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29. Leadership and management competencies required for Bhutanese primary health care managers in reforming the district health system

Author

Dorji,Kinley, Tejativaddhana,Phudit, Siripornpibul,Taweesak, Cruickshank,Mary, and Briggs,David

Subjects
Journal of Healthcare Leadership
Abstract

Kinley Dorji,1,2 Phudit Tejativaddhana,1,3 Taweesak Siripornpibul,1,4 Mary Cruickshank,1,5 David Briggs1,6 1College of Health Systems Management, Naresuan University, Phitsanulok, Thailand; 2Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan; 3ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand; 4Faculty of Science, Department of Mathematics, Naresuan University, Phitsanulok, Thailand; 5School of Nursing and Healthcare Professions, Federation University, Mpunt Helen, VIC, Australia; 6University of New England, Armidale, NSW, Australia Objective: This study aims to identify the required management competencies, current competency levels, and strategies for improving the management competencies of Bhutanese primary health care (PHC) managers.Methods: A quantitative method with a cross-sectional survey using self-administered questionnaires. This study recruited 339 PHC managers across Bhutan. The data were analyzed using statistical software.Results: This study identified three competency domains and seven key sub-domain competencies. People domain was perceived to be the highest required competency with a mean score of 4.2376, followed by execution (4.1851), and the transformation (4.0501) domains. For the seven key sub-domains, the communication sub-domain (4.3220) was perceived as the highest required competency, followed by professionalism (4.2967), managing change (4.1776), relationship building (4.1686), analytical thinking (4.1091), leadership (4.0980), and innovative thinking (3.9794). The current competency levels of PHC managers in domains and sub-domain competencies were the people domain (3.7322), execution (3.6471), and the transformation (3.5554). For the sub-domains, communication (3.8092), professionalism (3.7939), relationship building (3.6603), analytical thinking (3.6396), leadership (3.5805), managing change (3.5723), and innovative thinking (3.4543).Conclusion: Findings of Bhutan health managers’ competencies are consistent with the findings of other international contexts. This study suggests that agencies responsible for health system need to focus more on the competencies defined by the study to positively influence health leadership and management development interventions. Keywords: Bhutanese primary health care managers, district health system, health reform, leadership and management competency

Published
2019

30. Supplementary_Table_1 – Supplemental material for Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan

Author

Dolley Tshering, Phudit Tejativaddhana, Taweesak Siripornpibul, Cruickshank, Mary, and Briggs, David

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, Supplementary_Table_1 for Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan by Dolley Tshering, Phudit Tejativaddhana, Taweesak Siripornpibul, Mary Cruickshank and David Briggs in Asia Pacific Journal of Public Health

Published
2019
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33. Total Quality Management in the higher education sector: a literature review from an international and Australian perspective

Author

Cruickshank, Mary

Subjects
Total quality management -- Research, Education, Higher -- Quality management, Business, Business, general
Abstract

ABSTRACT In the past decade, much has been written about Total Quality Management (TQM) and Continuous Quality Improvement (CQI) in the manufacturing and healthcare industries; however, less attention has been [...]

Published
2003

35. Core subject

Author

Cruickshank, Mary

Subjects
Orchards -- Study and teaching, Teaching -- Environmental aspects, Education
Abstract

Planting and cultivating a school orchard is an ideal way to teach children about nature, fruit growing, food production and ecology while also enabling them to share their knowledge with others.

Published
2001

36. Watch them grow

Author

Cruickshank, Mary

Subjects
Gardening for children -- Competitions, Schools, British -- Competitions, Education
Abstract

A discussion on how the Oliver Quibell infant school benefitted from taking part in the Greenfingers Challenge. The school won the competition for the year 2000.

