| 1. |
- Andersson, Thomas, et al.
(författare)
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Does patient-centred care mean risk aversion and risk ignoring? : Unintended consequences of NPM reforms
- 2012
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Ingår i: International Journal of Public Sector Management. - : Emerald Group Publishing Limited. - 0951-3558 .- 1758-6666. ; 25:4, s. 260-271
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – This article aims to describe and analyze the results of efforts to improve patient-centered care (PCC) in psychiatric healthcare.Design/methodology/approach – Using the methodology of a qualitative case study, the authors studied three Swedish child and adolescent psychiatric care (CAP) units in order to describe how patient-centered actions are performed. They conducted 62 interviews, made 11 half-day observations, and shadowed employees for two days.Findings – The article shows that the increased focus on accountability for unit performance and medical risks results in unintended consequences. The patient’s medical risk is transformed to a personal risk for the psychiatrist and the resource risk is transformed to a personal risk for the unit manager. Patients become risk objects for both psychiatrists and unit managers, which creates an alignment between them to try to send patients elsewhere. New public management (NPM) reforms may consequently lead to the institutionalization of unintended healthcare practices.Practical implications – The article shows that accountability pressure to reduce patient risk may create new risks for patients.Originality/value – The study uses theoretical concepts of risk tradeoffs (risk substitution and risk transformation), which were developed for the macro level, to explain the unintended consequences of NPM reforms at the micro level.
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| 2. |
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| 3. |
- Andersson, Thomas, et al.
(författare)
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Medarbetarskap, professioner och samarbeten
- 2012
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Ingår i: I Dellve, L. (red) Studiematerial: Hållbart chefskap i hälso- och sjukvården med vinjetter om engagemang, stress, tidsanvändning, medarbetarskap och vårdpraktik, Göteborg: Västra Götalandsregionen och Göteborgs universitet..
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Andersson, Thomas, et al.
(författare)
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Multiprofessional cooperation and accountability pressures. Consequences of a post-new public management concept in a new public management context
- 2012
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Ingår i: Public Management Review. - : Informa UK Limited. - 1471-9037 .- 1471-9045. ; 14:6, s. 835-855
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Tidskriftsartikel (refereegranskat)abstract
- This article examines how multiprofessional healthcare teams, working as a post-New Public Management (post-NPM) reform, respond to accountability pressure resulting from the implementation of NPM reforms. The team members use three strategies to respond to this pressure: responsibility avoiding that results in conflict; responsibility ignoring that results in parallel work and responsibility sharing that results in cooperation. Depending on how the professionals respond to different contextual factors, the choice of strategies can either foster or inhibit cooperation in multiprofessional teams. Achieving holistic patient care is threatened when accountability pressure increases for teams that have not yet developed their internal routines of cooperation.
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| 5. |
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| 6. |
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| 7. |
- Arman, Rebecka, 1976, et al.
(författare)
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The hierarchization of competing logics in psychiatric care in Sweden
- 2014
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Ingår i: Scandinavian Journal of Management. - : Elsevier BV. - 0956-5221. ; 30:3, s. 282-291
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Tidskriftsartikel (refereegranskat)abstract
- In many healthcare organizations, the managerial institutional logic co-exists and competes with the professional institutional logic in the day-to-day work of managers and professionals. In its examination of the relationship between these two institutional logics at three psychiatric care units for children and adolescents, this study contributes to our understanding of the theoretical concepts and their practical implications for the actor-to-actor approaches to competing institutional healthcare logics. Many earlier studies use theoretical concepts to describe this co-existence as a relatively equal relationship between the competing logics. This study, using data from interviews, observations and shadowing, reveals the existence of a process we label “hierarchization”. In this process, the managerial logic dominates the professional logic although the latter logic still co-exists and competes, albeit in a subordinate role. The study also reveals that quantification of primarily patient throughput is used to legitimize the dominant managerial logic. Such use of quantification supports the meta-trend of placing trust in numbers.
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| 8. |
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| 9. |
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| 10. |
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| 11. |
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| 12. |
- Liff, Roy, 1951, et al.
