Andrew Carnegie, World Making and the Logic of Contemporary Entrepreneurial Philanthropy

This paper focuses on the relationship between the business and philanthropic endeavours of world-making entrepreneurs; asking why, how and to what ends these individuals seek to extend their reach in society beyond business. We present an original model of entrepreneurial philanthropy which demonstrates how investment in philanthropic projects can yield positive returns in cultural, social and symbolic capital, which in turn may lead to growth in economic capital. The interpretive power of the model is demonstrated through analysis of the career of Andrew Carnegie, whose story, far from reducing to one of earning a fortune then giving it away, is revealed as more complex and more unified. His philanthropy raised his stock within the field of power, extending his influence and helping convert surplus funds into social networks, high social standing and intellectual currency, enabling him to engage in world making on a grand scale

The Utilization of Interprofessional Education in Nursing Education to Close the Communication Gap Among Healthcare Teams: An Integrative Review

Aim: The aim of this integrative review is to explore relevant literature that identifies the significance of and current advancements in interprofessional education, in order to make needed recommendations for nursing education programs to intertwine IPE into undergraduate nursing curricula. Background: Interprofessional education or IPE is when “two or more professions learn about, from, and with each other.� IPE first began in the late 1960s and early 1970s and has since become an increasingly important topic of research and nursing education. Discussion: IPE has found to be beneficial in increasing undergraduate nursing students’ knowledge of other professions and increasing IPE skills such as collaboration and communication. Despite this, few articles within this integrative review demonstrated permanent implementation of IPE into undergraduate nursing curricula. The most common methods of IPE administration were found to be hands-on methods (such as through laboratory simulations) or mixed methods (through both hands-on and didactic learning). Although benefits were found for students when administering IPE, little evidence was found of how IPE translates into the health care workforce after its’ implementation in undergraduate nursing programs. Conclusion: IPE is a necessary part of pre-licensure nursing curricula, as it has been proven to be beneficial. Educational institutions should attempt to implement IPE via hands-on methods to maximize potential IPE benefits. Further research is required to determine statistical benefits of IPE in the health care workforce after students have participated in IPE and graduated from their pre-licensure nursing program

Barriers and Facilitators to Achieving Well-being in Pediatric Providers

Introduction: Physician well-being has become increasingly important for health systems across the country due to the strong ties between quality, safety, and overall patient outcomes. Burnout has increased steadily and has been exacerbated by the COVID-19 pandemic. This study seeks to successfully identify factors that both enhance and detract from well-being in a cohort of pediatric faculty and advanced practice providers (APPs). Methods: This study utilized a multimethod approach including surveys and a total of 8 semi-structured, virtual focus groups of pediatricians and advanced practice providers (orchestrated through Microsoft Teams) to understand perspectives on burnout and well-being. Each group session was scheduled 2-3 months in advance to allow for maximum participation. Results: A total of 83 physicians and APPs participated in the focus groups. The majority of respondents were female, white, aged 31-50 years, and married with children living at home. When asked about current level of burnout, the most frequent response was 8 out of 10 (10 as highest, mean 5.5, std 2.5). Factors associated with higher burnout: outpatient providers (compared to inpatient) (p = 0.0361), female gender (p = 0.0127), and those without a mentor (p = 0.0021). Multiple factors were identified that improved and detracted from well-being. Well-being was positively impacted by the shift to telework practices and increased autonomy in scheduling and focus on self-care. Well-being was reduced by a perceived disconnect from leadership, lack of control, and societal influences and expectations. Conclusion: This study provides insight into modifiable factors that affect well-being at an academic institution that can support interventions and systemic modifications to promote physician well-being

The future of philanthropy: the role of entrepreneurs and entrepreneurial philanthropy

Chapter from Philanthropy and a better society, published by Alliance Publishing; available online at http://www.alliancepublishing.org/wp-content/uploads/PHILANTHROPY__A_BETTER_SOC.pdfEleanor Shaw and others (Chapter 12) take a second look at entrepreneurial philanthropists, whose absence from the Big Society discourse strikes them as bizarre, when they are so well placed to make substantial contributions to stopping the gaping hole in the public purse. Considering this bewilderingly untapped resource, the authors wonder why such philanthropists have not been more centrally enlisted in support of the cause, when they could bring so many other attributes (innovations and partnerships across the three sectors) to the table.Centre for Charitable Giving and Philanthrop

