| 1. |
- Gadolin, Christian, et al.
(författare)
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Organising Healthcare with Multi-Professional Teams : Activity Coordination as a Logistical Flow
- 2016
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Ingår i: Offentlig Förvaltning. Scandinavian Journal of Public Administration. - : Göteborgs universitet. - 2000-8058 .- 2001-3310. ; 20:4, s. 53-72
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Tidskriftsartikel (refereegranskat)abstract
- Multi-professional teams are now common when organising healthcare. Such teams areconsidered to resolve fragmentation issues amongst units and their functions, facilitateefficient and high quality care and are also deemed to enable different professions to meetand exchange experience and knowledge. The expected consequence is superior decisionsand improved care. However, research suggests that the deployment of multi-professionalteams within healthcare organisations is problematic with regard to knowledge sharingand integration between different professional groups. While often recognised, the reasonfor this shortcoming has rarely been explored in depth. This study consequently elaborateson the factors hindering knowledge sharing through illustrating and discussing thelogics of different professional groups and the ensuing consequences when multiprofessionalteams interact. The finding is that the teams are being utilised by the medicalprofessions in accordance with their professional logic. This results in the coordination ofactivities, incorporating the patient flow logistics amongst the different professions; makingthe impact of multi-professional teams concrete in practice and illustrating their potentialpositive outcomes for professionals and patients, even though they are not operatingas forums for overt knowledge integration for the different professions.
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| 2. |
- Nordesjö, Kettil, 1981-, et al.
(författare)
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Special Issue Introduction : The Power of Evaluation
- 2021
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Ingår i: Offentlig Förvaltning. Scandinavian Journal of Public Administration. - : Göteborgs universitet. - 2000-8058 .- 2001-3310 .- 2001-7413 .- 2001-7405. ; 25:3/4, s. 3-15
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this special issue is to invite scholars in public administration to address issues of power in relation to evaluation practices in the public sector. Power is one of those big, difficult, and inherently nebulous concepts that both scholars and practitioners appear to consciously or unconsciously avoid. Our ambition in this introduction is not to present a comprehensive conceptual review of power, let alone to present the many different aspects of evaluation. Rather, this is a humble attempt to foster a more explicit discussion of the relationship between power and evaluation. The aim of this introduction is, firstly, to introduce a few basic distinctions and conceptualisations of the relationship between power and evaluation. Secondly, we would like to highlight three themes where power may be an especially fruitful lens when analysing, or just trying to make sense of, evaluation procedures. These are themes found in evaluation research, but where power is not always acknowledged or accounted for. We call them (1) Evaluation and instrumental power, (2) Evaluation and contextual power, and (3) Evaluation and performative power.
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| 3. |
- Rämö, Hans, 1963-, et al.
(författare)
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Reform in Translation : The Swedish Transport Administration's Quest for a New Mission Statement
- 2022
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Ingår i: Offentlig Förvaltning. Scandinavian Journal of Public Administration. - : University of Gothenburg. - 2000-8058 .- 2001-3310 .- 2001-7413 .- 2001-7405. ; 26:4, s. 19-46
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Tidskriftsartikel (refereegranskat)abstract
- The long-term outcomes of reform processes in the public sector remain understudied inthe literature. This study investigates the Swedish Transport Administration (STA)employees’ and managers’ translation and internalization of their new role as societaldevelopers. Since the STA’s founding in 2010 and until 2018, the STA head officeneither guided nor centrally determined how to define and understand the STA’s role as asocietal developer. We examine this internalization process through the lens ofCzarniawska’s translation model of the distribution of ideas as a collective creationthrough local translation and adaptation. The study shows that the ongoing friction thatoccurs when the concept and role of a societal developer are discussed and disseminatedwithin an organization is influenced by prevailing identities and local action nets. It alsoshows that the translation of this new role eventually failed, due to either it beingsubmerged within already-existing concepts or it having a perceived lack of relevance.We conducted this mixed-method study over six years (2016–2021) using documentaryanalysis, workshop participation, interviews and a survey.
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| 4. |
- Forsberg, Tina, et al.
(författare)
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Shaping Management in Gendered Work : A Comparative Study in the Swedish Public Sector
- 2022
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Ingår i: Scandinavian Journal of Public Administration. - : University of Gothenburg. - 2001-7405 .- 2001-7413 .- 2000-8058. ; 26:2, s. 89-112
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Tidskriftsartikel (refereegranskat)abstract
- By exploring management in a study of different municipal departments, this paper contributes to a theoretical and empirical understanding of how the type of work shapes and reproduces management practices and inequality in working conditions within a horizontally segregated public sector. A structural theoretical model guides the design of the empirical qualitative study within education, elderly care and water supply in several Swedish municipalities. The comparative analysis shows that, while managers within water supply take control over management and are allowed to do so, managers in education and care are instructed to take personal responsibility when handling goal conflicts and lack of resources. Gendered norms and values inscribed in the type of work seem to be fundamentally integral to management practices, which affect the local manager’s authority and actions. The results of this study illustrate how management is practiced and reinforces differences in status between different types of work.
