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Rosenbäck, R. & Svensson, A. (2024). Management learning in public healthcare during pandemics. Learning Organization
Open this publication in new window or tab >>Management learning in public healthcare during pandemics
2024 (English)In: Learning Organization, ISSN 0969-6474, E-ISSN 1758-7905Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose:

This study aims to explore the management learning during a long-term crisis like a pandemic. The paper addresses both what health-care managers have learnt during the COVID-19 pandemic and how the management learning is characterized.

Design/methodology/approach:

The paper is based on a qualitative case study carried out during the COVID-19 pandemic at two different public hospitals in Sweden. The study, conducted with semi-structured interviews, applies a combination of within-case analysis and cross-case comparison. The data were analyzed using thematic deductive analysis with the themes, i.e. sensemaking, decision-making and meaning-making.

Findings:

The COVID-19 pandemic was characterized by uncertainty and a need for continuous learning among the managers at the case hospitals. The learning process that arose was circular in nature, wherein trust played a crucial role in facilitating the flow of information and enabling the managers to get a good sense of the situation. This, in turn, allowed the managers to make decisions meaningful for the organization, which improved the trust for the managers. This circular process was iterated with higher frequency than usual and was a prerequisite for the managers’ learning. The practical implications are that a combined management with hierarchical and distributed management that uses the normal decision routes seems to be the most successful management method in a prolonged crisis as a pandemic.

Practical implications:

The gained knowledge can benefit hospital organizations, be used in crisis education and to develop regional contingency plans for pandemics.

Originality/value:

This study has explored learning during the COVID-19 pandemic and found a circular process, “the management learning wheel,” which supports management learning in prolonged crises. © 2024, Ritva Rosenbäck and Ann Svensson.

Keywords
Crisis; Decision-making; Health care; Learning; Meaning-making; Pandemic; Power games; Sensemaking; Storytelling; Surge capacity; Trust
National Category
Nursing Business Administration Work Sciences
Research subject
Production Technology
Identifiers
urn:nbn:se:hv:diva-21475 (URN)10.1108/tlo-01-2023-0002 (DOI)2-s2.0-85182486620 (Scopus ID)
Note

CC BY 4.0

Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-11
Aggestam, L., Johansson, M., Kylén, E., Stenholm, J. & Svensson, A. (2024). The Development and Evaluation of an Animated Video for Pre- and Postoperative Instructions for Patients with Osteoarthritis: A Design Science Research Approach. Geriatrics, 9(19), 1-11
Open this publication in new window or tab >>The Development and Evaluation of an Animated Video for Pre- and Postoperative Instructions for Patients with Osteoarthritis: A Design Science Research Approach
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2024 (English)In: Geriatrics, E-ISSN 2308-3417, Vol. 9, no 19, p. 1-11Article in journal (Refereed) Published
Abstract [en]

Osteoarthritis (OA) is a condition in the hip or knee joints that develops during a long period of time and sometimes needs hip or knee joint replacement surgery when pain gets too intense for the patient. This paper describes how an animated video for pre- and postoperative instructions for patients with osteoarthritis was designed. The design science research (DSR) approach was followed by creating a web-based animated video. The web-based animated video is used to support surgical departments with education for patients suffering from OA. In the web-based animated video, information about OA surgical treatment and its pre- and post-arrangements was included. The relevance, the rigor, and the design cycles were focused on, with some iterations of and improvements in the animations. Even after implementation, there was a feedback-loop with comments from the surgeons and their patients. Moreover, as more departments will use the web-based animated video, they want to make their special mark on it, so that further changes will be made. This paper presents the design and successful implementation of an animated video for pre- and postoperative instructions for patients with osteoarthritis, tightly linked to the patient journey and the workflow of healthcare professionals. The animated video serves not only as a tool to improve care but also as a basis for further scientific research studies. 

