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  1. Book: Making Culture Change Happen

    Mannion, Russell

    2022  

    Language English
    Size 75 p.
    Publisher CAMBRIDGE
    Document type Book
    Note PDA Manuell_18
    Format 152 x 229 x 2
    ISBN 9781009236904 ; 1009236903
    Database PDA

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  2. Article ; Online: Policy Horses Still Running Around Healthcare Courses: A Response to Recent Commentaries.

    Powell, Martin / Mannion, Russell

    International journal of health policy and management

    2024  

    Language English
    Publishing date 2024-03-04
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.34172/ijhpm.2024.8454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Systemic Complications Secondary to Chronic Liver Disease.

    Mannion, Rory / Fitzpatrick, Emer

    Indian journal of pediatrics

    2023  Volume 91, Issue 3, Page(s) 286–293

    Abstract: The systemic sequelae of chronic liver disease (CLD) may be due to portal hypertension and shunting, malnutrition, and/or a low grade inflammatory state. This article will focus on the consequences of chronic liver disease affecting extrahepatic organs. ... ...

    Abstract The systemic sequelae of chronic liver disease (CLD) may be due to portal hypertension and shunting, malnutrition, and/or a low grade inflammatory state. This article will focus on the consequences of chronic liver disease affecting extrahepatic organs. Portal hypertension underlies many systemic complications of CLD. Aside from varices and ascites, portal hypertension may cause both hepatopulmonary syndrome and portopulmonary hypertension leading to respiratory compromise. Cardiomyopathy may also occur secondary to end stage liver disease. Hepatorenal syndrome is also well recognised and hepatic encephalopathy is a consequence of the effect of liver dysfunction on the brain. Compromise of the immune system is well described in end-stage liver disease leading to sepsis and its consequences. Bony disease including osteoporosis and hepatic arthropathy may both be seen in children with CLD. CLD may be asymptomatic initially but then complications may present as the disease progresses. Furthermore, systemic effects of end stage liver disease may complicate liver transplant. These complications often present insidiously or at the time of acute decompensation. Thus, it is important that healthcare providers are vigilant when caring for children with CLD. This article outlines the secondary complications of CLD with an overview of the definition and diagnosis, pathophysiology, management and prognosis of each.
    MeSH term(s) Child ; Humans ; Liver Cirrhosis/complications ; End Stage Liver Disease/complications ; Hypertension, Portal/complications ; Prognosis ; Chronic Disease
    Language English
    Publishing date 2023-07-13
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-023-04694-7
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  4. Article ; Online: Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana.

    Mawuena, Emmanuel Kwasi / Mannion, Russell

    BMJ quality & safety

    2022  Volume 31, Issue 9, Page(s) 662–669

    Abstract: Background: Although under-resourcing of healthcare facilities and high workload is known to undermine patient safety, there is a dearth of evidence about how these factors affect employee voice and silence about unsafe care. We address this gap in the ... ...

    Abstract Background: Although under-resourcing of healthcare facilities and high workload is known to undermine patient safety, there is a dearth of evidence about how these factors affect employee voice and silence about unsafe care. We address this gap in the literature by exploring how resource constraints and high workload influence the willingness of staff to speak up about threats to patient safety in surgical departments in Ghana.
    Method: Semistructured interviews with a purposeful sample of 91 multidisciplinary professionals drawn from a range of specialities, ranks and surgical teams in two teaching hospitals in Ghana. Conservation of Resources theory was used as a theoretical frame for the study. Data were processed and analysed thematically with the aid of NVivo 12.
    Results: Endemic resource constraints and excessive workload generate stress that undermines employee willingness to speak up about unsafe care. The preoccupation with managing scarce resources predisposes managers in surgical units to ignore or downplay concerns raised and not to instigate appropriate remedial actions. Resource constraints lead to rationing and improvising in order to work around problems with inadequate infrastructure and malfunctioning equipment, which in turn creates unsupportive environments for staff to air legitimate concerns. Faced with high workloads, silence was used as a coping strategy by staff to preserve energy and avoid having to take on the burden of additional work.
    Conclusion: Under-resourcing and high workload contribute significantly towards undermining employee voice about unsafe care. We highlight the central role that adequate funding and resourcing play in creating safe environments and that supporting 'hearer' courage may be as important as supporting speaking up in the first place.
    MeSH term(s) Courage ; Ghana ; Humans ; Patient Safety ; Qualitative Research ; Workload
    Language English
    Publishing date 2022-01-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2592909-4
    ISSN 2044-5423 ; 2044-5415
    ISSN (online) 2044-5423
    ISSN 2044-5415
    DOI 10.1136/bmjqs-2021-014287
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  5. Article ; Online: Modelling the Health Policy Process: One Size Fits All or Horses for Courses?

