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[PMID]:29447192
[Au] Autor:Abbasi A; Sadeghi-Niaraki A; Jalili M; Choi SM
[Ad] Endereço:School of Engineering and IT, University of New South Wales (UNSW), Canberra, ACT, Australia.
[Ti] Título:Enhancing response coordination through the assessment of response network structural dynamics.
[So] Source:PLoS One;13(2):e0191130, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Preparing for intensifying threats of emergencies in unexpected, dangerous, and serious natural or man-made events, and consequent management of the situation, is highly demanding in terms of coordinating the personnel and resources to support human lives and the environment. This necessitates prompt action to manage the uncertainties and risks imposed by such extreme events, which requires collaborative operation among different stakeholders (i.e., the personnel from both the state and local communities). This research aims to find a way to enhance the coordination of multi-organizational response operations. To do so, this manuscript investigates the role of participants in the formed coordination response network and also the emergence and temporal dynamics of the network. By analyzing an inter-personal response coordination operation to an extreme bushfire event, the networks' and participants' structural change is evaluated during the evolution of the operation network over four time durations. The results reveal that the coordination response network becomes more decentralized over time due to the high volume of communication required to exchange information. New emerging communication structures often do not fit the developed plans, which stress the need for coordination by feedback in addition to by plan. In addition, we find that the participant's brokering role in the response operation network identifies a formal and informal coordination role. This is useful for comparison of network structures to examine whether what really happens during response operations complies with the initial policy.
[Mh] Termos MeSH primário: Administração de Recursos Humanos/métodos
Alocação de Recursos/métodos
[Mh] Termos MeSH secundário: Austrália
Comunicação
Socorristas
Bombeiros
Seres Humanos
Organizações/organização & administração
Incêndios Florestais
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191130


  2 / 15521 MEDLINE  
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[PMID]:29424968
[Au] Autor:Terlep M; Foley B
[Ti] Título:The Importance of Retaining Well-Trained and Experienced Coders.
[So] Source:J AHIMA;88(6):34-5, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica
Classificação Internacional de Doenças
Administradores de Registros Médicos
Administração de Recursos Humanos
Reorganização de Recursos Humanos
[Mh] Termos MeSH secundário: Documentação/normas
Seres Humanos
Satisfação no Emprego
Administradores de Registros Médicos/educação
Personalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  3 / 15521 MEDLINE  
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[PMID]:29185680
[Au] Autor:Touchstone M
[Ti] Título:Social Responsibility: Supervising EMS officer competencies.
[So] Source:JEMS;41(10):15, 2016 10.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Administrativo/ética
Auxiliares de Emergência/ética
Auxiliares de Emergência/normas
Administração de Recursos Humanos
Responsabilidade Social
[Mh] Termos MeSH secundário: Credenciamento
Seres Humanos
Liderança
Competência Profissional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


