1,721,171 research outputs found
Effective Leadership in a Turbulent World
No full textIn today’s world, we are confronted with a great deal of complexity, resulting in numerous business challenges that demand innovative leadership styles. To overcome these challenges, motivate staff members, and accomplish business strategies, leadership should shift from hierarchical to creative mixed forms of shared leadership. The aim of leadership is to encourage team members to reach their full potential and achieve business objectives as a team. This involves fostering an environment where leaders are receptive to personal and professional growth, as well as the development of their colleagues. Effective communication is crucial in achieving this goal. Good communication enables us to understand people and circumstances more effectively. It fosters trust and respect and facilitates the exchange of innovative ideas, problem-solving, and collaboration among team members. This review article explores the connection between leadership that starts with emotional intelligence and self-awareness and the fundamental principles of nonviolent communication, which is a crucial skill for a leader to connect with his team. Psychological and communication constructs will be discussed in this chapter. However, there is still a need for research on the implementation and effect of this form of communication and innovative leadership styles
Leiderschap in de gezondheidszorg, van theorie naar praktijk
No full textDe zorgsector is volop in beweging en de uitdagingen zijn
bovendien gigantisch. Er is dan ook een enorme behoefte
aan artsen en hoofdverpleegkundigen met leiderschapsvaardigheden:
zij moeten een toekomstvisie kunnen uitdenken én een strategie om die visie te realiseren. Artsen en hoofdverpleegkundigen zijn dan wel opgeleid om uitstekende zorg te verlenen, zij kunnen niet altijd meteen terugvallen op reeds ontwikkelde leiderschapscompetenties. Die competenties kan je wel leren. Dit boek biedt daarop een antwoord en vult daarmee een grote leemte op. De auteur staat stil bij verschillende technieken om leiderschap te laten groeien vanuit je persoonlijkheid. De grote meerwaarde van dit boek ligt in de vele cases en getuigenissen waarmee het doorspekt is. Verschillende expert-leiders uit de gezondheidszorg verleenden er hun medewerking aan. Door zijn originele aanpak is Leiderschap in de gezondheidszorg
rijk aan informatie, praktijkgericht en vlot leesbaar. Dit
unieke standaardwerk is een onmisbare inspiratiebron voor alle leidinggevenden en leidinggevenden in spe in de zorg, artsen, hoofdverpleegkundigen, maar ook niet-artsen en andere medewerkers
Leiderschap in de gezondheidszorg, van theorie naar praktijk
No full textDe zorgsector is volop in beweging en de uitdagingen zijn
bovendien gigantisch. Er is dan ook een enorme behoefte
aan artsen en hoofdverpleegkundigen met leiderschapsvaardigheden:
zij moeten een toekomstvisie kunnen uitdenken én een strategie om die visie te realiseren. Artsen en hoofdverpleegkundigen zijn dan wel opgeleid om uitstekende zorg te verlenen, zij kunnen niet altijd meteen terugvallen op reeds ontwikkelde leiderschapscompetenties. Die competenties kan je wel leren. Dit boek biedt daarop een antwoord en vult daarmee een grote leemte op. De auteur staat stil bij verschillende technieken om leiderschap te laten groeien vanuit je persoonlijkheid. De grote meerwaarde van dit boek ligt in de vele cases en getuigenissen waarmee het doorspekt is. Verschillende expert-leiders uit de gezondheidszorg verleenden er hun medewerking aan. Door zijn originele aanpak is Leiderschap in de gezondheidszorg
rijk aan informatie, praktijkgericht en vlot leesbaar. Dit
unieke standaardwerk is een onmisbare inspiratiebron voor alle leidinggevenden en leidinggevenden in spe in de zorg, artsen, hoofdverpleegkundigen, maar ook niet-artsen en andere medewerkers
The implementation of ICT in healthcare: an electronic cardiovascular risk calculator in general practice, a cost performance study
No full textIntroduction: Because health care (HC) budgets of European countries rise every year the discussion on how to finance HC in the new epidemiologic transition is eminent. The use of cheaper tools and techniques in prevention and HC seems advisable. In this study the case of cardiovascular diseases is the main focus. Cardiovascular diseases are the most important cause of morbidity and mortality. Guidelines to prevent these cardiovascular diseases are widely available. To implement these guidelines an electronic prevention programme (EPD) for general practitioners (GPs) is developed. This study calculated the implementation cost per working EPD (performance).
