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Ujvari, Sandor
Publications (10 of 27) Show all publications
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
Eriksson, N. & Ujvari, S. (2015). Fiery Spirits in the context of institutional entrepreneurship in Swedish healthcare. Journal of Health Organisation & Management, 29(4), 515-531
Open this publication in new window or tab >>Fiery Spirits in the context of institutional entrepreneurship in Swedish healthcare
2015 (English)In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 29, no 4, p. 515-531Article in journal (Refereed) Published
Abstract [en]

Purpose – Clinical governance and leadership concepts can lead to more or less successfulimplementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, asinstitutional entrepreneurs can, working in a team, implement sustained change in hospital clinicalpractice.Design/methodology/approach – This paper describes two case studies, conducted at two Swedishhospitals over a period of two years, in which changes in clinical practice were implemented. In bothcases, key-actors, termed Fiery Spirits, played critical roles in these changes. The authors use aqualitative approach and take an intra-organizational perspective with semi-structured in-depthinterviews and document analysis.Findings – The new clinical practices were successfully implemented with a considerable influenceof the Fiery Spirits who played a pivotal role in the change efforts. The Fiery Spirits persuasively,based on their structural and normative legitimacy and the adoption of learning processes, advocated,and supported change.Practical implications – Fiery Spirits, given flexibility and opportunity, can be powerful forcesfor change outside the trajectory of management-inspired and management-directed change.Team members, when inspired and encouraged by Fiery Spirits, are less resistant to change and morewilling to test new clinical practices.Originality/value – The paper complements literature on how the Fiery Spirit concept aligns withconcepts of clinical governance and leadership and how change can be achieved. Additionally, thefindings show the effects of legitimacy and learning processes on change in clinical practice.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2015
Keywords
Clinical governance, Healthcare management, Organizational change, Clinical practice, Fiery Spirit, Institutional entrepreneur
National Category
Business Administration
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-11042 (URN)10.1108/JHOM-09-2014-0158 (DOI)000357394100006 ()26045193 (PubMedID)2-s2.0-84930592540 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr: 2008-0834
Available from: 2015-06-11 Created: 2015-06-10 Last updated: 2017-11-27Bibliographically approved
Andersson, T., Eriksson, N. & Ujvari, S. (2013). Industriellt baserade modeller för kvalitetsutveckling (1ed.). In: Nomie Eriksson, Kajsa-Mia Holgers, Tomas Müllern (Ed.), Att utveckla vården: Erfarenheter av kvalitet, verksamhetsutveckling och förbättringsarbete (pp. 73-84). Lund: Studentlitteratur
Open this publication in new window or tab >>Industriellt baserade modeller för kvalitetsutveckling
2013 (Swedish)In: Att utveckla vården: Erfarenheter av kvalitet, verksamhetsutveckling och förbättringsarbete / [ed] Nomie Eriksson, Kajsa-Mia Holgers, Tomas Müllern, Lund: Studentlitteratur, 2013, 1, p. 73-84Chapter in book (Refereed)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2013 Edition: 1
Series
Administrativ medicin
National Category
Social Sciences Economics and Business Business Administration
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-8565 (URN)9789144090771 (ISBN)
Available from: 2013-10-22 Created: 2013-10-22 Last updated: 2017-11-27Bibliographically approved
Andersson, T., Eriksson, N. & Ujvari, S. (2011). Easier to trust managers than management?: The case of improvement work in healthcare. In: : . Paper presented at Conference Gothenburg Public Management Seminars, 15-16 november, 2011. (pp. 1-12).
Open this publication in new window or tab >>Easier to trust managers than management?: The case of improvement work in healthcare
2011 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Previously, improvement work in healthcare has mainly been medically related and driven by medical research, but NPM implies that management-initiated improvement work targeting organizing, productivity, efficiency, work flow etc. has become more and more common. Management-initiated improvement work has a high failure rate, and in general it seems difficult to motivate co-workers to actively participate. In all processes of organizational change, trust in the initiator of a change project is an important prerequisite to enable change take place. In this article, our purpose is to investigate how trust in management influences management-initiated improvement work. In a qualitative study we investigate improvement work at three Swedish hospitals. Our theoretical framework is based on a view of management as being both the people who manage and the system of management. This distinction is important since we can trust people and we can have confidence in a system, but these processes are different. Consequently, it is possible to trust individual managers, but as long as we do not trust management as a system, management-initiated improvement work will face considerable problems.  To analyze trust we use a model that identifies three important antecedents for one person (the trustor) to consider another person (the trustee) as trustworthy: ability, benevolence and integrity. Using social system theory, we extend this model to on the one hand describe trust in specific persons (specific managers), and on the other hand describe confidence in a system (management in general, which the system-specific managers are parts of). The results indicate that there in general is a lack of trust between healthcare personnel and healthcare management.

