SwePub
Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "L773:1477 7266 OR L773:1758 7247 "

Sökning: L773:1477 7266 OR L773:1758 7247

  • Resultat 1-50 av 121
Sortera/gruppera träfflistan
   
NumreringReferensOmslagsbildHitta
1.
  • Olsson, Jesper, et al. (författare)
  • System characteristics of healthcare organizations conducting successful improvements
  • 2007
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 21:3, s. 283-296
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - In a previous study, based on a survey to all clinical department and primary care center managers in Sweden, it was concluded that the prevailing general improvement strategy is characterized by: drivers for improvement are staff needs, patients and data are not as important, improvements mainly focus on administrative routines and stress management, improvements are mainly reached, by writing guidelines, and conducting meetings, the majority of managers perceive outcomes from this strategy as successful. The purpose of current research in this paper is to investigate whether there is any other improvement strategy at play in Swedish health care. Design/methodology/approach - Data from the study of all Swedish managers were stratified into two populations based on an instrument predicting successful improvement. One population represented organizations with exceptionally high probability of successful imrpovement and remaining organizations represented the general improvement strategy. Findings - The paper finds that organizations with high probability for successful change differed from the comparison population at the p=0.05 level in many of the surveyed characteristics. They put emphasis on patient focus, measuring outcomes, feedback of data, interorganizational collaboration, learning and knowledge, communication/ information, culture, and development of administration and management. Thus these organizations center their attention towards behavioral changes supported by data. Practical implications - Organizations predicted to conduct successful improvement apply comprehensive improvement strategies as suggested in the literature. Such actions are part of the Patient Centered Task Alignment strategy and it is suggested that this concept has managerial implications as well, as it might be useful in further studies on improvement work in health care. Originality/value - This paper provides empirically based findings on a successful improvement strategy that can aid research-informed policy decisions on organizational improvement strategies. © Emerald Group Publishing Limited.
  •  
2.
  • Andersson, Johanna, et al. (författare)
  • Actor or arena : Contrasting translations of a law on interorganizational integration
  • 2012
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 26:6, s. 778-793
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – A Swedish framework law has enabled integration between public agencies in vocational rehabilitation. With the support of this law, coordination associations can be formed to fund and organize joint activities. The purpose of this study is to describe and analyze how the law has been interpreted and translated into local coordination associations and how local institutional logics have developed to guide the organization of these associations. Design/methodology/approach – Data was collected through observations of meetings within two coordination associations and supplemented with documents. The material was analyzed by compilation and examination of data from field notes, whereupon the most important aspects were crystallized and framed with institutional organization theory. Findings – Two different translations of the law were seen in the associations studied: the association as an independent actor, and as an arena for its member organizations. Two subsequent institutional logics have developed, influencing decisions on autonomy, objectives and rationality for initiating and organizing in the two associations and their activities. The institutional logics are circular, further enhancing the different translations creating different forms of integration. Research implications/limitations – Both forms of integration are legitimate, but the different translations have created integration with different degrees of autonomy in relation to the member organizations. Only a long-term analysis can show whether one form of integration is more functional than the other. Originality/value – This article is based on an extensive material providing insights into a form of interorganizational integration which has been scarcely researched. The findings show how different translations can influence the integration of welfare services.
  •  
3.
  • Andersson, Thomas, 1970-, et al. (författare)
  • Clinicians' psychological empowerment to engage in management as part of their daily work
  • 2022
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 36:9, s. 272-287
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The purpose of the article is to analyze how physicians and nurses, as the two major health care professions, experience psychological empowerment for managerial work. Design/methodology/approach: The study was designed as a qualitative interview study at four primary care centers (PCCs) in Sweden. In total, 47 interviews were conducted, mainly with physicians and nurses. The first inductive analysis led us to the concept of psychological empowerment, which was used in the next deductive step of the analysis. Findings: The study showed that both professions experienced self-determination for managerial work, but that nurses were more dependent on structural empowerment. Nurses experienced that they had competence for managerial work, whereas physicians were more ignorant of such competence. Nurses used managerial work to create impact on the conditions for their clinical work, whereas physicians experienced impact independently. Both nurses and physicians experienced managerial work as meaningful, but less meaningful than nurses and physicians' clinical work. Practical implications: For an effective health care system, structural changes in terms of positions, roles, and responsibilities can be an important route for especially nurses' psychological empowerment. Originality/value: The qualitative method provided a complementary understanding of psychological empowerment on how psychological empowerment interacted with other factors. One such aspect was nurses' higher dependence on structural empowerment, but the most important aspect was that both physicians and nurses experienced that managerial work was less meaningful than clinical work. This implies that psychological empowerment for managerial work may only make a difference if psychological empowerment does not compete with physicians' and nurses' clinical work. 
  •  
4.
  • Andersson, Thomas, 1970-, et al. (författare)
  • Nurturing innovative culture in a healthcare organisation : Lessons from a Swedish case study
  • 2022
  • Ingår i: Journal of Health Organization & Management. - : Emerald Publishing. - 1477-7266 .- 1758-7247. ; 37:9, s. 17-33
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Healthcare organisations are often described as less innovative than other organisations, since organisational culture works against innovations. In this paper, the authors ask whether it has to be that way or whether is possible to nurture an innovative culture in a healthcare organisation. The aim of this paper is to describe and analyse nurturing an innovative culture within a healthcare organisation and how culture can support innovations in such a healthcare organisation. Design/methodology/approach: Based on a qualitative case study of a healthcare unit that changed, within a few years, from having no innovations to repeatedly generating innovations, the authors describe important aspects of how innovative culture can be nurtured in healthcare. Data were analysed using inductive and deductive analysis steps. Findings: The study shows that it is possible to nurture an innovative culture in a healthcare organisation. Relationships and competences beyond healthcare, empowering structures and signalling the importance of innovation work with resources all proved to be important. All are aspects that a manager can influence. In this case, the manager's role in nurturing innovative culture was very important. Practical implications: This study highlights that an innovative culture can be nurtured in healthcare organisations and that managers can play a key role in such a process. Originality/value: The paper describes and analyses an innovative culture in a healthcare unit and identifies important conditions and strategies for nurturing innovative culture in healthcare organisations.
  •  
5.
  • Andersson, Thomas, 1970-, et al. (författare)
  • Patients' perceptions of quality in Swedish primary care - a study of differences between private and public ownership
  • 2021
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 85-100
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: The purpose of the paper is to describe and analyze differences in patients' quality perceptions of private and public primary care centers in Sweden.DESIGN/METHODOLOGY/APPROACH: The article explores the differences in quality perceptions between patients of public and private primary care centers based on data from a large patient survey in Sweden. The survey covers seven dimensions, and in this paper the measure Overall impression was used for the comparison. With more than 80,000 valid responses, the survey covers all primary care centers in Sweden which allowed for a detailed analysis of differences in quality perceptions among patients from the different categories of owners.FINDINGS: The article contributes with a detailed description of different types of private owners: not-for-profit and for profit, as well as corporate groups and independent care centers. The results show a higher quality perception for independent centers compared to both public and corporate groups.RESEARCH LIMITATIONS/IMPLICATIONS: The small number of not-for-profit centers (21 out of 1,117 centers) does not allow for clear conclusions for this group. The results, however, indicate an even higher patient quality perception for not-for-profit centers. The study focus on describing differences in quality perceptions between the owner categories. Future research can contribute with explanations to why independent care centers receive higher patient satisfaction.SOCIAL IMPLICATIONS: The results from the study have policy implications both in a Swedish as well as international perspective. The differentiation between different types of private owners made in this paper opens up for interesting discussions on privatization of healthcare and how it affects patient satisfaction.ORIGINALITY/VALUE: The main contribution of the paper is the detailed comparison of different categories of private owners and the public owners.
  •  
6.
  •  
7.
  • Berglund, Helene, 1957, et al. (författare)
  • Organizing integrated care for older persons: Strategies in Sweden during the past decade
  • 2015
  • Ingår i: Journal of Health Organisation & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 29:1, s. 128-151
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is to describe and analyse ways of organizing integrated care for older persons in Sweden during the past decade. Design/methodology/approach – The data consist of 62 cases of development work, described in official reports. A meta-analysis of cases was performed, including content analysis of each case. A theoretical framework comprising different forms of integration (co-ordination, contracting, co-operation and collaboration) was applied. Findings – Co-operation was common and collaboration, including multiprofessional teamwork, was rare in the cases. Contracting can be questioned as being a form of integration, and the introduction of consumer choice models appeared problematic in inter-organization integration. Goals stated in the cases concerned steering and designing care, rather than outcome specifications for older persons. Explicit goals to improve integration in itself could imply that the organizations adapt to strong normative expectations in society. Trends over the decade comprised development of local health care systems, introduction of consumer choice models and contracting out. Research limitations/implications – Most cases were projects, but others comprised evaluations of regular organization of integrated care. These evaluations were often written normatively, but constituted the conditions for practice and were important study contributions. Practical implications – Guiding clinical practice to be aware of importance of setting follow-up goals.
