Afleveringen
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The three guests from this video review their measuring and implementing concepts of caring science in a large healthcare system in the United States. All three guests are leaders in nursing who worked on this 11-hospital project together. Dr. Gay Landstrom reviews the system of Trinity Health, Kay Takes reviews how regionally and at the hospital level within Trinity to make caring operational, and Dr. Tricia Thomas talks about the various disciplines that are needed to be involved so caring is applicable and translatable across organizations, cultures, and internationally. Finally, these leaders discuss the importance of caring for self both short term during the pandemic and long term beyond the pandemic.
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Predictive analytics are key to improving healthcare outcomes, identifying what things relate to or even predict and outcome of interest such as falls, infections, length of hospital stay, and so on. The term “predictive analytics” is a “hot” trend in healthcare today, but often misunderstood or, unfortunately, just hype. The aim of this episode is to provide listeners tangible ways to evaluate if a service or product is actually using true predictive analytics. In this episode, Dr. John Nelson describes the basics of what are true predictive analytics, what questions should be asked when considering a product or service, and how informaticists and leaders can begin using predictive analytics to improve outcomes.
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Zijn er afleveringen die ontbreken?
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In this second part on leadership strategy, your host, John Nelson, continues the conversation with Kay Kennedy and Lucy Leclerc from uLeadership. They discuss how having a measure that is specified for the content being taught, which in this case is leadership, creates a greater likelihood that what is being taught can be studied in predictive analytics to study outcomes. The discussion includes the plan to connect relationship centered leadership to outcomes within the organization. Kay and Lucy also share about how a program of caring for self grew out of their leadership program, given it such a dramatic need for both healthcare leaders and staff. How does caring for self relate to outcomes? Dr. Nelson reviews his research in this and relates it to the program presented in this episode.
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This is part 1 of a 2 episode podcast on Human Centered Leadership. In this session, Kay Kennedy and Lucy Leclerc, from uLeadership, review a framework of leadership that is relationship centered. They review the theory and measurement of this unique leadership training program. Traditional leadership model draw from business models and the leadership program by uLeadership was developed from grounded theory that studied leadership in healthcare, specifically nursing leadership. What they discovered and now measuring was a 4-dimentions construct of leadership that is specified to be used in healthcare. In this first episode, they describe the development of the theory, measures and program.
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In this episode, Dr. John Nelson, along with his co-editors Mary Ann Hozak and Jayne Felgen, discuss why they wrote the 2021 book Using Predictive Analytics to Improve Healthcare Outcomes. They discuss how they leveraged the story told by staff to create context specified measurement models which made the data both relevant and actionable to improve outcomes for staff and patients. These context specified measurement models increased the accuracy of the predictive models to give guidance for action forward to improve relational and clinical outcomes. They review how the 18 chapters in this book has begun the testing of the quadruple aim by studying the employee’s experience and profile in relationship to outcomes.
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In this second session with Dr. Tara Nichols, John and Tara discuss the physiology and theories of both pain and comfort. What is the best way to decrease pain and increase comfort? How can measures of pain, comfort, and the context of the environment and context help inform what needs to be improved to improve comfort? Dr. Nichols talks about how she measures her theory and practice of comfort to understand what aspects of the organization need to be improved to increase comfort.
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Dr. John Nelson and his guest, Dr. Tara Nichols, discuss the problems with how pain is commonly assessed in diagnosing patients, and the problems that occur as a result. Dr. Nichols provides practical insights in how professionals can better understand the pain and discomfort of patients, and the process of developing the Nichols-Nelson Model of Comfort with Dr. John Nelson.
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In this episode, Dr. John Nelson welcomes his colleague, Dr. Zane Wolf, Dean Emerita and Professor at La Salle University. Dr. Wolf was recently recognized in Stanford’s ranking of worldwide academics as in the top 2% of over 7 million scientists around the world. Her work in caring science includes creating the Caring Behaviors Inventory and serving as the Editor in Chief of the International Journal for Human Caring.
Zane and John discuss the importance of measuring frameworks of care, as well as other concerns related to caring, such as staff well-being and patient safety. They reveal the value of qualitative and quantitative data to understand the context of care, and how theory and research and predictive analytics are critical to improving patient experience, nurse engagement, and achieving the quadruple aim.
