FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W299564997> ?p ?o ?g. }

• W299564997 abstract "A central problem for the healthcare sector today is how to manage change and improvements. In recent decades the county councils in Sweden have started various improvement initiatives and programs in order to improve their healthcare services. The improvement program of the Kalmar county council, which constitutes the empirical context for this thesis, is one of those initiatives. The purpose of this thesis is to contribute to a broader understanding of large-scale improvement program in a healthcare setting. This is done by analyzing practitioner’s improvement ideas, describing participants in the improvement projects, revising and testing a survey to measure the development of improvement ideas and describing the improvement program from a theoretical perspective. The theoretical change model used looks at change from two opposing directions in six dimensions; Goals, Leadership, Focus, Process, Reward system and Use of consultants. The aims of the county council improvement program are to become a learning organization, disseminate improvement methodologies and implement continuous quality improvements in the organization. All healthcare administrations and departments in the county council were invited to apply for funds to accomplish improvement projects. Another initiative invited staff teams to work with improvement ideas in a program with support from facilitators, using the breakthrough methodology. Now almost all ongoing developments, improvements, patient safety projects, manager and leader development initiatives are put together under the county council improvement program umbrella. In the appended papers both qualitative and quantitative research approach were used. The first study (paper I) analyzed which types of improvement projects practitioners are engaged in using qualitative content analysis. Five main categories were identified: Organizational Process; Evidence and Quality; Competence Development; Process Technology; and Proactive Patient Work. Most common was a focus on organizational changes and process, while least frequent was proactive patient work. Besides these areas of focus, almost all aimed to increase patient safety and increase effectiveness and availability. Paper II described the participants in two of the initiatives, the categorized improvement projects in paper I and the team members in the methodology guided improvement programs. Strong professions like physicians and nurses were well represented, but other staff groups were not as active. Managers were responsible for a majority of the projects. The gender perspective reflected the overall mix of employees in the county council. Paper III described a revision and test of a Minnesota Innovation Survey (MIS) that will be used to follow and measure how quality improvement ideas develop and improve over time. Descriptive statistics were presented. The respondents were satisfied with their work and what they had accomplished. The most common comment was about time, not having enough time to work with the improvement idea and the difficulty of finding time because of regular tasks. This was the first test of the revised survey and the high use of the answer alternative “Do not know” showed that the survey did not fit the context very well in its present version. Trying to connect the county council improvement program and the initiatives studied in papers I and II with the change model gave rise to some considerations. The county council improvement program has an effort to combine organizational changes and a culture that encourages continuous improvements. Top-down and bottom-up management approaches are used, through setting out strategies from above and at the same time encouraging practitioners to improve their day-to-day work. Whether this will be a successful way to implement and achieve a continuous improvement culture in the whole organization is one of the main issues remaining to find out in further studies." @default.
• W299564997 created "2016-06-24" @default.
• W299564997 creator A5007565473 @default.
• W299564997 creator A5034648233 @default.
• W299564997 creator A5073664474 @default.
• W299564997 creator A5080927148 @default.
• W299564997 date "2010-01-01" @default.
• W299564997 modified "2023-09-28" @default.
• W299564997 title "Adapting a survey to evaluate quality improvements in Swedish healthcare" @default.
• W299564997 hasPublicationYear "2010" @default.
• W299564997 type Work @default.
• W299564997 sameAs 299564997 @default.
• W299564997 citedByCount "0" @default.
• W299564997 crossrefType "journal-article" @default.
• W299564997 hasAuthorship W299564997A5007565473 @default.
• W299564997 hasAuthorship W299564997A5034648233 @default.
• W299564997 hasAuthorship W299564997A5073664474 @default.
• W299564997 hasAuthorship W299564997A5080927148 @default.
• W299564997 hasConcept C111472728 @default.
• W299564997 hasConcept C111919701 @default.
• W299564997 hasConcept C127413603 @default.
• W299564997 hasConcept C138885662 @default.
• W299564997 hasConcept C144133560 @default.
• W299564997 hasConcept C151730666 @default.
• W299564997 hasConcept C160735492 @default.
• W299564997 hasConcept C17744445 @default.
• W299564997 hasConcept C195094911 @default.
• W299564997 hasConcept C198783460 @default.
• W299564997 hasConcept C199539241 @default.
• W299564997 hasConcept C21547014 @default.
• W299564997 hasConcept C2779343474 @default.
• W299564997 hasConcept C2779530757 @default.
• W299564997 hasConcept C39549134 @default.
• W299564997 hasConcept C41008148 @default.
• W299564997 hasConcept C71405471 @default.
• W299564997 hasConcept C86803240 @default.
• W299564997 hasConcept C98045186 @default.
• W299564997 hasConceptScore W299564997C111472728 @default.
• W299564997 hasConceptScore W299564997C111919701 @default.
• W299564997 hasConceptScore W299564997C127413603 @default.
• W299564997 hasConceptScore W299564997C138885662 @default.
• W299564997 hasConceptScore W299564997C144133560 @default.
• W299564997 hasConceptScore W299564997C151730666 @default.
• W299564997 hasConceptScore W299564997C160735492 @default.
• W299564997 hasConceptScore W299564997C17744445 @default.
• W299564997 hasConceptScore W299564997C195094911 @default.
• W299564997 hasConceptScore W299564997C198783460 @default.
• W299564997 hasConceptScore W299564997C199539241 @default.
• W299564997 hasConceptScore W299564997C21547014 @default.
• W299564997 hasConceptScore W299564997C2779343474 @default.
• W299564997 hasConceptScore W299564997C2779530757 @default.
• W299564997 hasConceptScore W299564997C39549134 @default.
• W299564997 hasConceptScore W299564997C41008148 @default.
• W299564997 hasConceptScore W299564997C71405471 @default.
• W299564997 hasConceptScore W299564997C86803240 @default.
• W299564997 hasConceptScore W299564997C98045186 @default.
• W299564997 hasLocation W2995649971 @default.
• W299564997 hasOpenAccess W299564997 @default.
• W299564997 hasPrimaryLocation W2995649971 @default.
• W299564997 hasRelatedWork W1004333398 @default.
• W299564997 hasRelatedWork W1496508573 @default.
• W299564997 hasRelatedWork W1575785958 @default.
• W299564997 hasRelatedWork W1586317415 @default.
• W299564997 hasRelatedWork W1973998960 @default.
• W299564997 hasRelatedWork W200022477 @default.
• W299564997 hasRelatedWork W2037351661 @default.
• W299564997 hasRelatedWork W2103584006 @default.
• W299564997 hasRelatedWork W2108374842 @default.
• W299564997 hasRelatedWork W2259086039 @default.
• W299564997 hasRelatedWork W2325200639 @default.
• W299564997 hasRelatedWork W2336248555 @default.
• W299564997 hasRelatedWork W2540245993 @default.
• W299564997 hasRelatedWork W2743872657 @default.
• W299564997 hasRelatedWork W2765088057 @default.
• W299564997 hasRelatedWork W2802434434 @default.
• W299564997 hasRelatedWork W2919738655 @default.
• W299564997 hasRelatedWork W3192170682 @default.
• W299564997 hasRelatedWork W585864312 @default.
• W299564997 hasRelatedWork W1848146024 @default.
• W299564997 isParatext "false" @default.
• W299564997 isRetracted "false" @default.
• W299564997 magId "299564997" @default.
• W299564997 workType "article" @default.