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Gadolin, C., Andersson, T., Hellström, A. & Eriksson, E. (2018). Alternative Value Configuration Models in Healthcare and Its Effect on Professional Fulfillment. In: : . Paper presented at 5th Interdisciplinary Nordic Research Conference on Interactions Between Professions, Organization and the Quality of Healthcare (IPOQ), Oslo, January 22-23, 2018.
Open this publication in new window or tab >>Alternative Value Configuration Models in Healthcare and Its Effect on Professional Fulfillment
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14666 (URN)
Conference
5th Interdisciplinary Nordic Research Conference on Interactions Between Professions, Organization and the Quality of Healthcare (IPOQ), Oslo, January 22-23, 2018
Available from: 2018-01-19 Created: 2018-01-19 Last updated: 2018-05-08Bibliographically approved
Andersson, T. (2018). Att leda genom medarbetarskap i vården. Cancervården (1), 16-17
Open this publication in new window or tab >>Att leda genom medarbetarskap i vården
2018 (Swedish)In: Cancervården, ISSN 1401-6583, no 1, p. 16-17Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Riksföreningen sjuksköterskor i cancervård, 2018
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-15102 (URN)
Available from: 2018-04-27 Created: 2018-04-27 Last updated: 2018-04-27Bibliographically approved
Eriksson, E., Hellström, A., Andersson, T. & Gadolin, C. (2018). Beyond Sickcare: Collaborative Value Creation Emphasizing Health in Healthcare. In: : . Paper presented at 22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018.
Open this publication in new window or tab >>Beyond Sickcare: Collaborative Value Creation Emphasizing Health in Healthcare
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14791 (URN)
Conference
22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018
Available from: 2018-03-05 Created: 2018-03-05 Last updated: 2018-05-09Bibliographically approved
Andersson, T. & Liff, R. (2018). Co-optation as a response to competing institutional logics: Professionals and managers in healthcare. Journal of Professions and Organization, 5(2), 71-87
Open this publication in new window or tab >>Co-optation as a response to competing institutional logics: Professionals and managers in healthcare
2018 (English)In: Journal of Professions and Organization, ISSN 2051-8803, E-ISSN 2051-8811, Vol. 5, no 2, p. 71-87Article in journal (Refereed) Published
Abstract [en]

Researchers working under the institutional logics perspective find the struggle between managerial logic and various professional logics one of the most intriguing issues in healthcare organizations. Previous research provided several explanations at both the organizational level (mediation, hybridization, and selective coupling) and the individual actor level (hierarchization, sense making, reinterpretation, and hijacking) for the coexistence of professional and managerial logics in healthcare. However, all of these explanations are based on the underlying institutional logics not changing. In this article, we show that co-optation can explain the coexistence of institutional logics, but that it also causes the underlying institutional logics to change. Co-optation means that an actor adopts a strategic element from another logic that retains the most important elements of its own logic. Empirically, this article illustrates co-optation processes through a qualitative study of outpatient units in child and adolescent psychiatric care in Sweden. Using an institutional logics framework, we describe and explain how managers co-opted elements of professional logics and professionals co-opted elements of managerial logic in their attempts to support their own interests. Even if co-optation is performed to protect the home logic, the co-opted elements ultimately change it. This study contributes to the institutional logics framework by describing and explaining how co-optation can be a dynamic response to competing logics at the individual actor level.

Place, publisher, year, edition, pages
Oxford University Press, 2018
Keywords
co-optation, healthcare, institutional logics, managers, professionals
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-16019 (URN)10.1093/jpo/joy001 (DOI)000438240400001 ()
Projects
Forte 2015-00822 Verksamhetsutvecklarnas roll i vårdens utvecklingsarbete
Available from: 2018-07-27 Created: 2018-07-27 Last updated: 2018-08-01Bibliographically approved
Andersson, T. (2018). Followership: An important social resource for organizational resilience. In: Stefan Tengblad, Margareta Oudhuis (Ed.), The Resilience Framework: Organizing for sustained viability (pp. 147-162). Singapore: Springer
Open this publication in new window or tab >>Followership: An important social resource for organizational resilience
2018 (English)In: The Resilience Framework: Organizing for sustained viability / [ed] Stefan Tengblad, Margareta Oudhuis, Singapore: Springer, 2018, p. 147-162Chapter in book (Refereed)
Place, publisher, year, edition, pages
Singapore: Springer, 2018
Series
Work, Organization, and Employment, ISSN 2520-8837, E-ISSN 2520-8845
Keywords
Organizational resilience, followership, medarbetarskap, social resources, cooperation
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14665 (URN)10.1007/978-981-10-5314-6_9 (DOI)978-981-10-5313-9 (ISBN)978-981-10-5314-6 (ISBN)
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-04-25Bibliographically approved
Wickelgren, M., Andersson, T. & Cäker, M. (2018). How incentive systems arrived in Sweden: a tale of travelling ideas and ghost myths in action. International Journal of Management Concepts and Philosophy, 11(1), 67-81
Open this publication in new window or tab >>How incentive systems arrived in Sweden: a tale of travelling ideas and ghost myths in action
2018 (English)In: International Journal of Management Concepts and Philosophy, ISSN 1478-1484, E-ISSN 1741-8135, Vol. 11, no 1, p. 67-81Article in journal (Refereed) Published
Abstract [en]

This paper describes and explains how and why incentive systems began spreading in Sweden, despite the differences between the dominating business values in the USA (where incentive systems originated) and Sweden. A ghost myth in Sweden’s national business system explains why it happened when it did. Theories on travelling ideas underemphasise the fact that organisations/countries hold varying and competing ideas of suitable practices at the same time. Ghost myths are important alternative concepts which are activated when contextual circumstances arise for a shift in practices. This research is based on a hermeneutic and qualitative approach using texts and interviews and it highlights the role of ghost myths in terms of how ideas travel and how they are translated in different contexts.

