| 1. |
- Berlin, Johan, 1975-
(författare)
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Teamarbete
- 2019. - 2. upplagan
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Ingår i: Sjuksköterskans kärnkompetenser. - Stockholm : Liber. - 9789147128020 ; , s. 139-158
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Carlström, Eric, 1957, et al.
(författare)
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Collaboration Exercises in Emergency Work : Outcomes in Terms of Learning and Usefulness
- 2019
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Ingår i: Disaster, Diversity and Emergency Preparation. - Amsterdam : IOS Press. - 9781614999935 ; , s. 147-154, s. 147-154
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Bokkapitel (refereegranskat)abstract
- In this study we reviewed scientific papers which measured the effect of collaboration exercises in terms of learning and usefulness. The question to be answered was: Do collaboration exercises contribute to learning that is useful in actual emergency work? The point of departure was the perception that exercises improve handling logic and actions that increase security and safety in the community. However, the organizations involved in emergencies are regarded as inflexible, conservative, and non-collaborative. Data was collected in three steps. In the first step, studies of collaboration exercises in a crisis context were selected. In the next step, studies focused on the outcome of collaboration exercises in terms of learning and usefulness were identified. Out of 564 articles, seven were selected. The data from all included articles was collected by a common questionnaire in the included studies. The instrument measured learning and usefulness on a 5-point Likert scale, from strongly disagree to strongly agree. A total of 477 participants responded to the surveys. The mean within the learning dimension was 3.54 (SD = 0.62), and the mean within the usefulness dimension was 3.64 (SD = 0.65). The results showed that a developed type of exercise that included room for seminars resulted in a higher degree of learning and usefulness than the rest of the exercises studied.
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| 3. |
- Szücs, Stefan, et al.
(författare)
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Coping with Citizens and Stress : Interaction Strategies during Public Service Delivery within Health Care, the Police, and Social Work
- 2019
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Previous research and theory suggests that frontline workers adapt to workload-related stress in a number of ways, interacting towards or away from citizens, or even against citizens, but what are the actual practices of coping, and how is coping related to stress? The data comes from a web-survey sent to 990 public sector frontline workers in West Sweden during 2018 within the police, health care psychiatry, and social work organizations. The findings show that there are significant differences in stress: highest average level among social workers, followed by police officers, and heath care psychiatry. Four ways of moving towards clients – through prioritizing motivated clients, rule bending/breaking, instrumental action, or using personal resources – and three ways of moving away from clients – through aggression, by rationing, or routinizing – are revealed (H1). Prioritizing and aggression are most common within the police, rule bending/breaking and routinizing in social work, and instrumental action within health care (H2), but only instrumental action does not significantly increase stress, on top of individual characteristics and organizational demands and resources (H3).
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| 4. |
- Szücs, Stefan, 1964, et al.
(författare)
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Coping with Citizens and Stress: Interaction Strategies during Public Service Delivery within Health Care, the Police, and Social Work
- 2019
-
Ingår i: 3rd Street-level Bureaucracy Conference, Aalborg University, Copenhagen, June 11-13..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Previous research and theory suggests that frontline workers adapt to workload-related stress in a number of ways, interacting towards or away from citizens, or even against citizens, but what are the actual practices of coping, and how is coping related to stress? The data comes from a web-survey sent to 990 public sector frontline workers in West Sweden during 2018 within the police, health care psychiatry, and social work organizations. The findings show that there are significant differences in stress: highest average level among social workers, followed by police officers, and heath care psychiatry. Four ways of moving towards citizens – through prioritizing motivated clients, rule bending/breaking, instrumental action, or using personal resources – and three ways of moving away from citizens – through aggression, by rationing, or routinizing – are revealed. Prioritizing and aggression are most common within the police, rule bending/breaking and routinizing in social work, and instrumental action within health care, but only instrumental action does not significantly increase stress, on top of individual characteristics and organizational demands and resources.
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| 5. |
- Böling, Susanna, et al.
