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  • 1.
    Alverbratt, Catrin
    et al.
    University West, Department of Nursing, Health and Culture.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Åström, Sture
    University West, Department of Nursing, Health and Culture. Umeå universitet.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic2014In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 3, no 6, p. 174-189Article in journal (Refereed)
    Abstract [en]

    The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.

  • 2.
    Andersson, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture. Sahlgrenska Academy at University of Gothenburg.
    Åhgren, Bengt
    Nordic School of Public Health, Göteborg, Sweden.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Managing boundaries at the accident scene: a qualitative study of collaboration exercises2014In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 3, no 1, p. 77-94Article in journal (Refereed)
    Abstract [en]

    Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.

    Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.

    Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.

    Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.

  • 3.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Artefakters organiserande funktion2016In: Team i vård, behandling och omsorg: Erfarenheter och reflektioner / [ed] Johan Berlin, Håkan Sandberg, Lund: Studentlitteratur AB, 2016, 2:a, p. 227-248Chapter in book (Refereed)
  • 4.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Common incentives for teamwork: the unspoken contract´s significance2014In: Team Performance Management, ISSN 1352-7592, E-ISSN 1758-6860, Vol. 20, no 1/2, p. 65-80Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this article was to identify and study common incentives for teamwork.

    Design/methodology/approach - The study was designed as a case study. The case consists of teamwork at a univer-sity hospital. At the hospital, ten psychiatric teams were studied for a period of four years (2008-2011). Each team was followed for 12–18 months. Data were collected through interviews (n = 48) and observations (n = 52) of the teamwork at treatment conferences.

    Findings - The common incentives identified consist of shared responsibility, appreciation and long-sightedness. The incidence of a silent contract is highlighted as an explanation for the team's cohesion.

    Research limitations/implications - The study is conducted in a public organisation within one field. The results should therefore be interpreted with some caution.

    Practical implications - The study is useful for practitioners to understand the importance of common incentives as a collective driving force. By developing well-adapted common incentives, the practical work can be developed, refined and improved.

    Originality/value - The significance of common incentives and the unspoken contract in the team is identified.

  • 5.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Doctors’ functional leadership inpsychiatric healthcare teams: a reversible leadership logic2015In: Team Performance Management, ISSN 1352-7592, E-ISSN 1758-6860, Vol. 21, no 3/4, p. 159-180Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this paper was to study how psychiatric doctors practise leadership in multidisciplinary healthcare teams. The paper seeks to answer the question: How do psychiatric doctors lead multidisciplinary teams during treatment conferences?

    Design/methodology/approach: Six psychiatric teams were studied at a university hospital. Each team was observed over a period of 18 months, and data were collected during four years (2008-2011). Data were collected through interviews with doctors (n19) and observations (n30) of doctors’ work in multidisciplinary psychiatric teams.

    Findings: Doctors in a multidisciplinary team use either self-imposed or involuntary leadership style. Oscillating between these two extremes was a strategy for handling the internal tensions of the team.

    Research limitations/implications: The study was a case study, performed during treatment conferences at psychiatric wards in a university hospital. This limitation means that there is cause for some caution in generalising the results.

    Practical implications: The results are useful for understanding leadership in multidisciplinary medical teams. By understanding the reversible logic of leadership, cooperation and knowledge sharing can be gained, which means that a situation of mere peaceful coexistence can be avoided. Understanding the importance of the informal contract makes it possible to switch leadership among team members. A reversible leadership with an informal contract makes the team less vulnerable. The team’s professionals can thus easily handle dif cult situations and internal tensions, facilitating leadership and management of multidisciplinary teams.

    Originality/value: Doctors in multidisciplinary psychiatric teams use reversible leadership

    logic.

  • 6.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    How doctors practice teamleadership2014Conference paper (Refereed)
    Abstract [en]

    Purpose: The overall purpose of the article was to study how doctors practise leadership in multidisciplinary teams. The article seeks to answer the question: Which approach do doctors use to lead multidisciplinary psychiatric teams?