    Powell, Martin / Mannion, Russell

    International journal of health policy and management

    2022  Volume 12, Page(s) 7580

    Abstract: A range of conceptual models for understanding the policy process have been applied to the health policy process, largely in particular sub areas or policy domains such as public health. However, these contributions appear to offer different rationales ... ...

    Abstract A range of conceptual models for understanding the policy process have been applied to the health policy process, largely in particular sub areas or policy domains such as public health. However, these contributions appear to offer different rationales and present different frameworks for understanding the policy process. This Editorial critically examines articles that explore the health policy process with models from wider public policy and from health policy. It can be seen that very few of the wider models have been applied in studies of the health policy process. Conversely, some models feature in studies of the health policy process, but not in the wider policy process literature, which suggests that literature on the health policy process is semi-detached from the wider policy process literature. There seem to be two very different future research directions: focusing on 'home grown' models, or taking greater account of the wider policy process literature. Does 'one size fit all' or is it 'horses for courses'?
    MeSH term(s) Health Policy ; Models, Theoretical ; Public Policy
    Language English
    Publishing date 2022-12-17
    Publishing country Iran
    Document type Editorial
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.34172/ijhpm.2022.7580
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The policy and politics of healthcare corporatisation: The case of the English NHS.

    Sheaff, Rod / Allen, Pauline / Exworthy, Mark / Mannion, Russell

    Social science & medicine (1982)

    2023  Volume 342, Page(s) 116505

    Abstract: Rationale: Few accounts of healthcare corporatisation examine the effects of the 2008 financial crisis. New Politics of the Welfare State (NPWS) theories recognise the relevance of crises but give more attention to programmatic than systemic (structural) ...

    Abstract Rationale: Few accounts of healthcare corporatisation examine the effects of the 2008 financial crisis. New Politics of the Welfare State (NPWS) theories recognise the relevance of crises but give more attention to programmatic than systemic (structural) retrenchment, and little to healthcare corporatisation.
    Objective: To examine what changes the 2008 financial crisis produced in the pattern of healthcare corporatisation, and the implications for NPWS theories.
    Methods: Using administrative data from the English NHS during 1995-2019 we formulated a multi-dimensional index of corporatisation, tested its validity, and used it to analyse longitudinally how the financial crisis affected the balance between the responsibilization of management and re-commodification (introduction of market-like practices) in provider corporatisation.
    Results: The financial crisis influenced NHS corporatisation through the fiscal austerity with which governments responded. The re-commodification of NHS providers stalled but not the responsibilization of NHS managers.
    Conclusions: The corporatisation of NHS providers faltered after the financial crisis. These findings corroborate parts of NPWS theory but also reveal scope for further elaborating its accounts of systemic retrenchment in health systems.
    MeSH term(s) Humans ; State Medicine ; Economic Recession ; Delivery of Health Care ; Policy ; Politics
    Language English
    Publishing date 2023-12-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2023.116505
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    Zs.A 625: Show issues Location:
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  7. Article ; Online: Organisational drivers of performance in mental health providers.

    Mannion, Russell / Konteh, Frederick Hassan / Jacobs, Rowena

    Journal of health organization and management

    2023  Volume ahead-of-print, Issue ahead-of-print

    Abstract: Purpose: This study aims to compare and contrast the core organisational processes across high and low performing mental health providers in the English National Health Service (NHS).: Design/methodology/approach: A multiple case study qualitative ... ...

    Abstract Purpose: This study aims to compare and contrast the core organisational processes across high and low performing mental health providers in the English National Health Service (NHS).
    Design/methodology/approach: A multiple case study qualitative design incorporating a full sample of low and high performing mental health providers.
    Findings: This study suggests that the organisational approaches used to govern and manage mental health providers are associated with their performance, and the study's findings give clues as to what areas might need attention. They include, but are not limited to: developing appropriate governance frameworks and organisational cultures, ensuring that staff across the organisation feel "psychologically safe" and able to speak up when they see things that are going wrong; a focus on enhancing quality of services rather than prioritising cost-reduction; investing in new technology and digital applications; and nurturing positive inter-organisational relationships across the local health economy.
    Originality/value: Highlights considerable divergence in organisation and management practices that are associated with the performance of mental health trusts in the English NHS.
    MeSH term(s) Humans ; State Medicine ; Mental Health
    Language English
    Publishing date 2023-03-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2109532-2
    ISSN 1758-7247 ; 1477-7266
    ISSN (online) 1758-7247
    ISSN 1477-7266
    DOI 10.1108/JHOM-01-2022-0017
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  8. Article ; Online: The impact of vulnerability and exposure to pervasive interprofessional incivility among medical staff on wellbeing.

