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Andersson, Ann-ChristineORCID iD iconorcid.org/0000-0003-0409-1985
Publications (10 of 23) Show all publications
Gremyr, A., Malm, U., Lundin, L. & Andersson, A.-C. (2019). A learning health system for people with severe mental illness: a promise for continuous learning, patient coproduction and more effective care. Digital Psychiatry, 2(1), 8-13
Open this publication in new window or tab >>A learning health system for people with severe mental illness: a promise for continuous learning, patient coproduction and more effective care
2019 (English)In: Digital Psychiatry, ISSN 2575-517X, Vol. 2, no 1, p. 8-13Article in journal (Refereed) Published
Abstract [en]

A Learning Health System (LHS) promotes the patient being at the very center of his or her care. Patient coproduction of care in an LHS is enabled by a focus on improving outcomes through the use of tools and visualizations that use the harnessed knowledge obtained from every previous treatment of similar patients. Interest in the concept of LHS is growing, and there are promising results in real-world applications. Almost no research has focused on LHSs for severe mental illness (LHS4SMI). By using a user-centered system design approach, a persona and use-case scenarios were created to illustrate how schizophrenia care could be co-produced in an LHS compared to standard care in a non-LHS. The illustration highlight increased participation through decisions informed by all treatments for all similar patients through the use of user interfaces that support continuous evaluation, increased understanding, compensation for cognitive impairment and participation of next of kin in the care process. We propose that an LHS4SMIs like schizophrenia has enormous potential in enabling continuous learning, patient coproduction, and more effective care.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-44296 (URN)10.1080/2575517X.2019.1622397 (DOI)POA HHJ 2019 (Local ID)POA HHJ 2019 (Archive number)POA HHJ 2019 (OAI)
Available from: 2019-06-10 Created: 2019-06-10 Last updated: 2019-06-10Bibliographically approved
Robert, G., Kjellström, S., Areskoug Josefsson, K., Andersson-Gäre, B., Andersson, A.-C., Ockander, M., . . . Donetto, S. (2019). Exploring, measuring and enhancing the co-production of health and wellbeing at the national, regional and local levels through comparative case studies in Sweden and England: The 'Samskapa' research programme (study protocol). In: : . Paper presented at 14th ESA Conference, Europe and Beyond: Boundaries, Barriers and Belonging, 20-23 August 2019, Manchester, UK.
Open this publication in new window or tab >>Exploring, measuring and enhancing the co-production of health and wellbeing at the national, regional and local levels through comparative case studies in Sweden and England: The 'Samskapa' research programme (study protocol)
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2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-45081 (URN)
Conference
14th ESA Conference, Europe and Beyond: Boundaries, Barriers and Belonging, 20-23 August 2019, Manchester, UK
Available from: 2019-06-25 Created: 2019-06-25 Last updated: 2019-06-25Bibliographically approved
Norrman Brandt, E., Kjellström, S. & Andersson, A.-C. (2019). Transformational change by a post-conventional leader. Leadership & Organization Development Journal, 40(4), 457-471
Open this publication in new window or tab >>Transformational change by a post-conventional leader
2019 (English)In: Leadership & Organization Development Journal, ISSN 0143-7739, E-ISSN 1472-5347, Vol. 40, no 4, p. 457-471Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper is to examine people’s experience of a change process and if and how post-conventional leadership principles are expressed in the change process.

Design/methodology/approach: The study used a retrospective exploratory qualitative design. In total, 19 semi-structured interviews and 4 workshops were conducted and analyzed in accordance with a thematic qualitative analysis.

Findings: The post-conventional leadership appears to have facilitated an organizational transformation where explorative work methods aimed at innovation and improvement as well as holistic understanding was used. Dispersed power and mandate to employees, within set frames and with clear goals, created new ways of organizing and working. The leader showed personal consideration, acknowledged the importance of the emotionally demanding aspects of change and admitted the leader’s own vulnerability. Balance between challenge and support created courage to take on new roles and responsibilities. Most employees thrived and grew with the possibilities given, but some felt lack of support and clear directions.

Practical implications: Inspiration from this case on work methods and involvement of employees can be used on other change efforts.

Social implications: This study provides knowledge on leadership capabilities needed for facilitation of transformational change.

