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| 2. |
- Andersson Bäck, Monica, et al.
(författare)
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Medical manager hybrids for handling institutional complexity and change in primary care
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: This article deals with hybrid persons combining medical professionalism and management for handling institutional complexity and change in primary care. Primary care and identity are in transition in many western countries, in Sweden emphasized by the 2007 reform for patient choice and competition. Research has shown that embedded hybrid actors, familiar and socialized in a field and to its logics, tend to be influential for handling complexity and change. Yet hydrids and their enactment in primary care is an underexplored area.Aim: The aim is to contribute to our understanding of hybrid persons and how they are combining medical professionalism and management in primary care, while managing complexity and change.Material and methods: In a case study of six successful primary healthcare centers, public and private, covering 56 interviews and observations with various professions, two medical managers ‘hybrids’ showed to be particularly interesting. These were analyzed in-depth, including analysis of staff’s and colleagues’ experiences and contrasted by other managers and hybrids. For the analysis we draw on institutional logic perspective (Thornton, Occasion & Lounsbury 2012) in order to capture preconditions as well as enactment of such change agents.Results/conclusions: The hydrids contributed to innovation, creativity and learning in their primary care centres. At their workplace, coherence and a good ambience coexisted with feelings of high work pace and lacking role clarity among the multidisciplinary staff. Categorized in line with McGivern and colleagues(2015) term as ‘willing hybrids’, the persons studied revealed high ambitions to challenge existing institutional order giving professionalism new forms, while seeking to innovate practices and division of work among healthcare staff in primary care. By doing so the hybrids integrated professionalism and managerialism and were influential in reframing problems and solutions, which aligned several logics at play. However several obstacles related to professional as well as bureaucratic issues appeared along the way.
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| 3. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Workers' experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study
- 2018
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 36:4, s. 406-414
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units. Design: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators. Results: The study presents additional perspectives on staff experiences of HWE indicators at well-functioning primary care units. The included primary care units (PCU) shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a HWE, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work. Conclusions: Both managers and staff are encouraged to actively work not only to create and sustain an HWE but also to promote organisational virtuousness, employee commitment, joy at work and to increase the performance at work, which is of benefit to staff, patients and society.
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| 4. |
- Avby, Gunilla, 1965-, et al.
(författare)
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A reform as a lever for innovation and professionalism?
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: Consistently with international trends, managerial reforms and incentive systems in Sweden have been introduced to achieve quality improvement and increased efficiency in welfare services. Evidence suggests that targeted financial micro-incentives can stimulate change in certain areas of care, but they do not result in more radical change, such as service transformations or innovation.Aim: In this study we explore how organizational performance are changing within the context of a patient choice reform in primary healthcare.Material and Methods: This qualitative study is based on 48 semi-structured interviews with various professions (managers, physicians, nurses, physical- and occupational therapists, care administrators, and nurse assistants) at five PHCCs, conducted as part of a study designed to explore financial incentives and motivation in PHC in Sweden. The PHCCs were purposively selected to ensure the inclusion of both public and private facilities. All centers had a longstanding reputation for good leadership and high quality care. Results: The findings show how professional fields and traits were dissolving and changing, triggering the emergence of innovative solutions in practice. Through ongoing negotiations of professional boundaries new practices unfolded and professionalism increasingly was achieved through contextual conditions. The expanding and changing of professional boundaries as shown in the study are implied to stimulate innovative processes. Thus, the main findings suggest that innovative practices developed as a relationship between contextual conditions and professionalism. E.g. nurses and physical therapists remitted patients directly to the hospital, multiprofessional teams for patient groups with joint needs handled patients that previous needed hospital care, and nurse assistants became responsible for summing patients with minor hypertension for blood pressure controls and consultations.Conclusions: The reform seemed to act as a lever for innovation and professionalism under certain conditions. How work is organized and managed is a contextual factor that not only affects work circumstances, but also provides conditions for innovation and professionalism. Impartial to governments’ ambitions to improve their responsiveness to the needs of citizens by altering market rules, new provider models may be of little assistance in achieving the desired effect on health sector reform outcomes if suitable contextual conditions are missing.
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| 5. |
- Avby, Gunilla, 1965-
(författare)
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An integrative learning approach : combining improvement methods and ambidexterity
- 2022
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Ingår i: Learning Organization. - : Emerald Group Publishing Limited. - 0969-6474 .- 1758-7905. ; 29:4, s. 325-340
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThis paper aims to explore whether the principles behind improvement methods and the underlying learning orientations of ambidexterity have the potential to support the managing of ideas for implementation.Design/methodology/approachBy combining improvement methods and ambidexterity, this study presents a pragmatic framework for innovative working with a scientific underpinning linked to organizational learning.FindingsThe descriptive stages in the plan-do-check-act method for improvement are instructive in their focus on progress and helpful in untangling the more explanatory nature of ambidexterity to frame innovative working.Research limitations/implicationsAlthough the framework's usefulness for innovative working is subject to future studies, the implementation, validation and results of the framework in pilot research may contribute to the body of knowledge.Practical implicationsThe proposed framework can be used in teaching the key role of strategic leadership to explore and exploit over time. The framework has the potential to guide innovative working in practice by making better use of the employees' tacit knowledge in such a way that they are empowered to explore new ways of defining problems and searching for solutions to improve organizational performance. The results of the implementation will impact the employees' quality of life.Originality/valueThis study advances the current understanding of how the seemingly contradictory activities of exploration and exploitation can model an integrative learning approach.
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| 6. |
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| 7. |
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| 8. |
- Avby, Gunilla, 1965-, et al.
(författare)
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”Inga bevis för att chefer blir bättre av att gå på kurs”
- 2020
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Ingår i: Dagens Nyheter. - 1101-2447. ; :2021-04-22
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Ingress: Två forskare: Risken är att cheferna efter en kurs får en mer idealiserad bild av sin roll som inte stämmer med vardagens verklighet.En vanligt förekommande uppfattning är att chefer och ledare utvecklas bäst genom att gå på kurs. Men det finns ingen evidens för att det är det bästa sättet att utveckla ledarskapets kompetens.
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| 9. |
- Avby, Gunilla, 1965-, et al.
(författare)
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Innovationskraft i vardagens processer
- 2020
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Ingår i: Chefer och ledare i vården. - : Föreningen för Chefer och Ledare. - 1404-4684. ; :4, s. 24-27
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Forskningen visar återkommande att 70 procent av olika typer av utvecklingssatsningar misslyckas. Särskilt utmanande blir det i komplexa organisationer. Hur ser innovationsklimatet ut i din verksamhet? Och vad säger forskningen om att leda innovation och förändring?
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| 10. |
- Avby, Gunilla, 1965-, et al.
(författare)
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LearnOvation : an intervention to foster exploration and exploitation behaviour in health care management in daily practice
- 2019
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Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Innovation has been identified as an important engine for improving the quality, productivity and efficiency of health care. Little is known about how to stimulate innovation capacity in primary health care in general; even less is known about how specific interventions should be designed to support managements' work with practice-based innovations. Research has shown that if managers and teams are excellent at handling the challenges of production (exploitation) and development (exploration), they are better at innovation. The aim of the study is to develop a dynamic management support programme to increase innovation leadership skills in daily practice.METHODS: The study has an interactive approach that allows the need for empirical and theoretical knowledge to emerge and merge, and a quasi-experimental cross-over design. Eight primary health care centres will participate in the study. In the first phase, the management teams at four health care centres will participate in the intervention, and the other four centres will serve as a control group. Thereafter, the units will switch places and the control group will experience the intervention. All staff at the 8 units will answer questionnaires at four points in time (before, during, after, 6 months later) to evaluate the effects of the intervention.DISCUSSION: The study will contribute to knowledge on how to organize processes of innovation and support exploitation and exploration behaviours by co-producing and testing a tailor-made management support programme for innovation work in primary health care. An expected long-term effect is that the support system will be disseminated to other centres both within and beyond the participating organizations.
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| 11. |
- Avby, Gunilla, 1965-
(författare)
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Professional Practice as Processes of Muddling Through : a Study of Learning and Sense Making in Social Work
- 2015
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Ingår i: Vocations and Learning. - : Springer. - 1874-785X .- 1874-7868. ; 8:1, s. 95-113
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Tidskriftsartikel (refereegranskat)abstract
- Using an ethnographic approach, the aim of this study was to explore how social workers learn and make sense of experiences in their daily practices. Five events that took place during an ordinary day of child investigation work are described and serve as the basis for the analysis. The findings imply that investigation work is largely a social rationalization process and that the interaction between different actors in work is a strategy to enhance the level of knowledge and contribute to learning among the professionals. Thus, learning is embedded in daily activities, for example, consulting colleagues, framing problems and building relationships. Furthermore, the findings suggest the possibility of assuming a contextualized view of reasoning, a so-called contextual rationality, which maintains that practitioners need to make judgments in a way that is sensitive to and relevant for their own contextualized settings. Contextual rationality is a reasonable strategy to deal with complex problems in daily practices that cannot be completely analysed or solved. Contextual rationality is thus not about accuracy, rather it engages individuals to find meaning and order in the complexity of modern organizations where norms, values and expectations provide frameworks for explanations. Besides offering an explanation for the basis of practice, the study identifies a variety of learning opportunities in everyday practice that could potentially be used in efforts to organize a more reflective practice to facilitate improved workplace learning.
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| 12. |
- Avby, Gunilla, 1965-, et al.
(författare)
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Samarbete bygger en stark primärvård
- 2017
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Ingår i: Dagens Nyheter 2017-08-17. - Stockholm : Dagens Nyheter. - 1101-2447.
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 13. |
- Avby, Gunilla, 1965-, et al.
(författare)
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Shaping leadership development systems to the work context
- 2022
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Konferensbidrag (refereegranskat)abstract
- The paper seeks to identify patterns of leadership development in different organization contexts with the aim of contributing to improved understanding of how the context shapes the leadership development system (LDS).Design/methodology/approach: This study is based on the initial phase of a 4-year collaborative research project on LDSs. Data was collected in the five collaborative partner organizations and based on four data sources: 1) company visits; 2) internal documentation; 3) external information (websites); and 4) company presentations at an on-line workshop.Findings: The results show a strong focus on individual leader development, and at least partly, confirms the under-use of developmental assignments and relationships as shown in previous studies. All organizations outsource leadership development to different degrees. However, leadership development is not only structured through different methods, it is also dependent on the organization context in the form of leader forums and meetings. An identified pattern is that the smaller organizations are more dependent on external resources, and the larger organizations tailor company-wide programs for their unique needs together with external consultants. Furthermore, the LDS is believed to be an effective change agent in the adaptive process of transforming.Originality: This study contributes to the research on leadership development by advancing the current understanding of how leadership development interacts with the context of the organization.Practical implications: This study highlights the need for leaders and HR professionals to acknowledge contextual issues when choosing practices used for developing the leadership in the organization.
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| 14. |
- Avby, Gunilla, 1965-, et al.
(författare)
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Tending to innovate in Swedish primary health care: a qualitative study
- 2019
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 19
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPolicymakers in many countries are involved in system reforms that aim to strengthen the primary care sector. Sweden is no exception. Evidence suggests that targeted financial micro-incentives can stimulate change in certain areas of care, but they do not result in more radical change, such as innovation. The study was performed in relation to the introduction of a national health care reform, and conducted in Jonkoping County Council, as the region's handling of health care reforms has attracted significant national and international interest. This study employed success case method to explore what enables primary care innovations.MethodsFive Primary Health Care Centres (PHCCs) were purposively selected to ensure inclusion of a variety of aspects, such as size, location, ownership and regional success criteria. 48 in-depth interviews with managers and staff at the recruited PHCCs were analysed using content analyses. The COREQ checklist for qualitative studies was used to assure quality standards.ResultsThis study identified three types of innovations, which break with previous ways of organizing work at these PHCCs: (1) service innovation; (2) process innovation; and (3) organizational innovation. A learning-oriented culture and climate, comprising entrepreneurial leadership, cross-boundary collaboration, visible and understandable performance measurements and ability to adapt to external pressure were shown to be advantageous for innovativeness.ConclusionsThis qualitative study highlights critical features in practice that support primary care innovation. Managers need to consistently transform and integrate a policy push with professionals' understanding and values to better support primary care innovation. Ultimately, the key to innovation is the professionals' engagement in the work, that is, their willingness, capability and opportunity to innovate.
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| 15. |
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| 16. |
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| 17. |
- Avby, Gunilla, 1965-, et al.
(författare)
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Ways of understanding evidence-based practice in social work : A qualitative study
- 2014
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Ingår i: British Journal of Social Work. - Oxford : Oxford University Press (OUP). - 0045-3102 .- 1468-263X. ; 44:6, s. 1366-1383
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Tidskriftsartikel (refereegranskat)abstract
- This qualitative, empirical study explores and describes the variation in how evidence-based practice (EBP) is understood in social work. A phenomenographic approach to design and analysis was applied. Fourteen semi-structured interviews were conducted with politicians, managers and executive staff in three social welfare offices in Sweden. The main findings suggest that there are qualitatively different ways in which EBP is understood, described in five categories: (i) fragmented; (ii) discursive; (iii) instrumental; (iv) multifaceted; and (v) critical. The outcome space is hierarchically structured with a logical relationship between the categories. However, the informants found it difficult to account for EBP, depending on what was expressed as deficient knowledge of EBP in the organisation, as well as ability to provide a seemly context for EBP. The results highlight the importance of acknowledging these differences in the organisation to compose a supportive atmosphere for EBP to thrive rather than merely assume the case of evidence-based social work. The categories can be utilised as stimuli for reflection in social work practice, and thereby provide the possibility to promote knowledge use and learning in the evolving evidence-based social work.
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| 18. |
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| 19. |
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| 20. |
- Bergmo-Prvulovic, Ingela, 1970-, et al.
(författare)
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Exploring Social Representations of Leadership Development : Designing for Work-Integrated Learning
- 2022
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Ingår i: International Conference on Work Integrated Learning. - Trollhättan : University West. - 9789189325302 ; , s. 83-86
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Konferensbidrag (refereegranskat)abstract
- This paper explored social representations of leadership and leadership development shaping an organizations leadership development system (LDS). This study is based on the initial phase of a 4-year collaborative research project on LDSs, adopting an interactive research approach to co-produce knowledge through joint meetings and learning workshops (Ellström et al., 2020). The research project involves researchers from different disciplines, and five organizations operating in different business domains. The participating organizations vary in terms of size, strategies, markets, processes, products, and ways of organizing, but they all share a common interest in how to develop sustainable approaches to leadership development. An LDS encompasses all the metho ds and practices in an organization that contribute to developing and producing effective leaders (McCauley et al 2010). The importance of understanding the characteristics of the context the LDS is embedded in has been highlighted in a previous study (Avby et al., 2022), and serve as a point-of-reference in this study. However, less is known of what underlying assumptions an LDS is based upon. This study paid attention to the underlying values, ideas, and perspectives on leadership and leadership development that shape an organizations’ ways of thinking, communicating, and acting in the LDS. We suggest that the potential to develop a more deliberate practice of leadership development was enhanced by exploring and articulating the tacit knowledge and assumpt ions that an LDS rests upon.Aim The aim of this study was to explore how socially and contextually shaped assumptions on leadership and leadership development can be visualized and practically applied to develop the leadership in the organization. The question addressed was how the awareness of underlying assumptions can support the methods and practices applied, and in what way the disclosing of underlying ideas, values and practices may foster work -integrated learning?Design and methods From a social representation theory approach (Moscovici, 2001, Jovchelovitch, 2007, Markova, 2003, BergmoPrvulovic, 2015), underlying assumptions of leadership and leadership development were explored. In the collaborative project an initial mapping of the participating organizations’ LDSs has been co nducted, based on different sources of data. The results of this mapping have been presented through a metaphorical analysis (Avby et al., 2022), in which the participating organizations are described with certain metaphors of their LDS. This study paid specific attention to the organization entitled The Self-Managing Team, and added to the initial stage of mapping LDSs by exploring the underlying assumptions that underpins the expressions and formulations on leadership and leadership development found in the organization’s documents, websites, formulations in meetings and strategies. The exploration of social representations of LDSs was based upon the free association method (Abric, 1995), further developed, and used in studies exploring social representations of similar abstract and complex phenomena, such as career (Bergmo-Prvulovic, 2013: 2015). The method consists of questions, words and series of words given to the respondents who spontaneously write down their immediate associations towards a specific concept and complex phenomenon with a gradual deepening of questions related to specific words, series of words. In this study, a digital enquiry was created in Esmaker. The enquiry was designed to ask for respondents spontaneous, immediate thoughts on words, and series of words related to leadership and leadership development. The gradually deepening of questions, were designed by paying attention to the five dimensions of representations suggested by Jovchelovitch (2007), by exploring who are concerned, why and for what leadership is needed, what is the content 84 of leadership, when it works and doesn’t work, when and how it occurs as well who is responsible, whose engagement and what conditions are needed. This study was based on 19 respondents’ answers a ll member in the Self-Managing Team. They were selected by the organization, as identified having important roles and functions in the company’s LDS. A facilitator in the organization introduced an online enquiry with 12 questions, given one by one to the respondents, providing 1-2 minutes for each. The respondents wrote down their associations to each question, some background data, and questions about leadership identity. The analytical procedure was made according to qualitative content analysis method as the basic procedure of qualitatively exploring social representations (Bergmo-Prvulovic, 2013; 2015). Expressions were numbered with a certain code for each respondent related to each answered question, thereafter each textual units were condensed, meaning units were coded and grouped into constitutive elements that builds up preliminary and primary themes generating a web of social representations of LDS for the group of respondents.Preliminary results The results disclosed a web of underlying social representations shaping the LDS in The Self-Managing Team. The social representations shape a basic, contextually characterized system of values, ideas, and practices, on which the company at present form their LDS. Given the collaborative design of the project, the results were fed back to the organization to validate the analytical procedure, as well as to support the designing for work -integrated learning and further knowledge use in the organization. The results revealed the respondents’ assumptions on leadership, leadership development, and self-leadership. These assumptions are clearly anchored in the organization’s aim to build in self-management, as a collective way of working with leadership. However, the existing knowledge base encloses both commonalities and contradictions that needs to be further highlighted to create a sustainable LDS. Results showed both stable representations, that occur repeatedly throughout the material, and dynamic social rep resentations, that express a negotiating character between different views, or as being antinomies of thoughts. By identifying and raising awareness of ambiguities deriving from the results, a base of designing for reflective work-integrated learning was provided. A joint learning process to discuss how the results could be utilized as a tool for work-integrated learning was initiated. Some challenges were recognized, and the organization especially addressed the need to work with a second step of workplace reflection. A first learning cycle was initiated to be continuously developed by involving the employees in the process. In all, the contribution of the study explains the basis of leadership development practice, which unnoticed might create ambiguity in service delivery. The mapping of social representations of an LDS can be utilized as a tool for a more deliberate leadership development practice and highlight possibilities and challenges that need to be addressed for integrating methods and practices in everyday work.
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| 21. |
- Fabisch, Anna, et al.
(författare)
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Transformations towards an integrated leadership development system : A longitudinal study in a high-performing public organization
- 2024
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Ingår i: Leadership. - : Sage Publications. - 1742-7150 .- 1742-7169.
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Tidskriftsartikel (refereegranskat)abstract
- Leadership development (LD) plays a significant role in achieving high-quality performance and business results, but there is little research on how leadership development itself evolves as the organization develops. This study explores how a leadership development system evolved over 30 years, during a time when the organization became increasingly high performing. Through reflexive thematic analysis of organizational documents and interviews with top managers and practitioners, the study provides a rich longitudinal description of the evolvement. The results revealed three pervasive changes of the leadership development system: 1) from a system for business-specific learning to one for system-wide learning; 2) from a system for personal development to one for customer-oriented quality development; and 3) from a leadership development system consisting of leadership development programs to one that is integrated into regular meetings and uses simple rules. These changes supported the gradual transformation of the leadership development from being independent to becoming integrated in the wider system, supporting the business system. The findings offer a unique insight into how an organization transitioned from individual leader development towards promoting collective aspects of leadership development. The study provides two main theoretical contributions that support the perspective of viewing leadership development as integrated within organizational development. Firstly, we present a more multifaceted way of understanding leadership development, wherein managers and employees, customer outcomes, and business advancement are seen as mutually developing. Secondly, we introduce two new critical points that complement previous descriptions of an advanced leadership development system: It is system wide (not only business specific) and customer oriented (not only leader/participant oriented).
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| 22. |
- Hasson, Henna, et al.
(författare)
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How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations : a study protocol
- 2020
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Ingår i: Implementation Science Communications. - : BioMed Central (BMC). - 2662-2211. ; 1:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Using evidence-based interventions (EBIs) is a basic premise of contemporary social services (e.g., child and family social services). However, EBIs seldom fit seamlessly into a specific setting but often need to be adapted. Although some adaptions might be necessary, they can cause interventions to be less effective or even unsafe. The challenge of balancing adherence and adaptations when using EBIs is often referred to as the adherence and adaptation dilemma. Although the current literature identifies professionals’ management of this dilemma as problematic, it offers little practical guidance for professionals. This research aims to investigate how the adherence and adaptation dilemma is handled in social services and to explore how structured decision support can impact the management of the dilemma.Methods: The design is a prospective, longitudinal intervention with a focus on the feasibility and usefulness of the structured decision support. The project is a collaboration between academic researchers, embedded researchers at three research and development units, and social service organizations. A multi-method data collection will be employed. Initially, a scoping review will be performed, and the results will be used in the development of a structured decision support. The decision support will be further developed and tested during a series of workshops with social service professionals. Different forms of data—focus group interviews, questionnaires, and documentation—will be used on several occasions to evaluate the impact of the structured decision support. Qualitative and quantitative analysis will be performed and usefulness for practice prioritized throughout the study.Discussion: The study will contribute with knowledge on how the adherence and adaption dilemma is handled and experienced by social service professionals. Most importantly, the study will generate rich empirical data on how a structured decision support impacts professionals’ management of adherence and adaptions. The goal is to produce more strategic and context-sensitive implementation of EBIs in social service, which will increase value for service users.
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| 23. |
- Karlsson, Henrik, et al.
(författare)
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QUAT-a Tool for Evaluating the Quality of Core Assessments in Child-Protection Investigations
- 2019
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Ingår i: British Journal of Social Work. - : Oxford University Press (OUP). - 0045-3102 .- 1468-263X. ; 49:7, s. 1875-1892
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Tidskriftsartikel (refereegranskat)abstract
- This article presents a quantitative tool for evaluating the documentation quality of core assessments in child-protection investigations called the Quality Assessment of the Triangle (QUAT). QUAT measures compliance with a set of quality standards for working with the Swedish adaptation of the British Integrated Children's System (ICS), and should be viewed as an attempt to further the UK-led efforts to improve child-protection investigations by promoting research-based documentation systems. This article describes how QUAT was developed and later applied to a random sample of case files provided by the social services in Stockholm City, Sweden, to demonstrate its usability in practice. The contribution of QUAT is two-fold: first, it offers a way for managers to stimulate workplace learning by providing continuous feedback on the documentation and, second, it may help researchers to evaluate the effectiveness of interventions aiming to improve professional performance in terms of documenting child-protection investigations.
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| 24. |
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| 25. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Fostering exploration and exploitation behavior in management teams to enhance organizational performance : the LearnOvation leadership development program
- 2022
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Ingår i: Leadership & Organization Development Journal. - : Emerald Group Publishing Limited. - 0143-7739 .- 1472-5347. ; 43:3, s. 482-500
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe purpose of this paper is to assess the impact and effectiveness of the LearnOvation leadership development program in the welfare services sector in Sweden.Design/methodology/approach LearnOvation was based on ambidexterity theory for the program content and the research study design. A mixed-method design was applied, using questionnaires among staff (n = 523) and written evaluations with the management teams (n = 60).FindingsQuantitative analysis of the questionnaires indicated little change in managers' and staffs' innovation behaviors, though employee exploration behaviors were strongly and positively correlated with their innovation behaviors. Qualitative leader-written evaluations reported increased understanding of innovation management and the use of exploration and exploitation activities to involve staff in the implementation of creative ideas within the organization.Practical implicationsThe authors argue that innovating is about creating a fertile ground for exploration and exploitation processes of learning that support staff's willingness to meet goals, as well as their capability to explore new ideas and experiment in new ways of working. Leadership development activities that engage the entire management team can build the necessary capacity and power to lead innovation processes in highly structured welfare services and free the employees' innovativeness, potentially leading to improved services and employee satisfaction.Originality/valueWith the goal of enhancing the innovation capacity in daily practice, this study adds to the scarcity of research in welfare services on how to actually support management's work on leading successful implementation of creative ideas.
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| 26. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Leadership as a driver for work motivation : a study of well-functioning primary healthcare centers in Sweden
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: Little is known about how, why, or under which circumstances work motivation is formed and linked to reforms and interventions.Aim: The aim of this study is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives.Material & method: Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. Forty-three interviews were completed with different medical professions and qualitative deductive content analysis was conducted.Results: 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 nonhierarchical collaboration, and systematic quality improvement work. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created. The units expressed a collective capacity to produce direction, alignment and commitment.Conclusions: The design of the reforms and leadership are essential preconditions for work motivation. 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. The values of the study consist of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms, and how professionals collectively produce leadership.
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| 27. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Metoder i vårdens vardag för att skapa kreativitet och delaktighet
- 2020
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Ingår i: Chefer och ledare i vården. - : Föreningen för Chefer och Ledare. - 1404-4684. ; :4, s. 28-30
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Vi säger att vi inte har tid att avsätta tid för reflektion. Tänk vad bara ett par minuters reflektion kan göra skillnad! Vi delar alla erfarenheten av möten där några få talar mycket och många sitter tysta. Som tur är finns det enkla metoder för att skapa mer delaktighet och generera mer idéer och perspektiv i en fråga.
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| 28. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Research on successful and well-functioning organizations : The role of qualitative studies for theoretical and practical use. Workshop.
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: Organizations strive to handle external and internal demands, and a lot is being written about the struggles and shortages. However, there are organizations that thrive, combining quality of performance and beneficial working conditions. What can we learn from these cases and how are the best studied? Also, how do we move beyond a list of good looking features that we already know are essential, such as leadership and continuous quality improvement work, in order to produce knowledge which is of practical use.Goal: This workshop takes point of departure in a study on well function primary care centers. The aim is to share our primary insights from this project and learn from it weaknesses and strengths to inspire to innovative, theoretical and practical meaningful research.Method: Six primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private/non-profit and small/large units. In total 56 interviews were completed with various professions (managers, physicians, nurses, physical- and occupational therapists, care administrators, and nurse assistants). At this time, four different qualitative analysis approaches have been used.Results/Conclusion: Each center reveals inspiring as well as challenging features. In the workshop, we will discuss how we can learn from studying good practice and design to further our understanding on sustainable healthcare and the use of qualitative methods in this context.
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| 29. |
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| 30. |
- Kjellström, Sofia, 1970-, et al.
(författare)
-
Välfungerande vårdcentraler
- 2020
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Ingår i: Vårdmagasinet Hälsa. - : Distriktssköterskeföreningen i Sverige. - 2003-1165. ; :3, s. 16-17
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 31. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Work motivation among healthcare professionals: A study of well-functioning primary healthcare centers in Sweden.
- 2017
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Ingår i: Journal of Health Organization and Management [1477-7266]. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 31:4, s. 487-502
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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.
