| 1. |
- Alfjung, Tobias, et al.
(author)
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Implementation of strategies: A case study of a municipality owned housing company
- 2013
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In: Proceedings of the 7th Nordic Conference on Construction Economics and Organisation 2013, Trondheim, 12-14 June 2013.
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Conference paper (peer-reviewed)abstract
- Organizations implement strategies in order to guide the organization into the future. Therefore, the interpretation of the strategies within the organization is important. This paper aims to clarify how an organization can transfer strategies to achieve a unison understanding in order to reach organizational goals. The main research question of this paper is; How does a municipality owned housing company implement their strategies within the organization? A theoretical framework of recent literature regarding strategy, communication and sensemaking is used and a case study of a municipality owned housing company is performed. The company is organized in divisions and departments in order to both maintain existing housing and to develop the company internally for future demands. Our method of research has been to interview three employees, working in the company’s departments. Results from the case study indicate that involvement from all employees creates a better understanding of the strategies. A clear structure of meetings, in which information is shared, is used to ensure the communication within the different divisions and departments. Our findings showed that workshops are viewed as a way to create mutual understanding. The study concludes that the involvement of employees and sufficient communication is a key factor of a successful implementation of strategies. Thereto, a unison sensemaking throughout the whole organization is needed.
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| 2. |
- Almdalal, T., et al.
(author)
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Clinical T1a Renal Cell Carcinoma, Not Always a Harmless Disease-A National Register Study
- 2022
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In: European Urology Open Science. - : Elsevier BV. - 2666-1691 .- 2666-1683. ; 39, s. 22-28
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Journal article (peer-reviewed)abstract
- Background: T1a renal cell carcinoma (RCC) is typically considered a curable dis-ease, irrespective of the choice of local treatment modality.& nbsp;Objective: To identify factors associated with the risk of local and distant recur-rence, and overall survival (OS) in patients with primary nonmetastatic clinical T1a RCC.& nbsp;Design, setting, and participants: A population-based nationwide register study of all 1935 patients with cT1a RCC, diagnosed during 2005-2012, identified through The National Swedish Kidney Cancer Register, was conducted.& nbsp;Outcome measurements and statistical analysis: Outcome variables were recur-rence (local or distant) and OS. Possible explanatory variables included tumor size, RCC type, T stage, surgical technique, age, and gender. Associations with disease recurrence and OS were evaluated by multivariable regression and Cox multivari-ate analyses, respectively.& nbsp;& nbsp;Results and limitations: Among 1935 patients, 938 were treated with radical nephrectomy, 738 with partial nephrectomy, and 169 with ablative treatments, while 90 patients had no surgery. Seventy-eight (4%) patients were upstaged to pT3. Local or metastatic recurrences occurred in 145 (7.5%) patients, significantly more often after ablation (17.8%). The risk of recurrence was associated with tumor size, upstaging, and ablation. Larger tumor size, disease recurrence, and older age adversely affected OS, whereas partial nephrectomy and chromophobe RCC (chRCC) were associated with improved survival. Limitations include register design and a lack of comorbidity or performance status data.& nbsp;Conclusions: Upstaging and recurrence occurred, respectively, in 4.0% and 7.5% of patients with nonmetastatic RCCs <= 4 cm. Tumor size upstaging and ablation were associated with the risk for recurrence, while tumor size and recurrence were associated with decreased OS. Patients with chRCC and partial nephrectomy had prolonged OS in a real-world setting.& nbsp;Patient summary: We studied factors that may influence the risk of disease recurrence and overall survival, in a large nationwide patient cohort having non metastatic renal cell carcinoma < 4 cm. Tumor size, tumor type, and treatment were associated with the risk of recurrence and overall death. Partial nephrectomy prolonged overall survival. (C)2022 The Author(s). Published by Elsevier B.V. on behalf of European Association of Urology.
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| 3. |
- Brännmark, Mikael, et al.
(author)
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Implementing Lean in Swedish Municipalities and Hospitals : Initial effects on the work system
- 2011
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In: FALF2011:Det nya arbetslivet. - Luleå : FALF.
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Conference paper (peer-reviewed)abstract
- This paper is the first preliminary product of a three year interactive research project, studying the effects of Lean when introduced in Swedish municipalities and hospitals. Focus of the paper is the implementation process (more specifically, employee participationand facilitated learning) and changes in the work system (focusing on work content, organization and work environment). The empirical data has been collected through interviews and group interviews in three municipalities and one hospital. These results, together with the discussion and analysis, shows firstly that the implementation processes of the studied units are characterized by a medium or high level of opportunities for employee participation and learning, although this is produced in different ways. Second, the changes in the work systems mostly affect the organization of the work, through reorganization and redistribution of the work tasks, rather than changes in how the work tasks are performed.This has lead to more orderly and structured work processes. Lastly, the employees’ reactions to these changes have been mostly positive, although not exclusively so. However, it is important to stress that the employee reactions are most likely as much a result of the implementation process, as of the changes in the work systems. Longitudinal studies are therefore needed to study the long term changes in the work system and the effects on employee health, which will be the next step of this research project.