Originality/value: Few transformational change processes by post-conventional leaders are thoroughly described, and this study provides in-depth descriptions of post-conventional leadership in transformational change. 

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
Action logics, Adult development, Leadership agility, Post-conventional leadership, Retrospective study, Transformational change
National Category
Social Sciences
Identifiers
urn:nbn:se:hj:diva-45337 (URN)10.1108/LODJ-07-2018-0273 (DOI)2-s2.0-85068092316 (Scopus ID)
Available from: 2019-07-12 Created: 2019-07-12 Last updated: 2019-07-12Bibliographically approved
Norrman Brandt, E., Kjellström, S. & Andersson, A.-C. (2018). A transformational change process by a post heroic leader. In: : . Paper presented at European Society for Research on Adult Development (ESRAD), ​25th to 27th May 2018, University of Greenwich, London, UK.
Open this publication in new window or tab >>A transformational change process by a post heroic leader
2018 (English)Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:hj:diva-40478 (URN)
Conference
European Society for Research on Adult Development (ESRAD), ​25th to 27th May 2018, University of Greenwich, London, UK
Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2018-06-18Bibliographically approved
Andersson, A.-C., Melke, A., Andersson Gäre, B. & Golsäter, M. (2018). Identification of children as relatives with a systematic approach; a prerequisite in order to offer advice and support. Quality Management in Health Care, 27(3), 172-177
Open this publication in new window or tab >>Identification of children as relatives with a systematic approach; a prerequisite in order to offer advice and support
2018 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 27, no 3, p. 172-177Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to elucidate conditions at all system levels in a specific health care service to develop practices for identification of children as relatives. An interactive research approach with the intention to create mutual learning between practice and research was used. The participating health care service cared for both clinic in- and outpatients with psychiatric disorders. Health care professionals from different system levels (micro, meso, macro) participated, representing different professions. At the first project meeting, it was obvious that there was no systematic approach to identify children as relatives. At the micro level, activities such as a pilot survey and an open house activity were carried out. At the meso level, it was discussed how to better support collaboration between units. At the management (macro) level, it was decided that all units should appoint at least one child agent, with the aim to increase collaboration throughout the whole health care service. To change focus, in this case from only parents to inclusion of children, is an important challenge faced by health care services when forced to incorporate new policies and regulations. The new regulations contribute to increased complexity in already complex organizations. This study highlights that such challenges are underestimated.

Place, publisher, year, edition, pages
Wolters Kluwer, 2018
Keywords
health care system, identification of children as relatives, incorporation of new regulations, interactive research, micro-level perspectives
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-41184 (URN)10.1097/QMH.0000000000000181 (DOI)000436873500010 ()29944630 (PubMedID)2-s2.0-85049356843 (Scopus ID)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-08-20Bibliographically approved
Andersson, A.-C. (2018). Kvalitetsarbete inom omvårdnad – förbättringskunskap och ständiga förbättringar. In: A. Hommel & Å. Andersson (Ed.), Kvalitetsutveckling inom omvårdnad: sjuksköterskans professionella ansvar (pp. 45-68). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Kvalitetsarbete inom omvårdnad – förbättringskunskap och ständiga förbättringar
2018 (Swedish)In: Kvalitetsutveckling inom omvårdnad: sjuksköterskans professionella ansvar / [ed] A. Hommel & Å. Andersson, Lund: Studentlitteratur AB, 2018, p. 45-68Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-42370 (URN)9789144121338 (ISBN)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2018-12-20Bibliographically approved
Nordin, A., Andersson-Gäre, B. & Andersson, A.-C. (2018). Prospective sensemaking of a national quality register in health care and elderly care. Leadership in Health Services, 31(4), 398-408
Open this publication in new window or tab >>Prospective sensemaking of a national quality register in health care and elderly care
2018 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 31, no 4, p. 398-408Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to examine how external change agents (ECAs) engaged to disseminate a national quality register (NQR) called Senior alert nationwide in the Swedish health care and elderly care sectors interpret their work. To study this, sensemaking theories are used.

Design/methodology/approach

This is a qualitative inductive interview study including eight ECAs. To analyze the data, a thematic analysis is carried out.