Keywords
osteoarthritis; patient instruction; animated video; surgery; design science research
National Category
Nursing Rheumatology and Autoimmunity Learning Information Systems, Social aspects
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-21243 (URN)10.3390/geriatrics9010019 (DOI)
Funder
European Commission, 20202391
Note

CC BY 4.0

Available from: 2024-02-13 Created: 2024-02-13 Last updated: 2024-02-13
Emilsson, M., Karlsson, C. & Svensson, A. (2023). Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel's perspectives.. BMC Health Services Research, 23(1), Article ID 144.
Open this publication in new window or tab >>Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel's perspectives.
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 144Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: As the number of older people increases, so does the need for care. However, the workforce in eldercare cannot increase at the rate required to match the needs. Welfare technologies, such as surveillance cameras, can replace physical visits and be used at night to monitor older people in order to keep them safe, while not disturbing their sleep. The aim of the paper is to analyze obstacles and opportunities associated with implementation and use of surveillance cameras at nursing homes from the perspectives of the practitioners who use the technology, their working environment and the conditions of the older people with cognitive impairment who live in nursing homes.

METHODS: Individual semi-structured interviews were conducted with the eldercare personnel at nursing homes to understand their experiences of implementation and use of surveillance cameras. The transcribed interviews were analyzed using qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) was used as a guidance tool.

RESULTS: The results show that the eldercare personnel experienced lack of adequate information, education and support related to using surveillance cameras. Several benefits are highlighted, such as better working environment and that the residents were not unnecessarily disturbed at night. However, the results also show that it is important to clarify that surveillance cameras cannot replace the human presence.

CONCLUSIONS: The conclusions from this study are the importance of prerequisites for implementation, and that using surveillance cameras contributed to improvements in the working environment at night and created possibilities to maintain security and integrity for older people living in nursing homes.

Keywords
Eldercare personnel, Nursing home, Older people, Privacy, Surveillance camera
National Category
Nursing
Identifiers
urn:nbn:se:hv:diva-19671 (URN)10.1186/s12913-023-09130-2 (DOI)000932693000002 ()36765321 (PubMedID)2-s2.0-85147893556 (Scopus ID)
Note

This article is licensed under a Creative Commons Attribution 4.0 International License

This work was supported by the Interreg Sweden-Norway, European Regional Development Fund (ERDF) (grant numbers: 20201564 and 20202391

Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2024-01-11Bibliographically approved
Svensson, A., Lundh Snis, U. & Bernhard, I. (2023). Guest editorial: Learning capabilities for future work practices. Journal of Workplace Learning, 35(6), 465-469
Open this publication in new window or tab >>Guest editorial: Learning capabilities for future work practices
2023 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 35, no 6, p. 465-469Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2023
Keywords
learning, work practices
National Category
Business Administration Learning
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-20672 (URN)10.1108/jwl-08-2023-198 (DOI)001049298000001 ()2-s2.0-85168108166 (Scopus ID)
Available from: 2023-09-05 Created: 2023-09-05 Last updated: 2024-01-04Bibliographically approved
Svensson, A., Lundh Snis, U. & Bernhard, I. (2023). Guest editorial: Learning capabilities for future work practices: part two. Journal of Workplace Learning, 35(8), 665-669
Open this publication in new window or tab >>Guest editorial: Learning capabilities for future work practices: part two
2023 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 35, no 8, p. 665-669Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2023
Keywords
learning, workplace
National Category
Learning
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-21062 (URN)10.1108/jwl-10-2023-199 (DOI)2-s2.0-85178179744 (Scopus ID)
Available from: 2023-12-14 Created: 2023-12-14 Last updated: 2024-01-04Bibliographically approved
Svensson, A., Gustavsson, L., Svenningsson, I., Karlsson, C. & Karlsson, T. (2023). Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment. Journal of Workplace Learning, 35(6), 490-505
Open this publication in new window or tab >>Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment
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2023 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 35, no 6, p. 490-505Article in journal (Refereed) Published
Abstract [en]

PurposeThis paper presents findings from a qualitative study of healthcare professionals’ practice, where learning is taking place when a digital artefact is implemented for identification of patients’ cognitive impairment. The use of digital artefacts is increasing in various workplaces, to include professionals in healthcare. This paper aims to explore the following research question: How is the professional learning unfolding in patient-based work when a digital artefact transforms the practice?