(författare)
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Attending Weak Signals: The Prevention of Work-related Illnesses
- 2017
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Ingår i: Nordic Journal of Working Life Studies. - : Det Kgl. Bibliotek/Royal Danish Library. - 2245-0157. ; 7:2, s. 49-69
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Tidskriftsartikel (refereegranskat)abstract
- This article examines the characteristics of communication among managers, human resource (HR) experts, and occupational health care specialists, as they deal with such informal information as weak signals in the prevention of work-related illnesses, using a theoretical framework in which the prevention of work-related illness is analogous to theory on crisis management. This is a qualitative study in which individual and focus-group interviews were conducted in a Swedish context with occupational health care specialists, managers, and HR experts. The results suggest that organizational solutions have failed and continue to fail at controlling workers’ health problems, although the main difficulty is not in identifying the ‘right’ individually oriented weak signals. Rather, it is upper management’s reliance on formal information (e.g., statistics and surveys) – because of the difficulty in supplementing it with informal information (e.g., rumors and gossip) – that makes it difficult to improve traditional health and safety work.
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| 13. |
- Liff, Roy, 1951, et al.
(författare)
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Effektivt teamarbete eller fredlig samexistens?
- 2016
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Ingår i: Team i vård, behandling och omsorg. Erfarenheter och reflektioner. - Lund : Studentlitteratur AB. - 9789144107691 ; , s. 135-162
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Bokkapitel (refereegranskat)
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| 14. |
- Liff, Roy, 1951, et al.
(författare)
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Expertgruppers samarbete med linjechefer
- 2017
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Ingår i: ISM rapport nr 19: Hälsofrämjande och förebyggande arbetsmiljöinsatser genom nya samarbetsformer. - 9789197924795 ; , s. 37-58
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 15. |
- Liff, Roy, 1951, et al.
(författare)
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Experts' contribution to strategy when strategy is absent. A case study of quality experts in hospitals
- 2021
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Ingår i: Public Management Review. - : Informa UK Limited. - 1471-9037 .- 1471-9045. ; 23:9
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates how new categories of experts can contribute to strategy development in public organizations. Interplay between managers and experts was analysed using principal-agent theory, stewardship theory, and partnership theory, each assigning the experts different kinds of strategic contribution. Results show that experts may contribute to an iterative and emergent strategy process as stewards through a consultative process method that lets the means guide the goals. Experts' knowledge of what other actors in the organization perceive as important guides the experts' application of the technical methods and processing.
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| 16. |
- Liff, Roy, 1951, et al.
(författare)
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Failed crisis communication: The Northern Rock Bank case
- 2018
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Ingår i: Accounting, Auditing & Accountability Journal. - 0951-3574. ; 31:1, s. 237-260
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Purpose: Although granted funding from government agencies, Britain’s Northern Rock (NR) Bank experienced a depositors’ bank run in 2007. This study explores bank managers’ and the Triparties’ communications, in their failed attempt to reassure depositors during the crisis. Design/methodology/approach: The paper is based on content analysis of information given to depositors by bank managers and the Triparties via mass media. The theoretical concepts of rituals and masking were utilized. Findings: Results suggest that nonfinancial reporting supersedes financial reporting. Rather than hidden losses, bank regulators’ and politicians’ discussions of emergency funding for NR was the crucial incident signaling “something going on”. Even positive statements by prominent organizational actors may have signaled serious problems that compromised NR’s “business as usual” stance. Practical implications: Collective action manifested in a bank run is triggered by reasons other than numbers in financial reporting. The research results indicate a need to consider how regulatory authorities act during financial crises. Originality/value: Previous studies concluded that sensegivers must be consistent in framing communication to sensemakers. Sensemaking requires that the crisis communication is also consistent in the sensemakers’ framing. Because it is difficult for sensegivers to reshape the collective sensemakers’ frame, successful crisis communication requires that sensegivers change their comummication to match the sensemakers’ frame, including symbolic actions. Additionally, a bank run is characterized first by loss of trust in financial reporting; second, in nonfinancial reporting; and, finally, in the sensegiving actor: a domino effect.
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| 17. |
- Liff, Roy, 1951, et al.
(författare)
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Fånga upp svaga signaler
- 2017
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Ingår i: ISM rapport 19: Hälsofrämjande och förebyggande arbetsmiljöinsatser genom nya samarbetsformer. - 9789197924795
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 18. |
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| 19. |
- Liff, Roy, 1951, et al.
(författare)
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Introduktion
- 2017
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Ingår i: ISM-rapport 19: Hälsofrämjande och förebyggande arbetsmiljöinsatser genom nya samarbetsformer. - 9789197924795
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 20. |
- Liff, Roy, 1951, et al.