 

We were able to find certain managers who were found trustworthy by the personnel, but despite these trust-relations the personnel did still not have confidence in management as a system. To the contrary, these managers were perceived as exceptions, and did not change the perception of management in general. The consequences for management-initiated improvement work were that most personnel at best were ignorant to it, and at worst resisted it openly. However, there were examples when trusted enthusiastic managers succeeded in initiating improvement work, but then the continuation and success was directly connected to this person, and if s/he left, the improvement work stopped. Furthermore, some work groups seemed to very clearly separate “real” improvement work, which they initiated themselves, from “phony” improvement work initiated by management, which only stole time from more important tasks.

Keywords
trust, healthcare, NPM, change management
National Category
Business Administration
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-6083 (URN)
Conference
Conference Gothenburg Public Management Seminars, 15-16 november, 2011.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2012-06-29 Created: 2012-06-29 Last updated: 2017-11-27Bibliographically approved
Andersson, T., Eriksson, N. & Ujvari, S. (2011). Organisering av förbättringsarbete inom vården med inspiration från industrin. In: : . Paper presented at Conference Gothenburg Public Management Seminars, 15-16 november, 2011. (pp. 1-13).
Open this publication in new window or tab >>Organisering av förbättringsarbete inom vården med inspiration från industrin
2011 (Swedish)Conference paper, Published paper (Refereed)
Abstract [sv]

I denna artikel fokuserar vi på användandet av industriellt baserade produktionssynsätt (IBP) inom vården i avsikt att arbeta systematiskt med förbättringsarbete. Tidigare forskning har visat att det är svårt att få nya arbetsmetoder att få genomslag i den dagliga praktiken. I denna artikel fokuserar vi på om det går att se indirekta effekter såsom hur förbättringsarbetet organiseras beroende på vilka IBP olika sjukhus väljer att arbeta med. Undersökning är genomförd genom fallstudier på tre sjukhus som har valt att arbeta med tre olika metoder: six sigma, processorientering och mikrosystem.

Studien visar att de olika logikerna bakom de olika metoderna ger fundamentalt olika sätt att organisera förbättringsarbetet vid de tre sjukhusen. Six sigma-sjukhuset valde ett centraliserat förbättringsarbete i hög grad drivet av experter på förbättringsmetoder, processsjukhuset

hade en expertavdelning som var mer av bollplank och utbildare för verksamhetens förbättringsarbete och mikrosystem-sjukhuset valde ett decentraliserat förbättringsarbete där förbättringsarbetet var både lokalt initierat och drivet.