Findings

Well-disseminated NQRs support health care organizations’ possibility to work with quality improvement and to improve care for patient groups. NQRs function as artifacts that can influence how health care professionals make sense of their work. In this paper, a typology depicting how the ECAs make sense of their dissemination work has been developed. The ECAs are engaged in prospective sensemaking. They describe their work as being about creating future good results, both for patients and affiliated organizations, and they can balance different quality aspects.

Originality/value

The number of NQRs increased markedly in Sweden and elsewhere, but there are few reports on how health care professionals working with the registers interpret their work. The use of ECAs to disseminate NQRs is a novel approach. This paper describes how the ECAs are engaged in prospective sensemaking – an under-researched perspective of the sensemaking theory.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2018
Keywords
External change agents, Quality registers, Sensegivers, Sensemaking theory
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-37299 (URN)10.1108/LHS-03-2017-0012 (DOI)000445062000004 ()30234450 (PubMedID)2-s2.0-85040221428 (Scopus ID)
Available from: 2017-09-13 Created: 2017-09-13 Last updated: 2019-03-05Bibliographically approved
Algurén, B., Andersson Gäre, B., Thor, J. & Andersson, A.-C. (2018). Quality indicators and their regular use in clinical practice – results from a survey among users of two cardiovascular National Registries in Sweden. International Journal for Quality in Health Care, 30(10), 786-792
Open this publication in new window or tab >>Quality indicators and their regular use in clinical practice – results from a survey among users of two cardiovascular National Registries in Sweden
2018 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, no 10, p. 786-792Article in journal (Refereed) Published
Abstract [en]

Objective: To examine the regular use of quality indicators from Swedish cardiovascular National Quality Registries (NQRs) by clinical staff; particularly differences in use between the two NQRs and between nurses and physicians.

Design: Cross-sectional online survey study.

Setting: Two Swedish cardiovascular NQRs: a) Swedish Heart Failure Registry and b) Swedeheart.

Participants: Clinicians (n=185; 70% nurses, 26% physicians) via the NQRs’ email networks.

Main outcome measures: Frequency of NQR use for a) producing healthcare activity statistics; b) comparing results between similar departments; c) sharing results with colleagues; d) identifying areas for quality improvement (QI); e) surveilling the impact of QI efforts; f) monitoring effects of implementation of new treatment methods; g) doing research; h) educating and informing healthcare professionals and patients.

Results: Median use of NQRs was ten times a year (25th and 75th percentiles range: 3 – 23 times/year). Quality indicators from the NQRs were used mainly for producing healthcare activity statistics. Median use of Swedeheart was six times greater than SwedeHF (p<0.000). Physicians used the NQRs more than twice as often as nurses (18 vs. 7.5 times/year; p<0.000) and perceived NQR work more often as meaningful. Around twice as many Swedeheart users had the role to participate in data analysis and in QI efforts compared to SwedeHF users.

Conclusions: Most respondents used quality indicators from the two cardiovascular NQRs infrequently (< 3 times/year). The results indicate that linking registration of quality indicators to using them for QI activities increases their routine use and makes them meaningful tools for professionals.

Place, publisher, year, edition, pages
Oxford University Press, 2018
Keywords
Quality indicators, Quality Registry, meaningful usage, quality improvement, eHealth
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-39220 (URN)10.1093/intqhc/mzy107 (DOI)000457587100007 ()29762660 (PubMedID)2-s2.0-85060401965 (Scopus ID)
Available from: 2018-04-25 Created: 2018-04-25 Last updated: 2019-03-01Bibliographically approved
Andersson, A.-C., Andersson Gäre, B., Thor, J. & Lenrick, R. (2018). Rapport om utvärdering av IVO:s lärande tillsyn. Jönköping: Jönköping Academy for Improvement of Health and Welfare
Open this publication in new window or tab >>Rapport om utvärdering av IVO:s lärande tillsyn
2018 (Swedish)Report (Other academic)
Abstract [sv]

Inspektionen för vård och omsorg (IVO) har i sin tillsynspolicy lagt fokus på att främja lärande för att stödja utvecklingen av god kvalitet och säkerhet i vård och omsorg. Under 2017 har IVO givit Jönköping Academy for Improvement of Health and Welfare vid Jönköping University i uppdrag att utvärdera tillämpning av lärande tillsyn. Syftet med denna studie var att belysa om, och om möjligt hur, IVO:s tillsyn kan stödja verksamhetsutveckling och förbättring i de tillsynade verksamheter. Det finns många teoribildningar kring lärande och kvalitetsutveckling. Denna rapport tar utgångspunkt i teorier om organisatoriskt lärande, samskapande och förbättringskunskap och belyser vad som kan bidra, och i så fall hur, till en ömsesidig tillit som leder till ett fördjupat lärande som grund för förbättring.