(författare)
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Rethinking Consultation - Investigating the Perceived Work Models of a Palliative Consultation Team
- 2018
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Ingår i: Palliative Medicine : A Multiprofessional Journal. Vol. 32, Suppl. 1. Abstract PO38. - : SAGE Publications. - 0269-2163 .- 1477-030X.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Previous research has shown that palliative consultation in hospital contexts sometimes face multifaceted challenges. Possibly creat- ing barriers between the consulting team and patients in need of palliative care. Hence, there is a need to consider how we implement and perform palliative consultation to inform future initiatives. This study is part of an ongoing project with the aim to analyse the discourse around implement- ing palliative care in a hospital context. Aim: The aim of this study was to identify and analyse various work models applied in a hospital context by a palliative consultation team. Method: Repeated focus group discussions with a palliative consultation team and its managers. A total of six focus group discussions were held from April 2016 to June 2017. The focus groups were audio recorded and transcribed verbatim. The data was read and analysed; identifying and categorising different work models. Result: According to what was expressed in the focus groups there were variations in how the consultation team operated in different hospital units and wards. Consulting as a team, consisting of a nurse, social worker and physician, was emphasised. One of the significant features was that they visited several wards on a weekly basis without receiving formal referrals beforehand. Although varying in form, the visits shared the function of being a forum for the wards to raise questions regarding palliative care relating to specific patients with palliative needs. Furthermore, during the introduction of consultation in some of the wards, the consultation team chose to designate time where a nurse from the team were present in the ward and among other things; identified patients with palliative care needs together with the ward staff and paved the way for the weekly palliative consultation.
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| 6. |
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| 7. |
- Khorram-Manesh, Amir, 1958, et al.
(författare)
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Emergency Management and Preparedness Training for Youth (EMPTY) : The Results of the First Swedish Pilot Study
- 2018
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Ingår i: Disaster Medicine and Public Health Preparedness. - : Cambridge University Press (CUP). - 1935-7893 .- 1938-744X. ; 12:6, s. 685-688
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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).
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| 8. |
- Mörndal, Marie, 1955-
(författare)
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"Vi måste takta!" : En studie av organisering för samverkan.
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Organizational collaboration is perceived as a positive phenomenon in the public sector and is often seen as a way of facing societal challenges despite limited resources. This positive view on organizational collaboration seems to persist, although research shows that collaborative projects bring various difficulties. These are related to boundaries, both between organizations and professions. How boundaries are understood and managed are thus central aspects of organizing for collaboration. This thesis describes and discusses the preparation – the organizing – for collaboration and the purpose of the thesis is to explore and deepen an understanding of the practice developed in organizing for collaboration.A municipality’s work to improve internal collaboration and prepare for external collaboration has been studied. The work was led by two project managers in collaboration with various members of the municipality. A practice-oriented approach has been applied, which involves a focus on the activities carried out during the organizing work. The empirical material was created through participatory observations of the project managers’ work.The project managers’ practice developed into five activity patterns called planning, navigating, interacting, documenting and, what in Swedish was called, “takta”. The term “takta” was used to denote activities related to adaptation and synchronization to the municipality’s activities; to pace the activities.The analysis shows that the activity pattern of pacing was a superior activity pattern that managed and organized the other four patterns. The concept pacing contributes to the understanding of how activities create rhythms in an organization and how these are adapted to the overall pace. People responsible for pacing must be aware of the rhythms of other activities that affect the pacing. Pacing is a complex concept that can be described in several dimensions: temporal, social, boundary-crossing, emotional, holistic, and in a situated dimension. These dimensions contribute to the understanding of how pacing is done, what it means when pacing and also facilitate an analysis when pacing fails.The conclusion of the thesis is that an awareness of pacing activities in organizing across boundaries increases the opportunities to implement activities in the “right” order, time and place. Thus, the multidimensional concept of pacing may be used as a planning-tool when organizing across boundaries and as an analytical instrument when the organizing becomes unsynchronized with other activities. A practice-oriented perspective enables the exploration of the activity patterns created in organizing for collaboration and increases the understanding of how organizing across boundaries is done.
