| 1. |
- Ingelsson, Pernilla, 1968-, et al.
(författare)
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Taking differences in quality culture into account when improving ICU transitional care.
- 2022
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Ingår i: <em>Proceedings M2D2022</em>. - 9789895475636 ; , s. 925-926
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Konferensbidrag (refereegranskat)abstract
- Measuring the presence of a number of quality values and aspects can help to understand how to approach improving transitional care in a healthcare setting. The purpose of this paper is to present the results from a questionnaire measuring the quality culture in both ICU and two different general wards. The purpose is also to present an analyze of the result in order to create an understanding of how differences and/or similarities in the quality culture could affect the application of Quality Management (QM) in order to improve ICU transitional care.
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| 2. |
- Bäckström, Ingela, 1963-, et al.
(författare)
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A Hospital Without Departments?
- 2022
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Ingår i: Proceedings M2D2022. - 9789895475629 - 9789895475636 ; , s. 957-958
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Konferensbidrag (refereegranskat)abstract
- Increasing the efficiency of patient treatment as well as improving patient care quality and reducing waiting times are challenges facing healthcare systems around the world (Fine, et al., 2009). Furthermore, there is a challenge to increase the number of patients treated and to cut waiting times while retaining costs under control as well as becoming a more attractive employer (van Rossum et al., 2016). In order to meet the challenges in healthcare, different Quality Management (QM) initiatives have been applied (Seidl and Newhouse,2012). Lean and Six Sigma are popular QM initiatives originating from manufacturing but also used in the healthcare sector. Six Sigma and Lean can be used to detect value adding processes and also confirming control and sustainability of change through establishing plans (ibid). The purpose of this paper is to describe a shared picture of the situation and to identify general possibilities for improvements focusing on the transitions between wards.
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| 3. |
- Bäckström, Ingela, 1963-, et al.
(författare)
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A proposed model for developing quality and efficiency in transitional care
- 2023
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Ingår i: The TQM Journal. - 1754-2731 .- 1754-274X. ; 35:9, s. 107-122
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this study is to develop a model describing different factors that affect quality andefficiency in transitional care.Design/methodology/approach – A meta-synthesis focusing on the transitions between wards wasconducted within a research project. The results from eight studies within that research project have beencombined and analysed from a holistic view.Findings – The findings are a model with a description of seven different categories consisting of the identifiedfactors affecting quality and efficiency in transitional care. Those categories are (1) learning organisation,(2) standardising and structuring, (3) applying a holistic view, (4) understanding organisational culture in ahealth care context, (5) management and leadership, (6) for whom value is created and (7) working together. The results from the study have been verified in previous research.Research limitations/implications – The result of the completed meta-synthesis is based on studiesconducted at two medium-sized hospitals in Sweden. The developed model can be used in a similar context toimprove quality and efficiency in patient transfers by management and employees working based on thevarious factors.Originality/value – This model describes factors (success factors, prerequisites, conditions and lack thereof) affecting the ability to achieve quality and efficiency in transitional care that can be used in future research aswell as for practical improvements.
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| 4. |
- Bäckström, Ingela, 1963-, et al.
(författare)
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Slutrapport för projektet Ökad kvalitet och effektivitet i vårdkedjor : Finansierat av Familjen Kamprads stiftelse, projekt nr 20170084
- 2022
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Rapport (populärvet., debatt m.m.)abstract
- Projektet har fokuserat på att skapa ny kunskap om och hur förbättrade vårdprocesser och vårdkulturer kan resultera i minskade återinläggningar, färre oönskade händelser i samband med förflyttning samt medföra för närstående en förbättrad upplevelse vid patient omflyttningar. Det övergripande syftet med projektet har varit att skapa ny kunskap om hur kvalitet och effektivitet i hälso- och sjukvårdens vårdkedja kan förbättras med specifikt fokus på ledarskap, vårdkontinuitet, säkerhetskultur och lärande.
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| 5. |
- Häggström, Marie, PhD, 1967-, et al.
(författare)
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Success Factors for Quality and Safety of Intensive Care Unit Transitional Care – Listening to the Sharp End
- 2023
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Ingår i: Quality Innovation Prosperity. - : Technical University of Kosice. - 1335-1745 .- 1338-984X. ; 27:1, s. 1-20
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper was to present success factors for increasing quality and safety of intensive care unit (ICU) transitional care as described by co-workers at the sharp end using the core values of total quality management (TQM) as a theoretical lens.Methodology/Approach: The study had a qualitative design, with data from nine interdisciplinary focus group discussions, including co-workers from the intensive care and general wards. Data were sorted into TQM core values and analysed using qualitative content analysis.Findings: Quality and safety in transfer processes requires a holistic view, avoiding silos, shared arenas for collaboration, and evidence-based methodologies and tools for safe transfers.Research Limitation/Implication: A limitation of this study is that it only portrays the challenges encountered by two hospitals during the process of transitional care in the ICU.Originality/Value of paper: By using TQM core values as a theoretical lens, we could present a usable, holistic picture of success factors and how to improve the transfer process.