    Methodology: Six psychiatric teams were studied at a university hospital. Each team was followed for eighteen months. Data were collected during a period of four years (2008–2011). Data were collected through interviews with doctors (n = 19) and observations (n = 30) of doctors’ work in a multidisciplinary psychiatric team.

    Findings: Doctors in a multidisciplinary team use either self-imposed or involuntary leadership. Oscillating between these two extremes is called reversible leadership.

    Research limitations: The study was performed at a psychiatric ward during treatment conferences in a university hospital. This limitation means that there is cause for some caution in interpreting the results.

    Practical implications: The results are useful for understanding leadership in multidisciplinary teams within the health and medical care system. The reversible leadership means that doctors can more easily oscillate from difficult situations and deal with internal tensions, facilitating leadership and management of the multidisciplinary team in the intended direction.

    Originality / value: Doctors in multidisciplinary psychiatric teams use reversible leadership.

  • 7.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Ledarskap och beslutsfattande i psykiatriska team: om sammanhållning, sortering och kontroll2015 (ed. 1)Book (Other academic)
    Abstract [en]

    This study is about leadership and decision-making in psychiatric teams. To manage healthcare, cross-organisational work has been used as a working method in teamwork.

    The overall aim of the study was to study how leadership and decision-making are applied in psychiatric teams. The issues addressed are: to describe and to understand how leadership in psychiatric teams is applied, to describe and to understand how decision-making in psychiatric teams is applied, explain why there are potential differences between talk and practice, and to explain why teamwork is applied in psychiatry.

    The study's theoretical framework is based on the challenges that arise when teamwork is organised in a multi-professional context. In the study, decision theory, leadership theory and new institutional theory are used to help to link together and provide explanations for behaviour patterns of professions.

    The study's data were collected between 2008–2011 through interviews, observations and document studies. Total study consists of 101 interviews with 111 informants. Observations have been done of 10 teams on 132 occasions for a total of 230 hours. Observations have focused on the teamwork carried out in the treatment conferences.

    The study shows that: 1) there is an informal contract in teams that governs who does what in different situations, 2) doctors applied a reversible leadership where they alternated between the involuntary and the self-imposed, 3) teams used decision norms that are governed by situation-specific micro-codes, 4) there is an episodic culture which decreased the incentive to provide preventive and long-term treatment, 5) teamwork was used to provide the opportunity for solidarity, classification and control, and 6) there was no striving for perfection in decision-making; instead, the teams were satisfied with an acceptable level that everyone could agree on.

  • 8.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    Läkare som teamledare: En studie av reversibelt ledarskap2013Conference paper (Refereed)
    Abstract [sv]

    SammanfattningSyfte: Syftet med artikeln är att beskriva och problematisera läkares ledarskap i team. Arti-keln syftar till att besvara frågan; Hur utövar läkare ledarskap i team?Design/metod: Studien är designad i form av en fallstudie. Sex psykiatriska team har stude-rats vid ett universitetssjukhus. Varje team har följts under 18 månader. Datainsamlingen har gjorts under totalt fyra år (2008-2011). Data har samlats in genom intervjuer med läkare (n=19) och observationer (n=60) av läkares arbete i team.Resultat: Läkares ledarskap i team utövas i en dualistisk pendlingsprocess mellan självpåta-get och ofrivilligt, vilket benämns reversibelt ledarskap.Begränsningar: Studien är gjord på psykiatriska avdelningar i en organisation. Det finns därför anledning till viss försiktighet vid tolkningen av resultaten.Praktiska implikationer: Resultaten är användbara för att förstå teamledarskapets dualism. Reversibelt ledarskap kan leda till ökad osäkerhet och försvaga teamets proaktiva förmåga.Originalitet: Läkarens ledarskap i team lyfts fram som reversibelt, antingen självpåtaget och frivilligt, eller påtvingat och ofrivilligt.Nyckelord:

