Creative Problem Solving for Health Care Professionals

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780894433719
Total Pages : 268 pages
Book Rating : 4.4/5 (337 download)

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Book Synopsis Creative Problem Solving for Health Care Professionals by : Cecelia K. Golightly

Download or read book Creative Problem Solving for Health Care Professionals written by Cecelia K. Golightly and published by Jones & Bartlett Learning. This book was released on 1981 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: A&P

Improv to Improve Healthcare

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Publisher : Business Expert Press
ISBN 13 : 1637420935
Total Pages : 176 pages
Book Rating : 4.6/5 (374 download)

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Book Synopsis Improv to Improve Healthcare by : Candy Campbell

Download or read book Improv to Improve Healthcare written by Candy Campbell and published by Business Expert Press. This book was released on 2021-08-04 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare organizations cry out for a toll to decrease untoward events and bridge the communication gap between professional clinical teams and clients. Discover how to guide your team to creatively problem-solve, build emotional and social intelligence, increase workplace safety and employee retention, and guarantee client satisfaction with the results-don’t-lie Improv to Improve Healthcare system.

Injecting Creative Thinking into Healthcare

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Publisher : CRC Press
ISBN 13 : 1000899365
Total Pages : 102 pages
Book Rating : 4.0/5 (8 download)

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Book Synopsis Injecting Creative Thinking into Healthcare by : Barry P. McMahon

Download or read book Injecting Creative Thinking into Healthcare written by Barry P. McMahon and published by CRC Press. This book was released on 2023-07-19 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book sets out to inform a broad range of professionals working in medicine and healthcare about how creative thinking and design concepts can be used to innovate in providing an enhanced patient experience. It outlines these concepts as a primary means to identify, clarify and resolve some of the process improvement and enhancement challenges in healthcare delivery. It demonstrates by example how such challenges can be addressed, drawing on case examples from healthcare and other industries, and from the authors’ own experiences as innovators and educators. It emphasizes the value of learning in action. For the reader who already has a leaning towards novel approaches to addressing healthcare delivery challenges, it provides guidance on harnessing team inputs and engaging with a network of contributors. It is an ideal resource for all working in medicine and healthcare, from managers, nurses, doctors, administrators, executives, and allied health professionals to medical engineers, medical physicists, medical scientists and medical product developers. Features Provides a unique framework to conceptualise innovation in healthcare and medicine. Authored by an award-winning medical scientist and an established business school Professor who have proven track-records with innovation, in education settings and as entrepreneurs. Presents a clear interdisciplinary approach, complemented with practical case studies set in the context of the challenges facing healthcare delivery in the 21st century. Dr. Barry McMahon has a national and international reputation as an Academic Medical Physicist in the fields of novel physiological measurement and medical device innovation and design. He is the co- inventor of the Functional Lumen Imaging Probe (FLIP) technique later commercialised as EndoFLIPTM. He was the Director of the Innovation Academy at Trinity College Dublin from 2012 to 2017. Since 2020 he is advising Children’s Health Ireland on innovation practice. In 2021, he retired as Chief Physicist/Clinical Engineer at Tallaght Hospital, Ireland and currently runs his own innovation-consulting group Electric Mindset Ltd. Dr. Paul Coughlan is Professor in Operations Management and Co-Director of Faculty at Trinity Business School, Trinity College Dublin. His research explores collaborative strategic improvement of operations through network action learning. He was the Director of the Innovation Academy at Trinity College Dublin from 2010 to 2012. He is a founding director of a research-based spin-out venture, Easy Hydro Ltd.

Problem Solving for Better Health

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Publisher : Springer Publishing Company
ISBN 13 : 082610469X
Total Pages : 329 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Problem Solving for Better Health by : Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN

Download or read book Problem Solving for Better Health written by Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN and published by Springer Publishing Company. This book was released on 2010-11-22 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem Solving for Better Healthcovers human potential and possibilities for change in a global environment where health issues have now reached crisis proportions. Through the Dreyfus Health Foundation's Problem Solving for Better HealthÆ and related programs, this book presents innovative methodologies that promote grass-roots solutions to pressing health issues. A progress report and call to further action, the book speaks to such issues in 27 countries, including the United States. With contributions from Dreyfus Health Foundation international program leaders and esteemed health care practitioners and educators, Problem Solving for Better Health presents practical interventions through community and institutional initiatives to improve health and quality of life. The tools presented are currently integrated into nursing and medical curricula internationally, including 75 medical institutions in India and 20 in China. This book is an essential resource for doctors, nurses, public health care providers, and individuals working at the community, institutional, and policy levels. Co-publication with the Dreyfus Health Foundation, this book: Offers new approaches to health challenges at the local level for teachers and students in nursing, public health, medicine, and health policy programs Provides useful problem-solving tools now in use in various settings internationally Gives examples of interventions that have influenced policy in and across institutions and at the national level Incorporates perspectives from international health leaders

