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- Andreasson, Jörgen
(författare)
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Organizational preconditions and supportive resources for Swedish healthcare managers. : Factors that contribute to or counteract changes
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Swedish Healthcare managers’ organizational preconditions and supportive resources are important for their ability to work with planned change in a sustainable way. This thesis further investigates these factors together with an output measure, healthcare process quality (HPQ).The overall aim was to investigate how healthcare managers’ organizational preconditions and support contribute to or counteract managers’ work with planned change in order to implement process development in a sustainable way. Specific aims were: to improve knowledge of managers’ views of and approaches to increasing their employees’ influence on and engagement in models for improving care processes (study I); to investigate relationships among managers’ organizational preconditions, support, and work to improve quality of care and HPQ over time (study II); to investigate whether managers’ coaching style, preconditions, implementation strategy, appraisal of change, and clinical autonomy are associated with HPQ (study III ); and to assess the influence of support from superiors, colleagues, external sources, subordinates, and private life on managers’ own health (study IV ).The data for Studies I – III came from five hospitals collected over a three-year period. The data were collected by means of interviews (Study I, qualitative analysis) and annual questionnaires (Studies II and III, quantitative and mixed-method analyses). The data for Study IV were based on questionnaires administered to first- and second-line managers in municipal care, twice during a two-year period.The results revealed that the healthcare managers were key actors in implementing planned change, but were dependent on their employees’ engagement in order to succeed. Managers’ appraisal of work with planned change became more positive with strong support from other managers, employees, and the organization as well as with long managerial experience. Support from private life and networks, as well as the managers’ attitudes towards their managerial role, predicted their own health. For new managers or managers with many employees, organizational support predicted their health-related sustainability. Managers practising a more distanced style of coaching (e.g., clearly delegating responsibility for implementation work to employees) were associated with better HPQ outcomes than were managers who were more involved in implementation. In conclusion, implementation of planned change are facilitated by, engaged managers, employees with knowledge of implementation work and of the healthcare system, as well as organizational structures that support the managers. Strong support from various sources as well as managerial experience are important for managers’ appraisal of work with planned change. Strong managerial support and a more delegated leadership style are both important factors related to higher estimated HPQ.
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- Hermansson, Camilla, 1971-
(författare)
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Det återvunna folkhemmet : tevejournalistik och miljöpolitik i Sverige 1987-1998
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study is an analysis of how television journalism, specifically Swedish publictelevision (SVT) and the commercial channel TV4, have approached environmental,consumption and lifestyle issues from 1997 to 1998. A central issue considered is howtelevision journalism in Sweden has contributed to an ideologieal change in societywhereby ecological considerations have become individualized, as well as reformulatedand re-ftamed such that they are no longer (or not) regarded as a hinder to technical andeconomic progress. Environmental politics on an internationallevel, as well as bills inthe Swedish government have played an important role in this development. Anoverarching ambition of this thesis is an examination of how a consumption-orientedenvironmental discourse has been communieated in television news. This question raisesa nurnber of others: what are the themes that can be identified in the news stories? Howare these themes articulated? Which actors have access to this discourse? How areperspectives on the threat against society and nature that environmental problems implydepicted, including visions ofthe society and natural world that we aspire to have?In order to examine how television news reporting contributes to theconsumption-oriented environmental discourse I exarnine the actual form of the newsreporting, Le. how the message is packaged. What patterns are observable in influentialtext and pictures and what do they have to say with respect to environmental issues? Thepoint of departure in this case is that the tools employed to create meaning, such asmetonymy, metaphors, c\icMs and symbols, are geared at creating understanding andpersuasion, at the same time as they must be meaningful within a cuiturai context. Insuch a manner they reveal pertinent perceptions of a foundational character with respectto environmental issues and how we regard the society in which we wish to live. Themeswhich I have identified as receiving a great deal of coverage in television news reportsare explored in four different empirical chapters covering media depiction of recycling,consurner durables, environmental politics and automobile use.This study conc\udes that television news stories are a co-creator of building a"green people's home" in Sweden together with the formal politics. They provide thearena for formal politics to be framed and to provide the public with moral guidelinesabout how to deal with the environmental question on an individual basis. Theirdepiction of visions and threats to Nature and Society says as much about whatenvironment is worth preserving, as how the economical and social welfare system characteristicfor Sweden during the post-W.W.II years - could be maintained.
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