  • 9.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Synchronous work - myth or reality?: a critical study of teams in health and medical care2010In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 16, no 6, p. 1314-1321Article in journal (Refereed)
    Abstract [en]

    Abstract Rationale, aims and objectives  In this article, ideal conceptions about teamwork are tested. The research question posed is: How are teams in psychiatry formed? Three theoretical concepts that distinguish groups from teams are presented: sequentiality, parallelism and synchronicity. The presumption is that groups cooperate sequentially and teams synchronously, while the parallel work mode is a transitional form between group and team. Methods  Three psychiatric outpatient teams at a university hospital specialist clinic were studied. Data were collected through 25 personal interviews and 82 hours of observations. The data collection was carried out over 18 months (2008–2009). Results  Results show: (1) that the three theoretical distinctions between group and team need to be supplemented with two intermediate forms, semiparallel and semisynchronous teamwork; and (2) that teamwork is not characterized by striving towards a synchronous ideal but instead is marked by an adaptive interaction between sequential, parallel and synchronous working modes. Conclusions  The article points to a new intermediate stage between group and team. This intermediate stage is called semiparallel teamwork. The study shows that practical teamwork is not characterized by a synchronous ideal, but rather is about how to adaptively find acceptable solutions to a series of practical problems. The study emphasizes the importance of the team varying between different working modes, so-called semisystematics.

  • 10.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    Teamarbete: de gemensamma incitamentens betydelse2013In: Att utveckla vården: Erfarenheter av kvalitet, verksamhetsutveckling och förbättringsarbete / [ed] Eriksson, Nomie, Holgers, Kajsa-Mia, Müllern,Tomas, Lund: Studentlitteratur, 2013, 1, p. 223-245Chapter in book (Refereed)
  • 11.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    Teamarbete: ett livsviktigt samspel2013In: Sjuksköterskans kärnkompetenser / [ed] Leksell, Janeth, Lepp, Margret, Stockholm: Liber, 2013, 1, p. 159-177Chapter in book (Refereed)
  • 12.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Collaboration Exercises: the lack of collaborative benefits2014In: International Journal of Disaster Risk Science, ISSN 2095-0055, Vol. 5, no 3, p. 192-205Article in journal (Refereed)
    Abstract [en]

    The purpose of this paper is to study what professional emergency personnel learn during collaboration exercises and the benefits of what they have learned. Observations (n=19) and semistructured interviews (n=32) were carried out in conjunction with major exercises held in Sweden (2007–2012). The results show that exercises tend to be based on its own logic, which differs from actual events. Exercise participants believe that they mainly learn single-track, parallel and path-dependent behavior. The exercises do not facilitate the use of cross-boundary activities. This means that learning as well as benefits of the exercises for actual events is limited. The exercises would be more appropriate if those participating had the opportunity to identify weaknesses, try alternative ways as well as had the opportunity to have comprehensive organizational analyses at the conclusion of the exercises. Based on the results of the study, alternative models for the exercises are suggested that contain elements, which develop collaboration and contribute to learning.

  • 13.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Cultural camouflage: a critical study of how artefacts are camouflaged and mental health policy subverted2015In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 30, no 2, p. 111-126Article in journal (Refereed)
    Abstract [en]

    This study identifies hidden artefacts in a public organisation. In contrast to earlier studies, itfocuses on artefacts as concealing rather than conveying meaning. Negligent behaviour causedby an unpopular culture was recognised in five psychiatric wards at a Swedish universityhospital. Data comprising observations (87 h) and interviews (n = 60) were collected over aperiod of 48months (2008–2011). Four different items used in everyday work representing adeeper meaning of the organisation were identified during the observations. The items selectedwere work attire, nametags, keys and restraint beds. These were considered particularly promisingwhen it came to the aim of the study, namely, to find out how artefacts are camouflaged. Theobservations and the interviews revealed that these were controversial and contested artefacts inthe organisation. The study uses the term ‘cultural camouflage’ for behaviour that ignores andconsciously conceals symbols that have negative values. This concept contrasts with previousresearch that shows how artefacts are emphasised and how they contribute to the character ofthe activity in a transparent way. Conservative and backward-looking behaviour among staffprovided one explanation as to why artefacts were concealed. Another was the need to establishharmonious internal interactions.

