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Leading change: a challenge for leaders in Nordic health care
University of Skövde, School of Life Sciences.
Åbo Akademi University.
2010 (English)In: Journal of Nursing Management, ISSN 1365-2834, Vol. 18, no 5, 613-617 p.Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of the present study was to describe personnel's attitudes to change processes between a regional hospital and the primary health care centre as well as investigate these results with regards to theories pertaining to change and leading change. Background: Leadership has three crucial dimensions: focusing on personnel, results/key processes and the ethical base of activities. Methods: A survey was conducted in 2003 using a comprehensive questionnaire. The total sample consisted of the personnel (n = 899) at the two organizations (answering rate was 68.8%). The data were analysed descriptively. Results: Approximately two-thirds of the respondents understood why the merger was occurring. Only one-third expressed that they had received sufficient information regarding the merger. In total 67% felt that the merger would create conflict while approximately one-fourth expressed uncertainty. Despite such negative responses, approximately two-thirds felt there were advantages to the merger. Significant differences were seen between the groups. Conclusions: In times of change personnel expect leaders to focus on dialogue with their personnel and to anchor the vision of the change process amongst the personnel. Implications for nursing management: By identifying the 'prison of thought' and creating an atmosphere where reflection and discussion are valued the nurse leader can help prevent resistance to change.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd. , 2010. Vol. 18, no 5, 613-617 p.
Keyword [en]
health care, leadership, leading change, survey
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-4520DOI: 10.1111/j.1365-2834.2010.01097.xISI: 000283237400018PubMedID: 20636511Scopus ID: 2-s2.0-77957107149OAI: oai:DiVA.org:his-4520DiVA: diva2:382315
Available from: 2010-12-30 Created: 2010-12-30 Last updated: 2012-11-21Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
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  • asciidoc
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