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Eriksson, Nomie, Biträdande professorORCID iD iconorcid.org/0000-0001-5718-0100
Publications (10 of 48) Show all publications
Cregård, A. & Eriksson, N. (2018). Chefskap i professionella organisationer: läkare som chefer (1ed.). In: Anna Cregård, Erik Berntson, Stefan Tengblad (Ed.), Att leda i en komplex organisation: Utmaningar och nya perspektiv för chefer i offentlig verksamhet (pp. 71-82). Stockholm: Natur och kultur
Open this publication in new window or tab >>Chefskap i professionella organisationer: läkare som chefer
2018 (Swedish)In: Att leda i en komplex organisation: Utmaningar och nya perspektiv för chefer i offentlig verksamhet / [ed] Anna Cregård, Erik Berntson, Stefan Tengblad, Stockholm: Natur och kultur, 2018, 1, p. 71-82Chapter in book (Other academic)
Abstract [sv]

Komplexa organisationer är vanligen svåra att styra – och det gäller särskilt organisationer med starkt professionaliserade aktörer. Det beror på flera faktorer: att det är svårt att överblicka handlingars konsekvenser i sådana organisationer, att det inte är självklart att styrimpulser efterföljs eller att verksamhetens viktigaste procedurer ens går att följa upp. Dessutom kan det som sker på en hierarkisk nivå sakna koppling till det som händer på en annan – och det gäller särskilt for kärnverksamhet i relation till ledning.

Place, publisher, year, edition, pages
Stockholm: Natur och kultur, 2018 Edition: 1
Keywords
hälso-och sjukvård, chefslogik, medicinsk logik, deltidschef, förtroende, läkarchef
National Category
Social Sciences Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-15132 (URN)978-91-27-82254-2 (ISBN)978-91-27-82429-4 (ISBN)
Available from: 2018-05-07 Created: 2018-05-07 Last updated: 2019-09-30Bibliographically approved
Eriksson, N. (2018). Followership for Organizational Resilience in Health care. In: Stefan Tengblad, Margareta Oudhuis (Ed.), The Resilience Framework: Organizing for Sustained Viability (pp. 163-179). Singapore: Springer
Open this publication in new window or tab >>Followership for Organizational Resilience in Health care
2018 (English)In: The Resilience Framework: Organizing for Sustained Viability / [ed] Stefan Tengblad, Margareta Oudhuis, Singapore: Springer, 2018, p. 163-179Chapter in book (Refereed)
Abstract [en]

The resilient organization has the important capability of creating high reliability. In health care, professionals deal with major challenges in terms of new working methods. The chapter describes the introduction of a standardized working method in hospitals, utilizing Lean-oriented work processes. That is different from nurses’ and physicians’ traditional and flexible way of working. These differences in approaches are the subject of the study. The question is: How can followership create and maintain high reliability and resilience in health care? A comparative case study was performed using interviews and steering documents. To maintain and create high reliability, social resources such as followership are important. Followers’ ability to improve, cooperate, and learn turned out to be important characteristics. Organizational resilience depends on these professionals’ ability to manage change.

Place, publisher, year, edition, pages
Singapore: Springer, 2018
Series
Work, Organization, and Employment, ISSN 2520-8837, E-ISSN 2520-8845
Keywords
Healthcare, High Reliability Organization (HRO), Followership, Nurses, Physicians
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14092 (URN)10.1007/978-981-10-5314-6_10 (DOI)978-981-10-5313-9 (ISBN)978-981-10-5314-6 (ISBN)
Available from: 2017-09-07 Created: 2017-09-07 Last updated: 2018-04-25Bibliographically approved
Eriksson, N. (2018). Förtroende för vårdens information. Socialmedicinsk Tidskrift, 95(3), 311-320
Open this publication in new window or tab >>Förtroende för vårdens information
2018 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 95, no 3, p. 311-320Article in journal (Refereed) Published
Abstract [sv]

Nya teknologier i sjukvården skall ge effektivare informationsflöden och bidra till att behandla patienter snabbare och effektivare. Syftet är att beskriva och analysera professionernas tillit till informationen i den digitala patientjournalen. I en jämförande studie med den tidigare analoga patientjournalen besvarar en enkätundersökning till läkare (n=65) och sjuksköterskor(n=262) (svarsfrekvens 84,7%), tilliten till informationens stöd, möjligheter och utmaningar för professionernas kunskap och förmåga att tillämpa informationen. Den horisontella tilliten mellan professionerna stöder tillit till informationen i patientjournalen. Tilliten är dock låg till att informationen effektiviserar användning av informationen. Det är inte digitalisering i sig som utvecklar tillit till informationen utan tillit mellan dem som arbetar med patienterna. När tilliten mellan professionerna ökar finns möjlighet till ytterligare samarbete i sjukvården.

Abstract [en]

New technologies in health care shall provide more efficient information flows and contribute to treat patients more efficiently. The purpose describes and analyzes the professionals’ trust to the information in electronic healthcare records, compared to the former analogue. A survey of physicians’ (n = 65) and nurses’ (n = 262) (response rate of 84.7%) perceptions was performed about trust of the information regarding support, opportunities and challenges, and the professionals’ knowledge and ability to apply this information. The horizontal trust between professionals supports trust of the information. Digitized information, in itself, does not render the use of information more efficient. However, it is not digitalization that develops trust in the information without the trust between those working with the patients.