'World-making' and major philanthropy

Chapter from Philanthropy and a better society, published by Alliance Publishing; available online at http://www.alliancepublishing.org/wp-content/uploads/PHILANTHROPY__A_BETTER_SOC.pdfMairi Maclean and others (Chapter 2) consider the potential role of entrepreneurial philanthropists in the opening‑up of public services while also examining the ambivalence in which they are held by the public, and some of the contradictions surrounding their activity: the way in which, for example, their philanthropy may actually enhance their social capital and allow them to engage in ‘world‑making’.Centre for Charitable Giving and Philanthrop

Social innovation, social entrepreneurship and the practice of contemporary entrepreneurial philanthropy

The economic crisis has accentuated the social and economic dislocation experienced by disadvantaged communities at a time of unprecedented political and public interest in philanthropy. This has concentrated attention on the contribution that philanthropists might make in addressing socio-economic challenges, and on the role that social innovation might play in regenerating communities. This article adds to the literature on social innovation and social entrepreneurship that aims to integrate theory and empirical practice. By examining social innovation through the lens of a case study of the Community Foundation for Tyne & Wear and Northumberland, the article sheds light on how the sites and spaces of socially innovative philanthropic projects may have a bearing on their success; attention is drawn to the importance of community engagement on the part of social innovators, and the power of self-organization in re-embedding communities. It suggests that storytelling by committed philanthropists may serve as a powerful proselytizing tool for recruiting new donors

Building Telehealth Teams of the Future Through Interprofessional Curriculum Development: A Five-Year Mixed Methodology Study

Building the next generation of telehealth enabled professionals requires a mixture of team-based, interprofessional practice with novel technologies that connect providers and patients. Effective telehealth education is critical for the development of multidisciplinary training curricula to ensure workforce preparedness. In this study, we evaluated the impact of a formal telehealth education curriculum for interprofessional students through an online elective. Over 12 semesters, 170 students self-selected to enroll in the 3-credit hour interprofessional elective and took part in structured didactic, experiential and interprofessional learning opportunities. Mixed-method assessments show significant knowledge and confidence gains with students reflecting on their roles as future healthcare providers. The results from five years’ worth of course data shows not only an opportunity to advance the individual knowledge of trainees, but a larger movement to facilitate changes in practice toward population health goals. Recent global health events have further highlighted the need for a rapid response to public health emergencies by highly trained provider teams who are able to utilize technology as the cornerstone for the continuity of care

Not Home Alone: Leveraging Telehealth and Informatics to Create a Lean Model for COVID-19 Patient Home Care

In response to the emerging COVID-19 public health emergency in March 2020, the Medical University of South Carolina rapidly implemented an analytics-enhanced remote patient monitoring (RPM) program with state-wide reach for SARS-CoV-2-positive patients. Patient-reported data and other analytics were used to prioritize the sickest patients for contact by RPM nurses, enabling a small cadre of RPM nurses, with the support of ambulatory providers and urgent care video visits, to oversee 1234 patients, many of whom were older, from underserved populations, or at high risk of serious complications. Care was escalated based on prespecified criteria to primary care provider or emergency department visit, with 89% of moderate- to high-risk patients treated solely at home. The RPM nurses facilitated the continuity of care during escalation or de-escalation of care, provided much-needed emotional support to patients quarantining at home and helped find medical homes for patients with tenuous ties to health care

Development and Evolution of a Statewide Outpatient Consultation Service: Leveraging Telemedicine to Improve Access to Specialty Care

Despite a robust health care system in the United States, many Americans experience health care disparities as a result of poor access to medical care. Academic medicine plays an important role in addressing health care disparities by providing primary and specialty care for the poor and uninsured. In South Carolina, 43 of its 46 counties are designated as fully or partially Medically Underserved Areas (MUAs), defined as areas with a shortage of medical providers, high infant mortality, and either high elderly population or high poverty rates. To address these health care disparities, an academic medical center in South Carolina created a hub-and-spoke specialty care model using telemedicine in partnership with primary care providers across community settings. Initial private foundation grant funding enabled the development and dissemination of technology to provide remote teleconsultations by physicians at the academic medical center (hub) to patients in their primary care offices (spoke). This model, now supported by recurring state funding and professional billing, provides much-needed services, including psychiatry, nutrition counseling, and various surgical and medical subspecialties, to rural and underserved populations in the state. This manuscript provides a narrative review of the development of this statewide telemedicine service, with an emphasis on identification of stakeholders, technology issues, barriers to implementation, and future directions

Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing

Academic writing, especially in the health field, is usually an interdisciplinary team effort. This paper highlights some of the trials, tribulations, and benefits of working with co-authors. This includes collaborations and co-authorship between academics from different disciplines, academics of different level of careers, and authors from countries of varying economies i.e., high-income countries (HICs) and from low-and middle-income countries (LMICs). This paper also provides advice in the form of several useful tips to lead authors and co-authors to support collaborative working