  4 / 15521 MEDLINE  
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[PMID]:28795977
[Au] Autor:Lingard L; Zhang P; Strong M; Steele M; Yoo J; Lewis J
[Ad] Endereço:L. Lingard is professor, Department of Medicine and Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. P. Zhang is a second-year medical student, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. M. Strong is professor and dean, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. M. Steele is professor and dean, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. J. Yoo is professor and chair, Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. J. Lewis is professor, Department of Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
[Ti] Título:Strategies for Supporting Physician-Scientists in Faculty Roles: A Narrative Review With Key Informant Consultations.
[So] Source:Acad Med;92(10):1421-1428, 2017 Oct.
[Is] ISSN:1938-808X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Physician-scientists are a population in decline globally. Solutions to reverse this decline often have focused on the training pipeline. Less attention has been paid to reducing attrition post training, when physician-scientists take up faculty roles. However, this period is a known time of vulnerability because of the pressures of clinical duties and the long timeline to securing independent research funding. This narrative review explored existing knowledge regarding how best to support physician-scientists for success in their faculty roles. METHOD: The authors searched the Medline, Embase, ERIC, and Cochrane Library databases for articles published from 2000 to 2016 on this topic and interviewed key informants in 2015 to solicit their input on the review results. RESULTS: The authors reviewed 78 articles and interviewed 16 key informants. From the literature, they developed a framework of organizational (facilitate mentorship, foster community, value the physician-scientist role, minimize financial barriers) and individual (develop professional and research skills) strategies for supporting physician-scientists. They also outlined key knowledge gaps representing topics either rarely or never addressed in the reviewed articles (percent research time, structural hypocrisy, objective assessment, group metrics, professional identity). The key informants confirmed the identified strategies and discussed how the gaps were particularly important and impactful. CONCLUSIONS: This framework offers a basis for assessing an organization's existing support strategies, identifying outstanding needs, and developing targeted programming. The identified gaps require attention, as they threaten to undermine the benefits of existing support strategies.
[Mh] Termos MeSH primário: Docentes de Medicina/organização & administração
Administração de Recursos Humanos/métodos
Médicos/organização & administração
Pesquisadores/organização & administração
[Mh] Termos MeSH secundário: Docentes de Medicina/psicologia
Seres Humanos
Reorganização de Recursos Humanos
Médicos/provisão & distribuição
Pesquisadores/provisão & distribuição
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/ACM.0000000000001868


  5 / 15521 MEDLINE  
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[PMID]:28381289
[Au] Autor:Walton-Roberts M; Runnels V; Rajan SI; Sood A; Nair S; Thomas P; Packer C; MacKenzie A; Tomblin Murphy G; Labonté R; Bourgeault IL
[Ad] Endereço:Balsillie School of International Affairs, 67 Erb Street West, Waterloo, ON, N2L 6C2, Canada.
[Ti] Título:Causes, consequences, and policy responses to the migration of health workers: key findings from India.
[So] Source:Hum Resour Health;15(1):28, 2017 Apr 05.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study sought to better understand the drivers of skilled health professional migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries-Jamaica, India, the Philippines, and South Africa-that have historically been "sources" of health workers migrating to other countries. The aim of this paper is to present the findings from the Indian portion of the study. METHODS: Data were collected using surveys of Indian generalist and specialist physicians, nurses, midwives, dentists, pharmacists, dieticians, and other allied health therapists. We also conducted structured interviews with key stakeholders representing government ministries, professional associations, regional health authorities, health care facilities, and educational institutions. Quantitative data were analyzed using descriptive statistics and regression models. Qualitative data were analyzed thematically. RESULTS: Shortages of health workers are evident in certain parts of India and in certain specialty areas, but the degree and nature of such shortages are difficult to determine due to the lack of evidence and health information. The relationship of such shortages to international migration is not clear. Policy responses to health worker migration are also similarly embedded in wider processes aimed at health workforce management, but overall, there is no clear policy agenda to manage health worker migration. Decision-makers in India present conflicting options about the need or desirability of curtailing migration. CONCLUSIONS: Consequences of health work migration on the Indian health care system are not easily discernable from other compounding factors. Research suggests that shortages of skilled health workers in India must be examined in relation to domestic policies on training, recruitment, and retention rather than viewed as a direct consequence of the international migration of health workers.
[Mh] Termos MeSH primário: Assistência à Saúde/normas
Emigração e Imigração
Pessoal de Saúde
Política de Saúde
Acesso aos Serviços de Saúde
Motivação
Área de Atuação Profissional
[Mh] Termos MeSH secundário: Pessoal Técnico de Saúde/provisão & distribuição
Odontólogos/provisão & distribuição
Seres Humanos
Índia
Tocologia
Enfermeiras e Enfermeiros/provisão & distribuição
Administração de Recursos Humanos
Farmacêuticos/provisão & distribuição
Médicos/provisão & distribuição
Especialização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0199-y