(författare)
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Lower-status experts' influence on health-care managers' decision-making
- 2021
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Ingår i: Journal of Health Organization and Management. - 1477-7266. ; 35:9, s. 245-264
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to investigate and theoretically explain how line managers and lowerstatus experts work together in public health-care organizations. Hence, this study explores how lower-status experts influence line managers’ decision-making and task prioritizing in order to guide staff experts’ cooperation and performance improvements. Design/methodology/approach – The authors used a qualitative method for data collection and analysis of the experts’ and line managers’ explanations about their cooperation. A theoretical approach of experts’ identity positioning, in terms of differences and similarities, was used in analyzing the interaction between managers and experts. Findings – This study shows that similarities and differences in positioning acts exist simultaneously. Similarity is constructed by way of strategic and professional alignment with the line managers’ core tasks. Differences stem from the distinction between knowledge-grounded skills and professional attributes such as language, analytical tools, and jargon. Lower-status experts need to leave their entrenched positions and match the professional status of line managers in both knowledge aspirations and appearance to reach a respected approach of experts’ identity positioning. Originality/value – Unlike many previous studies, this study demonstrates that similarities and differences in positioning acts exist simultaneously.
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| 21. |
- Liff, Roy, 1951, et al.
(författare)
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Managers' assessment of thin and thick trust: The importance of benevolence in interbank relations
- 2017
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Ingår i: Scandinavian Journal of Management. - : Elsevier BV. - 0956-5221. ; 33:3, s. 151-161
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Tidskriftsartikel (refereegranskat)abstract
- This qualitative interview study investigates managers’ ongoing relationships in inter-organisational banks, examining how they assess trust in their counterparts and how they decide if the relationship should continue. In normal times, formal information can assess thin trust – the ability and integrity of their counterparts. In times of impending crisis, senior bank managers rely on the evaluation of thick personal trust: benevolence. To be a trustworthy party in a financial crisis, benevolence must be established between counterpart banks before the crisis. Benevolence is a redundant component of trust in normal times, but extremely important during a crisis. Lack of benevolence established in normal times may, in fact, be at least partially responsible for the fragility of interfirm agreements and alliances.
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| 22. |
- Liff, Roy, 1951, et al.
(författare)
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Offentliga utförarstyrelsers bidrag till strategi.
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I rapporten diskuteras om en utförarstyrelse kan inta en kontrollerande eller strategisk funktion. Frågan ställs mot bakgrund av att utförarstyrelser kan uppfattas vara den svaga länken i en styrkedja från fullmäktigeförsamlingar till tjänstemännen i den utförande verksamheten. På det sättet kommer inte styrelsens formella ansvar att matcha mot det reella inflytandet styrelsen har på verksamheten, utan styrelsen tar över ansvaret från verksamhetsledningen. I föreliggande rapport ges en förklaring till varför en styrelse får en viss funktion utifrån den påverkan formella och informella spelregler, s.k. endogena institutioner, får för politikers och tjänstemäns agerande i berednings- och beslutsprocedurer där styrelsen är involverad. Resultatet baseras på intervjuer med styrelsemedlemmar och tjänstemän med beredningsansvar, samt deltagande observation vid styrelsemöte. Studien visar att den kontrollerande funktionen i huvudsak är inriktad på beslutsunderlagets fullständighet, så att det kan klara extern granskning, men inte på tjänstemännens slutsatser och förslag till beslut. Styrelsen har en viktig stödjande funktion då presidiet representerar sjukhuset i kontakter med beställarnämnden och på det sättet påverkar sjukhusets förutsättningar att få ett uppdrag som kan motiveras för sjukhusets medarbetare. Styrelsen har dock en svagt utvecklad strategisk funktion. Det är en följd av en hegemonisk tjänstemannaberedning, ofta utifrån tjänstemännens egeninitierade ärenden, som utmynnar i att endast ett förslag framställs och går till beslut. Vidare skapar en presidieberedning en ärendeorientering i samspelet mellan övriga styrelsens politiker som inte sitter i presidiet. Det ger lite utrymme för dessa politiker till aktivt deltagande i diskussioner och beslut utifrån en samlad helhetsuppfattning om verksamhetens behov och förutsättningar för strategiutveckling. Styrelsen bidrar inte till styrkedjan genom att påverka strategiutvecklingsarbetet. Styrelsens roll i styrkedjan är i stället att bidra till att de strategier som tjänstemännen utformar kan genomföras genom en serie operativa beslut. Styrelsens roll blir på detta sätt väsentlig, men inte som tänkt i en styrkedja där politiker antas distansera sig från tjänstemannaorganisationen och utkräva ansvar av ledningen för denna. De formella och informella spelreglernas, de endogena institutionernas, betydelse för att så har blivit fallet påvisar att det är en sedan länge väl utmejslad funktion som är svår att förändra. Med dessa endogena institutioner i kraft får en icke-politisk styrelse, en s.k. professionell styrelse, svårt att ge de bidrag som den politiska styrelsen ger. En styrmodell som beställare–utförar-modellen kan inte heller förväntas påverka styrelserollen för en utförarstyrelse med de endogena institutionerna intakta.