  •  
8.
  • Bergman, David, et al. (författare)
  • Effects of dialogue groups on physicians' work environment
  • 2007
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 21:1, s. 27-38
  • Tidskriftsartikel (refereegranskat)abstract
    • Abstract: Purpose – The purpose of this study is to evaluate whether dialogue groups for physicians can improve their psychosocial work environment. Design/methodology/approach – The study assessed the impact of eight dialogue groups, which involved 60 physicians at a children's clinic in one of the main hospitals in Stockholm. Psychosocial work environment measures were collected through a validated instrument sent to all physicians (n=68) in 1999, 2001 and 2003. Follow-up data were collected after the termination of the groups. Findings – The overall score of organizational and staff wellbeing, as assessed by the physicians at the clinic, deteriorated from 1999 until 2003 and then improved 2004. This shift in the trend coincided with the intervention. No other factors which might explain this shift could be identified. Research limitations/implications – In a naturalistic study of this kind it is not possible to prove any causal relationships. A controlled survey of management programmes concerning the work environment among physicians would be of interest for further research. Practical implications – The results suggest that dialogue groups may be one way to improve the psychosocial work environment for physicians. Originality/value – There is a lack of intervention studies regarding the efficacy of management programmes directed toward physicians, concerning the effects on professional and personal wellbeing. This is the first time dialogue groups have been studied within a health care setting.
  •  
9.
  • Berlin, Johan, 1975-, et al. (författare)
  • From artefact to effect : the organising effects of artefacts on teams
  • 2010
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 24:4, s. 412-427
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – Earlier studies have identified artefacts, but have only to a lesser degree looked at theireffects. The purpose of this paper is to investigate how artefacts contribute to organisation. Design/methodology/approach – A trauma team at a university hospital has been observed andits members interviewed. Findings – The trauma team showed itself to be rich on artefacts since it had strong internal drivingforces, high legitimacy, and tried to live up to high expectations from the outside. Its members were motivated to be in the forefront of trauma care. Through renewal, the team succeeded in maintaining demarcation. It also succeeded in systemising internal work tasks and made for itself a position in relation to the outside. The team's capacity, however, came to be limited by internal conflicts and battles for prestige. Practical implications – The study shows that informal logic has a strong influence on teams.Teamwork contributed to the development of organisational structure and motivation for the personnel. Originality/value – Earlier studies advocate the important role of artefacts in order to communicate, collaborate, negotiate or coordinate activities. The conclusion is that artefacts also have an organising and developing effect on teams in a fragmented and differentiated healthcare.
  •  
10.
  • Brännström, Inger A (författare)
  • Gender stratification in management. The World Health Organization 2000
  • 2004
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 18:1, s. 7-15
  • Tidskriftsartikel (refereegranskat)abstract
    • The World Health Organization (WHO) is a global organization that nowadays has integrated gender issues into its policy, programmes and budget. How then is the state of affairs in the area of gender equity at the ultimate governing bodies of the modern WHO? This study aims to assess the representation of women and men and their promotion within the supreme decision-making bodies of the WHO during the year 2000. Information sources used are the official and confirmed protocols of the 53rd World Health Assembly (WHA) in 2000 and of the two Executive Board (EB) meetings of the corresponding year. A descriptive quantitative content analysis approach is used exclusively. The present study demonstrates strikingly skewed gender distribution, with men substantially at an advantage numerically in the prominent positions at the WHA 2000. Additionally, men also hold an advantage in terms of being promoted to leading positions within the bodies examined, notably all upgraded chairs of the EB during 2000. However, the formerly male-dominated supervisory positions of the WHO are, these days, challenged by women having been elected at the very top of the WHO. The present study stresses the need to elaborate a qualitative research design to advance the understanding of the social construction of gender in supreme governing positions of the modern WHO.
  •  
11.
  • Choi, Soki, et al. (författare)
  • Managing clinical integration : a comparative study in a merged university hospital
  • 2012
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 26:4, s. 486-507
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - This paper explores critical factors that may obstruct or advance integration efforts initiated by the clinical management following a hospital merger. The aim is to increase our understanding of why clinical integration succeeds or fails.Design/methodology/approach - We compare two cases of integration efforts following the Karolinska University Hospital merger in Sweden. Each case represents two merged departments of the same specialty from each hospital site. We conducted 53 interviews with individuals representing various staff categories and collected documents to check data consistency.Findings - The study identifies three critical factors that seem to be instrumental for the process and outcome of integration efforts – clinical management’s 1) interpretation of the mandate, 2) design of the management constellation and 3) approach to integration. Obstructive factors are: a sole focus on the formal assignment from the top; individual leadership; and the use of a classic, planned, top-down management approach. Supportive factors are: paying attention to multiple stakeholders; shared leadership; and the use of an emergent, bottom-up management approach within planned boundaries. These findings are basically consistent with the literature’s prescriptions for managing professional organisations.Practical implications - Managers need to understand that public healthcare organisations are based on multiple logics that need to be handled in a balanced way if clinical integration is to be achieved – especially the tension between managerialism and professionalism.Originality/value - By focusing on the merger consequences for clinical units, this paper addresses an important gap in the healthcare merger literature.
  •  
12.
  • Cregård, Anna, 1971- (författare)
  • Inter-occupational cooperation and boundary work in the hospital setting
  • 2018
  • Ingår i: Journal of Health Organization & Management. - Bingley : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 32:5, s. 658-673
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The purpose of this paper is to add a little piece to the research on boundary work and inter-occupational cooperation by addressing two questions: how do actors perform boundary work in an inter-occupational cooperation project that seeks to improve the personnel health work in a hospital setting? What impact does the boundary work have on such cooperation in the personnel health project?Design/methodology/approach: The study is based on individual, in-depth interviews and participative observations of focus group discussions conducted at a regional municipal organization in Sweden. Respondents are hospital line managers, experts and strategists in the HR departments, and experts from the internal occupational health service.Findings: The concepts on boundary work, which include closing/opening boundary strategies, provide the framework for the empirical illustrations. The cooperation runs smoothly in the rehabilitation work because of an agreed upon process in which the professionals’ jurisdictions are preserved through closing strategies. Illness prevention and health promotion are not areas of inter-occupational cooperation because the stronger actors use closing strategies. While the weaker actors, who try to cooperate, use opening boundary strategies in these areas, they are excluded or marginalized.Research limitations/implications: The empirical investigation concerns one cooperation project and was completed at one data collection point.Originality/value: No similar study of boundary work and inter-occupational cooperation in a hospital setting is available despite the frequency of this professional group configuration in practice. A more inclusive concept of professionalism may facilitate the study of boundary work and inter-occupational cooperation among actors with different professional authority. © Emerald Publishing Limited 2018
  •  
13.
  • Dellve, Lotta, et al. (författare)
  • Contemporary leadership in healthcare organizations : Fragmented or concurrent leadership
  • 2009
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Ltd.. - 1477-7266 .- 1758-7247. ; 23:4, s. 411-428
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is to gain a deeper understanding of the main contemporary challenges for healthcare leaders in their everyday work practice, and the support they need to master their experienced dilemmas. Design/methodology/approach – Qualitative in-depth interviews (n=52), and focus-group interviews (n=6) with 31 first-line and 45 second-line healthcare leaders are analysed in line with constructivist grounded theory. Findings – In this paper, two leadership models are proposed for defining and differentiating ways of meeting different logics and demands made on leaders in the healthcare sector. The first model is leadership by separating different logics and fragmentation of time. Here, leaders express a desire for support in defining, structuring, dividing, and allocating tasks. The second model is leadership by integrating different logics and currentness of solutions. In this case, leaders want support in strengthening proactive leadership and shaping the basis for participative employeeship. Research limitations/implications – This research is designed to describe what people experience rather than to assess the frequency of that experience in the studied settings. However, it would be interesting to elaborate on the findings of this study using other research methodologies. Practical implications – The findings contribute to contextual knowledge that is of relevance in supporting healthcare leaders. This is helpful in identifying important conditions that support the establishment of leadership and employeeship, leading to improvements in healthcare practice. Originality/value – The paper describes how contemporary leadership in the healthcare sector is constituted through different strategies for meeting multiple logics.
  •  
14.