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| 5. |
- Kain, Jaan-Henrik, 1960, et al.
(författare)
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What Makes a Compact City? Differences Between Urban Research in the Global North and the Global South
- 2020
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Ingår i: Offentlig förvaltning. Scandinavian Journal of Public Administration. - : University of Gothenburg. - 2000-8058. ; 24:4, s. 25-49
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Tidskriftsartikel (refereegranskat)abstract
- Compact cities are promoted in policy as a response to current societal challenges, but it is unclear or ambiguous what qualities or benefits a compact city is supposed to deliver. The concept of the compact city is widely debated in the research literature, and there are numerous arguments both for and against compact cities. However, many studies or reviews tend to apply a delimited approach, discussing a confined number of qualities or basing the assessment on fairly narrow empirical material. Research is also carried out from within a number of separate disciplines or “discourses”. This paper aims to provide a clearer and more consolidated understanding of the wide spectrum of qualities that make up the compact city in support of better planning, governance and management of cities in the Global South. The objective is to present a review of current articles discussing the compact city in order to capture similarities and differences in the academic discourse between Global North and Global South contexts, and to outline a comprehensive compact city taxonomy. This is achieved by answering three questions: (1) What types of urban qualities are discussed in scientific articles studying urban compactness? (2) (How) do articles focusing on Global North and Global South contexts differ when it comes to exploring compact city qualities? and (3) Do the findings indicate areas of research withing the broader scope of urban compactness where research should be initiated or strengthened? The analysis is based on literature searches in the Scopus database for 2012-2015 using the search term “compact city”. A quantitative assessment was carried out, sifting out what terms are used to label purported (or debated) qualities of compact cities. Papers are sorted into different categories according to geoeconomic context (i.e. Global North, BRICS, Global South). The outcome is an extended taxonomy of compact city qualities, including twelve categories. Weaknesses in compact city research aimed at cities in the Global South were identified, linked in particular to nature, health, environmental issues, quality of life, sociocultural aspects, justice and economy, as well as a significant lack of compact city research linked to urban adaptability and resilience.
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| 6. |
- Karlsson, Tom, 1979, et al.
(författare)
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Considering (New Public) Civil Servants: Emerging Roles and Contexts
- 2018
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Ingår i: Offentlig förvaltning. Scandinavian Journal of Public Administration. - Göteborg : Göteborgs universitet. - 2000-8058. ; 22:3, s. 3-16
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Public organizations In the 21stcentury, are increasingly complex in terms of multiple institutional rules, norms, and practices. This complexity constitutes a difficult challenge for civil servants to find and determine appropriate identities, roles and relationships in their everyday work. For this special issue we made a call for scholars to contribute new addressing the roles of civil servants within increasingly complex public sector organizations, focusing on a couple of interrelated research questions: What is the nature of public administration taking into consideration increasing institutional complexity in terms of persistent bureaucratic traditions, new public management solutions, participatory ideals, activist sentiments among officials and so forth? What are the consequences of this institutional complexity for the possibility of preserving a coherent, rule-governed public administration and what does public mean today in public administration? What types of roles are civil servants playing in relation to different institutional rules and norms and various categories of actor (politicians, citizens, organizations) and how do they handle frictions and conflicts? What type of conceptions of civil servants’ roles are developing, including public service ethics? What alternative and contesting role-conceptions and ethics are prevalent and supported? This introduction should be understood as being both a summary of the current state of research in relation to civil service – its predicaments and challenges – as well as being a suggestion for future attention among scholars and practitioners. We have thus written this introduction not only with the purpose of summarizing the main components inherent in the six articles that are included in this special issue but with the hope of also spurring discussions concerning what civil service has been, currently seems to be and might become in the future.
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| 7. |
- Pistone, Isabella, 1987, et al.