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| 23. |
- Liff, Roy, 1951
(författare)
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Political board’s contribution to strategic management: a case study
- 2019
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Ingår i: Local Government Studies. - : Informa UK Limited. - 0300-3930 .- 1743-9388. ; 45:1, s. 43-63
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Tidskriftsartikel (refereegranskat)abstract
- © 2018, The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This study examines the support, control and strategic functions of an executive hospital political board from the perspective of how institutionalised internal procedures influence board functions. Board members and leading hospital managers were interviewed about politicians’ ways of working, managers’ preparation of decision issues and board work under the presidency model. The politicians strengthened the decision-making processes by requesting additional supporting documents, and by defending the hospital from public criticism. However, the board exercises weak strategic and control functions; it absorbs the responsibilities of the hospital managers and the upper political levels as it reaffirms its executive authority. Nonetheless, the study suggests that abolishing or replacing the board with a non-political board may not improve organisational governance. The study gives insights in politicians’ contribution to strategic public management, an aspect lacking in existing literature.
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| 24. |
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| 25. |
- Liff, Roy, 1951
(författare)
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Professionals and the New Public Management - Multi professional teamwork in psychiatric care
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study examines the cooperative work of several professions in Swedish multi-professional teams in child and adolescent psychiatric open care units in an environment of strong economic and efficiency controls resulting from the so-called New Public Management (NPM) reforms. Previous studies indicate teamwork is a network of semi-independent professionals who tend to represent their professional organisations and groups despite sharing a mutual interest in the patients. The research problem deals with finding explanations for what promotes and what hinders cooperation in a multi-professional health care team. A qualitative approach is used to study and interpret the individual professionals’ actions. Data were collected in interviews and from observations of planning and treatment discussions where it was possible to witness team members’ strategies and attitudes toward patients and their treatment. The main theoretical concepts are exogenous and endogenous institutions, boundary objects, standardised procedures, service ideal, discretionary power and professional dominance. Two NPM elements are applied: customised care and increased accountability. The study offers an actor perspective that complements the traditional cultural perspective. The latter perspective explains cooperation problems as the result of the professionals’ confusion over their expectations of themselves in their team roles and their expectations of others in their team roles. The actor perspective shows that while norms may influence cooperation, they are not determinative. Actors are aware of the institutionalised conditions, and take them into consideration; however, their actions are not determined by these conditions, nor even primarily guided by them. The determinative factor for actors’ actions is their context. Leaders and co-workers can create endogenous institutions that bridge their differences in professional norms and also bridge professional norms and NPM reforms. The institutionalised conditions are secondary factors that explain the outcome of cooperation efforts. This study offers an interpretation useful in understanding how the actors create endogenous institutions. Star and Griesemer’s theory on boundary-spanning objects does not address this aspect of cooperation. Unintended consequences of NPM reforms for patients are traditionally said to imply that NPM reforms are ill conceived and unrealistic. In the light of this study the significance of such consequences may be reinterpreted to be a possible mechanism of driving the development of the public organisation. Usually NPM reforms are regarded either destructive or harmless to professional autonomy. This is scarcely a realistic description of professionals’ long-term behaviour. This study offers co-optation as an alternative explanation, defined as the process by which actors absorb external strategic elements in their policy decisions. Co-optation of NPM reforms explains the gradual institutionalisation of NPM reforms. Research investigating professions has not dealt with the fact that multi-profession cooperation has the same character as mono-professional cooperation, to preserve collegiality through co-existence. Such professionals do not wish to challenge others’ approaches and practices; nor do they wish to learn from them. This result challenges the general idea of professional dominance in theories on professions.
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| 26. |
- Liff, Roy, 1951, et al.
(författare)
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Professioners roll i styrning av offentlig verksamhet
- 2009
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Ingår i: Adolfsson, P. & Solli, R. (red.) (2009) Offentlig sektor och komplexitet. Om hantering av mål, strategier och professioner. - Lund : Studentlitteratur. - 9789144057804 ; , s. 251-270
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 27. |
- Liff, Roy, 1951, et al.
