| 1. |
- Corvellec, Hervé, et al.
(författare)
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Organisationers vardag : sett underifrån
- 2004
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Denna bok bygger på berättelser från vardagen ute i olika organisationer. Berättelserna är skrivna av unga människor och speglar deras kontakter med arbetslivet i dagens Sverige. Varje kapitel inleds med en översikt av modeller och begrepp med anknytning till kapitlets tema. Sedan följer ett antal berättelser och efter varje berättelse ger författarna en kort kommentar.
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| 2. |
- Holmberg, Leif, 1943-
(författare)
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Coach, consultant or mother : supervisors' views on quality in the supervision of bachelor theses
- 2006
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Ingår i: Quality in Higher Education. - 1353-8322 .- 1470-1081. ; 12:2, s. 207-216
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Tidskriftsartikel (refereegranskat)abstract
- This study is about what supervisors perceive as crucial aspects of quality in supervising students writing their bachelor theses. The questions on quality are related to a scientific perspective, a learning perspective, a societal perspective and a social perspective. The study demonstrates that the criteria on science varied considerably, despite the supervisors being in a single discipline area. There is also marked variation in views of the relation between science and practice and different supervisors expressed variations in their conception of competence. Furthermore, supervisors perceive their own role as senior researchers or senior consultants, and sometimes also in the supporting role of "deputy mother." The conclusion is that the supervisors seem to have a marked lack of understanding of the differences between them in undertaking their role. A main reason for this seems to be the lack of a common theoretical frame of reference. Due to a lack of communication, possible problems related to different perceptions of understanding the task may remain hidden or at least be neglected and underestimated.
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| 3. |
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| 4. |
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| 5. |
- Holmberg, Leif, 1943-
(författare)
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Forskare, consult eller morsa : handledares uppfattning om kvalité vid handledning av examensuppsatser
- 2006
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Studier av handledarrollen har visat på betydande skillnader mellan olika handledare. Framförallt har bristen på gemensam teoretisk referensram uppfattats som en väsentlig anledning till skillnaderna. I den här studien undersöks hur olika handledare vid en företagsekonomisk institution förstår sin arbetsuppgift dels med utgångspunkt från sina tidigare olika erfarenheter, dels med utgångspunkt från sin uppfattning av vad som de anser väsentliga aspekter på kvalité i handledningssituationen. De aspekter på begreppet kvalité som använts är vetenskaps-, lärande-, samhälls- och social kvalité. Resultatet visar på att de olika individuella meningsskapande processerna i huvudsak kan hänföras till två olika underförstådda referensramar som baseras på handledarens syn på den primära uppgiften att dana forskare eller konsulter. Samtidigt ser de sin egen handledarroll i samma termer d.v.s. som seniorforskare eller seniorkonsult – och ibland också i en så stödjande roll att de kan uppfattas som stormorsa.
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| 6. |
- Holmberg, Leif, 1943-
(författare)
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Municipal management cooperation : managing multiple rationalities
- 2010
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Ingår i: Interdisciplinary Studies Journal. - 1799-2702. ; 1:1, s. 27-36
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Tidskriftsartikel (refereegranskat)abstract
- Multiple rationality organizations are characterized by the simultaneously incorporation of different kinds of logic and control systems. They have to provide not only for efficiency but also to comply with e.g. ideal of fairness, sportsmanship, equal rights, and aesthetic values. Elite sport clubs, theatres, and several municipality activities are examples of organizations that have to cope with multiple rationalities. These organizations are often governed through a combination of political and administrative control systems. They cope mainly by decoupling activities and reinterpret the situations but this often leads to paradoxes.
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| 7. |
- Holmberg, Leif, 1943-
(författare)
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Problem perception, technology and effectiveness in medical practice
- 2013
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Ingår i: Journal of Evaluation In Clinical Practice. - 1356-1294 .- 1365-2753. ; 19:5, s. 868-874
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Tidskriftsartikel (refereegranskat)abstract
- Rationale, aims and objectives Evidence-based medicine and clinical guidelines have been found difficult to implement in the clinical practice – mainly because lack of evidence quality and guidelines that, generally, do not account for variations in the medical cases. Variation in the medical cases enhances task uncertainty and uncertainty seems to be further enhanced through clinical guidelines. In this article, concept development is attempted, where task uncertainty is classified into a few medical problem-solving processes according to differences in medical technology and in the (initial) perception of the medical problem. Furthermore is argued the need for using different strategies in evaluating performance quality in medical health care depending on the variation in the degree of task uncertainty.Method Qualitative data about medical activities related to certain diseases are used to exemplify problem-solving processes representing different types of task uncertainty.Results It is argued that the main characteristics of medical problem-solving processes vary according to differences in medical technology and perception of perceived medical problem. Four main medical problem-solving processes are defined and demonstrated through empirical examples.Conclusion What may be regarded as rational behaviour is different for each type of problem-solving processes. Consequently, the processes need different organizational settings and need to be evaluated according to different criteria. Furthermore, from a practical point of view, development and education related to problem perception would seem as important as development of medical technology.
