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Ingelsson, P., Sten, L.-M., Bäckström, I. & Häggström, M. (2019). Assessing Quality Management culture in order to develop ICU transitional care. In: Su Mi Dahlgaard-Park (Ed.), 22nd QMOD conference: Quality and Service Sciences ICQSS 2019. Paper presented at 22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October : Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution.
Open this publication in new window or tab >>Assessing Quality Management culture in order to develop ICU transitional care
2019 (English)In: 22nd QMOD conference: Quality and Service Sciences ICQSS 2019 / [ed] Su Mi Dahlgaard-Park, 2019Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Purpose - The purpose of this paper is to present and analyse the result from using a questionnaire measuring the presence of a number of QM values, as well as the use of Appreciative Inquiry (AI) and the feeling of pride in a healthcare setting focusing on transitional care.

 

Methodology/approach – Co-workers at two different hospital’s intensive care units answered a previously developed and tested questionnaire. A new factor was developed in order to measure customer focus in the healthcare context. The result was analysed using SPSS with the aim of finding areas to improve the patient transfer process from intensive care to general ward.

 

Findings – The questionnaire can be used to create an understanding of the existing culture in an organization but it needs to be analysed qualitatively. The result from the examined organizations show a common culture in the two units even though they are located in different hospitals and cities. The result further shows some differences between professions but overall, the result points at a relatively high agreement to the QM values in the organization indicating the presence of a quality culture.    

 

Practical implications – Using a QM value survey in the healthcare context could help developing the care from a different point of view then ordinary. It could help to shift focus from individual to group and system.

Keywords
Quality Management, QM values, ICU, patient transfer, transitional care
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37912 (URN)
Conference
22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October : Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution
Funder
The Kamprad Family Foundation
Available from: 2019-12-06 Created: 2019-12-06 Last updated: 2019-12-06Bibliographically approved
Mårtensson, A., Ingelsson, P. & Bäckström, I. (2019). Co-creation - making it happen. In: Su Mi Dahlgaard-Park & Jens J. Dahlgaard (Ed.), 22nd QMOD conference: ON QUALITY AND SERVICE SCIENCES ICQSS 2019, 13-15 OCTOBER. Paper presented at 22nd QMOD conference 13-15 October 2019, Krakow, Poland.
Open this publication in new window or tab >>Co-creation - making it happen
2019 (English)In: 22nd QMOD conference: ON QUALITY AND SERVICE SCIENCES ICQSS 2019, 13-15 OCTOBER / [ed] Su Mi Dahlgaard-Park & Jens J. Dahlgaard, 2019Conference paper, Published paper (Refereed)
Abstract [en]

Organisations continuously meet different challenges, often ones that are both difficult and complex. Identified challenges include, for instance, costumers becoming more changeable and volatile as well as organisations needing to become more sustainable in several dimensions and to having a structured and systematic method for working with quality. Municipalities are not excluded from these challenges and need to face the challenge of demands from citizens as well as be efficient and effective at the same time.New ways of working and doing things need to be developed and adapted to meet and fulfil organisational challenges. Co-creation, which is a collaborative process to identify and shape the desired goals, can be a method that allows organisations to establish new ways of working and creating supportive methods. In addition, a collaborative process facilitates the adoption of new ways of working since it is easier to do that through actions rather than thinking oneself into a new way of acting.

Purpose: The purpose is to describe the process of co-creating a dialogue model that aim to increase citizen value in a municipality organisation. The purpose is also to present the results from the development process and evaluate the chosen model.

Methodology/Approach: A dialogue model was developed through a co-creation process conducted through a series of workshops, discussions and interactive tasks. The whole process was carried out in three steps. In the first step, success factors for a constructive dialogue emanating from citizen value were identified. In the second step, several dialogue models were developed, tested and evaluated, and one model was chosen. In the third step, the chosen model was evaluated.

Findings: Evaluating the real-life use of the model supports the statement that the process has delivered a model that enables the requested prerequisites for constructive dialogues such as, for example, the opportunity for preparation, structured and transparent documentation and enabling a holistic view in the dialogue model. Co-creation that has involved co-workers have contributed to develop the dialogue model to be adapted to their own context.

Value of the paper: Using a co-creative process when developing and realising a dialogue model enhances the possibilities for an organisational adaption to its own context.