Keywords
Trust, Healthcare, Professions, Information, Electronic Health Record, Tillit, Sjukvård, Professioner, Information, Digital patientjournal
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-16242 (URN)
Available from: 2018-09-24 Created: 2018-09-24 Last updated: 2018-11-13Bibliographically approved
Eriksson, N. (2017). Challenges in Hospitals Digitalization – Physicians’ and Nurses’ Outlook. In: : . Paper presented at 24th Nordic Academy of Management Conference (NFF), Bodø, Norway, August 23-25, 2017.
Open this publication in new window or tab >>Challenges in Hospitals Digitalization – Physicians’ and Nurses’ Outlook
2017 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Digitalization is sweeping every organization. Also in hospitals patients’ records go through a digitization process to become electronic healthcare record, (EHR).

Purpose – This study describe physicians and nurses perceptions towards digitization of their work practices. The overall questions is: What are the professionals’ perceptions on how to work with digitalized information systems?

Design/methodology/approach –The sample consisted of physicians (n=64) and nurses (n=261) working in a Swedish regional hospital. A standardized questionnaire was coupled with free-text options as well. The professionals’ perceptions of EHR were compared with the traditional paper-based records.

Findings – The professionals reacted with resistance and need more time and more well-developed systems to exercise their new skills. Competence to document in itself is not the problem. The problem is how to perform their new EHR work in daily practise. Communication problems between different systems become obvious. The study shows that performability is important when working with digitization in every day’s practises.

Practical implications – There are still shortcomings in the quality of the documentation in EHR. Redundant documentations have to be minimized. The communication between systems and information to patient have to be developed. It also important to have more and better work places for professionals’ possibility to perform their skills. Additionally, to increase their knowledge of digitization in healthcare the professionals need continuous training and time to discuss pros and cons with the digitization.

Keywords
Digitization, Electronic Healthcare Record (EHR), Professionals, Healthcare
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-14138 (URN)
Conference
24th Nordic Academy of Management Conference (NFF), Bodø, Norway, August 23-25, 2017
Available from: 2017-09-21 Created: 2017-09-21 Last updated: 2017-11-27Bibliographically approved
Eriksson, N. (2017). Hospital management from a high reliability organizational change perspective: A Swedish case on Lean and Six Sigma. International Journal of Public Sector Management, 30(1), 67-84
Open this publication in new window or tab >>Hospital management from a high reliability organizational change perspective: A Swedish case on Lean and Six Sigma
2017 (English)In: International Journal of Public Sector Management, ISSN 0951-3558, E-ISSN 1758-6666, Vol. 30, no 1, p. 67-84Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to describe and analyze nurses’ perceptions and evaluations of healthcare developmental work after the introduction of Lean and Six Sigma and, how nurses aspire to maintain a high reliability organization (HRO).

Design/methodology/approach – Nurses’ roles and the way they respond to new efficiency and quality working methods are crucial. Underlying themes were analyzed from in-depth, semi-structured interviews with (n 17) nurses at two Swedish hospitals.

Findings – The nurses perceived that Lean worked better than Six Sigma, because of its bottom-up approach, and its similarities with nurses’ well-known work qualities. Nurses coordinate patients care, collaborate in teams and take leadership roles. To maintain high reliability and to become quality developers, nurses need stable resources. However, professional’s logic collides with management’s logic. Expert knowledge (top-down approach) without nurses’ local knowledge (bottom-up approach) can lead to problems. Healthcare quality methods are standardized but must be used with flexibility. However, HROs ensue not only from method quality but also from work attitudes, commitment and continuous work-improvement.

Practical implications – Management can support personnel in developmental work with: continuous education, training, teamwork, knowledge sharing and cooperation. Authoritarian method structures that limit the healthcare professionals’ autonomy should be softened or abandoned.

Originality/value – The study uses theoretical concepts from HROs, which were developed for unexpected events, to explain the consequences of implementing Lean and Six Sigma in healthcare.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2017
Keywords
Six Sigma, Lean, Nurses, Healthcare development, High reliable organizations
National Category
Business Administration
Research subject
Humanities and Social sciences; Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-13294 (URN)10.1108/IJPSM-12-2015-0221 (DOI)000395672200005 ()2-s2.0-85008196721 (Scopus ID)
Available from: 2017-01-04 Created: 2017-01-04 Last updated: 2017-11-27Bibliographically approved
Eriksson, N. & Müllern, T. (2017). Interprofessional Barriers: A Study of Quality Improvement Work Among Nurses and Physicians. Quality Management in Health Care, 26(2), 63-69
Open this publication in new window or tab >>Interprofessional Barriers: A Study of Quality Improvement Work Among Nurses and Physicians
2017 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 26, no 2, p. 63-69Article in journal (Refereed) Published
Abstract [en]

This article studies interprofessional barriers between nurses and physicians in the context of quality improvementwork. A total of 17 nurses and 10 physicians were interviewed at 2 hospitals in Sweden. The study uncovered anumber of barriers relating to both the relative status of each group and their defined areas of responsibility.