  6 / 15521 MEDLINE  
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[PMID]:28256928
[Au] Autor:Sadegh Amalnick M; Zarrin M
[Ad] Endereço:Department of Industrial Engineering, College of Engineering, University of Tehran , Tehran, Iran.
[Ti] Título:Performance assessment of human resource by integration of HSE and ergonomics and EFQM management system.
[So] Source:Int J Health Care Qual Assur;30(2):160-174, 2017 Mar 13.
[Is] ISSN:0952-6862
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose The purpose of this paper is to present an integrated framework for performance evaluation and analysis of human resource (HR) with respect to the factors of health, safety, environment and ergonomics (HSEE) management system, and also the criteria of European federation for quality management (EFQM) as one of the well-known business excellence models. Design/methodology/approach In this study, an intelligent algorithm based on adaptive neuro-fuzzy inference system (ANFIS) along with fuzzy data envelopment analysis (FDEA) are developed and employed to assess the performance of the company. Furthermore, the impact of the factors on the company's performance as well as their strengths and weaknesses are identified by conducting a sensitivity analysis on the results. Similarly, a design of experiment is performed to prioritize the factors in the order of importance. Findings The results show that EFQM model has a far greater impact upon the company's performance than HSEE management system. According to the obtained results, it can be argued that integration of HSEE and EFQM leads to the performance improvement in the company. Practical implications In current study, the required data for executing the proposed framework are collected via valid questionnaires which are filled in by the staff of an aviation industry located in Tehran, Iran. Originality/value Managing HR performance results in improving usability, maintainability and reliability and finally in a significant reduction in the commercial aviation accident rate. Also, study of factors affecting HR performance authorities participate in developing systems in order to help operators better manage human error. This paper for the first time presents an intelligent framework based on ANFIS, FDEA and statistical tests for HR performance assessment and analysis with the ability of handling uncertainty and vagueness existing in real world environment.
[Mh] Termos MeSH primário: Algoritmos
Ergonomia/métodos
Ergonomia/normas
Saúde do Trabalhador/normas
Gestão da Qualidade Total/organização & administração
[Mh] Termos MeSH secundário: Lógica Fuzzy
Seres Humanos
Irã (Geográfico)
Liderança
Administração de Recursos Humanos/normas
Políticas
Melhoria de Qualidade/organização & administração
Reprodutibilidade dos Testes
Gestão da Qualidade Total/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.1108/IJHCQA-06-2016-0089


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[PMID]:28245877
[Au] Autor:Shen GC; Nguyen HT; Das A; Sachingongu N; Chansa C; Qamruddin J; Friedman J
[Ad] Endereço:Department of Health Policy and Management, Graduate School of Public Health and Health Policy, City University of New York, 55 West 125 Street Room 806, New York, NY, 10027, United States of America. Gordon.Shen@sph.cuny.edu.
[Ti] Título:Incentives to change: effects of performance-based financing on health workers in Zambia.
[So] Source:Hum Resour Health;15(1):20, 2017 Feb 28.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Performance-based financing (PBF) has been implemented in a number of countries with the aim of transforming health systems and improving maternal and child health. This paper examines the effect of PBF on health workers' job satisfaction, motivation, and attrition in Zambia. It uses a randomized intervention/control design to evaluate before-after changes for three groups: intervention (PBF) group, control 1 (C1; enhanced financing) group, and control 2 (C2; pure control) group. METHODS: Mixed methods are employed. The quantitative portion comprises of a baseline and an endline survey. The survey and sampling scheme were designed to allow for a rigorous impact evaluation of PBF or C1 on several key performance indicators. The qualitative portion seeks to explain the pathways underlying the observed differences through interviews conducted at the beginning and at the three-year mark of the PBF program. RESULTS: Econometric analysis shows that PBF led to increased job satisfaction and decreased attrition on a subset of measures, with little effect on motivation. The C1 group also experienced some positive effects on job satisfaction. The null results of the quantitative assessment of motivation cohere with those of the qualitative assessment, which revealed that workers remain motivated by their dedication to the profession and to provide health care to the community rather than by financial incentives. The qualitative evidence also provides two explanations for higher overall job satisfaction in the C1 than in the PBF group: better working conditions and more effective supervision from the District Medical Office. The PBF group had higher satisfaction with compensation than both control groups because they have higher compensation and financial autonomy, which was intended to be part of the PBF intervention. While PBF could not address all the reasons for attrition, it did lower turnover because those health centers were staffed with qualified personnel and the personnel had role clarity. CONCLUSIONS: In Zambia, the implementation of PBF schemes brought about a significant increase in job satisfaction and a decrease in attrition, but had no significant effect on motivation. Enhanced health financing also increased stated job satisfaction.
[Mh] Termos MeSH primário: Pessoal de Saúde
Satisfação no Emprego
Motivação
Reorganização de Recursos Humanos
Qualidade da Assistência à Saúde
Reembolso de Incentivo
Desempenho Profissional
[Mh] Termos MeSH secundário: Adulto
Altruísmo
Atitude do Pessoal de Saúde
Assistência à Saúde
Feminino
Seres Humanos
Masculino
Administração de Recursos Humanos
Inquéritos e Questionários
Local de Trabalho
Zâmbia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0179-2