Studien omfattar två tillsyner, där deltagarna bestod av personal från de berörda verksamheterna, samt IVO-inspektörer från de regionala IVO avdelningar. Det empiriska materialet samlades in genom intervjuer och en observation. En dokumentgenomgång av relevanta IVO dokument skapade underlag för utvecklandet av studiens intervjuguider. Intervjuerna bandades, transkriberades och analyserades med en metod inspirerad av tematisk analys, som utmynnade i fem teman: (I) Förberedelse inför tillsyn; (II) Genomförande i verksamheten; (III) Resultat i verksamheten; (IV) Förutsättningar för lärande; och (V) Önskemål för ökat lärande. Samtliga teman innehåller både förhållanden som stödjer (främjar) och som försvårar (hindrar) lärande:

  • Förberedelsearbetet ansågs inte bidra till en ökad tillit som förutsättning för lärande. Det uttrycktes en önskan om mer samskapande i förberedelsearbetet redan innan tillsynstillfället
  • Det framkom önskemål om att lärandet, som ett av målen med tillsynen, skulle lyftas tydligare i dialogen vid tillsynstillfället.
  • Det uppfattades som svårt att peka på reella resultat i verksamheterna som direkt berodde på tillsynen, men det beskrevs ändå som viktigt att tillsynen fanns.
  • Det fanns olika uppfattningar om hur IVO:s roll som tillsynsmyndighet påverkade lärandet. Ett större fokus på gemensam uppföljning skulle vara ett sätt att optimera lärandet både i verksamheterna och hos IVO:s inspektörer.
  • Ett lärande skulle gynnas av en tydlig gemensam problembeskrivning, samt fortlöpande uppföljningar och delad kunskap, exempelvis genom goda exempel och dialogkonferenser.

Generellt fanns en stor samstämmighet mellan IVO:s inspektörer och de verksamhetsföreträdare som intervjuats, men vissa skillnader framkom också. Rapporten avslutas med några avslutande reflektioner.

Place, publisher, year, edition, pages
Jönköping: Jönköping Academy for Improvement of Health and Welfare, 2018. p. 17
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38964 (URN)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-03-06Bibliographically approved
Nordin, A., Andersson-Gäre, B. & Andersson, A.-C. (2018). Sensemaking and cognitive shifts – learning from dissemination of a National Quality Register in health care and elderly care. Leadership in Health Services, 31(4), 371-383
Open this publication in new window or tab >>Sensemaking and cognitive shifts – learning from dissemination of a National Quality Register in health care and elderly care
2018 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 31, no 4, p. 371-383Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this study is to examine and establish how sensemaking develops among a group of external change agents (ECAs) engaged to disseminate a national quality register nationwide in Swedish health care and elderly care. To study the emergent sensemaking, the theoretical concept of cognitive shift has been used.

Design/methodology/approach

The data collection method included individual semi-structured interviews, and two sets of interviews (initial sensemaking and renewed sensemaking) have been conducted. Based on a typology describing how ECAs interpret their work, structural analyses and comparisons of initial and renewed sensemaking are made and illuminated in spider diagrams. The data are then analyzed to search for cognitive shifts.

Findings

The ECAs’ sensemaking develops. Three cognitive shifts are identified, and a new kind of issue-related cognitive shift, the outcome-related cognitive shift, is suggested. For the ECAs to customize their work, they need to be aware of how they interpret their own work and how these interpretations develop over time.

Originality/value

The study takes a novel view of the interrelated concepts of sensemaking and sensegivers and points out the cognitive shifts as a helpful theoretical concept to study how sensemaking develops.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2018
Keywords
External change agents, Quality registers, Cognitive shifts
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-37300 (URN)10.1108/LHS-03-2017-0013 (DOI)000445062000002 ()30234448 (PubMedID)2-s2.0-85040218718 (Scopus ID)
Available from: 2017-09-13 Created: 2017-09-13 Last updated: 2019-03-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0409-1985

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