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| 9. |
- Abelsson, Anna, 1971-
(författare)
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Simulering som lärande inom prehospital akutsjukvård
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Den prehospitala akutsjukvården är ett komplext kunskapsfält som innebär att vårdaren skall kunna bemöta patient och närstående, bedöma skada, sjukdom och den aktuella situationen samt avgöra vilka vårdåtgärder som skall prioriteras.Patientens lidande kan lindras genom att vårdaren tränar färdigheter i ett prehospitalt kontext. Detta främjar en god och säker vård samt stärker patientens möjligheter till överlevnad.Resultatet visar på behovet av simulering inom prehospital akutsjukvård. Med simulering lär sig vårdaren att hantera realistiska, dynamiska och komplexa vårdsituationer, vilket skapar kunskaper, färdigheter och erfarenheter av omhändertagande av patient drabbad av högenergitrauma. Simuleringens utformning och miljö skapar förutsättningar för lärandet vilket framkommer i interventionsstudien.Utifrån resultatet i föreliggande forskning utvecklas en modell för lärande med hjälp av simulering.
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| 10. |
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| 11. |
- Berlin, Johan, 1975, et al.
(författare)
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Sjuksköterskan som chef och ledare
- 2017
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Ingår i: Sandberg H. (red). Pedagogik för sjuksköterskor. - Lund : Studentlitteratur. - 9789144093956
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Bokkapitel (refereegranskat)
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| 12. |
- Löfström, Mikael, 1960-, et al.
(författare)
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Hur implementerar chefer samverkan?
- 2017
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Ingår i: Kommunal ekonomi. - Vallentuna. ; :4, s. 31-32
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 13. |
- Alverbratt, Catrin, et al.
(författare)
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A New Working Method in Psychiatric Care : the impact of implementation
- 2016
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Ingår i: International Journal of Public Administration. - : Informa UK Limited. - 0190-0692 .- 1532-4265. ; 40:3, s. 295-304
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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.
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| 14. |
- Berlin, Johan, 1975-
(författare)
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Artefakters organiserande funktion
- 2016. - 2:a
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Ingår i: Team i vård, behandling och omsorg. - Lund : Studentlitteratur AB. - 9789144107691 ; , s. 227-248
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Bokkapitel (refereegranskat)
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| 15. |
- Berlin, Johan, 1975-, et al.
(författare)
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Chefers strategier för att implementera samverkan
- 2016
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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.
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| 16. |
- Hellman, Stefan, 1975-
(författare)
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Förändringsprogram i hälso- och sjukvården : Nätverkskonstruktioner som möjliggör och försvårar införandet av lean
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Within the public sector great change efforts are currently made to meet future challenges. In the area of health care, change initiatives are implemented to enhance quality and efficiency. To this end, a lean change programme is being widely introduced in Sweden as well as internationally. The overriding aim of this study is to increase knowledge of what happens when change programmes, CP, such as lean are implemented in a healthcare organisation, HCO.Previous research has shown that the main obstacle to implementing CP in HCO:s is their complexity. However, the complexity has often been reduced, as different factors such as management, professions, organisation and control have been studied separately. To fully capture the complexity of the HCO the Actor Network Theory, ANT, was used in this study. In line with ANT, introducing lean can be described in terms of a translation process in which human and non-human actors are woven into a network. This approach allows for the incorporation of various factors in the study of a change process in a complex organisation. Drawing on ANT, this thesis explores how network constructions enable or impede change programmes.The approach is based on ethnographic monitoring of the implementation of lean in the Värmland county council public healthcare organisation. As a result of the holistic perspective, the study provides detailed descriptions of how complexity impacts on the implementation. It displays the relations enabling or impeding the implementation of CP and the methods actors use to establish and defend the relations.The contribution of the study is threefold. Empirically, the study monitors a HCO aiming to implement full-scale lean as philosophy, principle and tool. Methodologically, the study evaluates ANT as a methodological theory to study CP in a HCO. Finally, the domain-specific contribution of the study is its identification of the relations and methods that impact on lean deployment.
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| 17. |
- Khorram-Manesh, Amir, 1958, et al.
