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Publications (10 of 103) Show all publications
Wolmesjö, M., Dellve, L. & Bhattacharjee, A. (2019). Bringin Policy into Practice: Models of Value Integrated Eldercare in India and Sweden. In: : . Paper presented at Transforming Care Conference, Copenhagen, 24-26 June, 2019..
Open this publication in new window or tab >>Bringin Policy into Practice: Models of Value Integrated Eldercare in India and Sweden
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Keywords
home care, policies, models of value integrated eldercare, leadership
National Category
Social Sciences
Identifiers
urn:nbn:se:hb:diva-22292 (URN)
Conference
Transforming Care Conference, Copenhagen, 24-26 June, 2019.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2020-01-09Bibliographically approved
Wolmesjö, M., Dellve, L., Bhattacharjee, A. & Biswas, U. (2019). Bringing Policy into Practice in India and Sweden. In: : . Paper presented at IAGG-ER 2019, Gothenburg, 23-25 May, 2019..
Open this publication in new window or tab >>Bringing Policy into Practice in India and Sweden
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:hb:diva-22295 (URN)
Conference
IAGG-ER 2019, Gothenburg, 23-25 May, 2019.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2020-01-09Bibliographically approved
Wolmesjö, M. & Dellve, L. (2019). Mjuk styrning ger hållbara ledare. Kommunal ekonomi (5), 37-38
Open this publication in new window or tab >>Mjuk styrning ger hållbara ledare
2019 (Swedish)In: Kommunal ekonomi, ISSN 0282-0099, no 5, p. 37-38Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Gävle: , 2019
Keywords
hållbart ledarskap, sunt ledarskap, attraktiv arbetsplats, ledarskapande, kontroll, tillit, tillitsbaserat ledarskap
National Category
Social Sciences
Identifiers
urn:nbn:se:hb:diva-22288 (URN)
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2020-01-09Bibliographically approved
Larsson, S., Jutengren, G. & Dellve, L. (2019). The impact of restricted decision making autonomy on health care managers’ health and work performance. Journal of Nursing Management, 27(4), 706-714
Open this publication in new window or tab >>The impact of restricted decision making autonomy on health care managers’ health and work performance
2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 4, p. 706-714Article in journal (Refereed) Published
Abstract [en]

AIM:

The aim of this study was to investigate how restricted decision making autonomy and conflicting demands impact operational managers' work performance and health.

BACKGROUND:

Managers at operational level (first and second-line managers') in health care organizations are commonly exposed to strain in their work situation with high demands and a challenging work context. Although they play an important role, the knowledge about the causal associations between stressful job demands and their consequences is limited.

METHODS:

A prospective design with questionnaire data collected at two points in time, one year apart, from a sample of operational managers (N = 162) at five Swedish hospitals was used to conduct a structural equation model (SEM) analysis with cross-lagged paths.

RESULTS:

Restricted decision making autonomy was negatively associated with both the managers' health and their managerial work performance over time.

CONCLUSIONS:

Health care managers' work performance and health may be sustained by the top management allowing them a higher degree of autonomy in their decision making.

IMPLICATIONS FOR NURSING MANAGEMENT:

This study suggests that nursing leaders should create the circumstances for operational managers' to have higher levels of autonomy in their area of responsibility and the freedom to prioritize their managerial workload. 

Keywords
autonomy, health, manager, Decision making, structural equation model, work performance
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15646 (URN)10.1111/jonm.12741 (DOI)000467849600005 ()30565780 (PubMedID)2-s2.0-85061290058 (Scopus ID)
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2020-01-29Bibliographically approved
Andreasson, J., Ljungar, E., Linda, A., Jonas, H. & Dellve, L. (2018). Professional Bureaucracy and Health Care Managers’ Planned Change Strategies: Governance in Swedish Health Care. Nordic Journal of Working Life Studies, 8(1), 23-41
Open this publication in new window or tab >>Professional Bureaucracy and Health Care Managers’ Planned Change Strategies: Governance in Swedish Health Care
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2018 (English)In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 8, no 1, p. 23-41Article in journal (Refereed) Published
Abstract [en]

To increase efficiency and quality, process development has been implemented in many Swedish hospitals. These hospitals are usually organized as professional bureaucracies in which health care managers have limited decision control. The new governance principles has been implemented without removing bureaucratic elements. This study analyzes how managers implement planned change in these professional bureaucracies, considering if managers coaching style, organizational preconditions, implementation strategy, appraisal of change and clinic autonomy, is associated with health care process quality (HPQ). The study is based on interviews with health care managers and longitudinal assessments of HPQ. The results revealed significant differences between coaching style, organizational preconditions, and HPQ over time. The conclusion is that leadership and preconditions is of importance for the health care manager’s ability to work with planned change, as that the health care managers understand how management methods, governance principles, and professional bureaucracies work in practice.