  • Drotz, Erik, et al. (författare)
  • Lean in healthcare from employees' perspectives
  • 2014
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 28:2, s. 177-95
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: The purpose of this paper is to contribute toward a deeper understanding of the new roles, responsibilities, and job characteristics of employees in Lean healthcare organizations.DESIGN/METHODOLOGY/APPROACH: The paper is based on three cases studies of healthcare organizations that are regarded as successful examples of Lean applications in the healthcare context. Data were collected by methods including interviews, observations, and document studies.FINDINGS: The implementation of Lean in healthcare settings has had a great influence on the roles, responsibilities, and job characteristics of the employees. The focus has shifted from healthcare professionals, where clinical autonomy and professional skills have been the guarding principles of patient care, to process improvement and teamwork. Different job characteristics may make it difficult to implement certain Lean practices in healthcare. Teamwork and decentralization of authority are examples of Lean practices that could be considered countercultural because of the strong professional culture and uneven power distribution, with doctors as the dominant decision makers.PRACTICAL IMPLICATIONS: Teamwork, value flow orientation, and company-wide involvement in CI were associated with positive effects on the organizations' working environment, staff development, and organizational performance.ORIGINALITY/VALUE: In order to succeed with Lean healthcare, it is important to understand and recognize the differences in job characteristics between Lean manufacturing and healthcare. This paper provides insights into how Lean implementation changes the roles, responsibilities, and job characteristics of healthcare staff and the challenges and implications that may follow from this.
  •  
15.
  • Eklund, Annika, 1981-, et al. (författare)
  • Program coordinators’ perspectives on implementing a transition program for newly graduated nurses : a qualitative interview study
  • 2024
  • Ingår i: Journal of Health Organization & Management. - 1477-7266 .- 1758-7247. ; 38:9, s. 143-156
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeWhile transition programs are widely used to facilitate newly graduated nurses transition to healthcare settings, knowledge about preconditions for implementing such programs in the hospital context is scarce. The purpose of this study was to explore program coordinators’ perspectives on implementing a transition program for newly graduated nurses.Design/methodology/approach An explorative qualitative study using individual interviews. Total of 11 program coordinators at five acute care hospital administrations in a south-west region in Sweden. Data was subjected to thematic analysis, using NVivo software to promote coding.FindingsThe following two themes were identified from the analysis: Create a shared responsibility for introducing newly graduated nurses, and establish legitimacy of the program. The implementation process was found to be a matter of both educational content and anchoring work in the hospital organization. To clarify the what and why of implementing a transition program, where the nurses learning processes are prioritized, was foundational prerequisites for successful implementation.Originality/value This paper illustrates that implementing transition programs in contemporary hospital care context is a valuable but complex process that involves conflicting priorities. A program that is well integrated in the organization, in which responsibilities between different levels and roles in the hospital organization, aims and expectations on the program are clarified, is important to achieve the intentions of effective transition to practice. Joint actions need to be taken by healthcare policymakers, hospitals and ward managers, and educational institutions to support the implementation of transition programs as a long-term strategy for nurses entering hospital care.
  •  
16.
  • Eriksson, Nomie, 1955-, et al. (författare)
  • Fiery Spirits in the context of institutional entrepreneurship in Swedish healthcare
  • 2015
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 29:4, s. 515-531
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – Clinical governance and leadership concepts can lead to more or less successfulimplementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, asinstitutional entrepreneurs can, working in a team, implement sustained change in hospital clinicalpractice.Design/methodology/approach – This paper describes two case studies, conducted at two Swedishhospitals over a period of two years, in which changes in clinical practice were implemented. In bothcases, key-actors, termed Fiery Spirits, played critical roles in these changes. The authors use aqualitative approach and take an intra-organizational perspective with semi-structured in-depthinterviews and document analysis.Findings – The new clinical practices were successfully implemented with a considerable influenceof the Fiery Spirits who played a pivotal role in the change efforts. The Fiery Spirits persuasively,based on their structural and normative legitimacy and the adoption of learning processes, advocated,and supported change.Practical implications – Fiery Spirits, given flexibility and opportunity, can be powerful forcesfor change outside the trajectory of management-inspired and management-directed change.Team members, when inspired and encouraged by Fiery Spirits, are less resistant to change and morewilling to test new clinical practices.Originality/value – The paper complements literature on how the Fiery Spirit concept aligns withconcepts of clinical governance and leadership and how change can be achieved. Additionally, thefindings show the effects of legitimacy and learning processes on change in clinical practice.
  •  
17.
  • Eriksson, Thérèse, 1988-, et al. (författare)
  • Centrality and compatibility of institutional logics when introducing value-based reimbursement
  • 2021
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 298-314
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Using financial incentives has been criticised for putting too much focus on things that can be measured. Value-based reimbursement may better align professional values with financial incentives. However, professional values may differ between actor groups. In this article, the authors identify institutional logics within healthcare-providing organisations. Further, the authors analyse how the centrality and compatibility of the identified logics affect the institutionalisation of external demands.Design/methodology/approach: 41 semi-structured interviews were conducted with representatives from healthcare providers within spine surgery in Sweden, where a value-based reimbursement programme was introduced. Data were analysed using thematic content analysis with an abductive approach, and a conceptual framework based on neo-institutional theory.Findings: After the introduction of the value-based reimbursement programme, the centrality and compatibility of the institutional logics within healthcare-providing organisations changed. The logic of spine surgeons was dominating whereas physiotherapists struggled to motivate a higher cost for high quality physiotherapy. The institutional logic of nurses was aligned with spine surgeons, however as a peripheral logic facilitating spine surgery. To attain holistic and interdisciplinary healthcare, dominating institutional logics within healthcare-providing organisations need to allow peripheral institutional logics to attain a higher centrality for higher compatibility. Thus, allowing other occupations to take responsibility for quality and attain the feeling of professional pride.Originality/value: Interviewing spine surgeons, physiotherapists, nurses, managers and administrators allows us to deepen the understanding of micro-level behaviour as a reaction (or lack thereof) to macro-level decisions.
  •  
18.
  •  
19.
  • Falkenström, Erica, et al. (författare)
  • "There is total silence here" : Ethical competence and inter-organizational learning in healthcare governance
  • 2020
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 34:1, s. 53-70
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe purpose of this paper is to analyse ethical competence related to healthcare governance and management tasks at the county/regional level in Sweden. The paper also discusses conditions that support or constrain the development and application of such competence.Design/methodology/approachThe study is based on original qualitative data from 13 interviews and 6 meeting observations. Three key groups of actors were included: politicians, civil servants and CEOs in publicly financed health-provider organizations. An abductive analysis was carried out by a stepwise method guided by thematic research questions.FindingsThe informants viewed themselves as having a high degree of ethical responsibility for healthcare practice. However, they did not integrate ethical reflection and dialogue into their work decisions (e.g. regarding budgets, reforms and care agreements). The current organization, control systems and underlying business principles, along with the individuals’ understanding of their own and others’ roles, tended to constrain the development and use of ethical competence.Practical implicationsQualities of an appropriate ethical competence related to healthcare governance and management, and conditions to develop and use such competence, are suggested.Originality/valueHardly any empirical research has examined ethical competence related to healthcare governance and management tasks. The paper integrates ethics and theories on learning in organizations and contributes knowledge about ethical competence and the conditions necessary to develop and practise ethical competence in an organizational and inter-organizational context.
  •  
20.
  • Feo, Rebecca, et al. (författare)
  • Providing high-quality fundamental care for patients with acute abdominal pain : A qualitative study of patients' experiences in acute care
  • 2019
  • Ingår i: Journal of Health Organization & Management. - : EMERALD GROUP PUBLISHING LTD. - 1477-7266 .- 1758-7247. ; 33:1, s. 110-123
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of fundamental care across the acute care delivery chain. The purpose of this paper is to describe how patients with AAP experienced fundamental care across their acute care presentation, and to explicate the health professional behaviours, reported by patients, that contributed to their positive experiences. Design/methodology/approach A qualitative descriptive study, using repeated reflective interviews, was analysed thematically (n=10 patients). Findings Two themes were identified: developing genuine, caring relationships with health professionals and being informed about one's care. Patients reported that health professionals established genuine professional-patient relationships despite the busy care environment but perceived this environment as impeding information-provision. Patients were typically accepting of a lack of information, whereas poor professional-patient relationships were seen as inexcusable.
  •  
21.
  • Fredriksson, Mio, 1976-, et al. (författare)
  • Costs will rather increase Actions and arguments against decommissioning in local health services in Sweden
  • 2018
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 32:8, s. 943-961
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe purpose of this paper was to study the unfolding of an urgent and extensive decommissioning program in Sweden, focusing on the public's reactions and their arguments when opposing the decommissioning activities.Design/methodology/approachThe public's responses were studied through local media. Its content was surveyed and divided into actions and arguments. The arguments were further analyzed and categorized into inductively developed themes.FindingsProtest activities, such as demonstrations, meetings and petitions, were not coordinated, but mostly carried out for withdrawals of unique services and services in remote areas. The public questioned the decision makers' information, calculations and competence, the adequacy of the consequence analyses and whether the decommissioning activities would lead to any real savings. Patient and public safety, the vulnerable in society, and effects on the local areas were important topics. Thus, it seems the decision makers did not fully succeed in communicating the demonstrable benefits or create clarity of the rationales for decommissioning the particular services. Furthermore, it seems the public has a more inclusive approach to health services and their value compared to decision makers that need to keep the budget.Originality/value Decommissioning is an emerging field of research, and this study of the unfolding of an urgent and extensive decommissioning program contributes with evidence that may improve decommissioning policy and practice. The study illustrates that it may be possible to implement a decommissioning program despite public protest, but that the longer-term effects on the health system's legitimacy need to be studied.