(författare)
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Two Validated Ways of Improving the Ability of Decision-Making in Emergencies : Results from a Literature Review
- 2016
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Ingår i: Bulletin of Emergency and Trauma. - : STrauma Research Center, hiraz University of Medical Science. - 2322-2522 .- 2322-3960. ; 4:4, s. 186-196
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the current review wasto study the existing knowledge about decision-making and to identify and describe validated training tools.A comprehensive literature review was conducted by using the following keywords: decision-making, emergencies, disasters, crisis management, training, exercises, simulation, validated, real-time, command and control, communication, collaboration, and multi-disciplinary in combination or as an isolated word. Two validated training systems developed in Sweden, 3 level collaboration (3LC) and MacSim, were identified and studied in light of the literature review in order to identify how decision-making can be trained. The training models fulfilled six of the eight identified characteristics of training for decision-making.Based on the results, these training models contained methods suitable to train for decision-making.
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| 18. |
- Nordström, Erik
(författare)
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Samordnad individuell plan (SIP) : Professionellas samt barn och föräldrars erfarenheter
- 2016
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduktion. Många barn och unga idag har så pass komplexa behov att de behöver samtidiga insatser från olika huvudmän. Insatserna blir alltmer specialiserade och fragmenterade, vilket kräver att professioner inom hälso- och sjukvård, socialtjänst och skola samverkar. Det finns också ett lagstiftat krav sedan 2010 på samverkan i form av Samordnad individuell plan (SIP). SIP möjliggör för barn och föräldrar att få överblick och få samordnade insatser av hälso- och sjukvården och socialtjänsten genom möte, planering och dokumenterade insatser.Syftet med avhandlingen var att beskriva professionellas, barn och föräldrars erfarenhet av samordnad individuell plan (SIP).Design och metod. Två deskriptiva studier genomfördes i ett län i södra Sverige. Delstudie 1 bestod av tolv fokusgruppsintervjuer med sammanlagt 71 personer med olika yrkeskategorier inom hälso- och sjukvården, socialtjänsten och skolan. Delstudie 2 bestod av semi-strukturerade intervjuer med sammantaget tretton barn och föräldrar från olika familjer. Bägge studierna analyserades med kvalitativ metod.Resultat. Resultatet i delstudie 1 visar att verksamheterna gör en primär avvägning mellan samverkan och sitt respektive kärnuppdrag; vårdande, pedagogisk och utredande. Samverkan skedde genom en pendling mellan hindrande och främjande faktorer. Hindrande faktorer består av olika mandat och behov, tvång till närvaro, ifrågasättande och klander, samt tidsramar och prioriteringar. Främjande faktorer är likartad tolkning av gemensamma avtal, ömsesidig respektoch kollegialt lärande, gemensam terminologi och dokumentation, samt intresse för samverkan. Delstudie 2 visar att barn och föräldrars upplevelse av delaktighet i form av SIP ökade över tid och att de över tid upplevde att de fick ett samordnat stöd från olika vårdgivare, som barnen och/eller föräldrarna innan SIP ofta själva fick samordna. Detta mål uppnåddes först efter initialt motstånd och konkurrens mellan olika verksamheter, och det underlättade att skapa relationer och allianser med professionella för att nå detta mål. Resultatet diskuteras utifrån fyra olika stadier av samverkan och förutsättningar för att intentionerna med SIP avseende delaktighet skall uppnås.Konklusion och praktiska implikationer. SIP tycks ha potential att bidra till en förbättrad samverkan om de professionella visar ömsesidig kollegial respekt och har fokus på barn och föräldrars behov. Detta kan lättare uppnås om professionella inte lägger för stor vikt vid skydda den egna verksamhetens agenda istället för en samverkansagenda. Detta bekräftas av delstudie 2 som visar att barn och föräldrar uppfattar att det finns intentioner att göra brukaren delaktig, men att denna intention hindras av oenighet, skilda intentioner och bristande samsyn mellan verksamheter, och barn och föräldrar får utstå förvirring och fragmentering av insatserna under lång tid, vilket kan utsätta barnet för risker. Om SIP skall bli det verktyg för helhetslösning och brukardelaktighet som det är avsett att vara, så behöver de berörda professionerna uppnå en bredare samsyn kring SIP för att uppfylla intentionen med en samverkan med utökad brukardelaktighet.