Keywords
Bureaucracy, health care organizations, health care managers, implementation, lean management
National Category
Work Sciences
Identifiers
urn:nbn:se:hb:diva-15253 (URN)10.18291/njwls.v8i1.104849 (DOI)2-s2.0-85044859048 (Scopus ID)
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2018-12-07Bibliographically approved
Rydström, I., Dalheim Englund, A.-C., Dellve, L. & Ahlstrom, L. (2017). Importance of social capital at the workplace for return to work among women with a history of long-term sick leave: a cohort study.. BMC Nursing, 14(16)
Open this publication in new window or tab >>Importance of social capital at the workplace for return to work among women with a history of long-term sick leave: a cohort study.
2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, ISSN ISSN 1472-6955, Vol. 14, no 16Article in journal (Refereed) Published
Abstract [en]

Background

The workplace is an essential source of social capital for many people; it provides mutual support and gives meaning to life. However, few prospective studies have thoroughly investigated the importance of aspects of social capital in the workplace. The aim of this study was to investigate the associations between aspects of social capital (social support, sense of community, and quality of leadership) at the workplace, and work ability, working degree, and vitality among women with a history of long-term sick leave from human service organizations.

Methods

A longitudinal cohort study was performed among women with a history of long-term sick leave. The study started in 2005, and the women were followed up at 6 months, 1 year, and 6 years using self-reported questionnaires (baseline n = 283). Linear mixed models were used for longitudinal analysis of the repeated measurements of prospective degree of work ability, working degree, and vitality. Analyses were performed with different models; the explanatory variables for each model were social support, sense of community, and quality of leadership and time.

Results

Social capital in terms of quality of leadership (being good at solving conflicts and giving high priority to job satisfaction), sense of community (co-operation between colleagues) and social support (help and support from immediate superiors and colleagues) increased the women’s work ability score (WAS) as well as working degree over time. Additionally, social capital in terms of quality of leadership increased the women’s vitality score over time.

Conclusions

A sustainable return-to-work process among individuals with a history of long-term sick leave, going in and out of work participation, could be supported with social support, good quality of leadership, and a sense of community at the workplace. The responsibility for the rehabilitation process can not be reduced to an individual problem, but ought to include all stakeholders involved in the process, such as managers, colleagues, health care services, and the social security agency.

Keywords
Cohort, Sickness absence, Social attachment, Social capital, Vitality, Work ability, Quality of leadership
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13258 (URN)10.1186/s12912-017-0234-2 (DOI)000405812500001 ()28725159 (PubMedID)2-s2.0-85023643292 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2018-08-20Bibliographically approved
Andreasson, J., Linda, A., Andrea, E. & Dellve, L. (2017). The importance of healthcare managers’ organizational preconditions and support resources fortheir appraisal of planned change and its outcomes. Journal of Hospital Administration, 6(1), 25-33
Open this publication in new window or tab >>The importance of healthcare managers’ organizational preconditions and support resources fortheir appraisal of planned change and its outcomes
2017 (English)In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 6, no 1, p. 25-33Article in journal (Refereed) Published
Abstract [en]

Background: Healthcare managers are expected to lead and manage planned organizational change intended to improve healthcare process quality. However, their complex working conditions offer limited decision control, and healthcare managers often feel ill prepared and inadequately supported to perform their duties. Healthcare managers have previously described their need for organizational support, but we lack knowledge of the preconditions and resources that help managers implement planned change.

Methods: This prospective cohort study examined healthcare managers at three Swedish hospitals implementing lean production and two Swedish hospitals implementing their own improvement model. Questionnaire data from 2012, 2103, and 2014 were used in following up. We used t-tests and a linear mixed model design in analysing the data.

