| 1. |
- Lilja, Johan, 1978-, et al.
(författare)
-
Is Innovation the Future of Quality Management? : Searching for signs of quality and innovation management merging in current practices and concepts
- 2016
-
Ingår i: Proceedings of the 19th QMOD Conference.
-
Konferensbidrag (refereegranskat)abstract
- PurposeCurrently, upcoming as well as mature industries are facing pressure as regards successfully managing operational excellence and continuous improvement, and at the same time driving and managing innovation. Quality management concepts and practices’ ability to tackle this challenge have been questioned and previous research even suggests that quality management initiatives can impede firms’ abilities to innovate and quickly adapt to changes. It has also been suggested that there is a need to provide and promote an updated/changed, and even re-branded, version of the Total Quality Management (TQM) concept, merging quality and innovation management. Such a shift would indeed be a fundamental and groundbreaking shift in the history of Quality Management so far. Can such a shift then actually be spotted? The purpose of this paper is to explore and see if there are any signs suggesting that quality and innovation management actually are about to merge.ApproachThe study is based on literature reviews, document studies, and interviews.FindingsThe paper highlights three signs indicating that quality and innovation management indeed are approaching each other, and that it is a movement driven from both sectors, e.g., in the work with new ISO-standards and the Toyota Kata framework.Relevance/contributionThe indicated development has fundamental and extensive practical implications. It will for example have to be followed by a similar merging of the two fields in the educational system, and in the competences of future managers.
|
|
| 2. |
- Ness, Ottar, et al.
(författare)
-
Shaping a Wellbeing Future for People and Planet
- 2023
-
Ingår i: Nordic journal of wellbeing and sustainable development. - : Universitetsförlaget. - 2703-9986. ; 2:1, s. 1-4
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
|
|
| 3. |
|
|
| 4. |
- Thorgeirsdottir, Lilja, et al.
(författare)
-
Study protocol: establishment of a multicentre pre-eclampsia database and biobank in Sweden: GO PROVE and UP MOST, a prospective cohort study
- 2021
-
Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:11
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Pre-eclampsia, a multisystem disorder in pregnancy, is one of the most common causes of maternal morbidity and mortality worldwide. However, we lack methods for objective assessment of organ function in pre-eclampsia and predictors of organ impairment during and after pre-eclampsia. The women’s and their partners’ experiences of pre-eclampsia have not been studied in detail. To phenotype different subtypes of the disorder is of importance for prediction, prevention, surveillance, treatment and follow-up of pre-eclampsia.The aim of this study is to set up a multicentre database and biobank for pre-eclampsia in order to contribute to a safer and more individualised treatment and care.Methods and analysis This is a multicentre cohort study. Prospectively recruited pregnant women ≥18 years, diagnosed with pre-eclampsia presenting at Sahlgrenska University Hospital, Uppsala University Hospital and at Södra Älvsborgs Hospital, Sweden, as well as normotensive controls are eligible for participation. At inclusion and at 1-year follow-up, the participants donate biosamples that are stored in a biobank and they are also asked to participate in various organ-specific evaluations. In addition, questionnaires and interviews regarding the women’s and partner’s experiences are distributed at follow-up.Ethics and dissemination By creating a database and biobank, we will provide the means to explore the disorder in a broader sense and allow clinical and laboratory discoveries that can be translated to clinical trials aiming at improved care of women with pre-eclampsia. Further, to evaluate experiences and the psychological impact of being affected by pre-eclampsia can improve the care of pregnant women and their partners. In case of incidental pathological findings during examinations performed, they will be handled in accordance with clinical routine. Data are stored in a secure online database. Biobank samples are identified through the women’s personal identification number and pseudonymised after identification in the biobank before analysis.This study was approved by the regional ethical review board in Gothenburg on 28 December 2018 (approval number 955-18) and by the Swedish Ethical Review Authority on 27 February 2019 (approval number 2019-00309).
|
|
| 5. |
- Boström, Jonas, et al.
(författare)
-
Balancing a seesaw – leaders perspectives on design and traditional quality improvement in healthcare
- 2023
-
Ingår i: The TQM Journal. - 1754-2731 .- 1754-274X. ; 35:9, s. 173-190
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to explore and describe the perspectives and reasoning of seniordevelopment leaders in healthcare organizations, when reflecting on design as theory and practice in relation tomore traditional methods and tools for improving quality and support innovation.Design/methodology/approach – The paper is based on a qualitative interview design with fivedevelopment and innovation leaders from separate healthcare regions in Sweden. They have, to varyingdegrees, applied design theory and practice for quality improvement and innovation in their organizations. Theinterview transcript was analysed using a content analysis together with an interpretive approach.Findings – The major findings are to be found in the balancing act for leadership and organizations inhealthcare when it comes to introducing and combining different theories and practices for improving qualityand support innovation. The balance is between the change in power dynamics and pushing traditional boundaries in a complex healthcare world.Practical implications – The narratives from the leaders’ experience of applying design theory and practicefor improving healthcare quality can help us create readiness and knowledge about how we prevent and/orfacilitate planning and implementing design theories, practices, methods and tools in a healthcare context.Originality/value – The study provides a unique insight when it captures and illustrates five differentorganizations’ experiences when applying design for developing healthcare quality.
|
|
| 6. |
- Boström, Jonas, et al.