    Pavithra, Antoinette / Mannion, Russell / Li, Ling / Westbrook, Johanna

    Frontiers in public health

    2023  Volume 11, Page(s) 1168978

    Abstract: Introduction: Traditional methods for modelling human interactions within organisational contexts are often hindered by the complexity inherent within these systems. Building on new approaches to information modelling in the social sciences and drawing ... ...

    Abstract Introduction: Traditional methods for modelling human interactions within organisational contexts are often hindered by the complexity inherent within these systems. Building on new approaches to information modelling in the social sciences and drawing on the work of scholars in transdisciplinary fields, we proposed that a reliable model of human interaction as well as its emergent properties can be demonstrated using theories related to emergent information.
    Methods: We demonstrated these dynamics through a test case related to data from a prevalence survey of incivility among medical staff. For each survey respondent we defined their vulnerability profile based upon a combination of their biographical characteristics, such as age, gender, and length of employment within a hospital and the hospital type (private or public). We modelled the interactions between the composite vulnerability profile of staff against their reports of their exposure to incivility and the consequent negative impact on their wellbeing.
    Results: We found that vulnerability profile appeared to be proportionally related to the extent to which they were exposed to rudeness in the workplace and to a negative impact on subjective wellbeing.
    Discussion: This model can potentially be used to tailor resources to improve the wellbeing of hospital medical staff at increased risk of facing incivility, bullying and harassment at their workplaces.
    MeSH term(s) Humans ; Incivility ; Workplace ; Medical Staff ; Surveys and Questionnaires ; Hospitals
    Language English
    Publishing date 2023-07-14
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1168978
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  9. Article ; Online: The power of autonomy and resilience in healthcare delivery.

    Mannion, Russell / Exworthy, Mark / Wiig, Siri / Braithwaite, Jeffrey

    BMJ (Clinical research ed.)

    2023  Volume 382, Page(s) e073331

    MeSH term(s) Humans ; Delivery of Health Care ; Patient Acceptance of Health Care ; Personal Autonomy
    Language English
    Publishing date 2023-07-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2022-073331
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  10. Article ; Online: Middle manager responses to hospital co-workers' unprofessional behaviours within the context of a professional accountability culture change program: a qualitative analysis.

    Bagot, K L / McInnes, E / Mannion, R / McMullan, R D / Urwin, R / Churruca, K / Hibbert, P / Westbrook, J I

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 1012

    Abstract: Background: The critical role that middle managers play in enacting organisational culture change designed to address unprofessional co-worker behaviours has gone largely unexplored. We aimed to explore middle managers' perspectives on i) whether they ... ...

    Abstract Background: The critical role that middle managers play in enacting organisational culture change designed to address unprofessional co-worker behaviours has gone largely unexplored. We aimed to explore middle managers' perspectives on i) whether they speak up when they or their team members experience unprofessional behaviours (UBs); ii) how concerns are handled; iii) the outcomes; and iv) the role of a professional accountability culture change program (known as Ethos) in driving change.
    Methods: Qualitative, constructivist approach. Five metropolitan hospitals in Australia which had implemented Ethos. Purposive sampling was used to invite middle-level managers from medicine, nursing, and non-clinical support services. Semi-structured interviews conducted remotely. Inductive, reflexive thematic and descriptive thematic analyses undertaken using NVivo.
    Results: Thirty interviews (approximately 60 min; August 2020 to May 2021): Nursing (n = 12), Support Services (n = 10), and Medical (n = 8) staff, working in public (n = 18) and private (n = 12) hospitals. One-third (n = 10) had a formal role in Ethos. All middle managers (hearers) had experienced the raising of UBs by their team (speakers). Themes representing reasons for ongoing UBs were: staying silent but active; history and hierarchy; and double-edged swords. The Ethos program was valued as a confidential, informal, non-punitive system but required improvements in profile and effectiveness. Participants described four response stages: i) determining if reports were genuine; ii) taking action depending on the speaker's preference, behaviour factors (type, frequency, impact), if the person was known/unknown; iii) exploring for additional information; and iv) addressing either indirectly (e.g., change rosters) or directly (e.g., become a speaker).
    Conclusions: Addressing UBs requires an organisational-level approach beyond supporting staff to speak up, to include those hearing and addressing UBs. We propose a new hearer's model that details middle managers' processes after a concern is raised, identifying where action can be taken to minimise avoidant behaviours to improve hospital culture, staff and patient safety.
    MeSH term(s) Humans ; Australia ; Hospitals, Urban ; Medicine ; Social Responsibility ; Professional Misconduct
    Language English
    Publishing date 2023-09-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-09968-6
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