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| 19. |
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Team i vård, behandling och omsorg : Erfarenheter och reflektioner
- 2016. - 2
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Samlingsverk (redaktörskap) (refereegranskat)abstract
- Team är populära, inte minst inom vård, behandling och omsorg.Trots att det börjar bli en väl etablerad företeelse tycks teamfortfarande stå för förnyelse och nytänkande. Teamarbete harsåledes kommit att få en allt viktigare roll.I denna antologi behandlas frågor som: Varför uppstår team? Vadgör team nödvändiga? Vad är utmärkande för olika typer av team? Vad skapar väl fungerande team? Vilka effekter får teamarbete förverksamheten? Du som läsare bjuds på både kritiska betraktelser,utvecklingsspår och verktyg.Boken vänder sig till studerande och forskare vid högskolor ochuniversitet samt till praktiskt verksamma inom vård-, behandlingsochomsorgsorganisationer. De olika kapitlen kan läsas friståendeoch ger var för sig en god bild av teamets funktion.---Team i vård, behandling och omsorg förmedlar en unikinsikt och förståelse kring teamarbetes betydelse, funktionssätt och utmaningar baserad på omfattande och mångårig forskning. Boken förtjänar därför attanvändas inom alla utbildningar på högskolenivå som är inriktade mot vård- och omsorg.Stefan Tengblad, professor i företagsekonomi
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| 20. |
- Berlin, Johan, 1975-, et al.
(författare)
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Cultural camouflage : a critical study of how artefacts are camouflaged and mental health policy subverted
- 2015
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Ingår i: International Journal of Health Planning and Management. - : Wiley. - 0749-6753 .- 1099-1751. ; 30:2, s. 111-126
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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.
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| 21. |
- Berlin, Johan, 1975-
(författare)
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Doctors’ functional leadership inpsychiatric healthcare teams : a reversible leadership logic
- 2015
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Ingår i: Team Performance Management. - London. - 1352-7592 .- 1758-6860. ; 21:3/4, s. 159-180
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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.
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| 22. |
- Berlin, Johan, 1975-, et al.
(författare)
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Learning and usefulness of collaboration exercises : A study of the three level collaboration (3LC) exercises between the police, ambulance and rescue services
- 2015
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Ingår i: International Journal of Mass Emergencies and Disasters. - 0280-7270. ; 33:3, s. 428-467
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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.
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| 23. |
- Berlin, Johan, 1975-
(författare)
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Ledarskap och beslutsfattande i psykiatriska team : om sammanhållning, sortering och kontroll
- 2015. - 1
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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.
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| 24. |
- Berlin, Johan M, 1975-, et al.
(författare)
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Collaboration exercices; what do they contribute? : a study of learning and usefulness
- 2015
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Ingår i: Journal of Contingencies and Crisis Management. - : Wiley. - 0966-0879 .- 1468-5973. ; 23:1, s. 11-23
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Tidskriftsartikel (refereegranskat)abstract
- This article aims to study whether exercises contribute to learning that can be useful in actual emergency work. It reports the findings of a study about professional emergency personnel’s perceptions of the impact of collaboration exercises. Surveys were distributed and collected from emergency personnel in conjunction with three collaboration exercises that took place in Sweden in spring 2012. The survey included personnel holding different positions within the police department, fire department and ambulance services. Among them were also operational personnel such as officers. A total of 94 professional emergency personnel agreed to participate by answering the survey. The response rate was 95%.The study shows that collaborative elements in exercises contribute to perceived learning (R2 = 0:53), and that learning, in turn, has a perceived beneficial effect on actual emergency work (R2 = 0:26).The perceived results of collaboration,learning and their impact on actual emergency work, however, are moderate.The exercises were characterised by long waiting times and gave few opportunities to practise different strategies. Only a few respondents felt that they learned something about the collaborating organisations’ ways of communicating and prioritising. Many also thought that the exercises were more useful for command officers than for operational personnel.Thus, the study shows that by strengthening the collaborative elements of the exercises, the perception of the participants’ actual emergency work can be developed.
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| 25. |
- Berlin, Johan, 1975-, et al.