Keywords
collaboration, interprofessional barriers, quality improvement work
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-13527 (URN)10.1097/QMH.0000000000000129 (DOI)000399390400002 ()28375952 (PubMedID)2-s2.0-85017966485 (Scopus ID)
Available from: 2017-04-25 Created: 2017-04-25 Last updated: 2017-11-27Bibliographically approved
Eriksson, N. & Gadolin, C. (2017). The professional logic in welfare organizations: implications for change. In: : . Paper presented at 24th Nordic Academy of Management Conference (NFF), Bodø, August 23-25, 2017.
Open this publication in new window or tab >>The professional logic in welfare organizations: implications for change
2017 (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-13805 (URN)
Conference
24th Nordic Academy of Management Conference (NFF), Bodø, August 23-25, 2017
Available from: 2017-06-21 Created: 2017-06-21 Last updated: 2017-11-27Bibliographically approved
Eriksson, N., Müllern, T., Andersson, T., Gadolin, C., Tengblad, S. & Ujvari, S. (2016). Involvement Drivers: A Study of Nurses and Physicians in Improvement Work. Quality Management in Health Care, 25(2), 85-91
Open this publication in new window or tab >>Involvement Drivers: A Study of Nurses and Physicians in Improvement Work
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2016 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 2, p. 85-91Article in journal (Refereed) Published
Abstract [en]

This article reports on the involvement of nurses and physicians in improvement work, with a special focus on the drivers. The purpose was to describe how the nurse and physician groups understand involvement drivers for improvement work and to explain the differences in how they understand involvement. The study was conducted at 2 Swedish hospitals, and a total of 20 nurses and 10 physicians were interviewed. The theoretical framework, developed by an interpretative approach, identifies and describes a number of involvement drivers. On clustering the drivers into larger involvement factors, the study shows clear differences and profiles in terms of the 2 groups' perception and understanding of the involvement—drivers. Each group's profile was then analyzed on the basis of concept of professional culture.

Place, publisher, year, edition, pages
Wolters Kluwer, 2016
Keywords
drivers, improvement work, involvement, nurses and physicians, professional culture
National Category
Business Administration
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-12089 (URN)10.1097/QMH.0000000000000092 (DOI)000381477000003 ()27031357 (PubMedID)2-s2.0-84964040268 (Scopus ID)
Available from: 2016-04-02 Created: 2016-04-02 Last updated: 2017-11-30Bibliographically approved
Söderström, E., Eriksson, N. & Åhlfeldt, R.-M. (2016). Managing healthcare information: analyzing trust. International Journal of Health Care Quality Assurance, 29(7), 786-800
Open this publication in new window or tab >>Managing healthcare information: analyzing trust
2016 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 29, no 7, p. 786-800Article in journal (Refereed) Published
Abstract [en]

Purpose– The purpose of this paper is to analyze two case studies with a trust matrix tool, to identify trust issues related to electronic health records. Design/methodology/approach– A qualitative research approach is applied using two case studies. The data analysis of these studies generated a problem list, which was mapped to a trust matrix. Findings– Results demonstrate flaws in current practices and point to achieving balance between organizational, person and technology trust perspectives. The analysis revealed three challenge areas, to: achieve higher trust in patient-focussed healthcare; improve communication between patients and healthcare professionals; and establish clear terminology. By taking trust into account, a more holistic perspective on healthcare can be achieved, where trust can be obtained and optimized. Research limitations/implications– A trust matrix is tested and shown to identify trust problems on different levels and relating to trusting beliefs. Future research should elaborate and more fully address issues within three identified challenge areas. Practical implications– The trust matrix’s usefulness as a tool for organizations to analyze trust problems and issues is demonstrated. Originality/value– Healthcare trust issues are captured to a greater extent and from previously unchartered perspectives.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016
Keywords
Medical records, Trust, Health and safety, Public health service, Patient safety, Electronic healthcare records, Trust matrix
National Category
Information Systems, Social aspects
Research subject
Technology; Information Systems; Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-12859 (URN)10.1108/IJHCQA-11-2015-0136 (DOI)000382484800007 ()27477934 (PubMedID)2-s2.0-84980322429 (Scopus ID)
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2019-01-22Bibliographically approved
Gadolin, C. & Eriksson, N. (2015). Achieving Change in Professional Organizations: An Institutional Logics Perspective. In: : . Paper presented at 23rd Nordic Academy of Management Conference (NFF), Copenhagen, August 12-14, 2015.
Open this publication in new window or tab >>Achieving Change in Professional Organizations: An Institutional Logics Perspective
2015 (English)Conference paper, Oral presentation only (Refereed)
Keywords
change management, organizational change, institutional logics, professional organizations, professional change
National Category
Business Administration
Identifiers
urn:nbn:se:his:diva-11277 (URN)
Conference
23rd Nordic Academy of Management Conference (NFF), Copenhagen, August 12-14, 2015
Available from: 2015-07-02 Created: 2015-07-02 Last updated: 2017-11-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5718-0100

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