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It is clear that more managerial and supportive interventions are needed to maintain a high performance of CHWs, although the government of Kenya has made considerable efforts to implement the community health strategy.
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A devolved, flexible and supportive managerial and administrative structure, provided both co-ordination and administrative support functions for the implementation process.
18 The study also indicated the importance of staff being fully conversant with, and supportive of, managerial decision making.
Facilitating factors include involving front-line professionals in intervention development and using small scale testing; however, the success of a programme requires paying attention to the role of managerial support and an overall supportive system.
Facilitating factors include involving front-line professionals in intervention development and using small-scale testing; however, the success of a programme clearly requires paying attention to the role of managerial support and an overall supportive system.
Unsurprisingly therefore, when staff are afraid of blame, many errors in healthcare go unreported, further illustrating the conflict between supervision's educational and supportive functions and its managerial and evaluative functions.
The evidence linking clinical supervision to the quality and safety of patient care reveals that supervision is most effective when its educational and supportive functions are separated from its managerial and evaluative functions.
"But his managerial skills and personality led Ford to think he'd make a good -- and supportive -- secretary of defense, and maybe an anchor to windward given the looming Reagan candidacy".
(personal communication with Jocelyn Cornwell, Point of Care Foundation) GPs' concerns that the educational and supportive functions which they wanted in appraisals would be squeezed out by the managerial and evaluative functions required by revalidation have persisted from 2003 when they were introduced [ 21- 23].
A Technical Support Unit of managerial and technical experts, embedded in but distinct from the government, provided support in 5 key areas: strategic planning; monitoring and evaluation; supportive supervision; training; and information, education, and communication.
Ambience: Professional, dynamic and supportive.
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