Published
2000

39. An Exploratory Study on the Roles of Bhutanese Primary Health Care Managers in Responding to Childhood Obesity.

Author

Chimi Wangmo, Tejativaddhana, Phudit, Cruickshank, Mary, and Briggs, David

Subjects
CHILDHOOD obesity, PRIMARY care, TEACHERS, SEMI-structured interviews
Abstract

This is initial research that examines the status of childhood obesity in Bhutan in the context of data that describes global, national, cultural and continental contexts. The study aims to assess the understanding of health policymakers, health professionals and other stakeholders’ perceptions of the challenges posed by childhood obesity, and to assess their state of readiness to address those challenges. A qualitative method using in-depth semi-structured interviews of a purposeful sample with primary healthcare managers (PHC), policy makers and school coordinators in one district in Bhutan The respondents described the major challenges and barriers, and roles in the management of childhood obesity. PHC managers were not aware or had little awareness of childhood obesity. This result extended to the policy level, to health professionals, school teachers, communities and parents. In other words, the unawareness was extensive and, preparedness was not evident. Bhutan needs to recognise the challenges an impending emergence of childhood obesity presents and move to establish policy and practices for the health system to implement. [ABSTRACT FROM AUTHOR]

Published
2019
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42. The role of rural nurse managers in supporting new graduate nurses in rural practice.

Author

Lea, Jackie and Cruickshank, Mary

Subjects
*EXPERIENTIAL learning, *WORKING hours, *INTERVIEWING, *JOB stress, *LONGITUDINAL method, *MATHEMATICAL models, *RESEARCH methodology, *CASE studies, *NURSE administrators, *NURSING practice, *NURSING services administration, *PERSONNEL management, *RURAL health services, *WORK, *WORK environment, *EMPLOYEES' workload, *RURAL nursing, *QUALITATIVE research, *THEORY, *GRADUATES, *PEER relations, *SECONDARY analysis, *SOCIAL support, *THEMATIC analysis, *TRANSITIONAL programs (Education), *CLINICAL supervision
Abstract

Aim To investigate the nature and timing of support available to new graduate nurses within a rural transition to practice programme. Background For new graduates in rural practice successful transition is complicated by the unique role of the rural nurse, staff ratios and resources within rural environments. Little is known about the support needs of graduates working in rural health services, or who is best placed to provide support during their transition. Method This was a qualitative case study, using individual interviews with new graduate nurses at 3, 6 and 9 months milestones during a 12-month rural transition to practice programme plus interviews with experienced rural nurses who were employed in rural health agencies where the new graduate nurses were employed. Results Graduates in rural health services rely on nurse unit managers and nurse managers for feedback, support and debriefing, provision of emotional support, advocacy, openness, encouragement and protection from organisational requests and demands during the transition to rural nursing practice. Conclusions Nurse managers play an important role in rural health services in the provision of support for new graduate nurses. Implications for nursing management As clinical leaders rural nurse managers and nurse unit managers, have an important role in facilitating the successful entry and retention of new graduate nurses into the rural nursing workforce. [ABSTRACT FROM AUTHOR]

Published
2017
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46. Job satisfaction in Occupational Therapy: A qualitative investigation in urban Australia

Author

Moore, Kathleen, Cruickshank, Mary, Haas, M., Moore, Kathleen, Cruickshank, Mary, and Haas, M.

Abstract

Background: Job satisfaction has been shown to affect levels of staff retention and work productivity, but few studies have been conducted with occupational therapists in an Australian setting.Methods: Using a hermeneutical phenomenological approach, the findings from a study examining the factors that contribute to job satisfaction in occupational therapists working in Australia, are reported.Results: Job satisfaction in occupational therapy was derived from the sense of achievement felt when providing effective clinical care. Job dissatisfaction stemmed from the poor profile and status of the profession.Conclusions: Based on the study findings, there is an imperative that the profession of occupational therapy continue to use research findings to support clinicians in providing effective health care, and improve the community understanding of occupational therapy.

Published
2006

47. World Class (Geography Awards)

Author

Cruickshank, Mary

Subjects
Geography -- Achievements and awards, Learned institutions and societies -- Achievements and awards, Education, Geographical Association -- Achievements and awards
Abstract

The Geographical Association has handed out its annual resources awards from a choice of 30 atlases, textbooks, CD-ROMs, websites, assessment materials, artefacts packs and citizenship resources. The Gold Award was handed to 'Essential Mapwork Skills' by Simon Ross, published by Nelson Thornes.

Published
2003

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