Asia-Pacific Journal of Health Management https://journal.achsm.org.au/index.php/achsm <p><span style="font-size: larger;"><span style="color: #000000;"><img src="/public/site/images/rdosoruth/ACHSM-stacked-name_colour.png"> <img src="/public/site/images/rdosoruth/shape_logo.gif" width="96" height="98"><br></span></span></p> <p>The&nbsp;<em>Asia Pacific Journal of Health Management</em>&nbsp;(<em>APJHM</em>) is a peer reviewed journal for managers of organisations offering health and aged care services. It was launched as the official journal of the Australasian College of Health Service Management in 2006. It is currently published as a collboration between ACHSM and the Society for Health Administration Programs in Education (SHAPE), following <a href="https://www.achsm.org.au/about-us/news/achsm-and-shape-sign-memorandum-of-understanding">a Memorandum of Understanding signed in July 2019</a>.</p> <p>The mission of the&nbsp;<em>APJHM</em>&nbsp;is to advance understanding of the management of health and aged care service organisations within the Asia Pacific region through the publication of empirical research, theoretical and conceptual developments and analysis and discussion of current management practices.</p> <p>The&nbsp;<em>APJHM</em>&nbsp;aims to promote the discipline of health management throughout the region by:</p> <ul> <li class="show">facilitating transfer of knowledge among readers by widening the evidence base for management practices;</li> <li class="show">contributing to the professional development of health and aged care managers; and</li> <li class="show">promoting ACHSM and the discipline to the wider community.</li> </ul> <p><em>&nbsp;*Print 1(1);2006 - 5(1);2010&nbsp; Online 4(2);2009 - current</em></p> <p><em>* ISSN 2204-3136 (online); ISSN 1833-3818 (print)</em></p> <p>&nbsp;</p> Australasian College of Health Service Management en-US Asia-Pacific Journal of Health Management 1833-3818 In this Issue https://journal.achsm.org.au/index.php/achsm/article/view/301 <p>In this issue we start with the editorial and then present a research article from Matus, Wenke and Mickan that has an objective the development a practical toolkit of evidence-informed strategies for building research capacity in Allied Health. The focus on allied health continues with a further research article from McKeever and Brown who ask the question ‘What are the client, organisational and employee – related outcomes of high-quality leadership in the Allied Health Professions?’ The authors undertook a scoping review around these aspects in Allied health.</p> David Briggs ##submission.copyrightStatement## 2019-07-22 2019-07-22 14 2 1 2 10.24083/apjhm.v14i2.301 How Do We Develop Positive Health Policy? https://journal.achsm.org.au/index.php/achsm/article/view/303 <p class="Body"><span lang="EN-GB">During the recent Australian Federal election held on the 18th May 2019 much was made by all sides of the political divide about health and health services, much was praised, and more was promised in the name of health policy and improved approaches to health care delivery. Given that the ‘quiet Australians’ have made their choice and the political angst and dust has diminished, it might be time to return the debate to determine what it was that we all agreed to and where do we go from here.....</span></p> David Briggs ##submission.copyrightStatement## 2019-07-22 2019-07-22 14 2 3 4 10.24083/apjhm.v14i2.303 A Practical Toolkit of Strategies for Building Research Capacity in Allied Health https://journal.achsm.org.au/index.php/achsm/article/view/261 <p><strong><em>Objectives:</em> </strong>The objectives of this project were firstly to develop a practical toolkit of evidence-informed strategies for building research capacity in allied health, and secondly to disseminate and apply this toolkit to inform tailored research capacity building plans for allied health teams.&nbsp;</p> <p><strong><em>Design:</em></strong> This project used a plan, do, study, act (PDSA) service quality improvement methodology to develop, disseminate and apply a toolkit which was based on the results of a recent systematic review of allied health research capacity building frameworks and a narrative review of other interventions and theoretical recommendations.&nbsp;</p> <p><strong><em>Setting:</em></strong> Eight allied health professional teams in a publicly funded tertiary health service were supported to develop tailored research capacity building plans based on their specific needs, goals and context.&nbsp;</p> <p><em>Main outcome measures:</em> The outcomes of this project were evaluated using process measures including whether a research capacity building plan was developed and to what extent short-term goals were achieved within three months.&nbsp;</p> <p><strong><em>Results:</em></strong> A practical toolkit was developed which consolidates existing evidence-informed strategies and organises these around three components including ‘supporting clinicians in research’, ‘working together’ and ‘valuing research for excellence’ and 17 sub-components. Several barriers and facilitators to applying the toolkit to teams were identified and this paper suggests some recommendations and future directions for addressing these.