(författare)
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We Need to Talk about Knowledge! Rethinking Management and Evidence-Based Practice in Welfare
- 2023
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Ingår i: Scandinavian Journal of Public Administration. - : University of Gothenburg School of Public Administration. - 2001-7405 .- 2001-7413 .- 2000-8058. ; 27:3, s. 37-56
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Tidskriftsartikel (refereegranskat)abstract
- New Public Management (NPM) and Evidence-Based Practice (EBP) are two fundamental concepts within welfare professions. Both NPM and EBP are central to many debates within welfare, and often criticised as posing simplified or positivist approaches to management and knowledge utilization. Epistemologically, both are manifestations of modernity, with its emphases on standardization, control, simple causality and measurability. These epistemological similarities have not been explored as potential doorways for making modifications to NPM and EBP. The purpose of this paper is to contribute to new ways of thinking and doing management and EBP of complex welfare issues by increasing the epistemological understanding of these concepts. NPM and EBP are taken here as subjects for joint conceptual analysis. The paper is guided by the following question: What is an appropriate epistemology for professionals involved in EBP and managing? Literature on NPM and EBP are analyzed together with theoretical insights from scholarship on formalization and heterogeneity of expertise, and analyzed in light of empirical examples taken from a case of a subregional social sustainability/public health initiative. Drawing on the development of post-NPM and more complex versions of EBP, the paper ends by introducing the notion post-EBP, and concludes by outlining some implications of this concept for the working professions.
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| 8. |
- Hedegaard, Joel, et al.
(författare)
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Communicative Construction of Native versus Non-Native Swedish Speaking Patients in Consultation Settings
- 2014
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Ingår i: Scandinavian Journal of Public Administration. - 2001-7405. ; 17:4, s. 21-47
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Tidskriftsartikel (refereegranskat)abstract
- In this paper, we examine patient-centered care through analyzing communicative constructions of patients, on the basis of their native language, in consultations with physicians. Whereas patient-centered care is of current interest in health care, research has not addressed its implications in this dimension. Previous studies indicate that non-native Swedish speaking patients, experience substandard interpersonal treatment far more than native Swedish speaking patients. Our findings show that the non-native Swedish speaking patients presented themselves as participating, whereas the native Swedish speaking patients presented themselves as amenable. The physicians responded in two different ways, argumentatively towards the non-native Swedish speaking patients and acknowledging vis-à-vis the native Swedish speaking patients. When decisions and conclusions were made by the patients and physicians, this resulted in preservation of the status quo in the consultations with the non-native Swedish speaking patients, while the corresponding result with the native Swedish speaking patients was monitoring of their health status. So, whereas the non-native Swedish speaking patients actually were model patient-centered care patients, physicians were more amenable towards the native Swedish speaking patients. We suggest that patient-centered care is desirable, but its practical application must be more thoroughly scrutinized from both a patient and a health care worker perspective.
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| 9. |
- Johansson, Kerstin, 1963-, et al.
(författare)
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After the NPM Wave : Evidence-based practice and the vanishing client
- 2015
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Ingår i: Offentlig Förvaltning. Scandinavian Journal of Public Administration. - Götebrog : Göteborgs universitet. - 2000-8058 .- 2001-3310. ; 19:2, s. 69-88
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Tidskriftsartikel (refereegranskat)abstract
- Over the last two decades, a movement for Evidence-Based Management (EBM) has surfaced across the Atlantic world with pretensions of being a successor of New Public Management (NPM). In this paper, we focus on Swedish social welfare as an arena where persistent government attempts have been made to implement locally new evidence-based ideas, specifically evidence-based practice (EBP). In Swedish discourse, the meaning of “evidence-based” is contested. One interpretation maintains that best (and only acceptable) evidence comes from the use of randomized controlled trials (RCTs). Another interpretation maintains that evidence from research constitutes only one leg of a multi-factorial definition; that is, this view contends that RCT evidence should be considered along with experience of practitioners and clients (users). Although client participation was an important tenet in the incipient attempts to implement EBP, by using translation theory this article will show that later attempts have tended to ignore the client’s perspective. From this foundation, we address why client views and outlooks have been ignored in EBP implementation.
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| 10. |
- Ahlström, Karin
(författare)
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How Meetings Affect the Accomplishment of Broad Responsibility in a Municipally Owned Corporation
- 2024
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Ingår i: Scandinavian Journal of Public Administration. - : University of Gothenburg School of Public Administration. - 2001-7405 .- 2001-7413. ; 28:2, s. 21-39
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Tidskriftsartikel (refereegranskat)abstract
- Municipally owned corporations are important actors in the pursuit of the Agenda 2030 goals and are often formally obliged by their owners to work in this direction. This has however shown to be quite challenging, and managers lack knowledge about how to develop new ways of organizing to meet such responsibilities. The aim of this article is therefore to understand how the work of a top management team in meetings affects the accomplishment of broad responsibility. The analysis, which is underpinned by a communicative constitution of organizing (CCO) perspective, shows how the way specific communicative practices (agendas, minutes, timeslots, turn-taking, and stakeholder voicing) are enacted leads to the re-production of parts of the organization at the expense of the whole, the present at the expense of the future, and profit at the expense of the other dimensions of sustainability. This study contributes to the literature on public management by showing how communicative practices enacted in meetings make certain concerns present and others absent, thereby creating the conditions for the accomplishment of broad responsibility.
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