(författare)
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Samverkansövningar : Om lärande och nytta
- 2015. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Den här studien handlar om samverkansövningar med särskilt fokus på fullskaleövningar mellan polis, räddningstjänst och ambulans. För att lyckas i en komplex situation behöver personalens förmåga att samverka organisationsövergripande utvecklas och förfinas.Det övergripande syftet med denna studie var att studera hur samverkan övas och hur övningarna leder till lärande och nytta. I studien gjordes inledningsvis en forskningsöversikt. Utifrån den har ett antal centrala begrepp tagits fram som varit till hjälp när vi följt svenska samverkansövningar genom intervjuer och observationer. Den samlade analysen har sedan legat till grund för konstruktionen av en ny övningsmodell, 3NS, trenivåsamverkan. Den bygger på erfarenheter vi gjort i studier av traditionella övningar.De 3NS-övningar som genomfördes bestod av två praktiska moment och tre seminarier. Varje moment följdes av ett utvärderande seminarium som syftade till att deltagarna själva skulle reflektera och utveckla sitt handlingsmönster. De båda praktiska momenten var identiska. Det gav de övande tillfälle att repetera och metodiskt prova nya angreppssätt. Det första övningsmomentet genomfördes enligt de rutiner som normalt tillämpas och styr handlandet vid en skarp händelse. Det andra övningsmomentet föregicks av ett självkritiskt seminarium där deltagarna själva identifierade vad som kunde förbättras till nästa övningsomgång.Forskningsprojektet har genomförts 2011-2014. Totalt har 19 samverkansövningar studerats, varav 16 fullskaleövningar. I studien har totalt 97 intervjuer och 125 timmar observation genomförts. En enkät (CLU-instrument) har utvecklats, vilken besvarats av 272 övningsdeltagare.Studien visar att kollaborativa moment vid övningar bidrar till att deltagarna lär sig mer och har större nytta av övningar. 3NS-övningarna uppfattades förbättra lärandet med 26 procent och nyttan med 17 procent jämfört med traditionella övningar. Samverkansövningar gynnas av att de övande själva analyserar sina svagheter. Repetitiva inslag där de övande prövar alternativa strategier förbättrar beredskapen inför skarpa händelser.
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| 26. |
- Berlin, Johan, 1975-, et al.
(författare)
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The Three-Level Collaboration Exercise : Impact of Learning and Usefulness
- 2015
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Ingår i: Journal of Contingencies and Crisis Management. - : Wiley. - 0966-0879 .- 1468-5973. ; 23:4, s. 257-265
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).
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| 27. |
- Alverbratt, Catrin, et al.
(författare)
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The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic
- 2014
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Ingår i: Journal of Hospital Administration. - : Sciedu Press. - 1927-6990 .- 1927-7008. ; 3:6, s. 174-189
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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.
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| 28. |
- Andersson, Annika, 1981-, et al.
(författare)
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Managing boundaries at the accident scene : a qualitative study of collaboration exercises
- 2014
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Ingår i: International Journal of Emergency Services. - : Emerald Group Publishing Ltd. United Kingdom. - 2047-0894 .- 2047-0908. ; 3:1, s. 77-94
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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.
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| 29. |
- Andersson, Annika, 1981-, et al.
(författare)
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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.
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| 30. |
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| 31. |
- Berlin, Johan, 1975-, et al.
(författare)
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Collaboration Exercises : the lack of collaborative benefits
- 2014
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Ingår i: International Journal of Disaster Risk Science. - : Springer Science and Business Media LLC. - 2095-0055 .- 2192-6395. ; 5:3, s. 192-205
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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.
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| 32. |
- Berlin, Johan, 1975-
(författare)
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Common incentives for teamwork : the unspoken contract´s significance
- 2014
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Ingår i: Team Performance Management. - 1352-7592 .- 1758-6860. ; 20:1/2, s. 65-80
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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.
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| 33. |
- 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.
