li, Jing; Krumholz, Harlan M.; Jiang, Lixin

doi:10.1186/s12913-015-1211-7

Cited by 10 publications

(11 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Close communication and collaboration between teams enabled timely re ection and sharing of problems and experiences during implementation, and made the implementation process more effective, similar ndings were found in a study of cardiovascular care in Chinese hospitals [19]. This multidisciplinary approach was emphasized in other studies of neonatal EBI implementation including family centered care and developmental care [15,21] the importance of multidisciplinary teamwork is not unique to China and can be found in other studies [22,23].…”

Section: Factors Perceived To Have a Strong Effectsupporting

confidence: 58%

Evaluating factors that influenced the successful implementation of an evidence-based neonatal care intervention in Chinese hospitals using the PARIHS framework

Yue

Liu

Zhao

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Evidence based interventions (EBIs) can improve patient care and outcomes. Understanding the process for successfully introducing and implementing EBIs can inform effective roll-out and scale up. The Promoting Action on Research Implementation in Health Services (PARIHS) framework can be used to evaluate and guide the introduction and implementation of EBIs. To gain an understanding of the utility of the PARIHS framework in China and investigate how important each of its constructs (evidence, context and facilitation) and sub-elements are perceived to be to successful implementation of EBIs in a Chinese setting, we used the framework to assess the implementation of an evidence-based neonatal intervention (kangaroo mother care, KMC) recently introduced in selected Chinese hospitals. Method We conducted clinical observations and semi-structured interviews with 10 physicians and 18 nurses in five tertiary hospitals implementing KMC. Interview questions were organized around issues including knowledge and beliefs, resources, culture, implementation readiness and climate. We used directed content analysis to analyze the interview transcript, amending the PARIHS framework to incorporate emerging sub-themes. We also rated the constructs and sub-elements on a continuum from “low (weak)”, “moderate” or “high (strong)” highlighting the ones considered most influential for hospital level implementation by study participants. Results Our finding suggest that clinical experience, culture, leadership, evaluation, and facilitation are highly influential sub-elements for EBI implementation in China. External evidence had a moderate impact, especially in the initial awareness raising stages of implementation and resources were also considered to be of moderate importance, although this may change as implementation progresses. Patient experience was not seen as a driver for implementation at hospital level. Conclusion The PHARIS framework can be a useful tool for planning and evaluating EBI implementation in China. However, it’s sub-elements should be assessed and adapted to the implementation setting.

show abstract

Section: Factors Perceived To Have a Strong Effectsupporting

confidence: 58%

Evaluating factors that influenced the successful implementation of an evidence-based neonatal care intervention in Chinese hospitals using the PARIHS framework

Yue

Liu

Zhao

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Respecto al liderazgo, se encontró que promover el cambio de la co tiene relación con que a través de este se refuercen los aprendizajes (Yin et al, 2015), y como un promotor de la adopción de medidas relativas a la implementación de sistemas de gestión requeridos para que el trabajo funcione de mejor modo (Williams, Glisson, Hemmelgarn y Grenn, 2017). En su calidad de liderazgo transformacional, este tipo de liderazgo podría conducir a pequeñas organizaciones a aportar al desarrollo de un país y ser competitivas, siempre y cuando impliquen orientación empresarial (Widianto y Harsanto, 2017).…”

Section: Dos Caminos Para Pensar La Intervención En Cultura Organizacionalunclassified

Organizational change and psychological reactance

Nesterkin

2013

Journal of Organizational Change Management

View full text Add to dashboard Cite

PurposeThe purpose of this paper is to focus on the resistance to change in the organizational contexts where a soon‐to‐be‐implemented change initiative infringes upon freedoms of the employees. Specifically, the role of affect was explored within the framework of psychological reactance theory, delineating salience of affect as a driver of the intention to restore one's threatened freedoms. Additionally, the roles that emotional intelligence and interpersonal justice play in lowering the activation of reactance were examined.Design/methodology/approachThis is a conceptual paper that connects self‐determination, reactance, organizational change, emotional intelligence and justice literatures to explain how psychological reactance may be energized and de‐energized in the context of on‐going organizational change.FindingsThe study suggests that organizational change is likely to undermine employees' freedoms, which will arouse negative affective states. The latter are likely to energize reactance – a motivational state directed to restore the threatened freedoms. Negative affect and reactance may be mitigated by implementing and sustaining socially supportive and interpersonally just organizational environment, led by an emotionally intelligent management staff.Originality/valueThis work is the first that investigates how and under what circumstances organizational change is likely to activate employees' psychological reactance. Furthermore, the study presents two new methods that may be used by managers to mitigate change‐driven reactance and the negative affect that energizes it.

show abstract

“…Interlaminar approach effectively simplifies the operation and improves the safety of surgical treatment, but it may cause nerve root traction ( 10 ), leading to nerve root injury in patients. If the local anesthesia or intraspinal epidural anesthesia is used, the intraoperative pain and discomfort will be produced ( 11 ). In order to improve the comfort of patients, studies have reported that it is considered to adopt general anesthesia in surgical treatment ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Soleus muscle H-reflex monitoring in endoscopic surgery under general anesthesia percutaneous interlaminar approach

Wang

Gao

et al. 2018

Exp Ther Med

View full text Add to dashboard Cite

The clinical value of soleus muscle H-reflex monitoring in general anesthesia percutaneous interlaminar approach was investigated. A total of 80 cases with unilateral L5-S1 disc herniation between January 2015 and October 2016 were randomly divided into control group (without soleus muscle H-reflex monitoring, n=40) and observation group (with soleus muscle H-reflex monitoring, n=40). Results showed that the operation time of the observation group was shorter than that of the control group (P<0.05), and the blood loss during the operation was less than that of the control group (P<0.05). The length of postoperative hospital stay was shorter than that of the control group (P<0.05). At 24 h after operation, the amplitude of H-reflex in diseased side soleus muscle was significantly lower than that in healthy side (P<0.05). The preoperative, postoperative and 24 h postoperatively, the latency of H-reflex in diseased side soleus muscle was shorter than that of healthy side (P<0.05). The latency and amplitude of H-reflex latency in soleus muscle were significantly lower (P<0.05), and the height of intervertebral space in observation group was significantly higher than that in control group (P<0.05). The total percentage of postsurgical sensory dysfunction, dyskinesia, post-root canal stenosis, disc herniation and cerebrospinal fluid leakage was lower than that of the control group (P<0.05). Japanese Orthopaedic Association score of the observation group was significantly higher at 1 month, and 1 year after operation lower than the control group (P<0.05). Taken together, soleus muscle H-reflex monitoring can effectively reduce the damage to the nerve roots under percutaneous endoscopic intervertebral endoscopic surgery under general anesthesia, improve the accuracy of surgery, reduce the complications, shorten the operation time and reduce the surgical bleeding, which is more beneficial to patients smooth recovery.

show abstract

Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study

Cited by 10 publications

References 45 publications

Evaluating factors that influenced the successful implementation of an evidence-based neonatal care intervention in Chinese hospitals using the PARIHS framework

Evaluating factors that influenced the successful implementation of an evidence-based neonatal care intervention in Chinese hospitals using the PARIHS framework

Organizational change and psychological reactance

Soleus muscle H-reflex monitoring in endoscopic surgery under general anesthesia percutaneous interlaminar approach

Contact Info

Product

Resources

About