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| 6. |
- Sten, Lilly-Mari, PhD student, 1971-, et al.
(författare)
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Characteristics and success factors for top management teams in managing organizations towards sustainable quality culture – a scoping review
- 2022
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Ingår i: Proceedings M2D2022. ; , s. 961-976
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Konferensbidrag (refereegranskat)abstract
- Today, sustainable development and the Global Goals are a major concern for society and organizations. In order to become more sustainable, organizations need to develop their ways of working with Sustainable Quality Development (SQD). Sustainable Quality Management (SQM) and Sustainable Quality Culture (SQC) are important aspects for organizations in striving to become more sustainable and to create social, societal and environmental values. A Top Management Team (TMT) is a key resource for an organization’s sustainability and previous research show that characteristics of TMT manifest an organization’s strategic choices, outcomes and performance. TMT characteristic might therefore be one success factor in attaining performance. Studying success factors on how TMTs manage organizations towards SQD, and SQC can therefore be of great importance. Thus, the purpose of this paper was to explore research on how TMTs manage organizations towards SQD, focusing on success factors. Inclusion criteria for the review were; original research studies (peer-reviewed studies) describing characteristics and success factors for TMTs managing organizations towards SQD; literature published in English; and published between January 2010 and August 2021. Databases used for the searches were; Scopus, Web of Science and Business Source. Databases were searched on 15th of September 2021. A Content analysis inspired by affinity diagram was conducted in order to identify clusters of data representing success factors described in the 29 included articles. The thematic content analysis and clustering process ended up in five main categories of success factors. These main categories were; External factors, Leadership and management, Vision and goals, Individual and team characteristics and abilities, and Stability and dynamics. Some general insights from the conducted scoping review were, first that the included articles were mostly from Asia and from China. This indicates that further research is needed in other geographical continents and countries, in order to give a broader perspective on the specific topic. Secondly, the methodological approach in the reviewed articles was mostly quantitative which leads to a need for more qualitative approaches to get broader understanding of the area. Thirdly, that the meaning of SQD needs to be further elaborated since the TMT and the quality of its strategic decisions on sustainability are critical in achieving sustainable development. A conceptual discussion on SQD, SQM and SQC from a Quality Management lens can be implications for further research.
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| 7. |
- Sten, Lilly-Mari, PhD student, 1971-, et al.
(författare)
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Exploring real teamwork and sustainable quality culture, focusing on top management teams
- 2024
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Ingår i: The TQM Journal. - : Emerald. - 1754-2731 .- 1754-274X. ; 36:9, s. 75-93
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper is to describe the perception of real teamwork and sustainable quality culture as well as success factors for achieving a sustainable quality culture within an organisation, focusing on top management teams (TMTs). An additional purpose is to explore the relationship between real teamwork and sustainable quality culture. Design/methodology/approach: A mixed-methods design focusing on TMTs was used. Four TMTs were open-sampled and located in different parts of Sweden. The data were collected through questionnaires and focus group discussions between April 2022 and December 2022. Follow-up meetings were thereafter held with the participants. A meta-analysis was conducted of the data from the four TMTs. Findings: Two overarching conclusions of this study were: to follow the developed methodology can be one way to increase TMTs' abilities for real teamwork alongside a sustainable quality culture, and the results also showed the importance of a systems view, emotional commitment and continuous improvement for improving real teamwork and creating a sustainable quality culture. Practical implications: Practical implications were suggestions on how to increase the TMTs' abilities for real teamwork alongside a sustainable quality culture. A deepened understanding of real teamwork and a sustainable quality culture was also achieved by the participants. Originality/value: The novelty of this paper is the use of a new methodology for assessing teamwork and sustainable quality culture. To the authors' knowledge, no similar research has previously been performed to investigate teamwork alongside a sustainable quality culture, focusing on TMTs.
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| 8. |
- Sten, Lilly-Mari, PhD student, 1971-, et al.