Keywords
Organisering, NPM, Six Sigma, Processorienterig, Lean
National Category
Business Administration
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-6085 (URN)
Conference
Conference Gothenburg Public Management Seminars, 15-16 november, 2011.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2012-06-29 Created: 2012-06-29 Last updated: 2017-11-27Bibliographically approved
Andersson, T., Eriksson, N. & Ujvari, S. (2011). System trust in healthcare: A prerequisite for improvement work?. Paper presented at Företagsekonomisk ämneskonferens 2011, 19-20 oktober, Linköping. Linköping: Linköpings universitet
Open this publication in new window or tab >>System trust in healthcare: A prerequisite for improvement work?
2011 (English)Conference paper, Oral presentation only (Refereed)
Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2011
Identifiers
urn:nbn:se:his:diva-7299 (URN)
Conference
Företagsekonomisk ämneskonferens 2011, 19-20 oktober, Linköping
Available from: 2013-02-25 Created: 2013-02-25 Last updated: 2017-11-27Bibliographically approved
Andersson, T., Eriksson, N. & Ujvari, S. (2011). Trust in management-initiated improvement work. In: : . Paper presented at Utvecklingskraft, Jönköping, 18-19 maj, 2011. Jönköping: Landstinget i Jönköpings län
Open this publication in new window or tab >>Trust in management-initiated improvement work
2011 (English)Conference paper, Oral presentation only (Refereed)
Place, publisher, year, edition, pages
Jönköping: Landstinget i Jönköpings län, 2011
Identifiers
urn:nbn:se:his:diva-7314 (URN)
Conference
Utvecklingskraft, Jönköping, 18-19 maj, 2011
Available from: 2013-02-26 Created: 2013-02-26 Last updated: 2017-12-28Bibliographically approved
Hilletofth, P., Ujvari, S., Lättilä, L. & Hilmola, O.-P. (2010). Agent-based decision support for maintenance service provider. International Journal of Services Sciences, 3(2/3), 194-215
Open this publication in new window or tab >>Agent-based decision support for maintenance service provider
2010 (English)In: International Journal of Services Sciences, ISSN 1753-1446, Vol. 3, no 2/3, p. 194-215Article in journal (Refereed) Published
Abstract [en]

Operations performed by a maintenance service provider (MSP) can include the entire maintenance function or select activities; these need to be well-balanced in terms of utilisation rate of own resources, maintenance cost incurred and the uptime of the customers’ production systems. MSPs face challenges due to the task of planning several non-associated plants and with a frequent lack of reliable information. In this research work, an agent-based decision support system of service-related maintenance has been developed. Research shows that this approach can improve the understanding of the problem domain and also generate a basis for decision-making and structural changes.

Place, publisher, year, edition, pages
Inderscience Enterprises Ltd., 2010
Keywords
service operations, agent-based modelling and simulation, ABMS, decision support
National Category
Engineering and Technology
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-4049 (URN)10.1504/IJSSCI.2010.032223 (DOI)
Available from: 2010-06-10 Created: 2010-06-10 Last updated: 2017-11-27Bibliographically approved
Hilmola, O.-P., Ujvari, S., Torkkeli, M., Lorentz, H. & Andersson, T. (2010). From Northern Europe to Russia and Asia, and vice versa: traffic flow analysis – current situation and development trends. International Journal of Logistics Systems and Management, 6(2), 205-217
Open this publication in new window or tab >>From Northern Europe to Russia and Asia, and vice versa: traffic flow analysis – current situation and development trends
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2010 (English)In: International Journal of Logistics Systems and Management, ISSN 1742-7967, E-ISSN 1742-7975, Vol. 6, no 2, p. 205-217Article in journal (Refereed) Published
Place, publisher, year, edition, pages
InderScience Publishers, 2010
Identifiers
urn:nbn:se:his:diva-7266 (URN)10.1504/IJLSM.2010.030961 (DOI)
Available from: 2013-02-20 Created: 2013-02-20 Last updated: 2017-12-06Bibliographically approved
Hilmola, O.-P. & Ujvari, S. (Eds.). (2010). International Journal of Services Sciences: Special Issue: Innovative Information Technology in the Service Sector. Inderscience Enterprises Ltd.
Open this publication in new window or tab >>International Journal of Services Sciences: Special Issue: Innovative Information Technology in the Service Sector
2010 (English)Collection (editor) (Refereed)
Place, publisher, year, edition, pages
Inderscience Enterprises Ltd., 2010
Series
International Journal of Services Sciences, ISSN 1753-1446 ; Vol. 3(2/3)
National Category
Engineering and Technology
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-4937 (URN)
Note

Guest editors for a journal

Available from: 2011-06-01 Created: 2011-06-01 Last updated: 2017-11-27Bibliographically approved
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