  •  
22.
  • Frykman, Mandus, et al. (författare)
  • The work is never ending : uncovering teamwork sustainability using realistic evaluation
  • 2017
  • Ingår i: Journal of Health Organization & Management. - 1477-7266 .- 1758-7247. ; 31:1, s. 64-81
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe purpose of this paper is to uncover the mechanisms influencing the sustainability of behavior changes following the implementation of teamwork.Design/methodology/approachRealistic evaluation was combined with a framework (DCOM®) based on applied behavior analysis to study the sustainability of behavior changes two and a half years after the initial implementation of teamwork at an emergency department. The DCOM® framework was used to categorize the mechanisms of behavior change interventions (BCIs) into the four categories of direction, competence, opportunity, and motivation. Non-participant observation and interview data were used.FindingsThe teamwork behaviors were not sustained. A substantial fallback in managerial activities in combination with a complex context contributed to reduced direction, opportunity, and motivation. Reduced direction made staff members unclear about how and why they should work in teams. Deterioration of opportunity was evident from the lack of problem-solving resources resulting in accumulated barriers to teamwork. Motivation in terms of management support and feedback was reduced.Practical implicationsThe implementation of complex organizational changes in complex healthcare contexts requires continuous adaption and managerial activities well beyond the initial implementation period.Originality/valueBy integrating the DCOM® framework with realistic evaluation, this study responds to the call for theoretically based research on behavioral mechanisms that can explain how BCIs interact with context and how this interaction influences sustainability.
  •  
23.
  • Fröding, Karin, 1974-, et al. (författare)
  • Towards sustainable structures for neighbourhood development? : Healthy city research in four Swedish municipalities 2003‐2009
  • 2013
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 27:2, s. 225-245
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: A vehicle to reduce health inequalities and improve public health has been provided by programmes at a neighbourhood level. The purpose of this paper is to analyse the development processes in four municipalities for achieving sustainable structures in area-based development programmes during and after a formal partnership period.DESIGN/METHODOLOGY/APPROACH: A case-study database was compiled based on the strategic and local work of four municipalities and four municipal housing companies who cooperated in the Partnership for Sustainable Welfare Development 2003-2009. The case-study database includes nine in-depth studies with interviews (n = 68), participant observations (n = 125), a survey (n = 1,160), and documents. The data are analysed using three theoretical concepts: political support, alliances, and citizen participation.FINDINGS: Political support, alliances, and citizen participation are important building blocks in neighbourhood development work. However, when the partnership ended there was little left that could function as a sustainable structure. Political support seems to be a means to reach the target, including ensuring a consistent approach and allocation of resources. However, the support must continue also after the intervention period, when the formal partnership collaboration ends, otherwise the established structure will soon decompose. Citizen participation is another precondition for a sustainable structure able to continue despite reduced municipal support. Alliances have the best chance of forming sustainable structures when they involve both the strategic and the operational level.ORIGINALITY/VALUE: Even though many evaluations have been conducted to capture the process of interventions, little attention has been given to the challenges facing the outcomes of the intervention when it comes to making permanent the activities for reducing health inequalities. This paper is an attempt to deal with these challenges.
  •  
24.
  • Gadolin, Christian, 1987-, et al. (författare)
  • Preconditions for nurses' perceived organizational support in healthcare : a qualitative explorative study
  • 2021
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 281-297
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The purpose of this paper is to inductively explore the context-specific preconditions for nurses' perceived organizational support (POS) in healthcare organizations. Design/methodology/approach: A qualitative interview study was performed, based on the critical incident technique (CIT), with 24 registered nurses in different specialities of hospital care. Findings: The nurses perceived three actors as essential for their POS: the first-line manager, the overarching organization and their college. The preconditions affecting the nurses’ perceptions of organizational support were supportive structuring and structures at work, as well as individual recognition and professional acknowledgement. Originality/value: Previous studies of POS have mostly had a quantitative outset. In this paper, context-specific preconditions for nurses' POS are described in depth, enabled by the qualitative approach of the study. The findings may be used to guide healthcare organizations and managers aiming to foster nurses' POS, and thereby, benefit nurses' well-being and retention, as well as healthcare quality and efficiency.
  •  
25.
  • Garpenby, Peter, 1952-, et al. (författare)
  • Formal priority setting in health care : the Swedish experience
  • 2016
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 30:6, s. 891-907
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - From the late 1980s and onwards health care in Sweden has come under increasing financial pressure, forcing policy makers to consider restrictions. The purpose of this paper is to review experiences and to establish lessons of formal priority setting in four Swedish regional health authorities during the period 2003-2012.Design/methodology/approach - This paper draws on a variety of sources, and evidence is organised according to three broad aspects: design and implementation of models and processes, application of evidence and decision analysis tools and decision making and implementation of decisions.Findings - The processes accounted for here have resulted in useful experiences concerning technical arrangements as well as political and public strategies. All four sites used a particular model for priority setting that combined top-down- and bottom-up-driven elements. Although the process was authorised from the top it was clearly bottom-up driven and the template followed a professional rationale. New meeting grounds were introduced between politicians and clinical leaders. Overall a limited group of stakeholders were involved. By defusing political conflicts the likelihood that clinical leaders would regard this undertaking as important increased.Originality/value - One tendency today is to unburden regional authorities of the hard decisions by introducing arrangements at national level. This study suggests that regional health authorities, in spite of being politically governed organisations, have the potential to execute a formal priority-setting process. Still, to make priority-setting processes more robust to internal as well as external threat remains a challenge.
  •  
26.
  • Grill, Christina, et al. (författare)
  • Valuation and handling of dialogue in leadership : a grounded theory study in Swedish hospitals
  • 2011
  • Ingår i: Journal of Health Organization & Management. - Bradford, West Yorkshire, England : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 25:1, s. 34-54
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose:Leadership can positively affect the work environment and health. Communication and dialogue are an important part in leadership. Studies of how dialogue is valued and handled in first-line leadership have not so far been found. The aim of this study is to develop a theoretical understanding of how first-line leaders at hospitals in western Sweden value and handle dialogue in the organisation.Design/methodology/approach:The study design was explorative and based on grounded theory. Data collection consisted of interviews and observations. A total of 11 first-line leaders at two hospitals in western Sweden were chosen as informants, and for four of them observation was also used.Findings:One core category emerged in the analysis: leaders' communicative actions, which could be strategically or understanding-oriented, and experienced as equal or unequal and performed equitably or inequitably, within a power relationship. Four different types of communicative actions emerged: collaborative, nurturing, controlling, and confrontational. Leaders had strategies for creating arenas and relationships for dialogue, but dialogue could be constrained by external circumstances or ignorance of the frameworks needed to conduct and accomplish dialogue.Practical implications:First-line leaders should be offered guidance in understanding the consequences of consciously choosing and strengthening the communication component in leadership.Originality/value: The positive valuation of dialogue was not always manifest in practical action. One significant consequence of not using dialogue was that information with impact on organisational efficiency and finances was communicated upwards in the management system. © Emerald Group Publishing Limited.
  •  
27.
  • Hallberg, Anna, 1989-, et al. (författare)
  • Vertical policy coordination of COVID-19 testing in Sweden : an analysis of policy-specific demands and institutional barriers
  • 2024
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 38:9, s. 106-124
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe build-up of large-scale COVID-19 testing required an unprecedented effort of coordination within decentralized healthcare systems around the world. The aim of the study was to elucidate the challenges of vertical policy coordination between non-political actors at the national and regional levels regarding this policy issue, using Sweden as our case.Design/methodology/approachInterviews with key actors at the national and regional levels were analyzed using an adapted version of a conceptualization by Adam et al. (2019), depicting barriers to vertical policy coordination.FindingsOur results show that the main issues in the Swedish context were related to parallel sovereignty and a vagueness regarding responsibilities and mandates as well as complex governmental structures and that this was exacerbated by the unfamiliarity and uncertainty of the policy issue. We conclude that understanding the interaction between the comprehensiveness and complexity of the policy issue and the institutional context is crucial to achieving effective vertical policy coordination.Originality/valueMany studies have focused on countries’ overall pandemic responses, but in order to improve the outcome of future pandemics, it is also important to learn from more specific response measures.
  •  
28.