Keywords
incentive system, translation, ghost myth, imitation, national business system, travelling ideas, Sweden, management fashion, income distribution, institutional theory
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-16022 (URN)10.1504/IJMCP.2018.090413 (DOI)
Projects
Forte 2010-0970, Belöningssystem i svenskt arbetsliv - möte eller krock mellan amerikanska och svenska ledningspraktiker?
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2010-0970
Available from: 2018-07-31 Created: 2018-07-31 Last updated: 2018-08-13Bibliographically approved
Gadolin, C., Eriksson, E., Andersson, T. & Hellström, A. (2018). 'Patient Ping-Pong': Creating Value Through Resource Integration. In: : . Paper presented at 22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018.
Open this publication in new window or tab >>'Patient Ping-Pong': Creating Value Through Resource Integration
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14793 (URN)
Conference
22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018
Available from: 2018-03-05 Created: 2018-03-05 Last updated: 2018-05-09Bibliographically approved
Andersson, T., Gadolin, C., Hellström, A. & Eriksson, E. (2018). Unintended Consequences of Management Concepts in Healthcare: The Mix of Value Configurations in Diabetes Care. In: : . Paper presented at 22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018.
Open this publication in new window or tab >>Unintended Consequences of Management Concepts in Healthcare: The Mix of Value Configurations in Diabetes Care
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14792 (URN)
Conference
22nd Annual International Research Society for Public Management (IRSPM) Conference, Edinburgh, April 11-13, 2018
Available from: 2018-03-05 Created: 2018-03-05 Last updated: 2018-05-09Bibliographically approved
Gadolin, C. & Andersson, T. (2017). Healthcare quality improvement work: a professional employee perspective. International Journal of Health Care Quality Assurance, 30(5), 410-423
Open this publication in new window or tab >>Healthcare quality improvement work: a professional employee perspective
2017 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 30, no 5, p. 410-423Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work.

Design/methodology/approach

Qualitative case study based on interviews (n=27) and observations (n=10).

Findings

The main conditions that influence how employees engage in healthcare QI work are professions, work structures and working relationships. These conditions can both prevent and facilitate healthcare QI. Professions and work structures may cement existing institutional logics and thus prevent employees from engaging in healthcare QI work. However, attempts to align QI with professional logics, together with work structures that empower employees, can make these conditions increase employee engagement, which can be accomplished through positive working relationships that foster institutional work, which bridge different competing institutional logics, making it possible to overcome barriers that professions and work structures may constitute.

Practical implications

Understanding the conditions that influence how employees engage in healthcare QI work will make initiatives more likely to succeed.

Originality/value

Healthcare QI has mainly been studied from an implementer perspective, and employees have either been neglected or seen as passive resisters. Weak employee perspectives make healthcare QI research incomplete. In our research, healthcare QI work is studied closely at the actor level to understand healthcare QI from an employee perspective.

Keywords
Relationships, Employee engagement, Quality improvement, Institutional logics, Professions, Work structure
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-13626 (URN)10.1108/IJHCQA-02-2016-0013 (DOI)000404784700002 ()28574326 (PubMedID)2-s2.0-85020192774 (Scopus ID)
Projects
Förutsättningar för vårdutveckling - ett medarbetarperspektiv
Funder
AFA Insurance, 110159
Available from: 2017-06-05 Created: 2017-06-05 Last updated: 2017-11-27Bibliographically approved
Gustavsson, S. M. K. & Andersson, T. (2017). Patient involvement 2.0: Experience-based co-design supported by action research. Action Research
Open this publication in new window or tab >>Patient involvement 2.0: Experience-based co-design supported by action research
2017 (English)In: Action Research, ISSN 1476-7503, E-ISSN 1741-2617Article in journal (Refereed) Epub ahead of print
Abstract [en]

Strong professionals who influence the development of healthcare services have dominated healthcare organizations for many years. However, this dominance has been challenged recently through patient involvement. One method of achieving patient involvement is experience-based co-design (EBCD), in which patients and healthcare professionals work together to improve care. Patient involvement has considerable potential, but also presents certain challenges. This article addresses these challenges using experiences from patients and healthcare professionals who participated in two action research (AR) projects that aimed to improve patient experienced quality using EBCD. The paper shows that patient involvement in quality improvements challenge the traditional roles of professionals and patients. The role as codesigner embraces new perspectives for healthcare professionals that force them to step out of their comfort zone. Accordingly, healthcare professionals are able to view patients as equal partners in improvement work. Reflecting dialogues offered eye-opening stories for patients and healthcare professionals that enabled them to construct a common picture of care. This study contributes to earlier research that argues that an AR approach can strengthen important values for EBCD projects. The findings show that the combination of EBCD and AR is a promising approach to address the challenges of patient involvement in healthcare improvement.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
patient involvement, expreience-based co-design, action research, improvements, pediatrics, professions
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14391 (URN)10.1177/1476750317723965 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00822
Available from: 2017-11-11 Created: 2017-11-11 Last updated: 2018-09-10Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1989-2745

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