Results: Healthcare managers who perceived strong support from managers, employees, colleagues, and the organization and managers with the longest managerial experience had the least negative appraisal of change. Managers who perceived strong support from employees, management, and the organizational structure perceived higher levels of healthcare process quality.

Conclusions: Long managerial experience and strong support from managers, employees, and the organization are important formanagers’ appraisal of, work on, and successful implementation of planned change. Top management must therefore ensure that the healthcare managers have sufficient managerial experience and support before they delegate to them the responsibility to implement planned change

Place, publisher, year, edition, pages
Sciedupress, 2017
Keywords
Healthcare managers, Preconditions, Support resources, Planned change, Healthcare process quality, Appraisal of change
National Category
Work Sciences
Identifiers
urn:nbn:se:hb:diva-15252 (URN)10.5430/jha.v6n1p25 (DOI)
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2018-11-01Bibliographically approved
Dellve, L., Wolmesjö, M. & Bremer, A. (2016). Chefers stödresurser och ledarutbildning. In: Lotta Dellve, Maria Wolmesjö (Ed.), Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar (pp. 69-76). Borås: Högskolan i Borås
Open this publication in new window or tab >>Chefers stödresurser och ledarutbildning
2016 (Swedish)In: Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar / [ed] Lotta Dellve, Maria Wolmesjö, Borås: Högskolan i Borås, 2016, , p. 9p. 69-76Chapter in book (Other academic)
Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016. p. 9
Series
Vetenskap för profession: rapport, ISSN 1654-6520 ; 35
Keywords
Ledarskap, äldreomsorg, chefer, stödresurser, ledarutbildning
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-9553 (URN)978-91-88269-08-9 (ISRN)9789188269089 (ISBN)9789188269096 (ISBN)
Available from: 2016-04-06 Created: 2016-04-06 Last updated: 2019-12-13Bibliographically approved
Dellve, L., Wolmesjö, M. & Jutengren, G. (2016). Hållbara chefs- och ledarskapsstrategier som utvecklar integrerade värden. Borås: Högskolan i Borås
Open this publication in new window or tab >>Hållbara chefs- och ledarskapsstrategier som utvecklar integrerade värden
2016 (Swedish)Report (Refereed)
Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016
Series
Vetenskap för profession: rapport, ISSN 1654-6520 ; 35
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-15260 (URN)
Available from: 2018-10-27 Created: 2018-10-27 Last updated: 2018-11-21Bibliographically approved
Dellve, L. & Eriksson, A. (2016). Hållbart ledarskap: i vardag och förändring. Borås: Högskolan i Borås
Open this publication in new window or tab >>Hållbart ledarskap: i vardag och förändring
2016 (Swedish)Report (Other academic)
Abstract [sv]

Rapporten sammanfattar aktuella studier om hållbar och hälsofrämjande arbetsmiljö och hur en sådan miljö kan skapas genom ledarskap. De mest betydelsefulla aspekter som rör hur chefer genom ledarskap och organisering av arbete och arbetsförhållanden kan ha en avgörande betydelse för medarbetares hälsa och hållbarhet i vardagsarbete och under utvecklingsarbeten tas upp. Rapporten inleds med en genomgång av allmänna teorier och forskning om välbefinnande och hälsosamt arbetsengagemang. Därefter beskrivs forskning om hur ledarskap och chefskap påverkar välbefinnande och engagemang. Förhållanden i chefers arbete som kan vara stödjande för att hantera utmaningar i ledarskapet lyfts också. Rapporten fokuserar därutöver förutsättningar i arbetet som visat samband med hälsa samt hur hälsa och hållbarhet kan stärkas genom medarbetarskap, socialt kapital och team. Aspekter på förändringsledning som visat samband med hållbarhet beskrivs också. Rapporten avslutas med att belysa basstrukturer som ger förutsättningar för delaktighet, kontroll, inflytande, handlingsutrymme och socialt stöd bland så många som möjligt vid arbetsplatsen.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016. p. 59
Series
Styrning, Organisering och Ledning ; 2016:1
National Category
Business Administration
Research subject
Bussiness and IT
Identifiers
urn:nbn:se:hb:diva-10551 (URN)978-91-87525-94-0 (ISBN)
Available from: 2016-08-17 Created: 2016-08-17 Last updated: 2016-08-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0480-1895

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