</p> <p><em><strong>Conclusions</strong>:</em> This toolkit may be a useful resource to inform the development of team-based research capacity building plans for allied health. The application of the toolkit may be enhanced by a needs assessment and facilitation from a researcher.&nbsp;</p> Janine Matus Rachel Wenke Sharon Mickan ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 5 18 10.24083/apjhm.v14i2.261 Analysing a Resilience Development Program: who benefits? https://journal.achsm.org.au/index.php/achsm/article/view/253 <p><em><strong>Objective:</strong> </em>This article presents findings from an analysis of resilience and resilience development.&nbsp;<br><br><strong><em>Design:</em></strong> Convergent, mixed-methods research used an online survey to gather data from participants in a resilience development program, in combination with a small number of semi-structured interviews with managers.&nbsp;<br><br><em><strong>Setting:</strong></em> The research was carried out on public sector health and human services managers and staff, during a time of ‘downsizing’ and organisational restructuring.&nbsp;<br><br><strong><em>Main outcome measures:</em></strong> The Wagnild Resilience Scale was used to measure resilience levels and their association to respondent demographic, educational and professional groupings.&nbsp;<br><br><strong><em>Results:</em> </strong>Interviews with senior managers found a consensus of opinion that resilience was important; and the resilience development program either had, or potentially had, benefits for their workforce. Perceptions about exactly who would benefit differed between senior managers and participants in the program. Participant survey results indicated that respondent characteristics (age, occupational group, highest level of education and departmental role) were associated with differing levels of resilience.&nbsp;<br><br><strong><em>Conclusions:</em> </strong>This study found that resilience development may benefit two groups of employees in particular: non-nursing staff under 50 years of age, and managers. These findings add to the body of knowledge associated with staff resilience development, organisational change management and organisational learning. These results inform health service manager practice by suggesting potential target groups for resilience development.&nbsp;</p> Jonathon Heather Elizabeth Shannon Sue Pearson ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 31 39 10.24083/apjhm.v14i2.253 The Health Literacy Environment of a Regional Australian Elective Surgery Access Unit: consumer perspectives from pre-admission to post-discharge https://journal.achsm.org.au/index.php/achsm/article/view/259 <p><em><strong>Background</strong>:</em> Healthcare services should conscientiously ensure their health literacy environment (HLE) supports wayfinding, and provides comprehensible health information. Despite the increasing focus on the importance of evaluating and enhancing the HLE, consumer perspectives about HLE barriers and enablers have received limited attention in the published literature.&nbsp;</p> <p><strong><em>Objective:</em></strong> This study aimed to identify barriers and enablers in the HLE of the Elective Surgery Access Unit (ESAU) at Albury Wodonga Health in regional south-east Australia.&nbsp;</p> <p><em><strong>Methods</strong>:</em>Three consumers participated in the study. Two of these participants completed a wayfinding interview, verbalizing the barriers and enablers encountered during wayfinding from the nearest carpark to the ESAU. All participants reviewed samples of written materials for ESAU consumers. Two participants, who had been discharged, commented on whether any important information was overlooked, from a post-discharge perspective. The data was categorized into inter-related themes within broader overarching domains.&nbsp;</p> <p><strong><em>Results:</em></strong>The helpfulness of the physical environment was one domain, involving three themes: signage, parking, and visual cues. The helpfulness of written information was another domain, involving three themes: comprehensiveness, readability and relevance. A third overlapping domain was: the importance of verbal information-giving. This domain also involved three themes: the importance of a phone number to seek assistance, a clearly identifiable reception area, and in-person communication.&nbsp;</p> <p><em><strong>Conclusions</strong>:</em> The insights of these three service users can inform health services trying to enhance access for everyone needing healthcare. If more Australian health services reviewed their HLE, the findings could inform organizational improvements towards safer, more efficient, and higher quality healthcare.&nbsp;</p> Sarah Neil Kylie Murphy Glenda Chapman ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 49 55 10.24083/apjhm.v14i2.259 A Descriptive Analysis of a Health Management Work Integrated Learning Course: moving from Health Services Management learning to employment readiness https://journal.achsm.org.au/index.php/achsm/article/view/269 <p>Health Management Work Integrated Learning is a 40 credit point penultimate course of experiential learning in the Master of Advanced Health Services Management M(Adv)HSM now offered by the School of Medicine Health at Griffith University.