  • 14.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Från mekanistisk till organisk samverkan mellan blåljusorganisationer2013In: Om samverkan: för utveckling av hälsa och välfärd / [ed] Axelsson, Runo, Bihari Axelsson, Susanna, Lund: Studentlitteratur, 2013, 1, p. 237-254Chapter in book (Refereed)
  • 15.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, EricSahlgrenska Akademin, Göteborgs universitet.
    Guest editors | Special Issue: Management control, organisation and leadership in the healthcare sector2013Collection (editor) (Refereed)
  • 16.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Samverkan mellan blåljusorganisationer2011 (ed. 1)Book (Other academic)
    Abstract [sv]

    Samverkan mellan olika yrkesprofessioner på en olycksplats är komplicerat. Mycket på grund av att förväntningarna inte alltid överensstämmer med förutsättningarna. I boken problematiseras agerandet på olycksplatsen. Friktionen mellan yrkesprofessioner lyfts fram och olika beteendemönster diskuteras.I boken tar författarna samverkan från retorik till ett praktiskt redskap, något som är möjligt att konkretisera och utföra praktiskt i det dagliga arbetet. Boken utgör samtidigt en introduktion till övningstekniken 3-nivåsamverkan (3-NS).I den här boken bjuds på flera närgångna beskrivningar. Medarbetare från fältet berättar om sina erfarenheter av samverkan, hur den tillämpas, om vilka möjligheter som finns och vilka svårigheter som behöver hanteras.Boken riktar sig till alla som arbetar i eller i anslutning till blåljusorganisationer. Den kan med fördel användas som lärobok för universitets- och högskolestuderande som läser till yrken inom polis, räddningstjänst eller ambulanssjukvård. Boken passar också för vidareutbildning av redan yrkesverksamma. Den kan även med fördel läsas av forskare, tjänstemän och politiker med intresse för hur framtidens blåljusorganisationer ska ledas, organiseras och styras.

  • 17.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska akademin.
    Samverkansövningar: Om lärande och nytta2015 (ed. 1)Book (Other academic)
    Abstract [en]

    This study relates to collaboration exercises, with particular focus on the full-scale exercises between the police, rescue services and ambulance. To succeed in a complex situation, it requires that the personnel’s ability to collaborate across organisations be developed and refined.

    The overall aim of this study was to examine how collaboration is practised and how exercises lead to learning and usefulness. A research summary was initially done in this study. Based on that, a number of key concepts were developed that proved helpful when we followed the Swedish collaboration exercises through interviews and observations. The collected analysis has since been the basis for the design of a new exercise model, 3LC, three-level collaboration. It is based on the experiences we have had in studies of traditional exercises.

    The 3LC exercises that were conducted consisted of two practical sessions and three seminars. Each session was followed by an evaluative seminar with the aim that participants themselves would reflect and develop their patterns of behaviour. The two practical sessions were identical. It gave the participants the opportunity to rehearse and methodically try new approaches. The first exercise session was carried out according to the procedures that normally apply and govern the actions at an actual event. The second exercise session was preceded by a self-critical seminar where participants themselves identified what could be improved for the next exercise session.

    The research project was carried out from 2011 to 2014. A total of 19 collaboration exercises were studied, including 16 full-scale exercises. A total of 97 interviews and 125 hours of observation were carried out in this study. A questionnaire (CLU instrument) was developed, which was answered by 272 exercise participants.

    The study shows that collaborative sessions in the exercises contributed to the participants learning more and having greater usefulness from the exercises. 3LC exercises were perceived to enhance learning by 26 per cent and usefulness by 17 per cent, compared with traditional exercises. Collaborative exercises are benefitted when participants analyse their weaknesses themselves. Repetitive elements where participants try out alternative strategies improve preparedness prior to actual events.