You will enjoy this lively discussion between two passionate colleagues whose lifework has advanced the science of caring. -
Your host, Dr. John Nelson, and his colleague, Dr. Dawna Cato, discuss their caring science research with nurses in China. Dawna, who serves as CEO of the Arizona Nurses Association, worked for three years in China with a healthcare organization. In the international research work, nurses in China reported higher scores than any other country. Dawna and John discuss how the study was conducted and reveal the similarities and differences they discovered in context of other countries.
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In healthcare conversations, the "popular" topic of predictive analytics is often discussed, but infrequently is it understood. Without doubt, significant value can be realized using predictive analytics, but only if all the essential components are present. One of these critical components is measurement. Creating a measure that is calibrated to measure what you say it measures (it is accurate) requires three types of psychometric testing. Dr. John Nelson explains this in layman’s terms, explaining how testing your measure for validity ensures it measures what you say it does; for reliability to ensure all who are responding to the survey understand the measure the same way; and invariance testing to compare demographics to ensure there is no bias from one group to another. Many of the "solutions" promoted by vendors today are based on measurements that are insufficient or irrelevant to an organization's or unit's context. In this episode, Dr. Nelson shares how you can approach measurement in a manner that will truly benefit you and your organization.
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Return on Investment is frequently mentioned in operations, but putting it into practice can be challenging. John Nelson and Craig Solid – author of "Return on Investment for Healthcare Quality Improvement" – discuss the practical aspects of defining ROI and how to use it for informed decision-making. Craig Solid highlights practical steps healthcare professionals can take to make ROI analysis a feasible and relevant contributor in improving quality.
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Dr. John Nelson, in recognition of International Nurses Day on May 12, discusses the dimension of Caring for Self from the Profile of Caring Instrument. Caring is not an emotion, it is an intention, and extremely important for nurses to enact for their own well being.
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In this conversation with Dr. John Nelson and his colleague in Slovenia, Dominika Vrbnjak (PhD, RN, Assistant Professor at University of Maribor, Faculty of Health Sciences), they discuss Profile of Caring research that was conducted across eight different countries.
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In this session, Dr. John Nelson and Marie Manthey explore the topic of Primary Nursing. During his eleven years as a staff nurse, John worked with Marie (one of the originators of this model of care delivery) and other experts to develop an accurate measure to understand the impact Primary Nursing has on both nurse job satisfaction and effectiveness of care delivery, including patient safety and satisfaction. This lively discussion not only recounts the history of Primary Nursing, but also its future state.
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Dr. John Nelson and his colleague, Lance Podsiad, discuss how data became relevant and exciting to the staff, and the process of drastically reducing the number of falls by engaging the staff, development a context-specific model, and using advanced mathematics.
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John Nelson hosts this session with Dr. Susan Smith, an international leader in frameworks of care.
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Join Dr. John Nelson as he presents research conducted by the Caring Science International Collaborative. This episode captures the recent conversation he had with his international colleagues in Canada, China, Columbia, Croatia, Israel, Jamaica, Russia, Scotland, Serbia, Slovenia, and Turkey. John discusses the exciting and relevant international research and science behind the the Profile of Caring© instrument.
In health care, there have been numerous studies on how the patient and the system impact outcomes, but rarely any research with scientific rigor that reveals how clinicians and staff impacts outcomes.
It is important to conduct careful science to understand how constructs or concepts relate to one another. Understanding how concepts relate to one another helps us take action to improve the quality of care. -
Dr. Nelson and his guest, Enderson Miranda, the CEO of OnSomble, discuss the critical components of role clarity and competency. Incomplete and inaccurate assumptions about aspects of roles frequently govern the provision of care, significantly increasing risks to patients and clinicians. Improving outcomes in health care requires intentional conversation about the role of each professional involved in the spectrum of patient care, and the different aspects of that role to ensure that each person is behaving legally, safely, and efficiently.
Health care spends hundreds of millions of dollars on programs intended to improve professional role clarity and competency. The tools used to measure the results of these programs are usually insufficient, and leaders do not see the results they expected. John and Enderson discuss the processes and science necessary to accurately measure role clarity and competence, while minimizing concerns such as survey fatigue.
The critical importance of role clarity in providing quality care is irrefutable. With the right processes and tools, healthcare leaders can truly understand role clarity in the context of their organizations, paving the way for improved outcomes. -
In this launch episode of the The Caring of Science podcast, John Nelson reveals essential components of approaching caring as a science, and discusses important concepts including theory, model development, predictive analytics, and scientific rigor. He highlights actual research he has conducted in countries around the world. He also emphasizes the practicality of research to inform operations, and the opportunity for healthcare professionals and organizations to improve patient outcomes and decrease costs.