(författare)
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Prolonged or preserved working life? Intra-organisational institutions embedded in human resource routines
- 2022
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Ingår i: Ageing and Society. - 0144-686X .- 1469-1779. ; 42:8, s. 1781-1799
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this paper is to provide an understanding of why people are still retiring earlier than would have been expected, despite policies that increase the retirement age. This is a qualitative study in a large public-service organisation in Sweden focusing particularly on how human resource routines aimed at middle management tend to inhibit the promotion of a prolonged working life, despite government efforts aimed at changing these actions. The results highlight three key routines (development talks, salary talks and internal recruitment) that inhibit prolonged working life. These routines seem rational and appropriate to the organisation's managers, because the demands of the job must have priority over employees’ capabilities in recruitment routines. Furthermore, it could be considered economically rational to prioritise salary demands of younger employees over those of older employees, and it may appear economically rational to stop further training efforts for older employees. In general, then, it seems reasonable to managers to make decisions based on objective criteria like age. Nevertheless, our results suggest that these routines may need to be redesigned in order to support a prolonged working life and to avoid a discrepancy between accepted prolonged working-life policies and the actions of organisational actors. The study further reveals how intra-organisational institutions (e.g. taken-for-granted mind-sets and norms) embedded in human resource routines may promote or inhibit prolonged working life, suggesting a need for change in those institutions.
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| 28. |
- Liff, Roy, 1951
(författare)
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Promoting cooperation in health care: creating endogenous institutions
- 2011
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Ingår i: Qualitative Research in Organizations and Management: An International Journal. - 1746-5648. ; 6:1, s. 46-63
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to investigate if a rational perspective can be used to interpret cooperation problems in a health care organisation. This perspective is proposed as a complementary perspective to the cultural perspective that dominates as an explanation of cooperation problems. The focus of the research is multiprofessional teamwork in contemporary Swedish health care. Design/methodology/approach – Four cases studies, in which the cooperation in daily work is described, are used to test the two perspectives. The cases concern the cooperative methods health care professionals use when work conditions depend upon an internal norm of mutual cooperation. Although the research is not designed to evaluate the two perspectives, it permits the rational explanations of cooperation problems to be compared with possibly cultural explanations. Findings – The investigation concludes that health care cooperation problems may be primarily explained by the rational perspective, and only secondarily by the cultural perspective. The actors can be seen as underinstitutionalised in the sense they have not yet developed the intra-organisational norms of cooperation needed for the provision of customised health care. Originality/value – The paper provides a complementary explanatory framework of cooperation problems based on actors' perceptions of their self-interests as producers. The examples of uncooperative behaviour reflect two forms of the free rider problem that Ostrom describes as a Common Pool Resource Problem. Management has to prove that cooperation is beneficial to the team members and has to promote a cooperative team spirit by instilling a common understanding of the concept of cooperation.
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| 29. |
- Liff, Roy, 1951, et al.
(författare)
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Rumours and gossip demand continuous action by managers in daily working life
- 2021
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Ingår i: Culture and Organization. - : Informa UK Limited. - 1475-9551 .- 1477-2760. ; 27:6, s. 456-475
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this qualitative study was to investigate why and how informal information such as rumours gains relevance for managers in relation to their workplace situations. The results demonstrated rumours not only played a role as a supplement to formal information in this study; the relationship between rumours and formal information was shown to be a relatively dynamic, complex interaction in which the various sources of information were feeding each other. Without using this informal information, it was difficult for the managers in this study to gain insight into how they should act, and to act timely. Confidence in their leadership can be harmed if managers do not listen to informal information, and that negative effects on leadership can occur when rumours switch to gossip. We concluded, from a process view on rumours, that the ability of managers to include informal information in their daily work can create trust.
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| 30. |
- Liff, Roy, 1951, et al.
(författare)
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Students' understanding of theory in undergraduate education
- 2014
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Ingår i: Teaching in Higher Education. - : Informa UK Limited. - 1356-2517 .- 1470-1294. ; 19:4, s. 419-431
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Tidskriftsartikel (refereegranskat)abstract
- This paper investigates undergraduate students' application of theory in their analysis of problems presented in authentic leadership cases. Taking a phenomenographic research approach, the paper identifies two levels at which students understand ‘theory’: Level 1-Theory as knowledge acquired from books; Level 2-Theory as support for problem solutions. Only the students at Level 2 understanding achieved the highest learning outcome described by the Bologna Reforms. This result may be accounted for by the difference in the students' pre-conceived understanding of the events and relationships in the analysed cases. The phenomenographic assumption explains why the authentic cases are problematic. The high relevancy of the learning object – as an authentic case – may reduce the effect of variation, in this case the educational environment that is the mechanism for learning according to variation theory.