(författare)
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Improving Team Collaboration in Patient Transfer Processes by Co-Workers’ Perceptions and Suggestions
- 2021
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Ingår i: Quality Innovation Prosperity. - : Technical University of Kosice, Faculty of Materials, Metallurgy and Recycling. - 1335-1745 .- 1338-984X. ; 25:2, s. 1-18
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose was twofold: first to describe how co-workers within a team perceived team collaboration in patient transfers from an intensive care unit (ICU) to general wards and, second, to describe co-workers’ suggestions for an improved future state of team collaboration.Methodology/Approach: Focus group discussions (FGDs) were conducted at two medium-sized hospitals located in Sweden. Participants were multidisciplinary and from both ICUs and general wards. Data were analysed using qualitative deductive content analysis.Findings: An expressed need for improving team collaboration was a defined and well-designed ICU transitional care process with a holistic view of how to create quality of care, and a standardised process for continuous improvements. This should involve co-workers from different professions and hospital units, as well as patients and relatives. Other views raised by the co-workers were clearer definitions of roles, responsibilities and deeper insights on how team members depend on each other’s work efforts to succeed.Research Limitation/Implication: This study was conducted at two hospitals, hence no generalizable conclusions can be made.Originality/Value of paper: Co-workers collaborating in a ICU transitional care process can have important insights in how to improve team collaboration. This can be of great importance in increasing quality of care where multiprofessional teams from different organisational cultures are collaborating.
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| 9. |
- Sten, Lilly-Mari, PhD student, 1971-, et al.
(författare)
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The development of a methodology for assessing teamwork and sustainable quality culture, focusing on top management teams
- 2023
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Ingår i: The TQM Journal. - 1754-2731 .- 1754-274X. ; 35:9, s. 152-172
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose was to present a developed, tested and evaluated methodology for assessingteamwork and sustainable quality culture, focusing on top management teams (TMTs).Design/methodology/approach – The developed methodology was based on a convergent mixed-methoddesign, including two data collection methods: questionnaire and focus group discussion. Two pilot tests wereperformed with two TMTs. This design involved analysing, merging and interpreting data, first separately bydata collection method and theme and then in a meta-interpretation. Lastly, there was a follow-up meeting forevaluating results.Findings – Findings from the study were that the methodology can be used to assess teamwork andsustainable quality culture, and the results also showed the strength of using two data collection methods toprovide a broader picture of teamwork and sustainable quality culture. A follow-up meeting validated theresults and provided additional value to the two TMTs in the form of suggestions on how to improve theirteamwork and sustainable quality culture.Practical implications – Applying this methodology can guide TMTs in how to improve their teamworkand sustainable quality culture within their organisations.Originality/value – This is a new methodology, containing a developed questionnaire and an interviewguide, aiming to assess and evaluate teamwork within TMTs and sustainable quality culture. The practice ofthe methodology adds value to both TMTs and their organisations, as well as provides a theoretical andmethodological contribution to research on teamwork and sustainable quality culture.
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| 10. |
- Sten, Lilly-Mari, PhD student, 1971-, et al.
(författare)
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The relationship between teamwork and sustainable quality culture in transitional care
- 2023
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Ingår i: Proceedings of Excellence In Services International Conference (EISIC). - : Emerald Group Publishing Limited. - 9791221039054
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Konferensbidrag (refereegranskat)abstract
- Purpose: To explore how teamwork and sustainable quality culture relate to each other in transitional care from the perspective of intensive care personnel.Methodology: The questionnaire ‘Assessing Quality Culture Health Care edition’ (Sten et al., 2021) was used to measure teamwork and sustainable quality culture within an ICU setting. This questionnaire consisted of 50 statements and 16 factors.The results were statistically analysed using SPSS. Initially, no significant differences in scores were found between the two ICUs. Consequently, the results were treated as one set of data. Pearson’s Product-Moment Correlation was used to compare the measured factors for team collaboration within and between hospital units (6 factors) and the measured factors for sustainable quality culture (10 factors) to determine whether the factors correlated with each other. Correlations with an R-value above 0.50 (significant level 0.01) were considered high and treated as a correlation.Findings: All means for the factors measuring teamwork within hospital units were higher than the factors measuring teamwork between hospital units, which could indicate a lack of system view. The results also showed that it was only the factors measuring teamwork within hospital units that correlated to four of the sustainable quality culture factors, namely ‘AI’, ‘Pride’, ‘System view’ and ‘Continuous improvement’. The sustainable quality culture factors, ‘Leadership commitment’ and ‘Participation of everybody’, did not correlate with any of the factors concerning teamwork. This result suggest that these factors might need to be adjusted in the questionnaire to fit within the healthcare context.Research limitations/implications: This research is limited to intensive care personnel’s perceptions of transitional care at two medium-sized hospitals located in rural areas of Sweden.Originality/Value: No studies have been found that investigate the relationship between teamwork and sustainable quality culture within transitional care from the perspective of intensive care personnel. A sustainable quality culture can have an impact on teamwork and therefore also on patient safety. Insights from this study may have practical implications for the development of teamwork and sustainable quality culture within health care aimed at increasing care quality and patient safety.
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