  • 18.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Carlström, Eric
    Sjuksköterskan som chef och ledare: en utmaning2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund, 2017, 1, p. 295-313Chapter in book (Refereed)
  • 19.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    The dominance of mechanistic behaviour: A critical study of emergency exercises2013In: International Journal of Emergency Management, ISSN 1471-4825, E-ISSN 1741-5071, Vol. 9, no 4, p. 327-350Article in journal (Refereed)
    Abstract [en]

    In this paper, the focus is on emergency exercises between the police, rescue services and ambulance. By practising, it is assumed that the conditions improve for a quick normalisation after an incident. The purpose of this paper is to identify whether the exercises are designed after organic action logic and therefore can be assumed to strengthen the ability to handle emergencies. Data have been collected at two large, regional, full-scale exercises (2008 and 2012). Data collection has been done through observations and document studies. The study shows that mechanistic behaviour is quite prevalent in the two studied exercises. They are time consuming and put little emphasis on practising organic behaviour. Too complex exercise scenarios contribute to a low tempo, long waiting periods and slow implementation. To succeed, the exercises need to have a non-linear time sequence and limited scenarios that invite participants to focus on organisational interfaces.

  • 20.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska akademin, Göteborgs universitet.
    Trender som utmanar traditioner: En hälso- och sjukvård i metamorfos2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 3-23Article in journal (Refereed)
    Abstract [en]

    This article reviews the traditions of the health care industry while challenged by trends. Strong professions, ambiguous and contradictory aims, and a lack of resources have contributed to difficulties managing contradictory needs. One way to handle the situation is to introduce systems based on freedom of choice, inter organisational and professional work, and an improved degree of flexibility. The trends are mainly influenced by New Public Management control models. The mixture of new and traditional types of management control has produced organisational hybrids. These organisational hybrids have contributed to organisational tensions from the old as well as the new in an inconsistent but regenerating way.

  • 21.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Blåljusövningar och lärande: - en ny typ av samverkansövning2011Conference paper (Refereed)
  • 22.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska Akademin, Institute of Health and Care Sciences.
    The Three-Level Collaboration Exercise: Impact of Learning and Usefulness2015In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 23, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).

  • 23.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Kastberg, Gustaf
    Lunds universitet, Institutionen för Sevice management.
    Styrning av hälso- och sjukvård2011 (ed. 1)Book (Other academic)
    Abstract [sv]

    I den här boken får du möjlighet att bekanta dig med de styrmodeller som har tillämpats inom vården under de senaste decennierna. Författarna ger en bild av vad de olika modellerna tenderar att leda till på kort respektive lång sikt. Trender, regler, resultat, arbetsfördelning och de speciella förutsättningar som gäller för styrning i professionella organisationer behandlas.Boken riktar sig till utbildningar inom hälso- och sjukvårdsadministration, vårdvetenskap, socialt arbete, arbetsvetenskap, offentlig förvaltning, företagsekonomi och service management samt till praktiskt yrkesverksamma. Den kan även med fördel läsas av forskare, tjänstemän och politiker med intresse för hur framtidens hälso- och sjukvård ska organiseras och styras.

  • 24.
    Berlin, Johan M.
    et al.
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    The 90-Second Collaboration: A Critical Study of Collaboration Exercises at Extensive Accident Sites2008In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 16, no 4, p. 177-185Article in journal (Refereed)
  • 25.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Sandberg, Håkan
    Team i vård, behandling och omsorg: Erfarenheter och reflektioner2016Collection (editor) (Refereed)
    Abstract [sv]

    Team är populära, inte minst inom vård, behandling och omsorg.Trots att det börjar bli en väl etablerad företeelse tycks teamfortfarande stå för förnyelse och nytänkande. Teamarbete harsåledes kommit att få en allt viktigare roll.