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| 31. |
- Liff, Roy, 1951, et al.
(författare)
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Systematic and serendipitous discoveries: a shift in sensemaking
- 2015
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Ingår i: Journal of Documentation. - 0022-0418. ; 71:6, s. 1250-1264
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Tidskriftsartikel (refereegranskat)abstract
- Purpose This paper aims to enrich our theoretical understanding of the phenomenon of sensemaking where a conceptual shift was provoked by a serendipitous encounter. Design/methodology/approach A theoretical framework consisting of three elements of reflexivity: the cognitive, the social, and the normative, all of which support the study. Semi-structured interviews were conducted in the investigation of a serendipitous Episode that occurred in a larger research project. This Episode took place at a meeting between a social welfare officer and a psychologist in which they discussed the treatment of a psychiatric patient. When the psychologist left the meeting for a brief period, the researchers, unexpectedly, were able to interview the social welfare officer alone. Findings This interview revealed a deviation from the institutionalised patient treatment procedure that was explained to the researchers in earlier interviews. The study shows that shifts in sensemaking are possible when researchers are open to serendipitous encounters. This shift in sensemaking in this Episode was strategic because it concerned the most important element of the actor’s decision making: the cooperation around the patient in making diagnoses and in prescribing treatment. Research limitations/implications It is recommended that researchers use the theoretical framework of reflexivity to test their sensemaking processes as well as remain open to changes in planned, traditional methodological approaches. Originality/value The study applies a post-hoc analysis with reflections on serendipitous events that may guide researchers when they encounter unanticipated events and make anomalous discoveries.
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| 32. |
- Liff, Roy, 1951, et al.
(författare)
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The multi-professional team as a post NPM control regime
- 2013
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Ingår i: Offentlig förvaltning. Scandinavian Journal of Public Administration. - 2000-8058. ; 16:2, s. 45-68
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Tidskriftsartikel (refereegranskat)abstract
- This paper focuses on multi-professional teams (MPT) as a potential post New Public Management (NPM) control regime in order to develop individualistic and holistic care in healthcare in the context of two competing logics: managerialism and professionalism. In a qualitative case study, three outpatient Child and Adolescent Psychiatric (CAP) care units are investigated using interviews, observations and shadowing. The study shows that the MPT has an integrative effect on the two logics when informal alliances are formed between psychologists/psychiatrists and unit managers. We conclude that the MPT may achieve patient care in a resource-effective and professional way but not individualistic and holistic care. An explanation may be that individualistic and holistic care is neither measurable/quantifiable as required by the resource-effectiveness goal nor in focus as a consequence of the logic of professionalism. A theoretical implication is that the negative effect of NPM on the professionals’ autonomy is mitigated by the MPT. Earlier studies may have underestimated the importance of “hard facts” introduced by a strong control regime, in this case, the NPM context. The control regime may take over and create collaboration; nonetheless, the outcome is not entirely the desired one.
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| 33. |
- Liff, Roy, 1951, et al.
(författare)
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The problem-avoiding multi professional team - On the need to overcome protective routines
- 2015
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Ingår i: Scandinavian Journal of Management. - : Elsevier BV. - 0956-5221. ; 31:2, s. 266-278
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Tidskriftsartikel (refereegranskat)abstract
- This study examines how compartmentalization in multi-professional teams in healthcare, inhibits productive interaction and the role of team leadership in the institutionalization of professional identity protective routines used in these units as they affect teamwork. The main finding is that protective routines that create compartmentalization reduce the threat to professional identity, but also influence potential affording situations negatively. The positive effect of protective routines in reducing the professional identity threat then is neutralized by this negative effect on affording situations. This explains why the effect of multi-professionalism on creative and effective teamwork may still be minimal despite the low level of professional identity threat. The paper adds to previous research on how team leadership can enhance the performance of multi-professional teams. (C) 2014 Elsevier Ltd. All rights reserved.
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| 34. |
- Liff, Roy, 1951, et al.
(författare)
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The relevance of valuation principles in a financial crisis: senior bank managers' evaluations of other banks on the interbank market.