(författare)
-
Cultural dynamics and tensions when applying design thinking for improving health-care quality
- 2021
-
Ingår i: International Journal of Quality and Service Sciences. - 1756-669X .- 1756-6703. ; 13:1, s. 16-28
-
Tidskriftsartikel (refereegranskat)abstract
- PurposeThe purpose of this paper is to contribute knowledge concerning the dynamics and potential cultural tensions that occur when applying user involvement and design thinking (DT) for improving quality in a health-care setting.Design/methodology/approachThis paper is based on a case study following a quality improvement (QI) project in a medium-sized Swedish county council in the field of somatic care. The project involved eight health-care professionals, one designer, four patients and two relatives. A multiple data collection method over a period of ten months was used. It included individual interviews, e-mail correspondence and observations of workshops that covered the QI project.FindingsThe result shows tensions between QI work and the daily clinical work of the participants. These tensions primarily concern the conflict between fast and slow processes, the problem of moving between different fields of knowledge, being a resource for the individual clinic and the system and the participants’ expectations and assumptions about roles and responsibilities in a QI project. Furthermore, these findings could be interpreted as signs of a development culture in the health-care context.Practical implicationsThere are several practical implications. Among others, the insights can inspire how to approach and contextualize the current concepts, roles and methods of DT and user involvement so that they can be more easily understood and integrated into the existing culture and way of working in the health-care sector.Originality/valueThis study provides a unique insight into a case, trying to uncover what actually is going on and perhaps, why certain things are not happening at all, when user involvement and design practices are applied for improving health-care quality.
|
|
| 7. |
- Boström, Jonas, et al.
(författare)
-
Cultural Impact of Applying User Involvement for Improving Healthcare Quality : A review of the impact on attitudes, values and assumptions among healthcare professionals and users
- 2016
-
Ingår i: Proceedings of the 19th QMOD Conference.
-
Konferensbidrag (refereegranskat)abstract
- PurposeThe purpose of this study is to provide a review of the impact on culture (attitudes, values and assumptions) among both healthcare professionals, as well as users, when involving users for improving quality in healthcare.MethodThe paper is based on an extensive, narrative literature review, covering 3786 papers.FindingsThe results indicate that there is currently limited research focusing on the impact of user involvement in quality improvement processes regarding professionals’ and users´ attitudes, values and/or assumptions. The articles identified during the study mentions situations and things which are said, during the process of development, and which can be interpreted as change in the culture. Although few articles specifically draw conclusions on user involvement as a “tool” for cultural change, the authors interpret several findings which strengthens that theory.Research limitationsResearch published in other databases could have been missed. The authors have tried to avoid this by using a snowball method reading references in identified articles.Practical implicationsFuture research is needed to see if involvement activities in quality improvement processes can affect attitudes, values and assumptions in a positive way.OriginalityThe review provides a platform for both future research and the development of current practice within the area. There has been literature reviews showing obstacles and enablers when using patients, users and relatives in quality improvement work, but few which investigates cultural change.
|
|
| 8. |
- Boström, Jonas, et al.
(författare)
-
Exploring Cultural Dynamics and Tensions when Applying Design Thinking for Improving Healthcare Quality : What is really going on?
- 2018
-
Ingår i: Proceedings of the 21th QMOD Conference.
-
Konferensbidrag (refereegranskat)abstract
- Purpose:The purpose of this paper is to contribute knowledge concerning the dynamics and potential cultural tensions that occur when applying user involvement and design thinking for improving quality in a healthcare setting.Method:The paper is based on a case study following a quality improvement project (QI) in a medium sized Swedish county council in the field of somatic care. The project involved eight healthcare professionals, one designer, four patients and two relatives. A multiple data collection method over a period of 10 months was used. It included individual interviews, e-mail correspondence and observations of workshops that covered the QI project.Findings:The result shows tensions between QI work and the daily clinical work of the participants. These tensions primarily concern the conflict between fast and slow processes, the problem of moving between different fields of knowledge, being a resource for the individual clinic and the system, and the participants' expectations and assumptions about roles and responsibilities in a QI project. Furthermore these findings could be interpreted as signs of a development culture in the healthcare context.Practical Implications:There are several practical implications. Among others, the insights can inspire how to approach and contextualize the current concepts, roles and methods of design thinking and user involvement so that they can be more easily understood and integrated into the existing culture and way of working in the healthcare sector.Originality:The study provides a unique insight into a case, trying to uncover what actually is going on, and perhaps why certain things are not happening at all, when user involvement and design practices are applied for improving healthcare quality.