  • Hasson, Henna, et al. (författare)
  • Barriers in implementation of evidence-based practice : supported employment in Swedish context
  • 2011
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 25:3, s. 332-345
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The aim of this paper is to identify initial barriers influencing implementation of supported employment (SE). SE, according to the individual placement and support (IPS) approach, has been recognised as an evidence-based method to help people with severe mental illness to find regular employment. Design/methodology/approach – A systematic implementation evaluation of the first randomised controlled SE (IPS) trial in Sweden was conducted in August 2008 and August 2009. Data were collected on a regular basis from SE employment specialists, process heads, clients and representatives from mental health care units and vocational services (social insurance and public employment offices) using interviews, non-participant observations and document analysis. Findings – SE employment specialists reported that existing regulations for social insurance and employment regulations presented major obstacles to implementation. Difficulties were reported in cooperation with handling officers at the vocational services. Scepticism towards persons with mental illness was common and employers expected to receive subsidies if they hired a person with mental illness. SE participants expressed fear of losing their social benefits. Originality/value – The results illuminate a collision between an innovative evidence-based practice and the existing systems for social benefits and work rehabilitation.
  •  
29.
  • Hasson, Henna, et al. (författare)
  • Significance of scientific evidence in organizing care processes
  • 2016
  • Ingår i: Journal of Health Organisation & Management. - 1477-7266 .- 1758-7247. ; 30:4, s. 597-612
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is to analyze how staff and managers in health and social care organizations use scientific evidence when making decisions about the organization of care practices. Design/methodology/approach – Document analysis and repeated interviews (2008-2010) with staff (n=39) and managers (n=26) in health and social care organizations. The respondents were involved in a randomized controlled study about testing a continuum of care model for older people. Findings – Scientific evidence had no practical function in the social care organization, while it was a prioritized source of information in the health care organization. This meant that the decision making regarding care practices was different in these organizations. Social care tended to rely on ad hoc practice-based information and political decisions when organizing care, while health care to some extent also relied in an unreflected manner on the scientific knowledge. Originality/value – The study illustrates several difficulties that might occur when managers and staff try to consider scientific evidence when making complicated decisions about care practices.
  •  
30.
  • Hellman, Stefan, 1975-, et al. (författare)
  • Explaining process orientation failure and success in health care - three case studies
  • 2015
  • Ingår i: Journal of Health Organisation & Management. - : Emerald Group Publishing Limited. - 1758-7247 .- 1477-7266. ; 29:6, s. 638-653
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - In order to improve cooperation and collaboration between units, clinics and departments, many health care organizations (HCOs) have introduced process orientation. Several studies indicate problems in realizing these ambitions. The purpose of this paper is to explain and understand the success and failure of process orientation in HCOs. Design/methodology/approach - The authors conducted three case studies and applied Actor-Network Theory as an analytic lens. Findings - The realization of process orientation is hindered by neglect or resistance from physicians, who find the process targets to be of low medical priority. However, the authors also see that medical priorities are no stable entities but are susceptible to negotiations. Over time, process organization, process mapping, process measurement activities and the acting of enroled actors may have impact on medical priorities. Originality/value - Contrary to previous research, the findings indicate that New Public Management may not be the main obstacle against processes, that accounting figures may not be hard to disregard and that the role of leadership is not paramount.
  •  
31.
  • Höög, Elisabet, 1962-, et al. (författare)
  • Quality improvement in large health care organizations : searching for system-wide and coherent monitoring and follow-up strategies
  • 2016
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 30:1, s. 133-153
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The purpose of this paper is to investigate the obstacles and challenges associated with organizational monitoring and follow-up (M & F) processes related to health care quality improvement (QI) and development.Design/methodology/approach: A longitudinal case study of a large health care organization during a system-wide QI intervention. Content analysis was conducted of repeated interviews with key actors and archival data collected over a period of four years.Findings: The demand for improved M & F strategies, and what and how to monitor were described by the respondents. Obstacles and challenges for achieving M & F strategies that enables system-wide and coherent development were found in three areas: monitoring, processing, and feedback and communication. Also overarching challenges were found.Practical implications: A model of important aspects of M & F systems is presented that can be used for analysis and planning and contribute to shared cognition of such systems. Approaches for systematic analysis and follow-up of identified problems have to be developed and fully incorporated in the organization’s measurement systems. A systematic M & F needs analytic and process-oriented competence, and this study highlights the potential in an organizational function with capacity and mandate for such tasks.Originality/value: Most health care systems are flooded with a vast amount of registers, records, and measurements. A key issue is how such data can be processed and refined to reflect the needs and the development process of the health care system and how rich data can be used for improvement purposes. This study presents key organizational actor’s view on important factors to consider when building a coherent organizational M & F strategy.
  •  
32.
  • Irgang dos Santos, Luís Fernando, 1989-, et al. (författare)
  • Facilitation activities for change response : a qualitative study on infection prevention and control professionals during a pandemic in Brazil
  • 2021
  • Ingår i: Journal of Health Organization & Management. - Bingley : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:7, s. 886-903
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Facilitation activities support implementation of evidence-based interventions within healthcare organizations. Few studies have attempted to understand how facilitation activities are performed to promote the uptake of evidence-based interventions in hospitals from resource-poor countries during crises such as pandemics. This paper aims to explore facilitation activities by infection prevention and control (IPC) professionals in 16 hospitals from 9 states in Brazil during the COVID-19 pandemic.Design/methodology/approach: Primary and secondary data were collected between March and December 2020. Semi-structured interviews were conducted with 21 IPC professionals in Brazilian hospitals during the COVID-19 pandemic. Public and internal documents were used for data triangulation. The data were analyzed through thematic analysis technique.Findings: Building on the change response theory, this study explores the facilitation activities from the cognitive, behavioral and affective aspects. The facilitation activities are grouped in three overarching dimensions: (1) creating and sustaining legitimacy to continuous and rapid changes, (2) fostering capabilities for continuous changes and (3) accelerating individual commitment. Practical implications: During crises such as pandemics, facilitation activities by IPC professionals need to embrace all the cognitive, behavioral and affective aspects to stimulate positive attitudes of frontline workers toward continuous and urgent changes.Originality/value: This study provides unique and timely empirical evidence on the facilitation activities that support the implementation of evidence-based interventions by IPC professionals during crises in hospitals in a resource-poor country.© 2021, Luís Irgang, Magnus Holmén, Fábio Gama and Petra Svedberg
  •  
33.
  • Jansson von Vultée, Pia, et al. (författare)
  • The impact of management programs on physicians’ work environment and health : A prospective, controlled study comparing different interventions
  • 2004
  • Ingår i: Journal of Health Organization & Management. - : Emerald. - 1477-7266 .- 1758-7247. ; 18:1, s. 25-37
  • Tidskriftsartikel (refereegranskat)abstract
    • Female physicians have less influence over their daily work conditions and exhibit slower career advancement as compared to their male colleagues. The aim of this study is to assess the impact on individual and organizational well being from different kinds of management programs. Female physicians participating in management intervention programs were compared with a reference group of matched physicians and sickness absenteeism was significantly lower in the intervention group. No significant differences were found between the groups with regard to career advancement, individual, organizational and professional well being. Health care organizations spend a substantial amount of resources on management programs in order to improve leadership, autonomy and the work-environment of physicians in times of increasing discontent among this key group of health care employees. Our study indicates some beneficial health effects from structured management programs but there is a need to develop and assess the efficacy of these programs further.
  •  
34.
  • Kaltenbrunner, Monica, 1975-, et al. (författare)
  • Lean maturity and quality in primary care
  • 2019
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 32:2, s. 141-154
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - The purpose of this paper is to 1) describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations, and 2) determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines. High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff.Design/methodology/approach - Data were collected using a survey based on Liker’s four principles, divided into 16 items (n = 298 staff in 45 units). Complementary observations (n = 28 staff) were carried out at four units.Findings - Lean maturity varied both between and within units. The highest Lean maturity was found for ‘adhering to routines’ and the lowest for ‘having a change agent at the unit’. Lean maturity was positively associated with satisfaction with care and with adherence to national guidelines to improve healthcare quality. Practical implications - Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development.Originality/value - This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.
  •  
35.
  • Kaltenbrunner, Monica, et al. (författare)
  • Lean maturity and quality in primary care
  • 2019
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 33:2, s. 141-154
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is twofold: first, to describe Lean maturity in primary care using aquestionnaire based on Liker’s description of Lean, complemented with observations; and second, todetermine the extent to which Lean maturity is associated with quality of care measured as staff-ratedsatisfaction with care and adherence to national guidelines (NG). High Lean maturity indicates adoption of allLean principles throughout the organization and by all staff.Design/methodology/approach – Data were collected using a survey based on Liker’s four principles,divided into 16 items (n ¼ 298 staff in 45 units). Complementary observations (n ¼ 28 staff ) were carried out atfour units.Findings – Lean maturity varied both between and within units. The highest Lean maturity was found for“adhering to routines” and the lowest for “having a change agent at the unit.” Lean maturity was positivelyassociated with satisfaction with care and with adherence to NG to improve healthcare quality.Practical implications – Quality of primary care may benefit from increasing Lean maturity.When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly,addressing all Liker’s principles and using the results as guidance for further development.Originality/value – This is one of the first studies to evaluate Lean maturity in primary care, addressing allLiker’s principles from the perspective of quality of care. The results suggest that repeated actions based onevaluations of Lean maturity may help to improve quality of care.