- 2018
-
Ingår i: International Journal of Critical Accounting. - 1757-9848 .- 1757-9856. ; 10:5, s. 363-379
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Tidskriftsartikel (refereegranskat)abstract
- This article examines senior bank managers' evaluations of other banks in the interbank market during times of financial crisis. We conclude that the fair value principle demands greater awareness of the need for reputational monitoring, evaluation by thick trust and scepticism towards numbers. Monitoring during crisis includes neither historical cost nor fair value numbers, because numbers are distrusted. Consequently, valuation principles may not explain contagion effects during crisis.
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| 35. |
- Liff, Roy, 1951
(författare)
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Unintended consequences of NPM that drive the 'Bureaucracy'
- 2014
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Ingår i: International Journal of Public Administration. - : Informa UK Limited. - 0190-0692 .- 1532-4265. ; 37:8, s. 474-483
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Tidskriftsartikel (refereegranskat)abstract
- This article examines the unintended consequences following implementation of a new public management (NPM) reform—a performance-based salary system—in two Swedish public schools. Headmasters and central office personnel were interviewed. The expected reform results at last appeared a decade after implementation when salary-setting procedures adopted the bureaucratic framework. Despite the common view that NPM reforms, owing to unintended consequences, fail because they adapt poorly to the Weberian control regime at public organizations, this article argues that the unintended consequences of an NPM reform can drive the “bureaucratic” organization even when there is no evidence of debureaucratization.
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| 36. |
- Liff, Roy, 1951, et al.
(författare)
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Usefulness of Enterprise Risk Management in two banks
- 2018
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Ingår i: Qualitative Research in Accounting & Management/Emerald. - 1176-6093. ; 15:1, s. 124-150
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Tidskriftsartikel (refereegranskat)abstract
- The purpose is to investigate how the management control system, the bank’s control package, influences opinion about the usefulness of risk measurement (RM) in different control contexts before and after a financial crisis, in order to understand what influences the usefulness of Enterprise RM (ERM) manifested in RM. The study is based on semi-structured interviews in 2000–2010, with senior bank managers of two international banks (Bank A and Bank B) – both ranking among the top 100 in the world, but differing structurally and culturally. The two banks took opposite trajectories. Bank A went from high to low expectations of usefulness; Bank B went from low to high expectations. The different attitudes towards RM exhibited by Bank A and Bank B are explained by differences in their control packages, manifested by technocratic control and socio-ideology. This study reveals that there are not merely different degrees of RM usage in the two banks, but that they also show two diverting trajectories. Given this finding, the significance of the organization structure and its control packages (especially the alignment between these two factors) is analysed to find a plausible explanation for the different experiences of senior managers towards the usefulness of RM. This study contributes to ERM research and to the contingency theory of management accounting.
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| 37. |
- Liff, Roy, 1951, et al.
(författare)
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Övergripande slutsatser och rekommendationer
- 2017
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Ingår i: ISM rapport 19: Hälsofrämjande och förebyggande arbetsmiljöinsatser genom nya samarbetsformer. - 9789197924795 ; , s. 163-172
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 38. |
- Rovio-Johansson, Airi, 1939, et al.
(författare)
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Exploring Students’ Choice of Theories as Tools in Problem-Solving: A Pilot Study
- 2022
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Ingår i: International Journal of Teaching and Learning in Higher Education. - 1812-9129. ; 33:2, s. 225-234
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this article is to explore why work-experienced students with up to 20 years of experience may not change their perception of professional practice when subsequently participating in practice-based learning programmes in higher education. We investigated the role of the degree of codification as operationalisation in how students choose theories to solve a practical management problem. When selecting a theory, work-experienced students may overlook the degree of codification in the theory that enables its use as an analytical tool. Previous research on novices or work-experienced students has not investigated their learning outcomes considering the features of theories students need to apply. Research findings indicate that students’ understanding of theories affects their selection of theories and their problem-solving practice. This study extends previous research on work-experienced students’ learning and contributes to the international discussion on why work-experienced students encounter difficulties in professional and practice-based learning in higher education.
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| 39. |
- Rovio-Johansson, Airi, 1939, et al.