|
|
| 9. |
- Boström, Jonas
(författare)
-
Knowledge for Improving Healthcare Service Quality : Combining Three Perspectives
- 2020
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Swedish public sector in general, and healthcare specifically, is struggling with large deficits: 19 of 21 regions have large negative results in 2019. The demands made by the citizens and their elected politicians that healthcare should offer effective, accessible, good and equal care are difficult to meet. However, when it comes to emergency care, Swedish healthcare scores high on international rankings. The difficulties and challenges today lie in ensuring good and equal care for the large groups of people with multiple illnesses, and patients who need long-term care from different healthcare providers. A complicated system has become even more complex.Organizational research has shown conflicts between different ways of working to improve and change the organization and the methods that support the daily work of providing healthcare services. Furthermore, quality research shows that there are knowledge gaps to be filled when it comes to understanding how complex problems should be handled and what kind of knowledge could contribute. This also applies to the tensions and conflicts that can arise when knowledge from patients, other professions and fields of knowledge must be integrated with the knowledge that the professions (physicians, nursing) possess. Several public organizations have in recent years also adopted methods, tools and approaches from the design field. Especially user involvement (human-centric), collaboration and visualization. Design research often highlights the methods which are favorable for handling complexity.The overall purpose of this thesis was therefore to gain a deeper understanding of how the quality development work in healthcare is expressed and how it is affected when different perspectives of knowledge are integrated - with a focus on improvement knowledge, professional knowledge and design thinking. Since the purpose of the licentiate thesis was to gain a deeper understanding of what happens when new knowledge to develop quality in healthcare emerges, the method is based on a qualitative approach. Three research questions were formulated and led to three studies. The first study, a literature review, showed that there is limited research in the area but that there are indications that user involvement in development work affects employees' attitudes and values. In study number two, a case study was set up using design methods and involving users. The results showed tensions between the improvement work and the daily clinical operations. This tension could primarily be attributed to the conflict between faster and slowerxviprocesses (doing and thinking), when moving between different practicing skills (design, improvement and professional). The last study aimed to understand more about the management's view of this, relatively new knowledge (design) in healthcare, in relation to the traditional way to work with improvement and change. The result stresses that there are potential conflicts between the different fields of knowledge. But the interviews were also interpreted as showing the synergy effects that can arise when different practitioners meet, and the results also show that different ways of thinking can challenge the traditional ways of handling improvement and change in the development of healthcare.The thesis result overall strengthens the research that shows that design can add another dimension to traditional improvement work in healthcare. However, there is also frustration about something which is perceived as more abstract and reflective and which can sometimes be slower than what the solutions-oriented professions, who work under great time pressure and with scarce resources, are used to. Furthermore, the thesis highlights the problem that also has been described in previous research and which signals the (in)ability to both share new knowledge and to absorb it.
|
|
| 10. |
- Bäckström, Ingela, 1963-, et al.
(författare)
-
Capturing value-based leadership in practice : Insights from developing and applying an AI-interview guide
- 2018
-
Ingår i: International Journal of Quality and Service Sciences. - 1756-669X .- 1756-6703. ; 10:4, s. 422-430
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to present and discuss the results from the appreciative inquiry (AI)-inspired interviews to explore the underlying values held by top managers and to identify soft aspects ofleadership.Design/methodology/approach – Top managers were interviewed as a part of a research project withthe aim to support the development of value-based leadership that integrates company values, organizationalculture, customer needs and sustainable development. A structured interview guide, inspired by AI, wasdeveloped and used to pinpoint their motivation and vision of a good organization to understand the valuesthat the managers had and to identify soft aspects of leadership. The interviews were analyzed in workshopswith the whole research teamand structured and visualized through affinity diagrams.Findings – The results showed the underlying values held by top managers and identified soft aspects ofleadership.Practical implications – The presented interview guide can be used to identify the top managers’underlying values, and the presented results from the interviews can be used to inspire other managers andleaders to develop their leadership in their striving of good leadership and effective organizations.Originality/value – The paper explains how to apply an AI-inspired interview guide in finding out valuebasedleadership and soft aspects of leadership for enhancing organizational culture.
|
|