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| 34. |
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| 35. |
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| 36. |
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| 37. |
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| 38. |
- Berlin, Johan, 1975-
(författare)
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Läkare som teamledare : En studie av reversibelt ledarskap
- 2013
-
Konferensbidrag (refereegranskat)abstract
- SammanfattningSyfte: Syftet med artikeln är att beskriva och problematisera läkares ledarskap i team. Arti-keln syftar till att besvara frågan; Hur utövar läkare ledarskap i team?Design/metod: Studien är designad i form av en fallstudie. Sex psykiatriska team har stude-rats vid ett universitetssjukhus. Varje team har följts under 18 månader. Datainsamlingen har gjorts under totalt fyra år (2008-2011). Data har samlats in genom intervjuer med läkare (n=19) och observationer (n=60) av läkares arbete i team.Resultat: Läkares ledarskap i team utövas i en dualistisk pendlingsprocess mellan självpåta-get och ofrivilligt, vilket benämns reversibelt ledarskap.Begränsningar: Studien är gjord på psykiatriska avdelningar i en organisation. Det finns därför anledning till viss försiktighet vid tolkningen av resultaten.Praktiska implikationer: Resultaten är användbara för att förstå teamledarskapets dualism. Reversibelt ledarskap kan leda till ökad osäkerhet och försvaga teamets proaktiva förmåga.Originalitet: Läkarens ledarskap i team lyfts fram som reversibelt, antingen självpåtaget och frivilligt, eller påtvingat och ofrivilligt.Nyckelord:
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| 39. |
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| 40. |
- Berlin, Johan, 1975-
(författare)
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Teamarbete : ett livsviktigt samspel
- 2013. - 1
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Ingår i: Sjuksköterskans kärnkompetenser. - Stockholm : Liber. - 9789147105687 ; , s. 159-177
-
Bokkapitel (refereegranskat)
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| 41. |
- Berlin, Johan, 1975-, et al.
(författare)
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The dominance of mechanistic behaviour : A critical study of emergency exercises
- 2013
-
Ingår i: International Journal of Emergency Management. - 1471-4825 .- 1741-5071. ; 9:4, s. 327-350
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Tidskriftsartikel (refereegranskat)abstract
- In this paper, the focus is on emergency exercises between the police, rescue services and ambulance. By practising, it is assumed that the conditions improve for a quick normalisation after an incident. The purpose of this paper is to identify whether the exercises are designed after organic action logic and therefore can be assumed to strengthen the ability to handle emergencies. Data have been collected at two large, regional, full-scale exercises (2008 and 2012). Data collection has been done through observations and document studies. The study shows that mechanistic behaviour is quite prevalent in the two studied exercises. They are time consuming and put little emphasis on practising organic behaviour. Too complex exercise scenarios contribute to a low tempo, long waiting periods and slow implementation. To succeed, the exercises need to have a non-linear time sequence and limited scenarios that invite participants to focus on organisational interfaces.
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| 42. |
- Eklund, Annika, 1981-, et al.
(författare)
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Organisering av en fingerad verklighet : Om övningar mellan blåljusorganisationer
- 2013
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Ingår i: Nordiske organisasjonsstudier. - 1501-8237. ; 15:3, s. 34-64
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to elucidate exercise participants’ understanding of critical aspects of organizing and implementation of collaboration exercises with police, fire department and ambulance services. The focus is critical aspects in exercises that have, or are expected to have, bearing on the participants’ ability to learn. Collaboration exercises are used as a tool to reinforce and develop the preparedness for future incidents. The need for such exercises was usually advocated after critique to actions during largescale real-life incidents. The study had a qualitative approach and is based on phenomenographic analysis of interviews with participants from four exercises with different scenarios. The identified critical aspects of exercises were related to realism, acceptance for mistakes, exercise extent and aims and opportunities for joint discussions. The management of an accident can be described to a large extent depend on the organizations’ joint ability to adapt to the prevailing situation and to collaborate. For exercises to contribute to these abilities, they could benefit from shifting the focus to how to organize exercises that allow participants to test different decisions and actions, with less emphasis on the choice of scenario.