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| 8. |
- Holmberg, Leif, 1943-
(författare)
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Professional or administrative value patterns? : clinical pathways in medical problem-solving processes
- 2007
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Ingår i: Health Services Management Research. - 0951-4848 .- 1758-1044. ; 20:4, s. 238-243
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Tidskriftsartikel (refereegranskat)abstract
- A health-care organization simultaneously belongs to two different institutional value patterns: a professional and an administrative value pattern. At the administrative level, medical problem-solving processes are generally perceived as the efficient application of familiar chains of activities to well-defined problems; and a low task uncertainty is therefore assumed at the work-floor level. This assumption is further reinforced through clinical pathways and other administrative guidelines. However, studies have shown that in clinical practice such administrative guidelines are often considered inadequate and difficult to implement mainly because physicians generally perceive task uncertainty to be high and that the guidelines do not cover the scope of encountered deviations. The current administrative level guidelines impose uniform structural features that meet the requirement for low task uncertainty. Within these structural constraints, physicians must organize medical problem-solving processes to meet any task uncertainty that may be encountered. Medical problem-solving processes with low task uncertainty need to be organized independently of processes with high task uncertainty. Each process must be evaluated according to different performance standards and needs to have autonomous administrative guideline models. Although clinical pathways seem appropriate when there is low task uncertainty, other kinds of guidelines are required when the task uncertainty is high.
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| 9. |
- Holmberg, Leif, 1943-
(författare)
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Professional or administrative value patterns : clinical pathways in medical problem-solving processes
- 2007
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- A health care organization simultaneously belongs to two different institutional value patterns: a professional and an administrative value pattern. At the administrative level medical problem-solving processes are generally perceived as the efficient application of familiar chains of activities to well-defined problems; and a low task uncertainty is therefore assumed at the work-floor level. This assumption is further reinforced through clinical pathways and other administrative guidelines. However, studies have shown that in clinical practice such administrative guidelines are often considered inadequate and difficult to implement mainly because physicians generally perceive task uncertainty to be high and that the guidelines do not cover the scope of encountered deviations. The current administrative level guidelines impose uniform structural features that meet the requirement for low task uncertainty. Within these structural constraints physicians must organize medical problem-solving process to meet any task uncertainty that may be encountered. Medical problem-solving processes with low task uncertainty need to be organized independently of processes with high task uncertainty. Each process must be evaluated according to different performance standards and needs to have autonomous administrative guideline models. Although clinical pathways seem appropriate when there is low task uncertainty, other kinds of guidelines are required when the task uncertainty is high.
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| 10. |
- Holmberg, Leif, 1943-, et al.
(författare)
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Sustainable effectiveness in (public) service production
- 2013
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Ingår i: 22nd Nordic Academy of Management Conference held at University of Iceland, Reykjavík, 21-23 August, 20132013On Practice and Knowledge Eruptions.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 11. |
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| 12. |
- Holmberg, Leif, 1943-
(författare)
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Task uncertainty and rationality in medical problem solving
- 2006
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Ingår i: International Journal for Quality in Health Care. - 1353-4505 .- 1464-3677. ; 18:6, s. 458-462
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Tidskriftsartikel (refereegranskat)abstract
- ISSUE: Medical problem-solving situations are characterized by various degrees of 'task uncertainty'--i.e. uncertainty related to the definition of a problem, the effect of a technology, the value of a solution, and so on. The need for professional discretion varies and depends on the degree of perceived task uncertainty. SUGGESTED SOLUTION: In this report it is argued that, in order to obtain rationality in problem-solving processes, differences in the degree of task uncertainty need to be met by variation in the structure of the health care organization. IMPLICATIONS: The main implications of this view are that (under norms of rationality) problem-solving processes with low task uncertainty must be organized in one way and processes with high task uncertainty in another. Furthermore, processes with high and low task uncertainty also need to be evaluated according to different standards. Some hypotheses regarding the different organizational requirements are presented.