  •  
36.
  • Kazemi, Ali, 1976-, et al. (författare)
  • Linking supportive leadership to satisfaction with care : proposing and testing a service-profit chain inspired model in the context of elderly care
  • 2021
  • Ingår i: Journal of Health Organization & Management. - : NLM (Medline). - 1477-7266 .- 1758-7247. ; 35:4, s. 492-510
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: As marketization has gained ground in elderly care, satisfaction with care has come to play a crucial role in designing for high-quality care. Inspired by the service-profit chain (SPC) model, the authors aimed to gain a deeper understanding of the intricate interplay between supportive leadership practices, organizational climate, job satisfaction and service quality by predicting satisfaction with care. DESIGN/METHODOLOGY/APPROACH: A Swedish sample of frontline elderly care staff (n = 1,342) participated in a cross-sectional questionnaire study. Mediation analyses were conducted to test the proposed model. FINDINGS: As predicted, engaging in supportive leadership practices was directly and positively associated with satisfaction with care. In addition, as predicted, this relationship was partially mediated by organizational climate and job satisfaction. Moreover, job satisfaction predicted satisfaction with care with service quality explaining a statistically significant part of this relationship. PRACTICAL IMPLICATIONS: Managers in elderly care services may improve satisfaction with care in multiple ways but primarily by showing that they care about the staff and ensuring that they are satisfied with their working conditions. Employee job satisfaction seems to be particularly crucial for satisfaction with care, beyond what can be accounted for by care service quality. ORIGINALITY/VALUE: The authors proposed a novel service-outcome model. Adding to the original SPC model, the model in this study suggested and validated previously unexplored relationships including a direct path between leadership practices and satisfaction with service and a multiple-mediator model explaining this relationship. Also, new measures of organizational climate and supportive leadership were developed for which satisfactory reliability estimates were obtained.  
  •  
37.
  • Kirk, Jeanette, et al. (författare)
  • Challenges in co-designing an intervention to increase mobility in older patients : a qualitative study
  • 2021
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 140-162
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose The aim of this study is to explore and discuss key challenges associated with having stakeholders take part in co-designing a health care intervention to increase mobility in older medical patients admitted to two medical departments at two hospitals in Denmark. Design/methodology/approach The study used a qualitative design to investigate the challenges of co-designing an intervention in five workshops involving health professionals, patients and relatives. "Challenges" are understood as "situations of being faced with something that needs great mental or physical effort in order to be done successfully and therefore tests a persons ability" (Cambridge Dictionary). Thematic content analysis was conducted with a background in the analytical question: "What key challenges arise in the material in relation to the co-design process?". Findings Two key challenges were identified: engagement and facilitation. These consisted of five sub-themes: recruiting patients and relatives, involving physicians, adjusting to a new researcher role, utilizing contextual knowledge and handling ethical dilemmas. Research limitations/implications The population of patients and relatives participating in the workshops was small, which likely affected the co-design process. Practical implications Researchers who want to use co-design must be prepared for the extra time required and the need for skills concerning engagement, communication, facilitation, negotiation and resolution of conflict. Time is also required for ethical discussions and considerations concerning different types of knowledge creation. Originality/value Engaging stakeholders in co-design processes is increasingly encouraged. This study documents the key challenges in such processes and reports practical implications.
  •  
38.
  • Kirk, Jeanette Wassar, et al. (författare)
  • How do oilcloth sessions work? A realist evaluation approach to exploring ripple effects in an implementation strategy
  • 2024
  • Ingår i: Journal of Health Organization & Management. - : EMERALD GROUP PUBLISHING LTD. - 1477-7266 .- 1758-7247. ; 38:9, s. 195-215
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeTo explore the mechanisms of the implementation strategy, "oilcloth sessions" and understand and explain the ripple effects of oilcloth sessions as a strategy to implement a new emergency department.Design/methodology/approachA qualitative design was used whereby data were collected using field notes from an ethnographic study of the oilcloth sessions and follow-up semi-structured interviews with staff, managers and key employees who participated in the oilcloth sessions. The data analysis was inspired by the realist evaluation approach of generative causality proposed by Pawson and Tilley.FindingsThe primary ripple effect was that the oilcloth sessions were used for different purposes than the proposed program theory, including being used as: (1) a stage, (2) a battlefield, (3) a space for imagination and (4) a strategic management tool influencing the implementation outcomes. The results bring essential knowledge that may help to explain why and how a well-defined implementation strategy has unplanned outcomes.Originality/valueUnintended outcomes of implementation strategies are an underexplored issue. This study may help implementation researchers rethink the activities required to reduce unintended negative outcomes or explore potential unplanned outcomes and, in this way, hinder or enhance outcomes, effectiveness and sustainability. Future studies within implementation research should incorporate attention to unintended outcomes to fully understand the impact of implementation strategies.
  •  
39.
  • Kjellström, Sofia, 1970-, et al. (författare)
  • Work motivation among healthcare professionals: A study of well-functioning primary healthcare centers in Sweden.
  • 2017
  • Ingår i: Journal of Health Organization and Management [1477-7266]. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 31:4, s. 487-502
  • Tidskriftsartikel (refereegranskat)abstract
    • Abstract Purpose – The purpose of this paper is to explore work motivation among professionals at well-functioningprimary healthcare centers subject to a national healthcare reform which include financial incentives. Design/methodology/approach – Five primary healthcare centers in Sweden were purposively selectedfor being well-operated and representing public/private and small/large units. In total, 43 interviews werecompleted with different medical professions and qualitative deductive content analysis was conducted. Findings – Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers’ positive management was due to a unique combination of factors, such as clear direction of goals, a culture of non-hierarchical collaboration, and systematicquality improvement work. The financial incentives need to be translated in terms of quality patient care to provide clear direction for the professionals. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created. Practical implications – Leaders need to consistently translate and integrate reforms with the professionals’ drives and values. This is done by encouraging participation through teamwork, time for structured reflection, and quality improvement work. Social implications – The design of the reforms and leadership are essential preconditions for work motivation. Originality/value – The study offers a more complete picture of how reforms are managed at primary healthcare centers, as different medical professionals are included. The value also consists of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms.
  •  
40.
  • Korlén, S., et al. (författare)
  • Managerial strategies to make incentives meaningful and motivating
  • 2017
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Ltd.. - 1477-7266 .- 1758-7247. ; 31:2, s. 126-141
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Policy makers are applying market-inspired competition and financial incentives to drive efficiency in healthcare. However, a lack of knowledge exists about the process whereby incentives are filtered through organizations to influence staff motivation, and the key role of managers is often overlooked. The purpose of this paper is to explore the strategies managers use as intermediaries between financial incentives and the individual motivation of staff. The authors use empirical data from a local case in Swedish specialized care. Design/methodology/approach: The authors conducted an exploratory qualitative case study of a patient-choice reform, including financial incentives, in specialized orthopedics in Sweden. In total, 17 interviews were conducted with professionals in managerial positions, representing six healthcare providers. A hypo-deductive, thematic approach was used to analyze the data. Findings: The results show that managers applied alignment strategies to make the incentive model motivating for staff. The managers’ strategies are characterized by attempts to align external rewards with professional values based on their contextual and practical knowledge. Managers occasionally overruled the financial logic of the model to safeguard patient needs and expressed an interest in having a closer dialogue with policy makers about improvements. Originality/value: Externally imposed incentives do not automatically motivate healthcare staff. Managers in healthcare play key roles as intermediaries by aligning external rewards with professional values. Managers’ multiple perspectives on healthcare practices and professional culture can also be utilized to improve policy and as a source of knowledge in partnership with policy makers. 
  •  
41.
  • Liff, Roy, et al. (författare)
  • Integrating or disintegrating effects of customised care : the role of professions beyond NPM
  • 2011
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 25:6, s. 658-676
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – This paper aims to describe the integrating and disintegrating effects of professional actions in customised care.Design/methodology/approach – Using a qualitative case study, the authors examine the work practices and cultures of three Swedish child and adolescent psychiatric care units (CAP) charged with providing customised care in collaboration with other organisations. The authors conducted 62 interviews, made 11 half-day observations, and shadowed employees for two days.Findings – The social embeddedness of action is crucial to understanding the professions’ integrating/disintegrating activities. In the internal social context of CAP, the professions adapt to productivity-enhancing new public management (NPM) principles, resulting in integrating effects between the different professions and administrative management in the CAP units. However, CAP exercises professional dominance over the cooperating organisations. Thus, in the external social context, CAP’s resistance to customised care principles exacerbates the disintegration problems among the different organisations.Practical implications – The study concludes that, contrary to findings in many other studies, neither the professional logic nor NPM/customised care reforms determine the actions of professionals. In this case, the institutionalisation of some NPM methods blocks the adoption of customised care practices.Originality/value – Contrary to the widely accepted idea that resource restriction is a main source of conflict between management and the professions, the professions accept and adapt to resource restrictions, even at the expense of de-emphasising the practices of customised care. Thus, since professionals choose different operational strategies depending on the social context, the success of a normative reform measure may depend in part on its social context.