Type of paper: Case study

Keywords
co-creation, citizen value, dialogue model, A3, holistic view
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37910 (URN)
Conference
22nd QMOD conference 13-15 October 2019, Krakow, Poland
Funder
Interreg Sweden-Norway, 20201304 SMICE
Available from: 2019-12-06 Created: 2019-12-06 Last updated: 2019-12-06Bibliographically approved
Bäckström, I., Ingelsson, P., Johansson, C., Hamrin, S. & Bergman, S. (2019). Communicative Leadership development conduction to impact on   Quality culture and co-worker health. In: Su Mi Daahlgard-Park, Jens J. Dahlgaard, (Ed.), 22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution. Paper presented at QMOD conference on Quality and Service Sciences ICQSS. Lund, 22
Open this publication in new window or tab >>Communicative Leadership development conduction to impact on   Quality culture and co-worker health
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2019 (English)In: 22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution / [ed] Su Mi Daahlgard-Park, Jens J. Dahlgaard,, Lund, 2019, Vol. 22Conference paper, Published paper (Refereed)
Abstract [en]

Purpose – The purpose of this paper explore effects of a communicative leadership development program in an organization and to present and discuss results from assessing Quality Culture and co-worker health in the same organization.

 

Methodology/approach –  In a company conducted a communicative leadership developing program, a questionnaire measuring QM values and co-worker health has been handed out to leaders and co-workers. Leaders conducted a communicative leadership developing program have been interviewed and observation studies have been conducted. 

 

Findings – The interviewed and observed leaders are working with communicative leadership in a structured way, The measured factors, assessing quality culture and co-worker health showed rather high mean values.

 

Practical implications – The communicative leadership developing program seams to help leaders to communicate in a structured way.

Place, publisher, year, edition, pages
Lund: , 2019
Keywords
QM values, quality culture, co-worker health, communicative leadership, leadership development and leadership training
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37561 (URN)978-91-7623-086-2 (ISBN)
Conference
QMOD conference on Quality and Service Sciences ICQSS
Funder
Knowledge Foundation
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-10-29Bibliographically approved
Kahm, T. & Ingelsson, P. (2019). Creating a development force in Swedish healthcare: a focus on the first-line managers’ perspective when applying Lean. International Journal of Health Care Quality Assurance, 32(8), 1132-1144
Open this publication in new window or tab >>Creating a development force in Swedish healthcare: a focus on the first-line managers’ perspective when applying Lean
2019 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 32, no 8, p. 1132-1144Article in journal (Refereed) Published
Abstract [en]

Purpose The purpose of this paper is to present the results from a study that investigates first-line healthcare managers' views on their role and the conditions that influence their ability to drive improvement work based on Lean. Design/methodology/approach A questionnaire was sent to all first-line managers in a healthcare organization to investigate their views on their role, conditions and ability to create change according to Lean. The results from four of the questions are presented, which focus on how crucial they consider their role to be for managing improvement work based on Lean, what work tasks their time is spent on, what factors they consider to be important to their ability to drive change and what factors best describe what Lean provides. Findings The results show that first-line managers claim that their role is crucial in improvement work, but when they defined their work tasks, the time spent on improvements was not frequently described. Time, support from coworkers, and a clear vision and clear goals were the three factors that they considered to be most important to their ability to drive improvement work. Considering their leadership, Lean contributed to the structure with tools and supportive methods. Originality/value The questions can be used separately or as part of the entire questionnaire before and along a Lean process to obtain a better understanding of how to create a sustainable Lean approach in healthcare. Understanding the factors that first-line managers consider supporting their ability in improvement work and what they consider Lean provides is important in creating a development force in Swedish healthcare.

Keywords
Healthcare, Lean; Leadership, First-line managers, Improvement work
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37217 (URN)10.1108/IJHCQA-01-2019-0017 (DOI)000488244900002 ()31566512 (PubMedID)2-s2.0-85072745663 (Scopus ID)
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2019-11-14Bibliographically approved
Häggström, M., Sten, L.-M., Bäckström, I. & Ingelsson, P. (2019). How to improve the transfer process from intensive care to general wards - listening to the co-workers. In: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution. Lund: . Paper presented at I 22nd QMOD conference on Quality and Service Sciences ICQSS 2019. Lund
Open this publication in new window or tab >>How to improve the transfer process from intensive care to general wards - listening to the co-workers
2019 (English)In: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution. Lund, Lund, 2019Conference paper, Published paper (Refereed)
Abstract [en]