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| 13. |
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| 14. |
- Jakobsson, Liselotte, 1953-, et al.
(författare)
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Individual personal relations : effects on service quality
- 2011
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Ingår i: International Journal of Health Care Quality Assurance. - 0952-6862 .- 1758-6542. ; 24:6, s. 430-440
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The purpose of this paper is to study patients' attitudes to nurses and investigate what hampering factors occur in the actual nursing situation and what patient features might affect cooperative climates. DESIGN/METHODOLOGY/APPROACH: In-depth interviews were conducted with 11 male inpatients suffering prostate cancer. The interviews were personal narrations based on open-ended questions. The theoretical basis is founded in sense-making, trust and competence. FINDINGS: Existential issues related to nursing care were interpreted by nurses as a need for (technical) information. However, respondents indicated a need for professional support regarding their whole life. The social climate seems not to be optimal for existential talk owing to hospital routines. Patients' personal traits also affect the propensity to cooperation, and three types were distinguished: cooperating patients; passive patients; and denying patients. Nurses' competence may be regarded as hierarchical levels from optimising single items, over system optimisation and to optimisation from the patient perspective. The study indicates that not even first-level requirements are met. RESEARCH LIMITATIONS/IMPLICATIONS: Only patients' views were studied. Nurses' perceptions would add additional insights. Lack of personal relations and cooperation between patient and nurse may decrease service quality. Patient attitudes seem to be a major obstacle. For some patients, passively receiving technical information may be an excuse for not wanting to participate in mutual sense-making. The supposed need for technical information may also be an excuse for nurses to avoid more sensitive issues. ORIGINALITY/VALUE: Better quality of care involves changing patient perceptions and attitudes to what constitutes nursing competence.
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| 15. |
- Jakobsson, Liselotte, 1953-, et al.
(författare)
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Quality from the patient's perspective : a one-year trial
- 2012
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Ingår i: International Journal of Health Care Quality Assurance. - 0952-6862 .- 1758-6542. ; 25:3, s. 177-188
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - Purpose - To study how changing information routines might influence patients’ service quality perceptions. A secondary aim was to test an instrument’s everyday feasibility for healthcare quality assessment.Design/methodology/approach - Patients often show high grade satisfaction with general care although they display dissatisfaction with information they receive. A questionnaire survey is used to establish pa-tients’ satisfaction with an intervention consisting of introducing standardized guidelines for nursing performance and information provision. Patient satisfaction was assessed through a standardized questionnaire: ‘Quality from the Patient’s Perspective’ (QPP). A cross sectional interventional survey was applied to patients from gynaecological and haematological wards (n=71). A comparison group was used (n=67). Patients were given the questionnaire when their diagnosis was confirmed, after six months and 12 months. Data were collected succes-sively over 36-months.Findings - Findings - The study group showed an increased satisfaction with information from nurses (p=0.001) but not physicians. However, patients tended to put greater emphasis on socio-cultural issues than information and some kind of cooperation seemed to represent high qual-ity from the patient’s perspective.Research limitations/implications - Limitations – Successively lower response rate, mainly owing to cancer patients’ deteriorating medical conditions.Practical implications - Implications for research, practice and/or society –The study seems to verify the concor-dance model’s relative merits and that the softer side of care appears to be more important to patients than specific improvements regarding informationOriginality/value - Value - Result confirm that patients’ satisfaction with information had implications for overall quality; but social issues seemed more important and enhancing quality is best achieved through participation and cooperation.
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| 16. |
- Rudenstam, Nils-Gunnar, 1950-, et al.
(författare)
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Inter-organizational cooperation : a rehabilitation project based on cooperation between health care and three social service agencies
- 2014
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Ingår i: Health. - 1949-4998 .- 1949-5005. ; 6:5, s. 342-349
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Cooperation between organizations is an often-suggested remedy for handling unsolved borderland problems. However, actual projects aiming at cooperation are seldom very successful. The purpose here is to highlight obstacles related to cooperation between different organizations based on a case study of a rehabilitation project where health care and several social service organizations (social insurance, social welfare, and the local employment agency) were involved. Data were gathered through participation and interviews. Findings: It seems that efficient cooperation requires an understanding of the participating organizations’ differences in work logic as well as work practices. Furthermore, only certain fairly standardized “normal” problems may be handled through organized cooperation while non-routine exceptional problem requires a more fully integrated work organization. Implications: Obstacles to cooperation are highlighted and ways to improve the possibilities of cooperation between organizations are suggested although such possibilities are generally hampered by differences in work logic.
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