  •  
42.
  • Linnéusson, Gary, et al. (författare)
  • Using systems thinking to increase understanding of the innovation system of healthcare organisations
  • 2022
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 36:9, s. 179-195
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – This paper applies systems thinking modelling to enhance the dynamic understanding of how to nurture an innovative culture in healthcare organisations to develop the innovation system in practice and speed up the innovative work. The model aims to provide a holistic view of a studied healthcare organisation’s innovation processes, ranging from managerial values to its manifestation in improved results.Design/methodology/approach – The study is based on empirical material from a healthcare unit that, within a few years, changed from having no innovations to repeatedly generating innovations. The study uses the modelling language of causal loop diagrams (CLDs) in the system dynamics methodology to identify the key important aspects found in the empirical material.Findings – The proposed model, based on the stories of the interviewees, explores the dynamics of inertia when nurturing an innovative culture, identifying delays attributed to the internal change processes and system relationships. These findings underscored the need for perseverance when developing an innovative culture in the entrepreneurial phases.Practical implications – The approach of using systems thinking to make empirical healthcare research results more tangible through the visual notations of CLDs and mental simulations is believed to support exploring complex phenomena to induce and nurture both individual and organisational learning.Originality/value – The results from this approach provide deepened analysis and provoke the systems view to explain how the nurturing of the culture can accelerate the innovation processes, which helps practitioners and researchers to further expand their understanding of their healthcare contexts.
  •  
43.
  • Linnéusson, Gary, et al. (författare)
  • Using systems thinking to increase understanding of the innovation system of healthcare organisations
  • 2022
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 36:9, s. 179-195
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: This paper applies systems thinking modelling to enhance the dynamic understanding of how to nurture an innovative culture in healthcare organisations to develop the innovation system in practice and speed up the innovative work. The model aims to provide a holistic view of a studied healthcare organisation's innovation processes, ranging from managerial values to its manifestation in improved results.DESIGN/METHODOLOGY/APPROACH: The study is based on empirical material from a healthcare unit that, within a few years, changed from having no innovations to repeatedly generating innovations. The study uses the modelling language of causal loop diagrams (CLDs) in the system dynamics methodology to identify the key important aspects found in the empirical material.FINDINGS: The proposed model, based on the stories of the interviewees, explores the dynamics of inertia when nurturing an innovative culture, identifying delays attributed to the internal change processes and system relationships. These findings underscored the need for perseverance when developing an innovative culture in the entrepreneurial phases.PRACTICAL IMPLICATIONS: The approach of using systems thinking to make empirical healthcare research results more tangible through the visual notations of CLDs and mental simulations is believed to support exploring complex phenomena to induce and nurture both individual and organisational learning.ORIGINALITY/VALUE: The results from this approach provide deepened analysis and provoke the systems view to explain how the nurturing of the culture can accelerate the innovation processes, which helps practitioners and researchers to further expand their understanding of their healthcare contexts.
  •  
44.
  • Maneschiöld, Per-Ola, et al. (författare)
  • Nursing assistant's perceptions of the good work environment in municipal elderly care in Sweden –a focus group study
  • 2021
  • Ingår i: Journal of health organization and management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 163-177
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The purpose of this paper is to investigate aspects related to difficulty to retain nursing assistants at nursing homes in Sweden related to perceived work environment characteristics. Design/methodology/approach: To reveal aspects related to difficulty to retain nursing assistants, the paper uses the BIKVA model, sense of coherence and New Public Management (NPM). In total, three focus groups with nursing assistants at three nursing homes are interviewed with corresponding individual interviews with their senior managers and users. The purpose is to analyze the situation from the affected group of nursing assistants. The focus of this study is how nursing assistants discuss related to recruit and retain nursing assistants at nursing homes and elderly care and the response from senior management related to those aspects. Findings: The main conclusions are that nursing assistants consider their job as meaningful, but limited latitude and direct involvement in managing their daily tasks in a continuous communication with management affect negatively. Furthermore and combined with wage levels, aspects related to scheduling, working hours, shift work, split shifts and understaffing generate a burdensome and stressful environment affecting the possibility to retain staff in a negative direction. Originality/value: The research uses a new approach utilizing the BIKVA model, sense of coherence and NPM. The study shows that central in retaining nursing assistants at nursing homes relates to aspects such as wages, staffing, shift work and split shifts and continuous communication between nursing assistants and management. © 2021, Per-Ola Maneschiöld and Diana Lucaci-Maneschiöld.
  •  
45.
  • Marchesoni, Maria Andersson, et al. (författare)
  • Digital support for medication administration : a means for reaching the goal of providing good care?
  • 2014
  • Ingår i: Journal of Health Organization & Management. - 1477-7266 .- 1758-7247. ; 28:3, s. 327-343
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose - To describe staffs’ perceptions of digital support for medication administration (DSM) and out of the perceptions interpret underlying values. Design/methodology/approach - Twenty-two persons working in elder-care participated in the study. The study had a qualitative approach and focus-group interviews were used to collect data. To analyze the manifest content a phenomenographic method was used. An interpretation of perceptions was then undertaken aimed at identifying underlying values. Findings - Three descriptive categories, "Utility", "Impact on working environment" and "Economic impact" were the result of the manifest analysis. The values of having a "Good working environment", "Benefits" and "Good economy" were interpreted as guidance for staffs’ acceptance or rejection of the DSM.Originality/value - This study had a twofold approach with the intention of going beyond descriptions. To gain a deeper understanding a normative interpretation was completed. Ethical conflicts are frequently characterized as conflicts between at least two values. In this study staffs expressed fear of losing prerequisites needed to perform their work well. Prerequisites that were identified as values and these values were threatened by the DSM
  •  
46.
  • Mazzocato, Pamela, et al. (författare)
  • Complexity complicates lean: lessons from seven emergency services
  • 2014
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 28:2, s. 266-288
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is to explain how different emergency services adopt and adapt the same hospital-wide lean-inspired intervention and how this is reflected in hospital process performance data.Design/methodology/approach – A multiple case study based on a realistic evaluation approach to identify mechanisms for how lean impacts process performance and services’ capability to learn and continually improve. Four years of process performance data were collected from seven emergency services at a Swedish University Hospital: ear, nose and throat (ENT) (two), pediatrics (two), gynecology, internal medicine, and surgery. Performance patterns were linked with qualitative data collected through realist interviews.Findings – The complexity of the care process influenced how improvement in access to care was achieved. For less complex care processes (ENT and gynecology), large and sustained improvement was mainly the result of a better match between capacity and demand. For medicine, surgery, and pediatrics, which exhibit greater care process complexity, sustainable, or continual improvement were constrained because the changes implemented were insufficient in addressing the higher degree of complexity.Originality/value – The variation in process performance and sustainability of results indicate that lean efforts should be carefully adapted to the complexity of the care process and to the educational commitment of healthcare organizations. Ultimately, the ability to adapt lean to a particular context of application depends on the development of routines that effectively support learning from daily practices.
  •  
47.
  • Morténius, Helena, 1966, et al. (författare)
  • Impact of the organisational culture on primary care staff members' intention to engage in research and development
  • 2015
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 29:2, s. 234-251
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe purpose of this paper is to understand how organisational culture influences the intentions of primary care staff members (PCSM) to engage in research and development (R&D).Design/methodology/approachThe participants (n = 30) were PCSM employed in a care centre in south-western Sweden. The study had an observational design with an ethnographic approach. The data were collected by means of observations, interviews and analysis of documents.FindingsThe results revealed the perceptions of PCSM in two domains, research and clinical practice, both of which existed at three different cultural levels: visible (structures and policy), semivisible (norms and values) and invisible (taken-for-granted attitudes).Research limitations/implicationsIt is difficult to conduct a purely objective ethnographic study because the investigation is controlled by its context. However, it is necessary to highlight and discuss the invisible level to improve understanding of negative attitudes and preconceptions related to the implementation of R&D in the clinical setting. Practical implications - By highlighting the invisible level of culture, the management of an organisation has the opportunity to initiate discussion of issues related to concealed norms and values as well as attitudes towards new thinking and change in the primary health context.Originality/valueThis paper is one of the very few studies to investigate the influence of organisational culture on the intentions of PCSM to engage in R&D.