    I denna antologi behandlas frågor som: Varför uppstår team? Vadgör team nödvändiga? Vad är utmärkande för olika typer av team? Vad skapar väl fungerande team? Vilka effekter får teamarbete förverksamheten? Du som läsare bjuds på både kritiska betraktelser,utvecklingsspår och verktyg.

    Boken vänder sig till studerande och forskare vid högskolor ochuniversitet samt till praktiskt verksamma inom vård-, behandlingsochomsorgsorganisationer. De olika kapitlen kan läsas friståendeoch ger var för sig en god bild av teamets funktion.

    ---

    Team i vård, behandling och omsorg förmedlar en unikinsikt och förståelse kring teamarbetes betydelse, funktionssätt och utmaningar baserad på omfattande och mångårig forskning. Boken förtjänar därför attanvändas inom alla utbildningar på högskolenivå som är inriktade mot vård- och omsorg.

    Stefan Tengblad, professor i företagsekonomi

  • 26.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Arbetsförmåga: begrepp och etik2008In: Arbets(o)förmåga.: Ur ett mångdisciplinärt perspektiv / [ed] Vahlne Westerhäll, Lotta, Stockholm: Santérus förlag , 2008, p. 165-194Chapter in book (Other academic)
  • 27.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vårdchefer: konsten att leda2009 (ed. 1. uppl)Book (Other academic)
  • 28.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Berlin, Johan
    Göteborgs universitet / Sahlgrenska akademin.
    Den gula linjen: En kritisk studie av artefakters symbolvärde i hälso-och sjukvårdsteam2009In: Business as usual: The 20th NFF conference, in Turku / Åbo, August 17-21, 2009, 2009, p. 1-22Conference paper (Refereed)
  • 29.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ullah, Muhammad
    Hur leker olika barn bäst: om sjuksköterskor och biståndsbedömare i kommunal vård och omsorg2002In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 79, no 5, p. 453-463Article in journal (Refereed)
  • 30.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell-Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Prerequisites for person-centered care: As described by community care nurses2015In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, no 1, p. 5-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.

    Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.

    Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.

    Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

  • 31.
    Eklund, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska Akademin, Institutionen för vårdvetenskap och hälsa .
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Organisering av en fingerad verklighet: Om övningar mellan blåljusorganisationer2013In: Nordiske organisasjonsstudier, ISSN 1501-8237, Vol. 15, no 3, p. 34-64Article in journal (Refereed)
    Abstract [en]

    This study aimed to elucidate exercise participants’ understanding of critical aspects of organizing and implementation of collaboration exercises with police, fire department and ambulance services. The focus is critical aspects in exercises that have, or are expected to have, bearing on the participants’ ability to learn. Collaboration exercises are used as a tool to reinforce and develop the preparedness for future incidents. The need for such exercises was usually advocated after critique to actions during largescale real-life incidents. The study had a qualitative approach and is based on phenomenographic analysis of interviews with participants from four exercises with different scenarios. The identified critical aspects of exercises were related to realism, acceptance for mistakes, exercise extent and aims and opportunities for joint discussions. The management of an accident can be described to a large extent depend on the organizations’ joint ability to adapt to the prevailing situation and to collaborate. For exercises to contribute to these abilities, they could benefit from shifting the focus to how to organize exercises that allow participants to test different decisions and actions, with less emphasis on the choice of scenario.