(författare)
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Members' Sensemaking in a Multi-Professional Team
- 2012
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Ingår i: Journal of Health Organization and Management. - 1477-7266. ; 26:5, s. 605-620
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The aim of this study is to investigate sensemaking as interaction among team members in a multi-professional team setting in a new public management context at a Swedish Child and Youth Psychiatric Unit. Design/methodology/approach – A discursive pragmatic approach grounded in ethnomethodology is taken in the analysis of a treatment conference (TC). In order to interpret and understand the multi-voiced complexity of discourse and of talk-in-interaction, the authors use dialogism in the analysis of the members’ sensemaking processes. The analysis is based on the theoretical assumption that language and texts are the primary tools actors use to comprehend the social reality and to make sense of their multi-professional discussions. Health care managers are offered insights, derived from theory and empirical evidence, into how professionals’ communications influence multi-professional cooperation. The team leader and members are interviewed before and after the observed TC. Findings – Team members create their identities and positions in the group by interpreting and “misinterpreting” talk-in-interaction. The analyses reveal the ways the team members relate to their treatment methods in the discussion of a patient; advocating a treatment method means that the team member and the method are intertwined. Practical implications – The findings may be valuable to health care professionals and managers working in teams by showing them how to achieve greater cooperation through the use of verbal abilities. Originality/value – The findings and methods contribute to the international research on cooperation problems in multi-professional teams and to the empirical research on institutional discourse through text and talk.
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| 40. |
- Söderberg, Erik, et al.
(författare)
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Interorganisational projects as policy implementors?
- 2021
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Ingår i: Paper presented at: Sub-theme 46: Multi-level Approaches to Temporary Inter-organizing. EGOS Colloquium; Amsterdam, 8th – 10th July 2021.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 41. |
- Söderberg, Erik, et al.
(författare)
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Reframing practice through policy implementation projects in different knowledge contexts
- 2023
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Ingår i: International Journal of Project Management. - : Elsevier BV. - 0263-7863. ; 41:2
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Tidskriftsartikel (refereegranskat)abstract
- Policy-implementing projects in public-sector organisations have gained increasing importance over the last two decades, but policymakers have difficulty influencing practices in the host organisation. We studied how the intentions behind a public-health policy influence two differing school contexts of teachers and kitchen staff. The actors interpreted the policymakers' intentions in relation to their different knowledge contexts in different ways and with different outcomes for policy-implementation projects. We analysed the reason for this finding using the concept of frame alignment. The policymaker tried to use both ideological and instrumental efforts in reframing practice (in both contexts). We discovered the negative consequences of an inability to use instrumental efforts. We further discovered difficulty in upholding the conditions of a project, especially given the sensitive face-to-face interactions in a bottom-up policy process. The results also led us to question the idea that a project is successful merely because the demarcation is successful.
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| 42. |
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| 43. |
- Wikström, Ewa, 1967, et al.
(författare)
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Knowledge retention and age management – senior employees’ experiences in a Swedish multinational company
- 2018
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Ingår i: Journal of Knowledge Management. - 1367-3270. ; 22:7, s. 1510-1526
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The focus of this study is on the knowledge retention process, including knowledge capture, knowledge codification and the internalising of knowledge in organisations – a key aspect of age management. The purpose of this paper is to contribute to an understanding of the difficulties in this process to discuss implications for organizational measures to retain knowledge. Design/methodology/approach – This study is based on field research on a Swedish multinational company from the perspective of senior employees. Findings – The findings indicate that knowledge retention is a complex phenomenon, partly because valued knowledge is tacit and knowing is highly subjective and transferred through learning in collaboration with others in the process of undertaking assignments and acting together in work situations. Research limitations/implications – Knowledge retention is considered only from the perspective of senior, white-collar employees in this study; it would be of interest to consider other employees’ perspectives as well. A second limitation is that the data were collected at a single site. It could be argued, however, that a single case study research format provides an opportunity to gain deep knowledge and allows for explanations about observed phenomena, thereby contributing towards transferable scientific knowledge. Practical implications – Knowledge retention is hindered by focusing solely on senior workers and on an explicit and commodified view of knowledge. Social implications – Knowledge retention should be an on-going way of working throughout the organization in which tacit knowledge and knowing are important. Originality/value – This study shows the importance of considering knowledge and knowing retention as a matter of continual interaction between actors. Retention of tacit knowledge and knowing is not merely a matter of capturing and codifying knowledge. This study contributes to an understanding of the internalisation of tacit knowledge and knowing in continual interaction and cannot be preceded by a stepwise process.
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| 44. |
- Wikström, Ewa, 1967, et al.
(författare)
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Organisational Capability for Delayed Retirement
- 2022
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Ingår i: A Multidisciplinary Approach to Capability in Age and Ageing. Red: Hanna Falk Erhag, Ulrika Lagerlöf Nilsson, Therese Rydberg Sterner, Ingmar Skoog. - : Springer. - 9783030780654 ; , s. 221-232
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Bokkapitel (refereegranskat)
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