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| 4. |
- Brännmark, Mikael, et al.
(author)
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Patient Quality Effects from Lean Healthcare : An Empirical Investigation
- 2012
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In: NES2012 Proceedings.. - Stockholm : KTH Royal Institute of Technology. - 9789163711503
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Conference paper (peer-reviewed)abstract
- The use of Lean in healthcare settings has become common in Swedish hospitals. However, the effects from Lean on patients have not been studied extensively. This paper contributes to our understanding of this question, based on 24 semi-structured interviews in three municipal care units and three units in hospitals. The results indicate that there may be a positive link between Lean activities and quality of care. However, it is plausibly a weak link, heavily modulated by non-Lean factors. Thus, we need more empirical research to understand the causal link between patient safety and quality of care from Lean Healthcare.
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| 5. |
- Eklund, Jörgen, et al.
(author)
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Lean implementation, work environment and sustainability
- 2015
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In: Sustainable Development in Organizations. - : Edward Elgar Publishing. - 9781784716882 ; , s. 29-41
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Book chapter (peer-reviewed)abstract
- Lean is introduced in industry as well as in the public sector. Previous research has criticized Lean for creating bad working conditions. Also sustainability of organizational changes is claimed to be low. The aim of this chapter is to describe consequences for working conditions and sustainability as a result of implementations of Lean in manufacturing industry and in the public sector. A second aim is to give examples of the type of knowledge produced in an interactive research approach and to discuss the use of interactive research when implementing Lean. Two programs for implementing Lean were assessed through interactive research. The research showed that there is a huge variation between organizations regarding how Lean is interpreted, how it is implemented, and also regarding the outcomes. The majority of the employees in the manufacturing companies experienced that Lean meant improved working conditions, e.g. more participation, learning and development. However they also experienced more stress and repetitive work. For the public organizations, the employees experienced on average that the working conditions had deteriorated. Sustainability of the changes was also substantially lower than for the manufacturing companies. The interactive research approach enabled deep access to a broad sample of organizations and contributed to better relevance and validity of the research results.
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| 6. |
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| 7. |
- Eklund, Jörgen, et al.
(author)
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Sustainability and development of Lean implementations
- 2014
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In: Human Factors in Organizational design and management - XI. ; , s. 165-169
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Conference paper (peer-reviewed)abstract
- Lean production has become a major change strategy in Swedish public organizations. The aim of this paper was to identify factors that support or counteract sustainability and development of Lean implementations in public organizations. In an interactive research project including interviews and questionnaires, seven public organizations were followed during a three year period. Some factors supported and other factors counteracted sustainability and development of Lean. In conclusion, lack of sustained change was to a large extent due to replacement of the top managers in five of the organizations and introduction of another change philosophy, low political and managerial ownership and financial problems.
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| 8. |
- Eklund, Jörgen, et al.
(author)
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Work environment in Swedish Lean implementations
- 2014
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In: Human Factors in Organizational Design and Management - XI. ; , s. -660
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Conference paper (peer-reviewed)abstract
- Lean Production has spread from industry to the public sector and administration, and is now the dominating change concept in Sweden. The influence of Lean on the work environment has been debated. However, both positive and negative work environment consequences have been reported in different studies and in different contexts. The aim of this presentation is to describe consequences for the work environment following Lean implementations and to further knowledge about conditions that influence the work environment.
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| 9. |
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| 10. |
- Halvarsson Lundkvist, Agneta, et al.
(author)
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Conditions Enabling Development in National Lean Programmes
- 2016
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In: Leadership & Organization Development Journal. - 0143-7739 .- 1472-5347.
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Journal article (peer-reviewed)abstract
- Purpose – The purpose of this article is to identify work practices and activities at programme and local levels which constitute conditions that enable development in workplace development programmes (WPDPs). These are introduced by public agencies as change agents that provide the resources for local organizational change. Design/methodology/approach – The study constituted separate interactive research projects in three WPDPs conducted through a total of 256 interviews and documentation from meetings. The findings were compared in a qualitative content analysis. Findings – The outcomes of development processes in the programmes and local Lean implementation are enabled by the interplay of three conditions: a) organized learning activities with the stakeholders involved, b) key stakeholders’ active ownership and c) support for employee participation. The three conditions thus support programme management in leading the programme development processes. Research limitations/implications - The findings operationalize broad theoretical concepts. However, the research projects involved were not originally designed for this comparative study, which created some difficulties when performing the analysis. The longitudinal design and vast amount of data partly compensate for this. Practical implications – This knowledge will be helpful in the formation of new WPDPs that support local organizational development and for those who lead such processes. Originality/value – The novelty of the findings is the operationalization of broad theoretical concepts, such as the conditions that support development programmes. Moreover, this article shows a set of work practices and activities that management may be used in organizing WPDPs.
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