  • 32.
    Ferraz-Nunes, Jose
    et al.
    University West, Department of Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Karlberg, Ingvar
    Hälsoekonomi: begrepp och tillämpningar2012 (ed. 2)Book (Other academic)
  • 33.
    Hassler, Sven
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Sjölander, Per
    Southern Lapland Research Departement.
    Grönberg, Henrik
    Karolinska Institutet, Department of Medical Epidemiology and Biostatistics.
    Johansson, Robert
    University of Umeå, Department of Radiation Sciences/Oncology.
    Damber, Lena
    University of Umeå, Department of Radiation Sciences/Oncology.
    Cancer in the Sami population of Sweden in relation to lifestyle and genetic factors2008In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 23, no 4, p. 273-280Article in journal (Refereed)
  • 34.
    Jasniskij, Catarina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Rolander, Leo Marie
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Hur påverkas kvinnors hälsa av psykosociala faktorer?: En kartläggning av hälsan bland tillsvidareanställda kvinnor i Sotenäs kommun2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Because of the high unhealthy rates among women in the com-mune a project to reduce it have begun. For this reason we have been given the mission from the commune of Sotenäs to study the character of these women's health. Objective: To study the health among permanent employed women in the commune of Sotenäs. Method: Quantitative method. The data have been collected through question-naire survey. The purpose of choosing this method was to be able to see connec-tions between various variables. Result: A large number of women who do not have time to carry out their duties during ordinary working hours have experienced that they are tense and anxious, which means that this mental demand may have affected women's health. The study reveals that many of the women who have not received enough informa-tion from their employer to perform their duties have experienced that they are worn out. The majority of women who lacked in development opportunities at work felt tense. These results imply that small decision latitudes could be one of the explanations of a lower level of health among women. The study identified a number of potential explanations for the sick leave in the commune, as the women felt tense and anxious. Adequate emotional support from friends and family, and a satisfactory everyday social life was related to a low degree of anxiety. A good distribution of practical domestic duties at home was a factor related to a low degree of tension among the permanent employed women in the commune of Sotenäs.

  • 35.
    Lagrosen, Stefan
    et al.
    University West, Department of Economics and IT, Division of Business Administration.
    Lagrosen, Yvonne
    Chalmers University of Technology.
    Exploring service quality in the health and fitness industry2007In: Managing Service Quality, ISSN 0960-4529, E-ISSN 1758-8030, Vol. 17, no 1, p. 41-53Article in journal (Refereed)
  • 36.
    Lagrosen, Yvonne
    et al.
    Chalmers tekniska högskola.
    Lagrosen, Stefan
    University West, School of Business, Economics and IT, Division of Business Administration.
    Bäckström, Ingela
    Mittuniversitetet.
    Kvalitetsutveckling i sjukvården2006In: HEL: hälso- och sjukvårdens ekonomi och logistik, Göteborg: Sahlgrenska akademin vid Göteborgs universitet , 2006, p. 112-121Chapter in book (Other academic)
  • 37.
    Larsson, Lena G
    et al.
    Närhälsan Kungshamn Health Centre, Region Västra Götaland, Kungshamn, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Gothenburg, Sweden ; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
    Bäck-Pettersson, Siv
    Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
    Kylén, Sven
    Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden; Chalmers University of Technology, Centre on Health Care Improvement and Innovation, Gothenburg, Sweden .
    Marklund, Bertil
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Gothenburg, Sweden ; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Informatics.
    Carlström, Eric
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Gothenburg, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Health and Care Sciences, Gothenburg, Sweden; University of South-East Norway, Notodden, Norway.
    A national study on collaboration in care planning for patients with complex needs2019In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 34, no 1, p. E646-E660Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The purpose of this study was to investigate inter-organisational collaboration on care planning for patients with complex care needs. Internationally, and in Sweden where the data for this study was collected, difficulties in care planning and transition of patients between the main health care providers, hospitals, municipal care, and primary care are well known.

    METHOD: A survey of a total population of care managers in hospitals, municipalities, and primary care in Sweden was conducted. The study assessed accessibility, willingness, trustworthiness, and collaboration between health care providers. Data were analysed with descriptive statistics, bivariate, and multivariate regressions.

    RESULTS: The results indicate that Swedish health care providers show strong self-awareness, but they describe each other's ability to collaborate as weak. Primary care stands out, displaying the highest discrepancy between self-awareness and displayed accessibility, willingness, trustworthiness, and collaboration.