  •  
48.
  • Nordgren, Lars (författare)
  • The Performativity of the Service Management Discourse - “Value Creating Customers” in Health Care
  • 2008
  • Ingår i: Journal of Health Organisation & Management. - : Emerald. - 1758-7247 .- 1477-7266. ; 22:5, s. 510-528
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: The formation and spreading of market-, management- and individual-rights discourses into society, as well as the movement of consumerism, have paved the way for a transformation of the linguistic usage. The transformation suggests that the view of the care seeker has shifted from a waiting patient, via a consumer to a customer creating value. Another example of the process is that the former medical meeting between patient/doctor now is described as a service meeting. With this background, the purpose of this paper is to explore the transformation of linguistic usage and to analyse the performativity of the service management discourse in health care. DESIGN/METHODOLOGY/APPROACH: The concept of performativity (Butler) supported with discursive formation and subjectivization (Foucualt) is used as theoretical framework. The performativity of the discourse is understood as a vehicle within the discourse, which influences people on an ontological level that names and makes them active subjects in line with what the discourse is saying. FINDINGS: When the service management discourse travels into the world of health care, discursive tensions between medical-, care- and management discourses follow. These become apparent in the distinction between the different discursive constructions of patient--related to passivity, and customer--related to the performative image of active participation in value creating health. Even if the customer in service management discourse is imagined as an agent for himself with power and individual responsibility it is doubtful if people view themselves as customers. The dialectics between the use of the customer concept in commercial service meetings and the patient--doctor meeting, which is illustrated, point to unexpressed and implicit presumptions of an ontological kind in the ways service management researchers describe service meetings. Recent health care research can be interpreted as if a majority of patients have a desire to be part of their value creating processes. Since the responsibilities and tasks of the professions in health care however are regulated by law and institutionalised, the process of delegating tasks to patients seems not to be a matter of course. PRACTICAL IMPLICATIONS: It seems to be problematic to replace the patient concept with the customer concept in general. This concept gives hardly much room for the vulnerability that characterises a sick person. A reasonable approach would of course be to use the customer concept in a nuanced way. ORIGINALITY/VALUE: The paper demonstrates that the performativity of service management theories, through the use of discursive analysis, is valuable in order to understand shifts in linguistic usage.
  •  
49.
  • Nylén, Ulrica, 1961- (författare)
  • Multi-professional teamwork in human services : The mutual shaping of professional identity and team activities
  • 2018
  • Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 32:5, s. 741-759
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – This paper investigates the prospects and difficulties of multi-professional teamwork in humanservices from a professional identity perspective. The purpose of this paper is to explore the mutual interplaybetween professional identity formation and team activities.Design/methodology/approach – This is a process study of two cases of multi-professional teamwork infamily care. Data were collected through in-depth interviews with team members and managers. The analysisfollows a stepwise approach alternating between the individual and team levels.Findings – In showing the mutual interplay between teamwork processes and individual identity formation,the study contributes knowledge on professional identity formation of mature professionals; in particularshowing how unique individual identification processes have different consequences for multi-professionalteam activities. Further, alternative shapes of interplay between individual identity formation and team-levelprocesses are identified.Research limitations/implications – Despite the fact that the sample is small and that collaborationintensity was relatively low, the paper succeeds in conceptualising the links between professional identityformation and multi-professional teamwork.Practical implications – In managing multi-professional teams, team composition and the team’s earlydevelopments seem determining for whether the team will reach its collaborative intentions.Originality/value – This paper is original in its exploration of the ongoing interplay between individualidentity formation and multi-professional team endeavours. Further, the paper contributes knowledge onmature professionals’ identity formation, particularly concerning individual variation within and betweenprofessional groups.
  •  
50.
  • Poblete, Leon, et al. (författare)
  • User involvement and value co-creation in wellbeing ecosystems
  • 2023
  • Ingår i: Journal of Health Organization & Management. - 1477-7266 .- 1758-7247. ; 7:9, s. 34-55
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – This article aims to examine how users’ involvement in value co-creation influences thedevelopment and orchestration of well-being ecosystems to help tackle complex societal challenges. Thisresearch contributes to the public management literature and answers recent calls to investigate novel publicservice governances by discussing users’ involvement and value co-creation for novel well-being solutions.Design/methodology/approach – The authors empirically explore this phenomenon through a case studyof a complex ecosystem addressing increased well-being, focussing on the formative evaluation stage of alongitudinal evaluation of Sweden’s first support centre for people affected by cancer. Following an abductivereasoning and action research approach, the authors critically discuss the potential of user involvement for thedevelopment of well-being ecosystems and outline preconditions for the success of such approaches.Findings – The empirical results indicate that resource reconfiguration of multi-actor collaborations provides aplatform for value co-creation, innovative health services and availability of resources. Common themes include the needfor multi-actor collaborations to reconfigure heterogeneous resources; actors’ adaptive change capabilities; the role ofgovernance mechanisms to align the diverse well-being ecosystem components, and the engagement of essential actors.Research limitations/implications – Although using a longitudinal case study approach has revealedstimulating insights, additional data collection, multiple cases and quantitative studies are prompted. Also, theauthors focus on one country but the characteristics of users’ involvement for value co-creation in innovativewell-being ecosystems might vary between countries.Practical implications – The findings of this study demonstrate the value of cancer-affected individuals,with “lived experiences”, acting as sources for social innovation, and drivers of well-being ecosystemdevelopment. The findings also suggest that participating actors in the ecosystem should utilise widerknowledge and experience to tackle complex societal challenges associated with well-being
  •  
Skapa referenser, mejla, bekava och länka
  • Resultat 1-50 av 121
Typ av publikation
tidskriftsartikel (121)
Typ av innehåll
refereegranskat (120)
övrigt vetenskapligt/konstnärligt (1)
Författare/redaktör
Wikström, Ewa, 1967 (6)
Carlström, Eric, 195 ... (5)
Andersson, Thomas, 1 ... (5)
Ovretveit, J (5)
Hasson, Henna (4)
Dellve, Lotta (4)
visa fler...
von Thiele Schwarz, ... (3)
Nilsen, Per (3)
Nordgren, Lars (3)
Brommels, M (3)
Brommels, Mats (3)
Kjellsdotter, Anna (3)
Liff, Roy, 1951 (3)
Linnéusson, Gary (3)
Eriksson, Erik, 1977 ... (3)
Hellström, Andreas, ... (3)
Fredriksson, Mio, 19 ... (3)
Mathiassen, Svend Er ... (2)
Blomberg, Staffan (2)
Engström, Maria (2)
Carlsson, Jan (2)
Øvretveit, J (2)
Dellve, Lotta, 1965 (2)
Thor, Johan, 1963- (2)
Bergin, E (2)
Rosengren, Kristina (2)
Andersson, Thomas (2)
Berlin, Johan, 1975- (2)
Amer-Wahlin, I (2)
Poblete, León (2)
Skyvell Nilsson, Mar ... (2)
Edberg, Anna-Karin (2)
Axelsson, Runo (2)
Andersson, Johanna, ... (2)
Tjornhoj-Thomsen, Ti ... (2)
Eriksson, Nomie, Bit ... (2)
Arnetz, Bengt (2)
Wikström, Ewa (2)
Ohrling, M (2)
Dunér, Anna, 1962 (2)
Berglund, Helene, 19 ... (2)
Sandahl, Christer (2)
Winblad, Ulrika, 196 ... (2)
Holmberg, Ingalill (2)
Löwstedt, Jan (2)
Rydenfält, Christofe ... (2)
Grill, Christina (2)
Elfstrand Corlin, Ti ... (2)
Falkenström, Erica (2)
Höglund, Anna T, 196 ... (2)
visa färre...
Lärosäte
Göteborgs universitet (30)
Karolinska Institutet (30)
Uppsala universitet (13)
Linköpings universitet (11)
Jönköping University (11)
Lunds universitet (11)
visa fler...
Högskolan i Skövde (6)
Chalmers tekniska högskola (6)
Umeå universitet (5)
Högskolan i Halmstad (5)
Högskolan Väst (5)
Mälardalens universitet (5)
Kungliga Tekniska Högskolan (4)
Stockholms universitet (4)
Högskolan i Borås (4)
Högskolan Kristianstad (3)
Örebro universitet (3)
Handelshögskolan i Stockholm (3)
Luleå tekniska universitet (2)
Linnéuniversitetet (2)
Karlstads universitet (2)
Högskolan i Gävle (1)
Malmö universitet (1)
Mittuniversitetet (1)
visa färre...
Språk
Engelska (121)
Forskningsämne (UKÄ/SCB)
Medicin och hälsovetenskap (67)
Samhällsvetenskap (56)
Teknik (6)
Naturvetenskap (1)
Humaniora (1)

År

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy