| 1. |
- Khorram-Manesh, Amir, 1958, et al.
(författare)
-
Emergency Management and Preparedness Training for Youth (EMPTY) : The Results of the First Swedish Pilot Study
- 2018
-
Ingår i: Disaster Medicine and Public Health Preparedness. - : Cambridge University Press (CUP). - 1935-7893 .- 1938-744X. ; 12:6, s. 685-688
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To examine the impact of a simulation training in raising a group of young students' personal and situational awareness in disasters and emergencies.METHODS: In total, 25 young students participated in two simulation scenarios representing two actual events, fire, and shooting, using a combination of two validated simulation training (Emergency Management and Preparedness Training for Youth [EMPTY]). The changes in their knowledge and awareness were evaluated by using questionnaires and the whole simulation was evaluated by three independent observers and a reference group.RESULTS: New concepts of emergency management, for example, evacuation, and barricading, could be trained in a safe environment. There was a significant increase in students' personal and situational awareness and their active engagement in the management of emergencies.CONCLUSION: EMPTY could raise the youth basic knowledge and ability to understand the concept of preparedness by being mentally prepared, available for collaboration, gaining a higher confidence, understanding the physical and psychological consequences of a major incident and the importance of their own safety. (Disaster Med Public Health Preparedness. 2018; page 1 of 4).
|
|
| 2. |
- Nilsson, R. Henrik, 1976, et al.
(författare)
-
Improving ITS sequence data for identification of plant pathogenic fungi
- 2014
-
Ingår i: Fungal Diversity. - : Springer Science and Business Media LLC. - 1560-2745 .- 1878-9129. ; 67:1, s. 11-19
-
Tidskriftsartikel (refereegranskat)abstract
- Plant pathogenic fungi are a large and diverse assemblage of eukaryotes with substantial impacts on natural ecosystems and human endeavours. These taxa often have complex and poorly understood life cycles, lack observable, discriminatory morphological characters, and may not be amenable to in vitro culturing. As a result, species identification is frequently difficult. Molecular (DNA sequence) data have emerged as crucial information for the taxonomic identification of plant pathogenic fungi, with the nuclear ribosomal internal transcribed spacer (ITS) region being the most popular marker. However, international nucleotide sequence databases are accumulating numerous sequences of compromised or low-resolution taxonomic annotations and substandard technical quality, making their use in the molecular identification of plant pathogenic fungi problematic. Here we report on a concerted effort to identify high-quality reference sequences for various plant pathogenic fungi and to re-annotate incorrectly or insufficiently annotated public ITS sequences from these fungal lineages. A third objective was to enrich the sequences with geographical and ecological metadata. The results – a total of 31,954 changes – are incorporated in and made available through the UNITE database for molecular identification of fungi (http://unite.ut.ee), including standalone FASTA files of sequence data for local BLAST searches, use in the next-generation sequencing analysis platforms QIIME and mothur, and related applications. The present initiative is just a beginning to cover the wide spectrum of plant pathogenic fungi, and we invite all researchers with pertinent expertise to join the annotation effort.
|
|
| 3. |
- Alverbratt, Catrin, et al.
(författare)
-
A New Working Method in Psychiatric Care : the impact of implementation
- 2016
-
Ingår i: International Journal of Public Administration. - : Informa UK Limited. - 0190-0692 .- 1532-4265. ; 40:3, s. 295-304
-
Tidskriftsartikel (refereegranskat)abstract
- An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.
|
|
| 4. |
- Alverbratt, Catrin, et al.
(författare)
-
The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic
- 2014
-
Ingår i: Journal of Hospital Administration. - : Sciedu Press. - 1927-6990 .- 1927-7008. ; 3:6, s. 174-189
-
Tidskriftsartikel (refereegranskat)abstract
- The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.
|
|
| 5. |
- Andersson, Annika, 1981-, et al.
(författare)
-
Managing boundaries at the accident scene : a qualitative study of collaboration exercises
- 2014
-
Ingår i: International Journal of Emergency Services. - : Emerald Group Publishing Ltd. United Kingdom. - 2047-0894 .- 2047-0908. ; 3:1, s. 77-94
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.
|
|
| 6. |
- Andersson, Annika, 1981-, et al.
(författare)
-
Managing boundaries at the accident scene : a qualitative study of collaboration exercises
- 2014
-
Ingår i: International Journal of Emergency Services. - 2047-0894 .- 2047-0908. ; 3:1, s. 77-94
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.
|
|
| 7. |
|
|
| 8. |
- Barletta, Ilaria Giovanna, 1988, et al.
(författare)
-
Prerequisites for a high-level framework to design sustainable plants in the e-waste supply chain
- 2015
-
Ingår i: Procedia CIRP. - : Elsevier BV. - 2212-8271. ; 29, s. 633-638
-
Konferensbidrag (refereegranskat)abstract
- Currently few attempts to properly structure knowledge that specifically supports a fully sustainable e-waste treatment system design have been proposed in literature. As a result, this paper sets up the prerequisites for a high-level framework to design sustainable plants in the supply chain of e-waste. The framework addresses production and environmental engineers mainly. The methodology grows out of literature studies, research project’s outcomes and interviews with a group of sector experts. Stemming from this, a list of prerequisites was presented for the case study of an automated plant for e-waste sorting in order to design it while considering the triple-bottom-line of sustainability.
|
|
| 9. |
- Berglund, Jonatan, 1983, et al.
(författare)
-
Production system geometry assurance using 3D imaging
- 2016
-
Ingår i: Procedia CIRP. - : Elsevier BV. - 2212-8271. ; 44, s. 132-137
-
Konferensbidrag (refereegranskat)abstract
- Production systems evolve to accommodate new and redesigned products. These changes are planned offline in virtual tools, to reduce disturbances on ongoing production. Offline planning requires virtual models that correctly represent reality. Most models are "as-designed" and suffer from geometrical errors stemming from deployment alterations. Such errors are often discovered late in the next change process or during installation, making corrections expensive. Having geometry assured production systems and models eliminate one source of error during the production system change process. This paper evaluates 3D imaging and the C2M (cloud-to-mesh) algorithm for assessing the validity of virtual production system models.
|
|
| 10. |
|
|
| 11. |
|
|
| 12. |
- Berlin, Johan, 1975
(författare)
-
Aktionsforskning - en problematisering
- 2004
-
Ingår i: Aktionsforskning i praktiken. -erfarenheter och reflektioner.. - Lund : Studentlitteratur. - 9144034199 ; , s. 209-220
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 13. |
- Berlin, Johan, 1975-
(författare)
-
Artefakters organiserande funktion
- 2016. - 2:a
-
Ingår i: Team i vård, behandling och omsorg. - Lund : Studentlitteratur AB. - 9789144107691 ; , s. 227-248
-
Bokkapitel (refereegranskat)
|
|
| 14. |
- Berlin, Johan, 1975, et al.
(författare)
-
Backsourcing in the private and public sectors — A systematic review
- 2023
-
Ingår i: Financial Accountability and Management. - 0267-4424 .- 1468-0408. ; 39:3
-
Tidskriftsartikel (refereegranskat)abstract
- This article provides a systematic review of the literature on backsourcing. The aim is to synthesize existing literature in order to compare and analyze similarities and differences in backsourcing in the private and public sectors. The study asks questions about: which methods and theories have been used, why backsourcing has been implemented, and what reasons have been described for backsourcing. The study is based on an analysis of 500 articles about backsourcing and 33 articles in the final data set. The results show that backsourcing is primarily caused by: increased costs, lack of quality, and contract problems in the private sector, along with loss of control, cost saving, and changed strategy in the public sector. The study's synthesis highlights three explanations for how backsourcing is managed and interpreted in both the sectors. The article contributes specifically to summarizing current research on backsourcing, synthesizing how backsourcing has been studied, illustrating gaps in the research, as well as explaining relevant differences between private and public backsourcing.
|
|
| 15. |
- Berlin, Johan, 1975, et al.
(författare)
-
Balans eller nonchalans? - En studie av kommuner som beviljats extra finansiellt stöd av staten.
- 2003
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- De ekonomiska problemen i kommunsektorn kring sekelskiftet ledde fram till ett system för extra stöd till kommuner i särskilt bekymmersamma situationer. Stödet söks hos den statliga kommundelegationen (”kommunakuten”) som för att bevilja detta stöd kräver motprestationer i form av ekonomisk sanering. I tidigare undersökningar har ekonomicheferna i de kommuner som beviljats bidrag tillfrågats om orsakerna till att kommunen hamnat i denna situation. I rapporten testas ett statistiskt material på deras föreslagna förklaringar. I den slutliga analysen visas att orsaken bäst förklaras av variationer i nettokostnader. Bakom kostnadsvariationerna ligger demografiska förhållanden som befolkningsminskning, invånarantal och andel äldre. Flera av ekonomichefernas föreslagna förklaringar till den svåra ekonomiska situationen har inte gått att belägga i den statistiska analysen. I rapporten förs även en diskussion om att det finns en risk för att kommuner visar upp de egenskaper som omgivningen förväntar sig av dem. På så sätt bildas en institution för vad som präglar en ”fattig kommun”. Detta förhållningssätt kan gälla i synnerhet när det är politiskt svårt att driva igenom kostnadsminskningar. Avslutningsvis problematiseras kommunernas situation utifrån olika fokus på rättvisa samt hur balansen mellan kostnader och intäkter tar sig uttryck i fyra fiktiva situationer.
|
|
| 16. |
|
|
| 17. |
|
|
| 18. |
- Berlin, Johan, 1975, et al.
(författare)
-
Blåljusorganisationer på olycksplatsen. - Om samverkansminimering
- 2009
-
Ingår i: Petra Adolfsson & Rolf Solli (Red). Offentlig sektor och komplexitet. Om hantering av mål, strategier och professioner.. - Lund : Studentlitteratur. - 9789144057804 ; , s. 59-79
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 19. |
|
|
| 20. |
|
|
| 21. |
|
|
| 22. |
|
|
| 23. |
|
|
| 24. |
|
|
| 25. |
- Berlin, Johan, 1975-, et al.
(författare)
-
Chefers strategier för att implementera samverkan
- 2016
-
Rapport (refereegranskat)abstract
- Den här studien handlar om interorganisatorisk samverkan inom vård och omsorg. Här studeras vilka strategier som första och andra linjens kommunala chefer använder för att få till stånd en fungerande samverkan. Hur ser hindren ut och vilka strategier och överväganden gör cheferna för att övervinna dem. Den fråga som därför behandlas i denna rapport är; vilka strategier an-vänder kommunala chefer inom vård och omsorg för att implementera samverkan? I studien har data samlats in genom att 21 chefer inom vård och omsorg intervjuats. De chefer som medverkat i studien har alla varit verksamma i kommuner som deltagit i det Nationella kommunforskningsprogrammet, vilka är Borås, Göteborg, Lund, Norrköping, Piteå, Sjöbo och Stockholm. I studien har tre centrala iakttagelser gjorts. Dessa handlar om; 1) att cheferna väljer en form av situationsanpassad strategi beroende på vad sam-verkan har för syfte och med vilka aktörer som samverkan ska genomföras, 2) att cheferna behöver hantera den upplevda intressekonflikten som finns mellan att ta ansvar för den "egna verksamheten" samtidigt som de förväntas ta ansvar för samverkan med andra organisationer och 3) att cheferna har svårt att hantera sitt chefsansvar vid samverkan. Samverkan där linjestyrningen utmanas eller kompletteras med horisontell styrning är lösare reglerad vilket kan leda till oklar ansvarsfördelning och diffus arbetsdelning. Här kan chefer behöva tillägna sig andra uttryck för att utöva sitt ledarskap då den traditionella chefsrollen inte är lika väl anpassad till styrning vid samverkans-situationer.
|
|
| 26. |
|
|
| 27. |
- Berlin, Johan, 1975-, et al.
(författare)
-
Collaboration Exercises : the lack of collaborative benefits
- 2014
-
Ingår i: International Journal of Disaster Risk Science. - : Springer Science and Business Media LLC. - 2095-0055 .- 2192-6395. ; 5:3, s. 192-205
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this paper is to study what professional emergency personnel learn during collaboration exercises and the benefits of what they have learned. Observations (n=19) and semistructured interviews (n=32) were carried out in conjunction with major exercises held in Sweden (2007–2012). The results show that exercises tend to be based on its own logic, which differs from actual events. Exercise participants believe that they mainly learn single-track, parallel and path-dependent behavior. The exercises do not facilitate the use of cross-boundary activities. This means that learning as well as benefits of the exercises for actual events is limited. The exercises would be more appropriate if those participating had the opportunity to identify weaknesses, try alternative ways as well as had the opportunity to have comprehensive organizational analyses at the conclusion of the exercises. Based on the results of the study, alternative models for the exercises are suggested that contain elements, which develop collaboration and contribute to learning.
|
|
| 28. |
- Berlin, Johan, 1975-
(författare)
-
Common incentives for teamwork : the unspoken contract´s significance
- 2014
-
Ingår i: Team Performance Management. - 1352-7592 .- 1758-6860. ; 20:1/2, s. 65-80
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose - The purpose of this article was to identify and study common incentives for teamwork.Design/methodology/approach - The study was designed as a case study. The case consists of teamwork at a univer-sity hospital. At the hospital, ten psychiatric teams were studied for a period of four years (2008-2011). Each team was followed for 12–18 months. Data were collected through interviews (n = 48) and observations (n = 52) of the teamwork at treatment conferences.Findings - The common incentives identified consist of shared responsibility, appreciation and long-sightedness. The incidence of a silent contract is highlighted as an explanation for the team's cohesion.Research limitations/implications - The study is conducted in a public organisation within one field. The results should therefore be interpreted with some caution.Practical implications - The study is useful for practitioners to understand the importance of common incentives as a collective driving force. By developing well-adapted common incentives, the practical work can be developed, refined and improved.Originality/value - The significance of common incentives and the unspoken contract in the team is identified.
|
|
| 29. |
- Berlin, Johan, 1975-, et al.
(författare)
-
Cultural camouflage : a critical study of how artefacts are camouflaged and mental health policy subverted
- 2015
-
Ingår i: International Journal of Health Planning and Management. - : Wiley. - 0749-6753 .- 1099-1751. ; 30:2, s. 111-126
-
Tidskriftsartikel (refereegranskat)abstract
- This study identifies hidden artefacts in a public organisation. In contrast to earlier studies, itfocuses on artefacts as concealing rather than conveying meaning. Negligent behaviour causedby an unpopular culture was recognised in five psychiatric wards at a Swedish universityhospital. Data comprising observations (87 h) and interviews (n = 60) were collected over aperiod of 48months (2008–2011). Four different items used in everyday work representing adeeper meaning of the organisation were identified during the observations. The items selectedwere work attire, nametags, keys and restraint beds. These were considered particularly promisingwhen it came to the aim of the study, namely, to find out how artefacts are camouflaged. Theobservations and the interviews revealed that these were controversial and contested artefacts inthe organisation. The study uses the term ‘cultural camouflage’ for behaviour that ignores andconsciously conceals symbols that have negative values. This concept contrasts with previousresearch that shows how artefacts are emphasised and how they contribute to the character ofthe activity in a transparent way. Conservative and backward-looking behaviour among staffprovided one explanation as to why artefacts were concealed. Another was the need to establishharmonious internal interactions.
