Nursing Unit Environment Associated with Provision of Language Services in Pediatric Hospices
Background Provision of language services in pediatric hospice enables nurses to communicate effectively with patients who have limited English proficiency. Language barriers contribute to ethnic disparities in health care. While language service use corresponds with improved patient comprehension of illness and care options, we lack an understanding of how the nurse work environment affects the provision of these services.
Methods Data were obtained from the 2007 National Home and Hospice Care Survey and included a study sample of 1251 pediatric hospice agencies. Variable selection was guided by structural contingency theory, which posits that organizational effectiveness is dependent upon how well an organization’s structure relates to its context. Using multivariate logistic regression, we analyzed the extent to which nursing unit environment predicted provision of translation services and interpreter services.
Lindley LC; Held ML; Henley KM; Miller KA; Pedziwol KE; Rumley LE
Journal of Racial & Ethnic Health Disparities
2017
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s40615-016-0224-1" target="_blank" rel="noreferrer noopener">10.1007/s40615-016-0224-1</a>
Emotion work in the palliative nursing care of children and young people
Child; Humans; Adolescent Psychology; Adult; Self Concept; Attitude to Death; Health Services Needs and Demand; Child Psychology; Holistic Health; Job Satisfaction; Organizational Culture; quality of life; adolescent; Psychological; PedPal Lit; Family/psychology; empathy; social support; Adaptation; Attitude of Health Personnel; Emotions; Burnout; Nurse-Patient Relations; Nurse's Role/psychology; Palliative Care/organization & administration/psychology; Professional/prevention & control/psychology; Work/psychology
The nurse's role in supporting and caring for children and young people with life-limiting illness/conditions and their families requires specialist expertise. This domain can be one of the most emotionally challenging areas of practice. The concept of time, and how long practitioners are involved with individual children and their families may sometimes be underestimated. Emotion work is defined as the work involved in managing feelings in both self and others (Hochschild, 1983). The sense of community within the clinical setting can facilitate the nurse to care and maintain professional boundaries.
2006
Maunder EZ
International Journal Of Palliative Nursing
2006
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
Linking team competences to organisational capacities in health care
Humans; Interprofessional Relations; Organizational Culture; Professional Competence; Organizational Innovation; Delivery of Health Care/organization & administration; Patient Care Team/organization & administration; Palliative Care/organization & administration/standards; Total Quality Management/methods
Palliative care is a complex environment in which teams of healthcare professionals are constantly challenged to match the configuration of care delivery to suit the dynamics of the patient's bio-medical, social and spiritual situations as they change during the end-of-life process. In such an environment these teams need to engage in ongoing interaction between different professional disciplines, incremental improvement in care delivery, learning and radical innovation. This is aimed at combining operational effectiveness, strategic flexibility, exploitation and exploration, in a way that ensures the best possible care for the patient. This paper examines previous research on the management competences and the organisational capabilities necessary for continuous innovation, and analyses evidence emerging from a study of palliative care. Work on the relationships between innovation capacities, organisational capabilities and team-based competence is drawn together. Evidence is presented from research into the management of innovation in palliative care.
2003
Hyland P; Davison G; Sloan T
Journal of Health Organization and Management
2003
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1108/14777260310480712" target="_blank" rel="noreferrer">10.1108/14777260310480712</a>
Children's hospices: organizational and staff issues
Child; Great Britain; Adult; Attitude of Health Personnel; Quality of Health Care; Organizational Culture; Personal Satisfaction; adolescent; Human; Hospices/organization & administration; Child Health Services/organization & administration/trends; Palliative Care/organization & administration/trends
2002
Sheldon F; Speck P
Palliative Medicine
2002
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Journal Article
Strategic Directions
Organizational Culture; Hospice palliative care; Objectives; Strategic Plan
2001
2001
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1201/b13978-3" target="_blank" rel="noreferrer">10.1201/b13978-3</a>