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| 43. |
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| 44. |
- Jonsson, Robert, 1971-
(författare)
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Organisatoriska bakslag : Mer än tio år av förändringar i två svenska kommuner
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Denna avhandling handlar om förändring av kommunal ledning, specifikt inom vård och omsorg. I Sverige finns inte mindre än 15 000 chefer inom kommunal vård och omsorg. De kan hantera budgetar som överstiger en miljard kronor och mellanchefer inom samma verksamhet kan leda ett hundratal medarbetare. Syftet med avhandlingen är att beskriva organisering av kommunal ledning samt att förklara varför kommunala ledningsorganisationer förändras. Den bygger på litteraturstudier samt på longitudinella fallstudier i Linköpings och Norrköpings kommuner.Studien visar att förändrade omgivningsförhållanden och spänningar som finns i kommunernas övergripande uppgifter, det vill säga medborgarnas intresseorganisation, att vara serviceleverantör, myndighet och samhällsaktör driver på aktörer till att förändra kommunala ledningsorganisationer. Nya idéer växer fram som en effekt av bakslag av tidigare fattade beslut. Bakslagen och nya idéer leder till krav på ledningsförändringar för att kunna hantera uppgifter på ett mer önskvärt sätt. För att få till stånd förändring hänvisas till kommunernas övergripande uppgifter och legitima institutioner som är förknippade med rättvisa, effektivitet, öppenhet och utveckling.
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| 45. |
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| 46. |
- Berlin, Johan, 1975-, et al.
(författare)
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Models of teamwork: ideal or not? : A critical study of theoretical team models
- 2012
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Ingår i: Team Performance Management. - : Emerald. - 1352-7592 .- 1758-6860. ; 18:5/6, s. 328-340
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - There is a tendency in team research to employ concepts of stepwise models, reachingfrom the primitive to the excellent, to suggest that a higher level of evolution is better than the basic and simple. This tendency includes typologies of teams. This article aims to question the relevance of this view.Design/methodology/approach - Data were collected in three steps. In the first step, articles and books analyzing teams and teamwork from stepwise analytical models were collected. In the second step the collected data were classified into different themes. Each stepwise model was classified into one essential denomination. This classification resulted in eight themes. In the third step each theme was analyzed, which led to the fusion of some of the themes.Findings - The conclusion is that a synchronous, complementary or mature team is not necessarily optimal. Contrary to this, a differentiated, sequential or multi team approach can be optimal for some purposes. Team research needs to establish a more open, inductive and critical attitude than at present.Originality/value - The paper highlights the need to observe and use team theories in a balanced and critical way.
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| 47. |
- Berlin, Johan, 1975-, et al.
(författare)
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Trender som utmanar traditioner : En hälso- och sjukvård i metamorfos
- 2012
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Ingår i: Offentlig Förvaltning. Scandinavian Journal of Public Administration. - 2000-8058 .- 2001-3310. ; 16:2, s. 3-23
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Tidskriftsartikel (refereegranskat)abstract
- I artikeln ges en översikt över traditioner inom hälso- och sjukvården som utmanas av trender. Betydelsen av starka professioner, otydliga och motstridiga mål och otillräckliga resurser har gjort att verksamheten måste hantera motsägelsefulla krav. Ett sätt att komma tillrätta med detta har skett genom införande av valfrihetssystem, arbete över organisatoriska och professionella gränser och ökad flexibilitet. Trenderna har till stor del influerats av styrmodeller inspirerade av New Public Management. Uppblandningen mellan nya och traditionella styrmodeller har gjort att det utvecklats hybrider. Hybriderna har bidragit till en organisatorisk spänning, där gammalt och nytt blandas i en motsägelsefull, men förnyande process.
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| 48. |
- Berlin, Johan, 1975, et al.
(författare)
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Trender som utmanar traditioner. En hälso- och sjukvård i metamorfos
- 2012
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Ingår i: Offentlig förvaltning. Scandinavian Journal of Public Administration. - 2000-8058. ; 16:2, s. 7-18
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Tidskriftsartikel (refereegranskat)abstract
- This article reviews the traditions of the health care industry while challenged by trends. Strong professions, ambiguous and contradictory aims, and a lack of resources have contributed to difficulties managing contradictory needs. One way to handle the situation is to introduce systems based on freedom of choice, inter organisational and professional work, and an improved degree of flexibility. The trends are mainly influenced by New Public Management control models. The mixture of new and traditional types of management control has produced organisational hybrids. These organisational hybrids have contributed to organisational tensions from the old as well as the new in an inconsistent but regenerating way.
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| 49. |
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| 50. |
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