Background - Many errors and threats to patient safety are caused by deficiencies in the organization, such as inadequate procedures, inadequate planning and lack of information or communication. A specific danger to patient safety is the various gaps in the continuity of care. An example of the gap is the transfer of patients from the high-tech intensive care environment to the less frequent personnel ward environment, a process called ICU transitional care. ICU-nurses, ward-nurses, physicians, and other healthcare professionals, may provide this care. The effects of a poorly coordinated discharge can lead to readmission to the ICU and avoidable deaths.This study is a part of a research project financed by The Kamprad Family Foundation, with a purpose to gain new knowledge about how efficiency and quality in patient transfers within healthcare care can be improved. The purpose will be achieved through cooperation between the two research subjects Quality Management and Nursing science.Purpose - The purpose of this paper was to gain knowledge about how to improve patient transfers from intensive care to the general ward, by describing the intensive care co-workers generated suggestions.Methodology/approach – Six interdisciplinary focus groups interviews were conducted with co-workers at two hospitals in Sweden. The interviews were taped, verbatim transcribed and analysed with a mixed method. The QM values: ‘customer focus’, ‘leadership commitment’, ‘participation of everybody’, ‘continuous improvement’, ‘process focus’ and ‘base decisions on facts’ were used as an analytic framework.Findings - The co-workers suggested that the process should be defined and structured. The analyses showed a total of 94 suggestions that mainly were focused at following areas; planning, information, and communication, interest in the transfer process, enough resources, standardize and create routines, learning, follow up and evaluate.Practical implications - ICU transitional care is multifaceted and needs a holistic, system thinking solution. The findings indicate that the process could be safer, and more efficient by implementing the co-worker generated suggestions. The suggestions can be used to improve patients’ transfers in many contexts in healthcare, not only ICU transitional care.

Place, publisher, year, edition, pages
Lund: , 2019
Keywords
Continuous improvement, Continuity of Patient Care, ICU, Nursing, Patient transfer, QM, QM values
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-38271 (URN)
Conference
I 22nd QMOD conference on Quality and Service Sciences ICQSS 2019
Projects
Ökad effektivitet och kvalitet i vårdkedjor, Kampradstiftelsen
Available from: 2020-01-24 Created: 2020-01-24 Last updated: 2020-01-27Bibliographically approved
Mårtensson, A., Snyder, K. & Ingelsson, P. (2019). Interlinking Lean and Sustainability: How ready are leaders?. The TQM Journal, 31(2), 136-149
Open this publication in new window or tab >>Interlinking Lean and Sustainability: How ready are leaders?
2019 (English)In: The TQM Journal, ISSN 1754-2731, E-ISSN 1754-274X, Vol. 31, no 2, p. 136-149Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper is to explore evidence of interlinkages between Lean and sustainability among organisational leaders in the early stages of Lean implementation.

Design/methodology: A multiple-site case study was conducted to study the connections between Lean and sustainable development during the implementation stages of a Lean practice. In-depth interviews were conducted with managers about their knowledge and understanding of the interlinkages between Lean and sustainable development. The findings were then used as an analytic frame to determine whether these interlinkages were present in the organisation.

Findings: Evidence of interlinkages between Lean and sustainable development was found; however, their presence was incomplete and inconsistent across clinics.

Research implications: Insights from the research can help organisations plan for the implementation of Lean practice, particularly when a sub-goal is to achieve sustainable development.

Originality/value: The study shows the importance of focusing on managers’ knowledge and understanding of the interlinkages between Lean and sustainable development when implementing Lean in order to utilise Leans full potential to achieve sustainability.

Keywords
Organisational development, Lean, sustainability, operational management
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-32047 (URN)10.1108/TQM-04-2018-0046 (DOI)2-s2.0-85058112136 (Scopus ID)
Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2019-11-21Bibliographically approved
Bäckström, I., Ingelsson, P. & Mårtensson, A. (2019). Slutrapport ”Resultatstyrning för medborgarnytta”: Ett samverkansprojekt mellan Sundsvalls kommun och Kvalitetsteknik vid Mittuniversitetet. Mid Sweden University
Open this publication in new window or tab >>Slutrapport ”Resultatstyrning för medborgarnytta”: Ett samverkansprojekt mellan Sundsvalls kommun och Kvalitetsteknik vid Mittuniversitetet
2019 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Mid Sweden University, 2019. p. 15
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37560 (URN)
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-11-21Bibliographically approved
Sten, L.-M., Ingelsson, P., Bäckström, I. & Häggström, M. (2019). The development of a measurement instrument focusing on team collaboration in the patient transfer process from intensive care to the general ward. In: : . Paper presented at 22nd QMOD-ICQSS Conference, Krakow, 13-15 October, 2019.
Open this publication in new window or tab >>The development of a measurement instrument focusing on team collaboration in the patient transfer process from intensive care to the general ward
2019 (English)Conference paper, Published paper (Refereed)
Abstract [en]

Purpose - The purpose of this paper is to describe the development and testing of a questionnaire aiming to measure team collaboration in the patient transfer process from the ICU to the general ward. The purpose is also to analyze the results to see how the survey can help improve team collaboration within ICU transitional care.