Methods: A prospective cost analysis and determination of the cost per performance with a one way sensitivity analysis were carried out. Logistic regression was performed to explore the predictive values of different variables with performance as a dependent variable.
Results: 185 GPs (response rate 23%) participated in the study. 99 are solo practitioners and 86 are working with at least one colleague (group practice). The total implementation cost of an EPD was €83.939. As the EPD was successfully installed by 102 GPs (=performance), the mean cost equals €823 per GP. Sensitivity analyses showed an improved cost per performance with decrease of the costs of group education and/or an increase in the performance. The most effective method for the implementation was the organisation of group education (OR=6; 95% CI 3.5-10) followed by working in a group practice (OR=3.6; CI 2.2-6).
Conclusion: Implementation of electronic programmes is expensive. Adequate funding has to be foreseen to implement quality improving ICT tools in general practice. Furthermore, results suggest that a significant number of GPs in the sample has problems with the installation and use of the tool in spite of all education and guidance
The implementation of ICT in healthcare: an electronic cardiovascular risk calculator in general practice, a cost performance study
No full textIntroduction: Because health care (HC) budgets of European countries rise every year the discussion on how to finance HC in the new epidemiologic transition is eminent. The use of cheaper tools and techniques in prevention and HC seems advisable. In this study the case of cardiovascular diseases is the main focus. Cardiovascular diseases are the most important cause of morbidity and mortality. Guidelines to prevent these cardiovascular diseases are widely available. To implement these guidelines an electronic prevention programme (EPD) for general practitioners (GPs) is developed. This study calculated the implementation cost per working EPD (performance).
Methods: A prospective cost analysis and determination of the cost per performance with a one way sensitivity analysis were carried out. Logistic regression was performed to explore the predictive values of different variables with performance as a dependent variable.
Results: 185 GPs (response rate 23%) participated in the study. 99 are solo practitioners and 86 are working with at least one colleague (group practice). The total implementation cost of an EPD was €83.939. As the EPD was successfully installed by 102 GPs (=performance), the mean cost equals €823 per GP. Sensitivity analyses showed an improved cost per performance with decrease of the costs of group education and/or an increase in the performance. The most effective method for the implementation was the organisation of group education (OR=6; 95% CI 3.5-10) followed by working in a group practice (OR=3.6; CI 2.2-6).
Conclusion: Implementation of electronic programmes is expensive. Adequate funding has to be foreseen to implement quality improving ICT tools in general practice. Furthermore, results suggest that a significant number of GPs in the sample has problems with the installation and use of the tool in spite of all education and guidance
The impact of hearth failure on health care costs in Belgium
No full textHeart failure (HF) is a serious public health problem all over the world. This chronic disease has a high prevalence, affects mainly the elderly and causes high mortality or severe disability with high economic costs. The aim of this study was to calculate the in-hospital costs due to HF in Belgium. Methods: Retrospective analysis of data from the national hospital registration system (MKG) for 2001. Cost calculations were performed using the data of the social insurance system (RIZIV). Results: In 2001, there were 19.398 admissions with HF as a primary diagnosis with a total in-hospital stay of 286.938 days, representing 12% of the total hospital days for cardiovascular diseases. The mean in-hospital stay for HF was 14.8 days. 51% of the patients were readmitted within the same year. The in-hospital mortality was 15.5%. The total in-hospital costs of HF as a primary diagnosis The impact of hearth failure on health care costs in Belgium. Conclusion: HF was responsible for a significant number of in-hospital days and in-hospital mortality. It has a significant impact on health care costs in Belgium
The implementation of an electronic cardiovascular risk calculator in general practice: a cost performance study
No full textThe implementation of an electronic cardiovascular risk calculator in general practice: a cost performance study
No full textScreening for Atrial Fibrillation in Belgium: a multicentre trial
No full textScreening for Atrial Fibrillation (AF) in Belgium: a multicentre trial
Claes Neree, Goethals Marnix, Goethals Peter, Mairesse Georges, Schwagten Bruno,
Nuyens Dieter, Schrooten Ward, Vijgen Johan
Introduction
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. The estimated prevalence is 0.4-1% in the general population, increasing with age to 8% in those older than 80y - . Epidemiological data of this arrhythmia in Belgium are scarce. It is important to screen for AF because patients with AF have a 5 times more risk for an ischemic stroke . The CHA2DS2-VASscore calculates the risk for stroke in those patients, a score ≥2 necessitate a therapy with anticoagulants .
