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Healthcare managers’ views on and approaches to implementing models for improving care processes
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2015 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 2, p. 219-227Article in journal (Refereed) Published
Abstract [en]

Aim

To develop a deeper understanding of health‐care managers' views on and approaches to the implementation of models for improving care processes.

Background

In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome.

Method

In‐depth interviews with first‐ and second‐line managers in Swedish hospitals were conducted and analysed using grounded theory.

Results

‘Coaching for participation’ emerged as a central theme for managers in handling top–down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work.

Conclusion and implications for nursing management

Implementation models for improving care processes require a coaching leadership built on close manager–employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process‐oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management.

Place, publisher, year, edition, pages
2015. Vol. 24, no 2, p. 219-227
National Category
Work Sciences
Identifiers
URN: urn:nbn:se:hb:diva-15251DOI: 10.1111/jonm.12303ISI: 000372022600019PubMedID: 25851462Scopus ID: 2-s2.0-84959465137OAI: oai:DiVA.org:hb-15251DiVA, id: diva2:1258942
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2018-12-07Bibliographically approved

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