|
|
| 30. |
|
|
| 31. |
|
|
| 32. |
|
|
| 33. |
- Berlin, Johan, 1975-
(författare)
-
Doctors’ functional leadership inpsychiatric healthcare teams : a reversible leadership logic
- 2015
-
Ingår i: Team Performance Management. - London. - 1352-7592 .- 1758-6860. ; 21:3/4, s. 159-180
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper was to study how psychiatric doctors practise leadership in multidisciplinary healthcare teams. The paper seeks to answer the question: How do psychiatric doctors lead multidisciplinary teams during treatment conferences?Design/methodology/approach: Six psychiatric teams were studied at a university hospital. Each team was observed over a period of 18 months, and data were collected during four years (2008-2011). Data were collected through interviews with doctors (n19) and observations (n30) of doctors’ work in multidisciplinary psychiatric teams.Findings: Doctors in a multidisciplinary team use either self-imposed or involuntary leadership style. Oscillating between these two extremes was a strategy for handling the internal tensions of the team.Research limitations/implications: The study was a case study, performed during treatment conferences at psychiatric wards in a university hospital. This limitation means that there is cause for some caution in generalising the results.Practical implications: The results are useful for understanding leadership in multidisciplinary medical teams. By understanding the reversible logic of leadership, cooperation and knowledge sharing can be gained, which means that a situation of mere peaceful coexistence can be avoided. Understanding the importance of the informal contract makes it possible to switch leadership among team members. A reversible leadership with an informal contract makes the team less vulnerable. The team’s professionals can thus easily handle dif cult situations and internal tensions, facilitating leadership and management of multidisciplinary teams.Originality/value: Doctors in multidisciplinary psychiatric teams use reversible leadershiplogic.
|
|
| 34. |
|
|
| 35. |
- Berlin, Johan, 1975-
(författare)
-
Ekonomicheferna nöjda med delegationsordningen
- 2010
-
Ingår i: Nästan som det brukar vara. - Göteborg : Kommunforskning i Västsverige (KFi). - 9789197905206 ; , s. 47-52
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 36. |
|
|
| 37. |
- Berlin, Johan, 1975, et al.
(författare)
-
Etnografiska observationer
- 2009
-
Ingår i: Kommunal Ekonomi och Politik. - Lund : Studentlitteratur. - 1402-8700. ; 13:4, s. 65-68
-
Recension (övrigt vetenskapligt/konstnärligt)
|
|
| 38. |
- Berlin, Johan, 1975, et al.
(författare)
-
Exploring the psychometric properties of the externalizing spectrum inventory-brief form in a Swedish forensic psychiatric inpatient sample
- 2023
-
Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 23:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background The Externalizing Spectrum Inventory-Brief Form (ESI-BF) [1] is a 160-item self-report instrument designed for the assessment of externalizing psychopathology, yet few studies to date have evaluated its psychometric properties, structural fit, and criterion validity in forensic psychiatric settings. Methods Here, we investigated these aspects in a sample of forensic psychiatric inpatients (n = 77) from a maximumsecurity forensic psychiatric hospital in Sweden. We firstly investigated the reliability. Secondly, using confirmatory factor analysis, the structure of the ESI-BF. And thirdly, using a Bayesian approach, assessed how the three ESI-BF subfactors relate to criterion measures of antisocial behaviors, substance use, and lifetime externalizing spectrum diagnoses. Results The ESI-BF demonstrated good to adequate reliability and internal consistency, with all but four facet scales exhibiting a and. values = 0.80. Average inter-item correlations for the facet scales ranged from 0.31 to 0.74. However, all structural models exhibited poor to mediocre fit, with model fit values for the CFI being 0.66, 0.79 and 0.87 and RMSEA values of 0.14, 0.12 and 0.09. for the unidimensional correlated factors and bifactor model, respectively. Regarding criterion validity, all subscales of the item-based ESI-BF three-factor model exhibited robust correlations with the Life History of Aggression total, aggression and antisocial/consequences subscales, with correlations ranging from 0.29 to 0.55. All ESI-BF subfactors demonstrated robust associations, yet with different externalizing outcomes, lending tentative support to its criterion validity. Conclusion Despite remaining ambiguities regarding its structural fit, the ESI-BF may be promising for assessing externalizing psychopathology in forensic psychiatric populations. However, further investigation of the ESI-BF is needed before any firm conclusions can be drawn about its appropriateness in forensic psychiatric settings.