Design/methodology/approachVarious data collection methods are used for this study, consisting of dialogue meetings, interviews and a reference-group meeting. Thematic analysis is used to inductively bring forth the themes of the collected data.

FindingsProfessionals’ knowledge and experience are of vital importance in learning and changing work practices. Together with their ability to reflect on changes, their knowledge and experience constitute the prefiguration when the introduction of a digital application brings about indeterminacy in the work practice.Originality/valueThis paper makes a contribution to practice-based research as it consolidates previous research and identifies professionals knowledge and learning in a healthcare context. This can be used to further explore and advance the field, as well as to establish the evidence-based importance of transforming practices based on implementation of digital artefacts.

Keywords
Learning Healthcare professionals, digital artefact, cognitiveimpairment, practice research, sociomateriality
National Category
Nursing Learning
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20697 (URN)10.1108/JWL-01-2023-0011 (DOI)001030586500001 ()2-s2.0-85165343709 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-01-11Bibliographically approved
Aggestam, L., van Laere, J. & Svensson, A. (2023). How to Apply and Manage Critical Success Factors in Healthcare Information Systems Development?: †. Systems, 11(9), Article ID 469.
Open this publication in new window or tab >>How to Apply and Manage Critical Success Factors in Healthcare Information Systems Development?: †
2023 (English)In: Systems, ISSN 2079-8954, Vol. 11, no 9, p. -17, article id 469Article in journal (Refereed) Published
Abstract [en]

Studies on Critical Success Factors (CSFs) in Healthcare Information Systems (HIS) development projects have traditionally often been limited to retrospectively identifying CSFs in a finished project. In this paper, we focus on how to prospectively apply and manage CSFs in HIS projects. Based on a holistic perspective and systems thinking, an inductive research strategy was applied and a single in-depth case study was conducted. The findings include detailed descriptions that contribute to further understanding of how to prospectively apply and manage CSFs in HIS projects. The analysis reveals that CSFs must be applied differently and managed on various system levels. Furthermore, it shows how interactions exist between different system levels, both in the case of a specific CSF and between different CSFs on various system levels. Our analysis framework and findings indicate new directions for future research: how to prospectively apply and manage CSFs in HIS development projects can now be investigated both in a more holistic way and more in detail. Finally, healthcare practitioners can use the descriptions as practical checklists for guiding them in how to realize situational adaptation of CSFs in HIS projects across different system levels.  

Place, publisher, year, edition, pages
MDPI, 2023
Keywords
Critical Success Factors (CSF); Healthcare Information Systems (HIS); holistic approach; systems thinking; system levels
National Category
Information Systems, Social aspects Nursing
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-21181 (URN)10.3390/systems11090469 (DOI)001070851400001 ()2-s2.0-85172097159 (Scopus ID)
Note

CC BY 4.0

Available from: 2024-01-19 Created: 2024-01-19 Last updated: 2024-01-19
Samuelson, S., Svensson, A., Svenningsson, I. & Pennbrant, S. (2023). Learning in living lab collaboration in primary care: a qualitative study. Journal of Workplace Learning, 35(9), 218-234
Open this publication in new window or tab >>Learning in living lab collaboration in primary care: a qualitative study
2023 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 35, no 9, p. 218-234Article in journal (Refereed) Published
Abstract [en]

Purpose

To meet future healthcare needs, primary care is undergoing a transformation in which innovations and new ways of working play an important role. However, successful innovations depend on joint learning and rewarding collaborations between healthcare and other stakeholders. This study aims to explore how learning develops when entrepreneurs, healthcare professionals and older people collaborate in a primary care living lab.