    CONCLUSION: Inability to collaborate in patient care planning may be due to shortcomings in terms of trust between caregivers in the health care organisation at a national level. Organisations that experience difficulties in collaboration tend to defend themselves with arguments about their own excellence and insufficiency of others.

  • 38.
    Lindgren, Monica
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Hälsopedagogikens innehåll och form: en diskursanalytisk studie av begreppet "Upplevelsebaserad pedagogik"2007Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Föreliggande rapport har tillkommit utifrån ett uppdrag till Högskolan Väst från Hälsoäventyret Oasen Vara. Uppdraget innebar att ”klargöra teoribasen bakom upplevelsebaserad pedagogik” och som en del av detta uppdrag gjordes en diskursanalytisk studie på Hälsoäventyrets egen skriftliga presentation, vilken här presenteras. Datamaterialet är hämtat dels från verksamhetens egen webbsida och dels från dess tryckta publikationer. Syftet med rapporten är att ge en överskådlig bild av vilka diskurser samt hur dessa diskurser formerar sig i texterna. Vidare är syftet att problematisera dessa diskurser samt öppna upp för eventuella alternativa synsätt, vilka skulle kunna ses om relevanta för området. Analysen inriktas på att lyfta upp meningsskapande processer, vilka ibland kan vara motsägelsefulla, för att på så sätt klargöra vilka idéer och föreställningar som är privilegierande och tilldelas status som sanningar. Vilka gränsdragningar görs i samband med presentationen av upplevelsebaserad pedagogik och vilka effekter och konsekvenser skapas med utgångspunkt i de skilda diskursiva konstruktionerna? Tre centrala diskurser framträder i texterna: Upplevelsebaserad pedagogik som lärande, upplevelsebaserad pedagogik som fostran samt upplevelsebaserad pedagogik som terapi. De tre diskurserna kan ses som innehållande en inbyggd motsättning men med vissa gemensamma beröringspunkter. I rapporten diskuteras hur förståelsen och tolkningen av pedagogiska praktiker med hjälp av fostrande och/eller terapeutiska inslag kan ses som problematiskt utifrån synen på lärande respektive synen på barn och unga. Vidare diskuteras hur lärandediskursens inriktning mot det estetiska området kan förstås och problematiseras. En alternativ diskurs, skapad utifrån såväl innehåll (hälsoaspekter) som form (estetiskt- konstnärliga uttryck), framställs som fruktbar för den fortsatta utvecklingen av begreppet ”upplevelsebaserad pedagogik”.

  • 39.
    Pareto, Lena
    et al.
    University West, School of Business, Economics and IT, Division of Media and Design.
    Lundh Snis, Ulrika
    University West, School of Business, Economics and IT, Divison of Informatics.
    Svensson, Lars
    University West, School of Business, Economics and IT, Divison of Informatics.
    Karlsson, Marianne
    Chalmers.
    Engelbrektsson, Pontus
    Chalmers.
    Larsson, Lena E
    Berndtsson, Bo
    Creating an arena for use-centred development of medical and health care technology2007In: Proceedings of the 6th International Conference on the Management of Healthcare & Medical Technology, HOF Scuola Superiore Sant’Anna, 3-5 October 2007, Pisa, Italy., 2007Conference paper (Refereed)
  • 40.
    Pherson, Tommy
    et al.
    Göteborgs universitet.
    Tengelin, Ellinor
    University West, Department of Health Sciences, Specialist Nursing programme.
    Genusnormer: normer som skapar kvinnor och män2015In: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar, Tengelin, Ellinor, Lund: Studentlitteratur AB, 2015, 1, p. 107-126Chapter in book (Other academic)
  • 41.
    Sjölander, Per
    et al.
    Southern Lapland Research Department, Vilhelmina.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Janlert, Urban
    Umeå University, Department of Public Health and Clinical Medicine.
    Stroke and acute myocardial infarction in the Swedish Sami population: incidence and mortality in relation to income and level of education2008In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, no 1, p. 84-91Article in journal (Refereed)
1 - 41 of 41
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