</p> <p>WIL was initiated in 2009 within the School of Public Health (Lilley et al (2009) based on a Teaching and Learning Grant to meet an existing experiential learning need identified for students studying in the enabling professional area of health management. After 15 semesters of delivery of these courses (completed at December 2016), it is timely to report on the quantitative attributes on the course to inform the post-graduate literature on this type of education. An objective of this review is to influence both curricula and student decision making regarding the future conduct and enhancement of tertiary preparation for health services management HSM employment. WIL has experienced a large increase in student enrolments in recent years suggesting that there is both strong demand for this nature of learning and student satisfaction with the quality of the learning modality in preparing for a career in HSM.</p> Duncan McConnell Russell Linwood Gary Day Mark Avery ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 56 67 10.24083/apjhm.v14i2.269 The Accreditation of Human Resources and Physical Space of the Iranian Heart Centre: Comparison to the national and international standards https://journal.achsm.org.au/index.php/achsm/article/view/265 <p><strong><em>Objective:</em> </strong>Standardization of hospital resources and physical space can be an important strategy to increase productivity and effectiveness of services. The study was conducted with the aim of comparative accreditation of human resources and physical space in Mazandaran heart centre compared with the standards.</p> <p><strong><em>Method:</em></strong> This comparative descriptive study was carried out in Sari city (centre of Mazandaran province) during 2016-2017. The data collection tool consists of two checklists for investigating the physical space and human resources of the hospital. To evaluate the quality of the content, a checklist was distributed to 5 experts from Mazandaran University of Medical Sciences. After corrections the checklist was applied. Data were analyzed by SPSS software version 16 and descriptive statistics.</p> <p><em><strong>Findings</strong>:</em> The total number of nurses in this hospital was 288 and the total number of beds was 171. The human resources in the nursing, nutrition, operating room, anaesthesia departments were not standard. The ratio of total human resource to the number of beds was also estimated as 4.04. Results showed that the physical conditions in the hospital were moderately standard. The physical conditions of the hospital in most dimensions based on checklist, except the physical location of hospital and the features of its doors, were in accordance with the standard requirements.</p> <p><strong><em>Conclusion:</em></strong> Considering the inappropriate distribution of human resource in the hospital and the non-standard design of physical space for providing services with better quality and increasing patients' satisfaction, it is recommended that experts control more carefully standard requirements.</p> Azar Jafari Masoumeh Bagheri-Nesami Mohammad Sadegh Rezai Fatemeh Zamani Amir Hossein Goudarzian ##submission.copyrightStatement## 2019-07-22 2019-07-22 14 2 85 92 10.24083/apjhm.v14i2.265 What Are the Client, Organisational and Employee-Related Outcomes of High Quality Leadership in the Allied Health Professions? A scoping review. https://journal.achsm.org.au/index.php/achsm/article/view/257 <p><strong><em>Background:</em></strong> Leadership is viewed as the panacea the complex problems in modern health care where chronic disease, contracting budgets and rising consumer expectation are challenging care provision. As the second largest workforce in Australia, Allied Health Professionals (AHP) are core contributors to health teams however they are largely absent from leadership positions and there is little evidence of their impact on client outcomes.&nbsp;<br><br><strong><em>Aim:</em> </strong>A scoping review was carried out to synthesise evidence on the client, organisational and employee-related outcomes of high quality leadership in Allied Health.&nbsp;<br><br><strong><em>Method:</em></strong> A search of grey literature, peer and non-peer reviewed literature was undertaken using Embase, Emcare, SCOPUS and Psychinfo from 2010-2017. Data were sourced from journals, government reports, conference presentations and other grey literature. The reference list of key articles were hand searched for relevant research.&nbsp;<br><br><strong><em>Results</em>:</strong> A total of 5880 articles were identified and after screening 35 articles were included for in depth review. Leadership contributed towards positive outcomes in all three domains and had influence across professional groups and services. Leaders are highly valued and respected by their teams. Allied Health leaders did not feature in any of the articles and AHP were the focus of only seven studies. The majority of articles were conference papers or case reviews that provided little robust data making it difficult to draw substantive conclusions on the outcome of AHP leadership.