| 1. |
- Cregård, Anna, 1971, et al.
(författare)
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Medicinare som managers
- 2011
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Ingår i: School of Business, Nordic Academy of Management (NFF) conference, 20-24 august, 2011.
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Konferensbidrag (refereegranskat)abstract
- Sjukvårdspersonalen har ett stort inflytande på sitt arbete. I en tid när NPM fått en stark inverkan på offentliga organisationer förskjuts det som tidigare varit den offentliga sektorns kännetecken som: demokrati, öppenhet, yttrandefrihet, samverkan, helhetssyn och rättssäkerhet, till mer ekonomistiska och managementlika sådana, som produktivitet, kostnadseffektivitet, kundorientering, resultatkrav och avtal. Syftet i denna artikel är att kritiskt diskutera tillsättningen av medicinare på traditionella manage-menttjänster i hälso- och sjukvården och vad det kan medföra. Dessa tillsättningar motiveras vanligen av förbättrad effektivitet, men också av kvalitet och säkerhet för verksamheten. Skälen är svåra att argumentera emot, och därför har de fått stark genomslagskraft. Vi vill just peka på riskerna, som ofta negligeras och förespråkarna har en slagkraftig retorik. Positiva effekter saknas inte men de måste vägas mot de negativa effekterna. Metoden är intervjuer med 15 sjuksköterskor och läkare som har chefsuppdrag. Därtill har vi 5 fokusgrupper som består av verksamhetsansvariga sjuksköterskor och läkare under managementutbildning. Resultaten visar på att det främst är fyra risker förknippat med tillsättning av medicinare på tradit-ionella managementtjänster: läkarens professionella kompetens minskar, förtroendet för läkaren som medicinsk kunnig minskar, liksom för organisationen och vården i stort. Därtill trängs viktiga värden inom servicedomänen undan till förmån för administrativa värden.
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| 2. |
- Linderoth, Henrik, et al.
(författare)
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Taking industry seriously in ICT research : The case of building and construction industry
- 2011
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Ingår i: ICIS 2011 Proceedings. - : Association for Information Systems. - 9780615559070 ; , s. 3904-3919
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Konferensbidrag (refereegranskat)abstract
- Industry has received little attention in Information systems research as a factor explaining information and communication technology (ICT) related activities in organizations. By drawing on a case study in the building and construction industry in Sweden, the aim of this paper is to contribute to an enhanced knowledge of how industry specific features shape the adoption and use of ICT. It is concluded that the adoption and deployment of ICT is shaped by the interplay among three main dimensions of the industry. These dimensions are the market and production environment (shaped by specific interaction patterns among its features), the socio-cognitive environment, and institutional actors. The outcomes of this interplay will “fit” material features of ICT, implying certain ICT applications are preferred in a specific industry. However, the interaction patterns among which features to be included in the framework will vary among industries. The suggested framework can be used as a point of departure when ICTrelated activities in an industry are analysed.
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| 3. |
- Söderström, Eva, et al.
(författare)
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Trusting digitized patient-related information: The need for a new approach
- 2011
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Ingår i: In Furnell and Clarke (eds.), Proceedings of the 5th International Symposium on Human Aspects of Information Security and Assurance (HAISA), London, 2011. - : Plymouth Center for Security, Comunications & Network Research, University of Plymouth. - 9781841022840 ; , s. 119-129
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Konferensbidrag (refereegranskat)abstract
- Trust is receiving increasing attention nowadays, particularly since new technology enables communication and collaboration like it has never been seen before. However, trust is a fuzzy concept that needs further examination and attention from multiple levels. For example, security is very important from a user’s point of view in trusting that technology will function in accordance with the user’s intended and requested function. This paper reviews the concept of patient safety, which thus far has been discussed and defined from a narrow technical perspective. We demonstrate that it is much more complex, and that it is not primarily the technical issues that are problematic, but rather the cultural, process-related and personnel issues. Our results point to a need for a new approach, which takes the patients’ view of healthcare and the patient-related digital information as its focus. The discussion is made from a Swedish perspective, but the issues are international. The needs for information and knowledge in healthcare are obvious. Without clear definitions of concepts and roles, a good information flow or process cannot be designed. Our discussion shows that trusted digital patient information gives an opportunity for a patient-focused healthcare. Multidimensional trust must be addressed on all levels; organization, person and technology. More empirical research into trust in digital patient-related information is necessary, to develop a model for patient safety from a trust perspective that encompasses all levels of trust.