Design/methodology/approach

The study had an action research design and was conducted at a clinically embedded living lab at a primary care centre on the west coast of Sweden. Data consisted of e-mail conversations, recordings from design meetings and three group interviews with each party (entrepreneurs, healthcare professionals and older people). Data were analysed with inductive qualitative content analysis.

Findings

An overarching theme, “To share each other’s worlds in an arranged space for learning”, was found, followed by three categories, “Prerequisites for learning”, “Strategies to achieve learning” and “To learn from and with each other”. These three categories comprise eight subcategories.

Originality/value

This research contributes to knowledge regarding the need for arranged spaces for learning and innovation in primary care and how collaborative learning can contribute to the development of practice.

Keywords
Innovation, Primary care, Qualitative research, Action research, Collaborative learning, Living lab
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21096 (URN)10.1108/jwl-01-2023-0012 (DOI)001040574800002 ()2-s2.0-85166431590 (Scopus ID)
Available from: 2023-12-19 Created: 2023-12-19 Last updated: 2024-01-11Bibliographically approved
Hedqvist, A.-T., Svensson, A. & Larsson, L. (2023). Nurses' experiences of person-centred care planning using video-conferencing.. Nursing Open (3), 1163-1937
Open this publication in new window or tab >>Nurses' experiences of person-centred care planning using video-conferencing.
2023 (English)In: Nursing Open, E-ISSN 2054-1058, no 3, p. 1163-1937Article in journal (Refereed) Published
Abstract [en]

AIM: The aim was to illuminate how nurses experience person-centred care planning using video conferencing upon hospital discharge of frail older persons.

DESIGN: Care planning via video conferencing requires collaboration, communication and information transfer between involved parties, both with regard to preparing and conducting meetings. Participation of involved parties is required to achieve a collaborative effort, but the responsibilities and roles of the involved professions are unclear, despite the existence of regulations.

METHOD: A qualitative content analysis was conducted based on 11 individual semi-structured interviews with nurses from hospitals, municipalities and primary care in Sweden.

RESULTS: This study provides valuable insights into challenges associated with care planning via video conferencing. The meeting format, that is video conferencing, is perceived as a barrier that makes the interaction challenging. Shortcomings in video technology make a person-centred approach difficult. The person-centred approach is also difficult for nurses to maintain when the older person or relatives are not involved in the planning.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2023
Keywords
care planning, collaboration, frail older persons, nurses, person-centred care, video conferencing
National Category
Human Aspects of ICT Nursing
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19352 (URN)10.1002/nop2.1452 (DOI)000878167500001 ()36326034 (PubMedID)2-s2.0-85141427394 (Scopus ID)
Funder
European Regional Development Fund (ERDF), 20201564 and 20202391
Note

European Regional Development Fund, Grant/Award Number: 20201564 and 20202391

CC-BY 4.0 This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,

Available from: 2022-12-22 Created: 2022-12-22 Last updated: 2024-01-12
Galan, N. & Svensson, A. (2023). Post-formation venture development in the healthcare sector: The roles and contributions of different stakeholders. In: : . Paper presented at European Academy of Management (EURAM) 2023 - Transforming Business for Good, 14-16 June, Trinity College, Dublin, Ireland.
Open this publication in new window or tab >>Post-formation venture development in the healthcare sector: The roles and contributions of different stakeholders
2023 (English)Conference paper, Oral presentation only (Other academic)
Series
Proceedings of EURAM (European Academy of Management), ISSN 2466-7498
Keywords
New venture, stakeholders, healthcare sector
National Category
Learning Business Administration
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-21018 (URN)9782960219555 (ISBN)
Conference
European Academy of Management (EURAM) 2023 - Transforming Business for Good, 14-16 June, Trinity College, Dublin, Ireland
Funder
Knowledge Foundation, DIGHEP
Note

Projekt DIGHEP - Digitalisering för hållbar hälsa pa arbetsplatsen

Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2024-01-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1421-868X

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