Health Professions Education

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Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Creative Problem Solving

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Publisher : McGraw-Hill Science, Engineering & Mathematics
ISBN 13 :
Total Pages : 516 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Creative Problem Solving by : Edward Lumsdaine

Download or read book Creative Problem Solving written by Edward Lumsdaine and published by McGraw-Hill Science, Engineering & Mathematics. This book was released on 1995 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: Creative ability in business.

Creative Approaches to Problem Solving

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Publisher : SAGE
ISBN 13 : 1412977738
Total Pages : 321 pages
Book Rating : 4.4/5 (129 download)

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Book Synopsis Creative Approaches to Problem Solving by : Scott G. Isaksen

Download or read book Creative Approaches to Problem Solving written by Scott G. Isaksen and published by SAGE. This book was released on 2011 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Creative Approaches to Problem Solving (CAPS) is a comprehensive text covering the well-known, cited, and used system for problem solving and creativity known as Creative Problem Solving (CPS). CPS is a flexible system used to help individuals and groups solve problems, manage change, and deliver innovation. It provides a framework, language, guidelines, and set of easy-to-use tools for understanding challenges, generating ideas and transforming promising ideas into action. Features and Benefits: - Specific objectives in each chapter for the reader - This provides a clear focus for instruction or independent learning - Practical case study introduced in the beginning of each chapter and then completed as a "rest of the story" toward the end of the chapter - This feature provides an application anchor for the reader - Upgraded mix of graphics - These updated and refreshed graphics include tables, figures, and illustrative images that are designed to provide "pictures" to go along with the word. The aim has been to aid attention, retention, and practical application - Enhanced emphasis on flexible, dynamic process-- Enables users to select and apply CPS tools, components, and stages in a meaningful way that meets their actual needs - A framework for problem solving that has been tested and applied across ages, settings, and cultures-- Readers can apply a common approach to process across many traditional "boundaries" that have limited effectives. Creative Approaches to Problem Solving has been (and continues to be) used as a core text for faculty who are teaching courses in Creative Problem Solving or Creativity and Innovation as part of an MBA program, or in Education, a course on Creativity (often as a component of certification or endorsement requirements in gifted education). It is also used as a core text for those enrolled in professional development, continuing education, or executive education programmes.

Communication Skills for Nurses

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Publisher : John Wiley & Sons
ISBN 13 : 1118767500
Total Pages : 214 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Communication Skills for Nurses by : Claire Boyd

Download or read book Communication Skills for Nurses written by Claire Boyd and published by John Wiley & Sons. This book was released on 2014-08-11 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Survive placements and practice with this essential guide for all student nurses. Providing words of wisdom and advice from real-life student nurses, Communication Skills for Nurses is a handy, portable, and fun introduction to the key communication and interpersonal skills you’ll need on placement and as a registered nurse. Special features: Developed by students, for students Clear, straightforward, and jargon-free Explains how to use your interpersonal skills effectively, communicate with patients with specific conditions, and handle both criticisms and compliments Features tips and advice from real life nursing students Examples and questions based on real life nursing and healthcare situations

Creative Problem Solving

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Publisher : Taylor & Francis
ISBN 13 : 1000948757
Total Pages : 112 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Creative Problem Solving by : Donald J. Treffinger

Download or read book Creative Problem Solving written by Donald J. Treffinger and published by Taylor & Francis. This book was released on 2023-04-14 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Creative Problem Solving is a process that allows people to apply both creative and critical thinking to find solutions to everyday problems. Creative Problem Solving eliminates the tendency to approach problems in a haphazard manner and, consequently, prevents surprises and/or disappointment with the solution. Used by thousands of group leaders seeking a friendly introduction to using Creative Problem Solving, this book is a time-honored classic. Creative Problem Solving: An Introduction is based on more than five decades of extensive research, development, and field experience in educational settings, businesses, and many other organizations. Written for both group leaders and individuals seeking a systematic way to build innovative and effective solutions, Creative Problem Solving is perfect for any type of setting. This definitive guide shows you how to find successful solutions to important challenges. Creative Problem Solving (CPS) can help your students to approach problems and deal with change in a deliberate and constructive way, building their confidence and success in working with complex issues. This revised and updated fourth edition includes: easy-to-follow instructions for using Creative Problem Solving; practical tools for understanding the challenge, generating ideas, and preparing for action; expanded guidelines for planning your approach to Creative Problem Solving; strategies that ensure successful group dynamics; the latest trends in creative thinking and group problem solving; and practical suggestions for those new to Creative Problem Solving. Educational Resource

Handbook of Home Health Care Administration

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834209183
Total Pages : 1010 pages
Book Rating : 4.2/5 (91 download)

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Book Synopsis Handbook of Home Health Care Administration by : Marilyn D. Harris

Download or read book Handbook of Home Health Care Administration written by Marilyn D. Harris and published by Jones & Bartlett Learning. This book was released on 1997 with total page 1010 pages. Available in PDF, EPUB and Kindle. Book excerpt: Table of Contents Foreword Introduction Ch. 1 Home health administration : an overview 3 Ch. 2 The home health agency 16 Ch. 3 Medicare conditions of participation 27 Ch. 4 The joint commission's home care accreditation program 63 Ch. 5 CHAP accreditation : standards of excellence for home care and community health organizations 71 Ch. 6 Accreditation for home care aide and private duty services 81 Ch. 7 ACHC : accreditation for home care and alternate site health care services 86 Ch. 8 Certificate of need and licensure 92 Ch. 9 Credentialing : organizational and personnel options for home care 101 Ch. 10 The relationship of the home health agency to the state trade association 111 Ch. 11 The national association for home care and hospice 115 Ch. 12 The visiting nurse association of America 124 Ch. 13 Self-care systems in home health care nursing 131 Ch. 14 Home health care documentation and record keeping 135 App. 14-A COP standards pertaining to HHA clinical record policy 147 App. 14-B Abington Memorial Hospital home care clinical records 150 Ch. 15 Computerized clinical documentation 161 Ch. 16 Home telehealth : improving care and decreasing costs 176 Ch. 17 Implementing a competency system in home care 185 Ch. 18 Meeting the need for culturally and linguistically appropriate services 211 Ch. 19 Classification : an underutilized tool for prospective payment 224 Ch. 20 Analysis and management of home health nursing caseloads and workloads 236 Ch. 21 Home health care classification (HHCC) system : an overview 247 Ch. 22 Nursing diagnoses in home health nursing 261 Ch. 23 Perinatal high-risk home care 274 Ch. 24 High technology home care services 279 Ch. 25 Discharge of a ventilator-assisted child from the hospital to home 291 Ch. 26 Performance improvement 301 Ch. 27 Evidence-based practice : basic strategies for success 310 Ch. 28 Quality planning for quality patient care 315 Ch. 29 Program Evaluation 320 App. 29-A Formats for presenting program evaluation tools Ch. 30 Effectiveness of a clinical feedback approach to improving patient outcomes 341 Ch. 31 Implementing outcome-based quality improvement into the home health agency 352 Ch. 32 Benchmarking and home health care 383 Ch. 33 Administrative policy and procedure manual 395 Ch. 34 Discharge planning 399 Ch. 35 Strategies to retain and attract quality staff 421 Ch. 36 Evaluating productivity 436 Ch. 37 Labor-management relations 448 Ch. 38 Human resource management 459 Ch. 39 Staff development in a home health agency 474 Ch. 40 Transitioning nurses to home care 484 Ch. 41 Case management 495 Ch. 42 Managed care 499 Ch. 43 Community-based long-term care : preparing for a new role 507 Ch. 44 Understanding the exposures of home health care : an insurance primer 519 Ch. 45 Budgeting for home health agencies 527 Ch. 46 Reimbursement 535 Ch. 47 How to read, interpret, and understand financial statements 549 Ch. 48 Management information systems 558 Ch. 49 Legal issues of concern to home care providers 571 Ch. 50 Understanding the basics of home health compliance 590 Ch. 51 The HIPAA standards for privacy of individually identifiable health information 616 Ch. 52 Ethical practice in the daily service to home care client, their families, and the community 666 Ch. 53 Participating in the political process 675 Ch. 54 Strategic planning 693 Ch. 55 Marketing : an overview 708 Ch. 56 The internet in home health and hospice care 723 Ch. 57 Disease management programs 736 Ch. 58 The process of visiting nurse association affiliation with a major teaching hospital 756 Ch. 59 Grantsmanship in home health care : seeking foundation support 771 Ch. 60 Home care volunteer program 778 Ch. 61 The manager as published author : tips on writing for publication 796 Ch. 62 Student placements in home health care agencies : boost or barrier to quality patient care? 810 Ch. 63 A student program in one home health agency 818 Ch. 64 The role of the physician in home care 834 Ch. 65 Research in home health agencies 840 Ch. 66 Hospice care : pioneering the ultimate love connection about living not dying 850 App. 66-A State of Connecticut physician assisted living (PAL) directive 863 App. 66-B Summary guidelines for initiation of advanced care 864 Ch. 67 Safe harbor : a bereavement program for children, teens, and families 866 Ch. 68 Planning, implementing, and managing a community-based nursing center : current challenges and future opportunities 872 Ch. 69 Adult day services - the next frontier 883 Ch. 70 Partners in healing : home care, hospice, and parish nurses 891 Ch. 71 Meeting the present challenges and continuing to thrive in the future : tips on how to be successful as an administrator in home health and hospice care 899.