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| 4. |
- Andersson, Thomas, 1970-, et al.
(författare)
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Easier to trust managers than management? : The case of improvement work in healthcare
- 2011
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Konferensbidrag (refereegranskat)abstract
- Previously, improvement work in healthcare has mainly been medically related and driven by medical research, but NPM implies that management-initiated improvement work targeting organizing, productivity, efficiency, work flow etc. has become more and more common. Management-initiated improvement work has a high failure rate, and in general it seems difficult to motivate co-workers to actively participate. In all processes of organizational change, trust in the initiator of a change project is an important prerequisite to enable change take place. In this article, our purpose is to investigate how trust in management influences management-initiated improvement work. In a qualitative study we investigate improvement work at three Swedish hospitals. Our theoretical framework is based on a view of management as being both the people who manage and the system of management. This distinction is important since we can trust people and we can have confidence in a system, but these processes are different. Consequently, it is possible to trust individual managers, but as long as we do not trust management as a system, management-initiated improvement work will face considerable problems. To analyze trust we use a model that identifies three important antecedents for one person (the trustor) to consider another person (the trustee) as trustworthy: ability, benevolence and integrity. Using social system theory, we extend this model to on the one hand describe trust in specific persons (specific managers), and on the other hand describe confidence in a system (management in general, which the system-specific managers are parts of). The results indicate that there in general is a lack of trust between healthcare personnel and healthcare management. We were able to find certain managers who were found trustworthy by the personnel, but despite these trust-relations the personnel did still not have confidence in management as a system. To the contrary, these managers were perceived as exceptions, and did not change the perception of management in general. The consequences for management-initiated improvement work were that most personnel at best were ignorant to it, and at worst resisted it openly. However, there were examples when trusted enthusiastic managers succeeded in initiating improvement work, but then the continuation and success was directly connected to this person, and if s/he left, the improvement work stopped. Furthermore, some work groups seemed to very clearly separate “real” improvement work, which they initiated themselves, from “phony” improvement work initiated by management, which only stole time from more important tasks.
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| 5. |
- Andersson, Thomas, et al.
(författare)
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HRM practices in Swedish retailing
- 2011
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Konferensbidrag (refereegranskat)abstract
- The retail sector in Sweden has an outstanding productivity ratio in comparison to retailsectors in other countries. In this paper we claim that the main reason to this is the HRMpractice on store level in Sweden. International research presents a grim picture of the retailworkplace. Because of fierce price competition personnel are subjected to high demands forflexibility in working hours and suffer from low salaries, poor working conditions and little orno employer provided education and training resulting in a low level of employee workmotivation, responsibility and productivity. Our research constrasts this picture and showsthat the workplace in Swedish retailing is characterized by mutually trusting and cooperativerelationships between managers and co-workers, leading to employee commitment andacceptance of responsibility. We mainly explain our conclusions that differ from those ofinternational retailing research by the principal fact that standards and values from otherSwedish work sectors are also found in the Swedish retail sector.
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| 6. |
- Andersson, Thomas, 1970-, et al.
(författare)
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Organisering av förbättringsarbete inom vården med inspiration från industrin
- 2011
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Konferensbidrag (refereegranskat)abstract
- I denna artikel fokuserar vi på användandet av industriellt baserade produktionssynsätt (IBP) inom vården i avsikt att arbeta systematiskt med förbättringsarbete. Tidigare forskning har visat att det är svårt att få nya arbetsmetoder att få genomslag i den dagliga praktiken. I denna artikel fokuserar vi på om det går att se indirekta effekter såsom hur förbättringsarbetet organiseras beroende på vilka IBP olika sjukhus väljer att arbeta med. Undersökning är genomförd genom fallstudier på tre sjukhus som har valt att arbeta med tre olika metoder: six sigma, processorientering och mikrosystem.Studien visar att de olika logikerna bakom de olika metoderna ger fundamentalt olika sätt att organisera förbättringsarbetet vid de tre sjukhusen. Six sigma-sjukhuset valde ett centraliserat förbättringsarbete i hög grad drivet av experter på förbättringsmetoder, processsjukhusethade en expertavdelning som var mer av bollplank och utbildare för verksamhetens förbättringsarbete och mikrosystem-sjukhuset valde ett decentraliserat förbättringsarbete där förbättringsarbetet var både lokalt initierat och drivet.
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