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| 32. |
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| 33. |
- Nordström (Avby), Gunilla, 1965-
(författare)
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Gränsöverskridande kunskapsbildning : - praktik och teori i interaktion
- 2009
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Ingår i: Vägval och dilemman i interaktiv forskning. - Jönköping : Landstinget i Jönköpings län. - 9789197601559 ; , s. 27-43
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vilka möjligheter och hinder kan uppstå i samband med forskningsprojekt där en interaktiv ansats eftersträvas? Vilka förutsättningar måste föreligga för att framgångsrikt kunna driva interaktiv forskning i praktiken i en hälso- och sjukvårdskontext? Vilka former av interaktiva forskningsansatser är lämpliga och i vilka typer av studier? Vad är det i forskningsmiljön som kan underlätta och vad är det som kan bromsa arbetet? I föreliggande antologi presenterar tretton doktorander sina tankar och reflektioner kring vägval och dilemman i att arbeta med en interaktiv forskningsansats. Utgångspunkten för antologin är en doktorandkurs som har genomförts under sommaren och hösten 2007 i samverkan mellan HELIX VINN Excellence Centre vid Linköpings universitet och forskarskolan Bridging the gaps vid Landstinget i Jönköpings län. De viktigaste kursmålen har riktats in på doktorandens förmåga att 1) beskriva grundläggande principer för interaktiv forskning; 2) redogöra för de vetenskaps- och kunskapsteoretiska grunderna för interaktiv forskning; 3) diskutera, beskriva och argumentera för hur interaktiv forskning kan organiseras i praktiken; 4) översiktligt redogöra för hur det egna forskningsprojektet kan organiseras utifrån en interaktiv forskningsansats samt; 5) skriftligt och muntligt reflektera över en eget vald uppgift som rör interaktiv forskning. De flesta av de medverkande doktoranderna genomförde kursen under ett tidigt stadium av sin forskarutbildning vilket har gjort att innehållet fått påverkan på deras forskningsdesign. Vi menar att antologin fyller ett viktigt syfte i och med att den redogör för de problem som den relativt färske doktoranden ställs inför. Förhoppningen är att skriften kan vara användbar för doktorander som på något sätt är kopplad till forskningsansatser som har interaktiv prägel. Vi tror att antologin kan stimulera till vidare diskussioner.
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| 34. |
- Nordström (Avby), Gunilla, 1965-
(författare)
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Professionalism encounters Evidence-based Practice (EBP) : What effects can EBP have on knowledge use and learning in professional practice?
- 2011
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Today it is common to talk about “lean organizations”, where focus lays on cost efficiency and resource allocation. In professional work, e.g. in healthcare and social services the trend is referred to as New Public Management (NPM), involving considerable structural changes and an inevitable shift towards a more quantitatively oriented mode of decision making. Especially the social care is under the loop for changes; striving to create a practice, measurable, knowledgeable and with the ability to demonstrate the efficiency of its methods and efforts; referred to as EBP. With an exclusive focus on task performance the value of workers´ ability to conceptualize problems and solutions and engage creatively with families in their historical and social context is undermined. The rules constituting the arguments in practical reasoning are becoming more and more structured. Related to theories of how professionals develop abstractions to create powerful knowledge systems the introduction of EBP could in fact have a negative effect on knowledge use and learning. More stringent methods may lessen the room for discretion, in turn circumscribing the professional knowledge and with this making professional expertize needless in executing the work. The aim with this paper is to explore possible consequences of introducing EBP in professional practice (social work). The paper is divided into two parts. While the first part touches key concepts and theories of relevance, the following will analyze EBP’s possible effects on knowledge use and learning from aspects of significance; involving different research traditions, implementation strategies and situational aspects for discretion and learning. The paper concludes in a discussion of consequences following with the growing transparency and rationalization-movement.
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| 35. |
- Nordström (Avby), Gunilla, 1965-
(författare)
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Understandings of Evidence-based Practice among politicians, managers and executive staff in social welfare agencies
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This paper aims to explore and describe understandings of EBP among various actors in social welfare agencies in Sweden. Method Fourteen semi-structured interviews were conducted with politicians, managers and executive staff in social welfare agencies in Sweden. Result The main findings suggest that there are four understandings concerning the concept of EBP. These are labeled: i) popular discourse; ii) procedural application; iii) transparent view; and iv) philosophical approach. Conclusion Although the analysis is ongoing, the results point to certain inconsistencies concerning how EBP is understood in social welfare practice. This variation in understandings is explained in terms of attitudes and beliefs regarding the view of practice, quality and knowledge. However, EBP was difficult to account for depending on what was expressed as deficient knowledge of EBP in the organization, as well as its’ ability to provide an applicable atmosphere.
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| 36. |
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