|
|
| 39. |
- Berlin, Johan, 1975-
(författare)
-
Flexibilitet eller kontroll? : Om regler, rutiner och ansvar
- 2011. - 1:1
-
Ingår i: Mot svårare tider. - Göteborg : Kommunforskning i Västsverige (KFi). - 9789197905299 ; , s. 40-46
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Sammantaget ger ekonomicheferna uttryck för att de har ett tämligen gottinflytande över frågor som handlar om regelverk, normer, organisationsstrukturoch graden av delegation. Med tanke på att den totala svarsfrekvensenuppgår till 77 procent kan vi uttala oss tämligen väl om de undersökta tjänstemännensuppfattningar. Detta reser en rad intressanta frågor. Vilken gradav frihet och delegering är lämplig i en kommun? Hur ska man balanserakontroll, insyn och transparens mot ökade administrativa kostnader? Hurska man väga demokrati mot effektivitet? Frågan om graden av delegering handlar om en löpande avvägning mellanflexibilitet och kontroll. Frågan är vad som ska prioriteras mest i vilket lägeoch vilka delar som ska prioriteras på bekostnad av annat? Var betoningeni dessa frågor ska ligga är föremål för en ständig pendelrörelse över tid. Ibland betonas flexibilitet och i andra lägen kontroll. Detta hänger nära ihopmed kommunens regler, rutiner och ansvarstagande.
|
|
| 40. |
|
|
| 41. |
- 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.
|
|
| 42. |
|
|
| 43. |
- Berlin, Johan, 1975, et al.
(författare)
-
How do street-level bureaucrats manage high workloads? Collegial mechanisms at the organisational level—experiences from public healthcare organisations
- 2022
-
Ingår i: European Management Review. - : Wiley. - 1740-4754 .- 1740-4762. ; 19:2, s. 299-312
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to understand and explain how street-level bureaucrats manage high workloads in public healthcare organisations. Data was collected through observations, interviews and documents. The results show that high workloads are reduced through use of collegial mechanisms at the organisation level. The study shows that workloads are reduced in a two-step process, the first is a negotiation between professionals and the second in the meeting with patients. The two-step process explains the limitation problems in more detail and makes an important contribution by explaining how high workloads are reduced in public health services.
|
|
| 44. |
- Berlin, Johan, 1975-
(författare)
-
How doctors practice teamleadership
- 2014
-
Konferensbidrag (refereegranskat)abstract
- Purpose: The overall purpose of the article was to study how doctors practise leadership in multidisciplinary teams. The article seeks to answer the question: Which approach do doctors use to lead multidisciplinary psychiatric teams?Methodology: Six psychiatric teams were studied at a university hospital. Each team was followed for eighteen months. Data were collected during a period of four years (2008–2011). Data were collected through interviews with doctors (n = 19) and observations (n = 30) of doctors’ work in a multidisciplinary psychiatric team.Findings: Doctors in a multidisciplinary team use either self-imposed or involuntary leadership. Oscillating between these two extremes is called reversible leadership.Research limitations: The study was performed at a psychiatric ward during treatment conferences in a university hospital. This limitation means that there is cause for some caution in interpreting the results.Practical implications: The results are useful for understanding leadership in multidisciplinary teams within the health and medical care system. The reversible leadership means that doctors can more easily oscillate from difficult situations and deal with internal tensions, facilitating leadership and management of the multidisciplinary team in the intended direction.Originality / value: Doctors in multidisciplinary psychiatric teams use reversible leadership.
|
|
| 45. |
|
|
| 46. |
- Berlin, Johan, 1975
(författare)
-
Inflytande och delegation
- 2008
-
Ingår i: Kapacitet att möta förändrade förutsättningar? På väg in i krisen. - Göteborg : Kommunforskning i Västsverge (KFi). - 9789197750233 ; , s. 60-63
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 47. |
- Berlin, Johan, 1975, et al.