The Creative Practitioner

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Publisher : Psychology Press
ISBN 13 : 9780866566490
Total Pages : 264 pages
Book Rating : 4.5/5 (664 download)

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Book Synopsis The Creative Practitioner by : Bernard Gelfand

Download or read book The Creative Practitioner written by Bernard Gelfand and published by Psychology Press. This book was released on 1988 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is the first text that links creative thinking processes with problem-solving processes for the profession of social work. The complexity of human problems and our frequent resistantance to change leaves many of us with inhibitions toward the difficult problem solving process. Author Bernard Gelfand, a student and teacher of creative problem solving for nearly a decade, provides exciting and convincing evidence that his five-step Creative Problem Solving Model can help human service professionals think creatively about the social problems of clients and enhance their methods of service delivery. Gelfand explains the key steps to the Creative Problem Solving Model--fact finding, problem finding, strategy and idea finding, solution finding, and acceptance finding. In addition to the valuable guidelines for creative thinking, The Creative Practitioner is jampacked with easily applicable strategies for incorporating creative thinking into student learning about the problem-solving process and exercises to assist students and practitioners in overcoming their obstacles to creativity. By teaching students to expect that there are many ways to solve a problems encourages them to approach their clients with a positive attitude. This unique new text offers exercises in all the skills of problem solving--defining problems, producing ideas, deciding upon the most preferred solutions, planning for their implementation, and evaluating their impact. Students, educators, and practitioners will quickly discover the value of this useful text.

Handbook of Research on Creative Problem-Solving Skill Development in Higher Education

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Publisher : IGI Global
ISBN 13 : 1522506446
Total Pages : 665 pages
Book Rating : 4.5/5 (225 download)

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Book Synopsis Handbook of Research on Creative Problem-Solving Skill Development in Higher Education by : Zhou, Chunfang

Download or read book Handbook of Research on Creative Problem-Solving Skill Development in Higher Education written by Zhou, Chunfang and published by IGI Global. This book was released on 2016-09-21 with total page 665 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developing students’ creative problem-solving skills is paramount to today’s teachers, due to the exponentially growing demand for cognitive plasticity and critical thinking in the workforce. In today’s knowledge economy, workers must be able to participate in creative dialogue and complex problem-solving. This has prompted institutions of higher education to implement new pedagogical methods such as problem-based and case-based education. The Handbook of Research on Creative Problem-Solving Skill Development in Higher Education is an essential, comprehensive collection of the newest research in higher education, creativity, problem solving, and pedagogical design. It provides the framework for further research opportunities in these dynamic, necessary fields. Featuring work regarding problem-oriented curriculum and its applications and challenges, this book is essential for policy makers, teachers, researchers, administrators, students of education.

Personal and Professional Growth for Health Care Professionals

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Publisher : Jones & Bartlett Learning
ISBN 13 : 1284110737
Total Pages : 356 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Personal and Professional Growth for Health Care Professionals by : David Tipton

Download or read book Personal and Professional Growth for Health Care Professionals written by David Tipton and published by Jones & Bartlett Learning. This book was released on 2015-12-02 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Personal and Professional Growth for Health Care Professionals blends aspects of professional development with issues related to personal development. Personal and professional development are inextricably linked because one cannot develop as a professional devoid of the personal insights related to personality, character, cognitions, emotions, and the cultural and generational constraints. Includes use of multi-stage model of professional development: perception, judgment, motivation, prioritization, decision process, and professional implementation. Offers Case Studies, Questions, and Issues for Discussion at the end of each chapter. This is an excellent resource to prepare students for career readiness.