 

Methodology/approach – Twenty statements were developed from theory and intended to measure team collaboration within and between hospital units. These statements were added to an existing questionnaire measuring values from QM theory. The questionnaire was tested in two ICUs in two hospitals located in Sweden, and the results from the statements regarding team collaboration were analyzed with SPSS.

 

Findings – The results indicate that there is an internal consistency reliability between the developed factors and statements measuring team collaboration within and between hospital units. The results from the survey also show that this measurement tool can be a basis for improving team collaboration in the studied context.

Keywords
Measurement, Team collaboration, ICU transitional care, Patient safety, Quality improvement, QM.
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37701 (URN)
Conference
22nd QMOD-ICQSS Conference, Krakow, 13-15 October, 2019
Funder
The Kamprad Family Foundation
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-04Bibliographically approved
Ingelsson, P., Bäckström, I. & Snyder, K. (2018). Adapting a Lean leadership-training program within a health care organization through co-creation. In: Su Mi Park-Daahlgard (Ed.), 21st QMOD conference on quality and service science ICQSS, 22-24 August 2018, Cardiff University, Wales, UK: . Paper presented at 21st QMOD conference on quality and service science ICQSS, 22-24 August 2018, Cardiff University, Wales, UK.
Open this publication in new window or tab >>Adapting a Lean leadership-training program within a health care organization through co-creation
2018 (English)In: 21st QMOD conference on quality and service science ICQSS, 22-24 August 2018, Cardiff University, Wales, UK / [ed] Su Mi Park-Daahlgard, 2018Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Purpose –The purpose is to describe and evaluate a Lean leadership-training program within the healthcare sector, developed through a co-creative process with the intent of enhancing the possibilities for a context-specific adaption of Lean.

Methodology/approach – A co-created leadership-training program, executed over a period of one year, is described both as a model development process and as the final training program. The program was evaluated through reflective discussions and feedback as well as a written final evaluation of the program from participants in the program.  

Findings – Even though the process was not followed to the end the evaluation shows that the objectives of the training program was met, at least amongst the participators attended the whole program. Using a co-creative process when developing and realizing a leadership-training program enhances the possibilities for an organizational adaption of Lean to its own context. One condition for this approach to be successful is that the expectation on both the organization and the University needs to be in focus through the whole process. In addition the executive team needs to be continuously engaged and create conditions for the organization to realize the potential winnings from the training program.

Keywords
Health Care, Lean leadership, Lean implementation, Leadership-training program, co-create
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-34306 (URN)
Conference
21st QMOD conference on quality and service science ICQSS, 22-24 August 2018, Cardiff University, Wales, UK
Funder
The Kamprad Family Foundation
Available from: 2018-08-28 Created: 2018-08-28 Last updated: 2018-09-05Bibliographically approved
Bäckström, I., Ingelsson, P., Snyder, K., Hedlund, C. & Lilja, J. (2018). Capturing value-based leadership in practice: Insights from developing and applying an AI-interview guide. International Journal of Quality and Service Sciences, 10(4), 422-430
Open this publication in new window or tab >>Capturing value-based leadership in practice: Insights from developing and applying an AI-interview guide
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2018 (English)In: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 10, no 4, p. 422-430Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to present and discuss the results from the appreciative inquiry (AI)-inspired interviews to explore the underlying values held by top managers and to identify soft aspects ofleadership.Design/methodology/approach – Top managers were interviewed as a part of a research project withthe aim to support the development of value-based leadership that integrates company values, organizationalculture, customer needs and sustainable development. A structured interview guide, inspired by AI, wasdeveloped and used to pinpoint their motivation and vision of a good organization to understand the valuesthat the managers had and to identify soft aspects of leadership. The interviews were analyzed in workshopswith the whole research teamand structured and visualized through affinity diagrams.Findings – The results showed the underlying values held by top managers and identified soft aspects ofleadership.Practical implications – The presented interview guide can be used to identify the top managers’underlying values, and the presented results from the interviews can be used to inspire other managers andleaders to develop their leadership in their striving of good leadership and effective organizations.Originality/value – The paper explains how to apply an AI-inspired interview guide in finding out valuebasedleadership and soft aspects of leadership for enhancing organizational culture.

Keywords
Values, Leadership, Appreciative Inquiry, Organizational culture, Value-based
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-34562 (URN)10.1108/IJQSS-01-2018-0004 (DOI)000447318700006 ()2-s2.0-85050189979 (Scopus ID)
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2019-03-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5610-2944

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