&nbsp;<br><br><strong><em>Conclusion:</em></strong> There was a lack of robust data specific to AHP leaders. Future research should attempt to gather evidence of the outcomes of AHP leadership through qualitative and quantitative means to substantiate the anecdotal evidence for high quality AHP leaders.&nbsp;</p> Janice McKeever Ted Brown ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 19 30 10.24083/apjhm.v14i2.257 Implications of New Zealand’s Primary Health Care Policies for Management and Leadership https://journal.achsm.org.au/index.php/achsm/article/view/255 <p><strong>Introduction:</strong> Reforms have been introduced since 2000 to make New Zealand’s health system primary care-led. A competent health management workforce is necessary to provide leadership for the goals of the reforms to be realised.</p> <p><strong>Aim and objective :</strong> To review New Zealand’s key primary health care policies from 2000 to 2016 and consider their implications for management and leadership. <br><br><strong>Methods :</strong> A document analysis was undertaken using qualitative content analysis. Eligible documents were identified through the websites of relevant government and non-government agencies, World Health Organisation, and through Google Scholar. <br><br><strong>Findings</strong>&nbsp;:Two key policy trends relating to primary health care were identified. Firstly, a population health orientation to improve access to health care through community participation, and secondly, an integrated approach to promote collaboration within the health system, and between the health system and other sectors. The inferred management and leadership skillsets required to realise these policies included relationship management and collaboration, change management, and leadership. <br><br><strong>Conclusion:&nbsp;</strong>New Zealand’s primary health care sector underwent substantial reform between 2000 and 2016. Management and leadership capabilities need to be strengthened and developed for the benefits of the reforms to be realised.</p> Reuben Olugbenga Ayeleke Nicola North Katharine Ann Wallis Annette Dunham ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 40 48 10.24083/apjhm.v14i2.255 Job Satisfaction and Retention of Nursing Staff in Saudi Hospitals. https://journal.achsm.org.au/index.php/achsm/article/view/215 <p>The objective of this study is to investigate job satisfaction amongst nurses in Saudi Arabian hospitals. In recent years, there has been considerable growth in the healthcare system in Saudi Arabia, yet little attention has been paid to improving the performance of healthcare professionals, by improving job satisfaction and retention of nursing staff. This paper reviews the research conducted on job satisfaction, and retention of Saudi nursing staff. This is an integrative review of previous studies on job satisfaction and retention of Saudi nursing staff. The electronic databases Google Scholar, CINAHL, PubMed, and Global Health were used to identify peer-reviewed literature published between 2009 and 2018.&nbsp; The literature review showed that the majority of nurses were satisfied in their job. However, there was a shortage of research in retention of nurses. The evidence from this study suggests that the hospitals need to ensure high level of job satisfaction and decent wages of nurses for maximum retention of nurses.</p> <p>&nbsp;</p> Abdullah Alsubaie Godfrey Isouard ##submission.copyrightStatement## 2019-07-22 2019-07-22 14 2 68 73 10.24083/apjhm.v14i2.215 Does Integrated Healthcare System Reduce the Cost of Quality of Care for Older People? A scoping review https://journal.achsm.org.au/index.php/achsm/article/view/263 <p>This study provides a summary of published reviews of academic literature on the cost-effectiveness and quality outcomes of integrated healthcare approaches for the older people of Australia. The published English-language literature between January 2001 and July 2017 was retrieved from search results in eight highly resourceful journal databases using the specific terms. The majority studies reported limited information about the cost intervention and quality of outcomes. The benefits of integrated healthcare included patients’ satisfaction, reduction of costs and increasing quality of care. However, the evidence of reduction of cost is varying with the different settings. The home and community-based healthcare for older people have garnered much attention in the past decades in Australia and many researches have been done on it. The majority of the studies focused on defined problems of healthcare service and outcomes, but did not incorporate the priorities of cost-effectiveness or quality of care. Practitioners are interested to understand how the integrated health care approach is achieved and to examine the reduction of cost and quality of outcomes.&nbsp;</p> Mohammad Shamsal Islam Reza Majdzadeh, Prof Abul Hasnat Golam Quddus Mahfuz Ashraf ##submission.copyrightStatement## 2019-07-21 2019-07-21 14 2 74 84 10.24083/apjhm.v14i2.263 ACHSM Library Bulletin - July 2019 https://journal.achsm.org.au/index.php/achsm/article/view/305 <p>It provides that recent multidisciplinary articles related to healthcare management topics.</p> Yaping Liu ##submission.copyrightStatement## 2019-07-22 2019-07-22 14 2 10.24083/apjhm.v14i2.305