Understanding Teamwork in Health Care

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Publisher : McGraw Hill Professional
ISBN 13 : 0071791965
Total Pages : 302 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Understanding Teamwork in Health Care by : Gordon Mosser

Download or read book Understanding Teamwork in Health Care written by Gordon Mosser and published by McGraw Hill Professional. This book was released on 2013-10-22 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete introductory guide to the principles and clinical application of teamwork in health care Understanding Teamwork in Health Care emphasizes the essential competencies necessary to implement teamwork in health care in a complex hospital or primary care setting. Unlike similar books on the subject which are theoretical or policy-oriented, this text offers practical, real-world coverage. Valuable for health care professionals seeking a thorough explanation of teamwork and for trainers working in hospitals or primary care settings; could also be used as a textbook. Mini-cases throughout the text help readers appreciate real-world application of principles Written to a level suited for the non-specialist

Today's Health Professions

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Publisher : F.A. Davis
ISBN 13 : 0803657900
Total Pages : 785 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Today's Health Professions by : Patricia Lockamy Royal

Download or read book Today's Health Professions written by Patricia Lockamy Royal and published by F.A. Davis. This book was released on 2016-01-08 with total page 785 pages. Available in PDF, EPUB and Kindle. Book excerpt: From athletic trainer to speech pathologist and every major healthcare profession in between, you’ll explore their histories, employment opportunities, licensure requirements, earnings potential, and career paths. Professional healthcare providers share their personal stories; introduce you to their work; and describe what a typical day is like. Their insights help you to see which career might be the right one for you.

Creative Problem Solving

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Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 280 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Creative Problem Solving by : Robert L. Flood

Download or read book Creative Problem Solving written by Robert L. Flood and published by John Wiley & Sons. This book was released on 1991-09-06 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Creative Problem Solving • Total Systems Intervention • Robert L. Flood and Michael C. Jackson Department of Management Systems and Sciences, University of Hull, UK In the modern world organisations are faced with innumerable and multifaceted issues which cannot be captured in the minds of a few experts and solved with the aid of some super-method. It would be equally wrong to revert to a trial and error approach. We need to retain rigorous and formalised thinking, while admitting the need for a range of problem solving methodologies. The future prospects of management science will be much enhanced if (a) the diversity of issues confronting managers is accepted, (b) work on developing a rich variety of problem solving methodologies is undertaken, and (c) we continually ask the question: "What kind of issue can be ‘managed’ with which sort of methodology?" This volume, Creative Problem Solving: Total Systems Intervention, amounts to the bringing together of a huge human effort in the area of the management sciences. Each particular methodology that we have presented in this book is the realisation of years of work by many people, and the management and organisation theory to which we refer goes back nearly a century and has employed armies of researchers. Total systems intervention stands at the top of this mountain of effort and is able to offer an overview of the management-oriented disciplines which enables managers and decision makers to gain a command over how to employ them as a whole.

Handbook of Organizational Creativity

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Publisher : Elsevier
ISBN 13 : 0323984827
Total Pages : 448 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Handbook of Organizational Creativity by : Roni Reiter-Palmon

Download or read book Handbook of Organizational Creativity written by Roni Reiter-Palmon and published by Elsevier. This book was released on 2023-06-22 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Organizational Creativity: Leadership, Interventions, and Macro Level Issues, Second Edition covers creativity from many perspectives in two unique volumes, including artificial Intelligence work, creativity within specific applied domains (e.g., engineering, science, therapy), and coverage of leadership. The book includes individual, team and organizational level factors and includes organizational interventions to facilitate creativity (such as training). Chapters focus on creative abilities and creative problem-solving processes, along with individual differences such as motivation, affect and personality. New chapters include the neuroscience of creativity, creativity and meaning, morality/ethicality and creativity, and creative self-beliefs. Sections on group level phenomena examine team cognition, team social processes, team diversity, social networks, and multi-team systems and creativity. Final coverages includes different types and approaches to leadership, such as transformational leadership, ambidextrous leadership leader-follower relations, and more. Focuses on the key need to increase creativity and innovation in organizations Identifies factors influencing organizational creativity in specific subject domains Discusses effects of rewards, training, and performance management on creativity Contains new coverage of virtual teams, creative meetings, and multiteam systems Presents interventions to improve organizational creativity Explores use of AI, technology, and design thinking for organizational creativity This expanded second edition is divided into two volumes. For further information on Individual and Group Level Influences visit https://shop.elsevier.com/books/handbook-of-organizational-creativity/reiter-palmon/978-0-323-91840-4