OBJECTIVE To nationally trial the Primary Care Practice Improvement Tool (PC-PIT), an organisational performance improvement tool previously co-created with Australian primary care practices to increase their focus on relevant quality improvement (QI) activities. DESIGN The study was conducted from March to December 2015 with volunteer general practices from a range of Australian primary care...

This paper responds to the current emphasis on organisational learning in the NHS as a means of improving healthcare systems and making hospitals safer places for patients. Conspiracies of silence have been identified as obstacles to organisational learning, covering error and hampering communication. In this paper we question the usefulness of the term and suggest that "cultural censorship", a...

AIM Social exchange theory is used as the framework to examine the interaction between supervisor-subordinate relationships, training and affective commitment for Northeast Brazilian public sector nursing professionals. BACKGROUND There are continuing challenges to nursing management worldwide in terms of the supply of nursing professionals, their work relationships, nurse training and commit...

PURPOSE The purpose of this paper is to explore the connection between organisational cultures and the employee's resistance to change at five hospital wards in Western Sweden. Staff had experienced extensive change during a research project implementing person-centred care (PCC) for patients with chronic heart failure. DESIGN/METHODOLOGY/APPROACH Surveys were sent out to 170 nurses. The surv...

BACKGROUND Interventions to improve young people's health are most commonly delivered via schools. While young people attending the lowest socioeconomic status (SES) schools report poorer health profiles, no previous studies have examined whether there is an 'inverse care law' in school health improvement activity (i.e., whether schools in more affluent areas deliver more health improvement). N...

En los últimos años, hemos asistido en nuestro país a una eclosión de la Enfermería sin precedentes, tanto en el terreno de la formación ----universitaria y clínica---como en el terreno de la práctica, con la aparición de nuevos roles y reivindicación de nuevas competencias. En este contexto, se ha ido introduciendo en nuestro discurso el concepto de «rol avanzado» o de «Práctica Avanzada en En...

Purpose – This editorial briefly outlines present applications of lean systems applications in healthcare and then summarises the contributions to this special edition. Design/methodology/approach – A brief background to lean is introduced to provide the context for the subsequent papers in this special issue Findings – The requirements for successful introduction of Lean Systems Thinking (LST)...

there is an emerging consensus that caring and compassion are under threat in the frenetic environment of modern healthcare. enabling and sustaining compassionate care requires not only a focus on the needs of the patient, but also on those of the care giver. as such, threats and exhortations to health professionals are likely to have limited and perverse effects and it is to the organisational...

Background Improving the design of technology relies in part, on reporting performance failures existing devices. Healthcare has low levels formal and failure medical equipment. This paper examines methods car industry healthcare aims to understand differences identify opportunities for improvement within healthcare. Methods A literature search was carried out Pubmed, Medline, Embase, Engineeri...