(författare)
-
Involuntary backsourcing in the public sector ‐ From conflict to collaboration
- 2022
-
Ingår i: Public Administration. - : Wiley. - 0033-3298 .- 1467-9299. ; 100:3, s. 674-691
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to contribute to the literature on how involuntary backsourcing in public organisations is performed in practice and how it affects the relationship between principal and agent. The study focuses on two questions; 1) Which stages characterise the process when public contracts are involuntary terminated? 2) How does involuntary backsourcing affect the relationship between principal and agent during the transfer period? The study's case concerns public backsourcing in Sweden, in particular, how a metropolitan municipality manages involuntary backsourcing. This study provides in‐depth insights into backsourcing and its practice, as well the degree to which the conflict dimension between the parties is affected. The study shows ‐ paradoxically ‐ that the relationship between principal and agent during the transition phase is characterised by dependence, mutual exchange of information, collaboration and less conflict. The study contributes to developing the theory of backsourcing, particularly the behaviour that is played out between principal and agent in the transition stage. The findings identify the need for public organisations which make outsourcing decisions to have contingency plans for bringing operations back in‐house.
|
|
| 48. |
- Berlin, Johan, 1975-, et al.
(författare)
-
Learning and usefulness of collaboration exercises : A study of the three level collaboration (3LC) exercises between the police, ambulance and rescue services
- 2015
-
Ingår i: International Journal of Mass Emergencies and Disasters. - 0280-7270. ; 33:3, s. 428-467
-
Tidskriftsartikel (refereegranskat)abstract
- In this article, we studied collaboration exercises (3LC) between the rescue services, ambulance services, and police force, which were developed to enhance learning and usefulness. The exercises’ structure was based on identified deficiencies in previous collaboration exercises. The purpose was to test the exercise model in terms of learning and usefulness. Ten 3LC exercises were observed. A total of 65 semi-structured interviews were conducted (2011–2014) in connection with the exercises. The exercises contained across-boundary elements, seminars, and interactive documentation. The participants were given the opportunity to discuss, analyze, and critically reflect on their efforts. During the seminars, the individual actions were analyzed, which led to alternative strategies that were subsequently tested in a repeated exercise. Our results demonstrate that repetitive features and seminars during collaboration exercises promote learning toward an organic behavior and usefulness in the actual incident work.
|
|
| 49. |
- Berlin, Johan, 1975-
(författare)
-
Ledarskap och beslutsfattande i psykiatriska team : om sammanhållning, sortering och kontroll
- 2015. - 1
-
Bok (övrigt vetenskapligt/konstnärligt)abstract
- Den här studien handlar om ledarskap och beslutsfattande i psykiatriska team. För att hantera hälso- och sjukvårdens gränsöverskridande arbete har teamarbete använts som arbetsform.Det övergripande syftet med studien har varit att studera hur ledarskap och beslutsfattande tillämpas i psykiatriska team. De frågor som behandlas är; att beskriva och skapa förståelse för hur ledarskap i psykiatriska team tillämpas, att beskriva och skapa förståelse för hur beslutsfattande i psykiatriska team tillämpas, att förklara varför eventuella skillnader finns mellan prat och praktik, samt att förklara varför teamarbete tillämpas i psykiatrin.Studiens teoretiska referensram utgår ifrån de utmaningar som uppstår när teamarbete ska organiseras i en multiprofessionell kontext. I studien tas beslutsteori, ledarskapsteori och nyinstitutionell teori till hjälp för att länka ihop och ge förklaringar till professionernas handlingsmönster.Studiens data har samlats in 2008-2011 genom intervjuer, observationer och dokumentstudier. Totalt består studien av 101 intervjuer med 111 informanter. Observationer har gjorts i 10 team vid 132 tillfällen under totalt 230 timmar. Vid observationerna har fokus varit på det teamarbete som utförts vid behandlingskonferenser.Studien visar: 1) att det finns ett informellt kontrakt i teamen som styr vem som gör vad i olika situationer, 2) att läkarna tillämpade ett reversibelt ledarskap som gjorde att de växlade mellan det ofrivilliga och det självpåtagna, 3) att teamen använde beslutsnormer som styrdes av situationsspecifika mikrokoder, 4) att det fanns en episodisk kultur som minskade drivkraften att ge en förebyggande och långsiktig behandling, 5) att teamarbete användes för att ge möjlighet till sammanhållning, sortering och kontroll samt 6) att det inte fanns någon strävan efter perfektion i beslutsfattandet, istället nöjde sig teamen med en acceptabel nivå som alla kunde enas om.
|
|
| 50. |
|
|