  8 / 15521 MEDLINE  
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[PMID]:28234766
[Au] Autor:Drake K
[Ad] Endereço:Director, Med/Surg, Renal/Oncology Services, Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, Tex.
[Ti] Título:Leadership Q&A.
[So] Source:Nurs Manage;48(3):56, 2017 03.
[Is] ISSN:1538-8670
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Relações Interprofissionais
Liderança
Enfermeiras Administradoras/psicologia
Administração de Recursos Humanos/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170225
[St] Status:MEDLINE
[do] DOI:10.1097/01.NUMA.0000512899.76048.42


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[PMID]:28213991
[Au] Autor:Fraher EP
[Ad] Endereço:Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: erin_fraher@unc.edu.
[Ti] Título:The value of workforce data in shaping nursing workforce policy: A case study from North Carolina.
[So] Source:Nurs Outlook;65(2):154-161, 2017 Mar - Apr.
[Is] ISSN:1528-3968
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2015, the Institute of Medicine's Committee for Assessing Progress on Implementing the Future of Nursing recommendations noted that little progress has been made in building the data infrastructure needed to support nursing workforce policy. PURPOSE: This article outlines a case study from North Carolina to demonstrate the value of collecting, analyzing, and disseminating state-level workforce data. METHODS: Data were derived from licensure renewal information gathered by the North Carolina Board of Nursing and housed at the North Carolina Health Professions Data System at the University of North Carolina at Chapel Hill. DISCUSSION: State-level licensure data can be used to inform discussions about access to care, evaluate progress on increasing the number of baccalaureate nurses, monitor how well the ethnic and racial diversity in the nursing workforce match the population, and investigate the educational and career trajectories of licensed practical nurses and registered nurses. CONCLUSION: At the core of the IOM's recommendations is an assumption that we will be able to measure progress toward a "Future of Nursing" in which 80% of the nursing workforce has a BSN or higher, the racial and ethnic diversity of the workforce matches that of the population, and nurses currently employed in the workforce are increasing their education levels through lifelong learning. Without data, we will not know how fast we are reaching these goals or even when we have attained them. This article provides concrete examples of how a state can use licensure data to inform nursing workforce policy.
[Mh] Termos MeSH primário: Bacharelado em Enfermagem/estatística & dados numéricos
Enfermeiras e Enfermeiros/provisão & distribuição
Enfermeiras e Enfermeiros/estatística & dados numéricos
Enfermagem/recursos humanos
Enfermagem/estatística & dados numéricos
Administração de Recursos Humanos
Local de Trabalho/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
North Carolina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE


  10 / 15521 MEDLINE  
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[PMID]:28174158
[Au] Autor:Limb M
[Ad] Endereço:London.
[Ti] Título:Junior doctor dispute may have lasting impact on NHS, researchers say.
[So] Source:BMJ;356:j664, 2017 Feb 07.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Corpo Clínico Hospitalar/organização & administração
Administração de Recursos Humanos/métodos
Medicina Estatal/organização & administração
[Mh] Termos MeSH secundário: Dissidências e Disputas
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j664



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