Methods
Patients above 40 years were invited through different channels (TV, radio, journals, website, posters, leaflets) for a free screening in 69 hospitals allocated over Belgium during one week. After filling in a question on their personal history of AF, they had to fill in a questionnaire about their CHAD2-score. Afterwards a one channel ECG was taken using a versatile Heart Scan Device (Omron HCG-801-E©) by a trained nurse or a physician. If the ECG was positive for AF the patient was referred to their physician for follow-up. An Access database was constructed to collect the data and statistics were done in SPSS.
Results
11.550 patients were screened. 38% are male and 62% are female with a mean age of 59y (+/-SD 11). 860 patients declared a history of AF (7.4%), 10.188 had no history of AF and in 502 the history was missing. 229 (1.9%) of the total population had AF on the one lead ECG where 148 were newly detected. According the CHADS2 68 patients had a score of 0, 70 of 1 and 91 of ≥2. For the CHA2DS2-VASscore the distribution was as follows: 14 patients with 0, 46 with 1 and 169 with ≥2.
Conclusion
Screening campaigns are feasible and able to detect 2% of patients with AF. A significant proportion of these patients are at risk for trombo-embolic event.
Go AS, Hylek EM, Philips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhytm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001;285:2370-5.
Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol 1994; 7:236-41.
Wolf PA, Abbott RD, Kannel WB. Atrial Fibrillation as an independent risk factor for stroke: teh Framingham Study. Stroke 1991;22:983-8.
Lip G, Pisters R, Crijns H. Refining clinical risk stratification using a novel risk factor based approach: The Euro Heart Survey on Atrial Fibrillation. Chest 2010;137:263-72.Sanofi Aventi
Screening for Atrial Fibrillation in Belgium: a multicentre trial
No full textScreening for Atrial Fibrillation (AF) in Belgium: a multicentre trial
Claes Neree, Goethals Marnix, Goethals Peter, Mairesse Georges, Schwagten Bruno,
Nuyens Dieter, Schrooten Ward, Vijgen Johan
Introduction
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. The estimated prevalence is 0.4-1% in the general population, increasing with age to 8% in those older than 80y - . Epidemiological data of this arrhythmia in Belgium are scarce. It is important to screen for AF because patients with AF have a 5 times more risk for an ischemic stroke . The CHA2DS2-VASscore calculates the risk for stroke in those patients, a score ≥2 necessitate a therapy with anticoagulants .
Methods
Patients above 40 years were invited through different channels (TV, radio, journals, website, posters, leaflets) for a free screening in 69 hospitals allocated over Belgium during one week. After filling in a question on their personal history of AF, they had to fill in a questionnaire about their CHAD2-score. Afterwards a one channel ECG was taken using a versatile Heart Scan Device (Omron HCG-801-E©) by a trained nurse or a physician. If the ECG was positive for AF the patient was referred to their physician for follow-up. An Access database was constructed to collect the data and statistics were done in SPSS.
Results
11.550 patients were screened. 38% are male and 62% are female with a mean age of 59y (+/-SD 11). 860 patients declared a history of AF (7.4%), 10.188 had no history of AF and in 502 the history was missing. 229 (1.9%) of the total population had AF on the one lead ECG where 148 were newly detected. According the CHADS2 68 patients had a score of 0, 70 of 1 and 91 of ≥2. For the CHA2DS2-VASscore the distribution was as follows: 14 patients with 0, 46 with 1 and 169 with ≥2.
Conclusion
Screening campaigns are feasible and able to detect 2% of patients with AF. A significant proportion of these patients are at risk for trombo-embolic event.
Go AS, Hylek EM, Philips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhytm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001;285:2370-5.
Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol 1994; 7:236-41.
Wolf PA, Abbott RD, Kannel WB. Atrial Fibrillation as an independent risk factor for stroke: teh Framingham Study. Stroke 1991;22:983-8.
Lip G, Pisters R, Crijns H. Refining clinical risk stratification using a novel risk factor based approach: The Euro Heart Survey on Atrial Fibrillation. Chest 2010;137:263-72.Sanofi Aventi
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