Health care managers' views on and approaches to implementing models for improving care processes

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Andreasson, JörgenHögskolan i Borås,KTH,Ergonomi,Akademin för vård, arbetsliv och välfärd (author)

Health care managers' views on and approaches to implementing models for improving care processes

Article/chapterEnglish2016

Publisher, publication year, extent ...

2015-04-08
Hindawi Limited,2016

Numbers

LIBRIS-ID:oai:gup.ub.gu.se/247319
https://gup.ub.gu.se/publication/247319URI
https://doi.org/10.1111/jonm.12303DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-165969URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8594URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-15251URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

QC 20150505
Aim: To develop a deeper understanding of health-care managers' views on and approaches to the implementation of models for improving care processes. Background: In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome. Method: In-depth interviews with first- and second-line managers in Swedish hospitals were conducted and analysed using grounded theory. Results: 'Coaching for participation' emerged as a central theme for managers in handling top-down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work. Conclusion and implications for nursing management: Implementation models for improving care processes require a coaching leadership built on close manager-employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process-oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management.

Subject headings and genre

SAMHÄLLSVETENSKAP Annan samhällsvetenskap Arbetslivsstudier hsv//swe
SOCIAL SCIENCES Other Social Sciences Work Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Care processes
Coaching
Health-care managers
Implementation
Nurse management
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Added entries (persons, corporate bodies, meetings, titles ...)

Eriksson, Andrea,1977-KTH,Ergonomi(Swepub:kth)u1hz0zb4 (author)
Dellve, Lotta,1965Högskolan i Borås,KTH,Gothenburg University,Göteborgs universitet,Institutionen för sociologi och arbetsvetenskap,Department of Sociology and Work Science,Ergonomi,Akademin för vård, arbetsliv och välfärd(Swepub:hb)LODE (author)
KTHErgonomi (creator_code:org_t)

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In:Journal of Nursing Management: Hindawi Limited24:2, s. 219-2270966-04291365-2834

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Other Social Sci ...; and Work Sciences

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

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By the university: University of Gothenburg; Royal Institute of Technology; University of Borås

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