The role of a first line manager (FLM) in Swedish healthcare has gone through major changes, from a divided role involving both nursing work and supervision to a pure management role. Along with these changes, the experienced core work and meaning of work have been altered. This also means that conditions for work that could regenerate the invested resources of the FLMs have been altered as well. The aim of this study was to describe the ward managers' experiences of their professional role, their work and how they are handling their everyday practice. Furthermore, the aim has been to interpret these experiences through the lens of regenerative work. Five ward managers at a Swedish hospital setting were followed for approximately four years. The study has had an interactive and pragmatic approach. Data were collected through interviews, observations and a continuous dialogue forum (three years). Four themes are presented in this paper: from supervisor to manager; loyalty; talking about it and dialogue forum. These themes are then discussed in order to understand basic conditions for the regenerative work of the FLM. The most central finding is the importance for the FLMs to make sense of their world through narratives and that the organisation does not provide for this.
The study aims to understand and explore situations of collaboration between various actors in connection with a university-driven innovation intermediary organisation, and how the intermediary organisation facilitates collaboration in the making. To this end, we employ a case of a university-driven long-lasting intermediary organisation within the agricultural and forestry sectors. We examine three collaborative situations, using practice-based research and process theories as theoretical perspectives. A narrative approach is adopted as the method of investigation. The findings are presented in a conceptual model where the structures of the intermediary organisation are translated into practices, against which individuals can develop their collaboration processes. It is concluded that collaboration in the making is formed in the interplay between structures, practices and processes in relations between people. This implies that the organising of collaboration should focus its attention not only on structures but also on the practices and processes formed between people. The study contributes to the understanding of the organising of university innovation intermediary organisations by untangling the relations between structures, practices and processes in situations of collaboration between people.
How can discharge planning (DP) for patients who require care in the home following a period in hospital be understood and developed through the lenses of complexity theory? With the help of complexity theory and practice-based narrative research this study discloses the formal routines and complex dynamic practices that are associated with DP. A study of the literature established that there was an almost total absence of complexity-theoretical perspectives on interpreting and developing DP. The researchers collected narratives about the DP processes using qualitative interviews with the nurses responsible for this in a hospital ward: these were audio-recorded and transcribed verbatim. They also participated in and documented meetings where these nurses, as a group, discussed DP. The findings show that nurses have to continuously deal with uncertainty, surprises and the unknown. They have to make sense and take charge of dynamic complex events and new knowledge, and manage complex relations and information. The researchers argue that looking upon practice from the lenses of complexity theory, and therefore accepting the complexity of practice, could facilitate the development of nurses' skills in order to guarantee good quality in DP.
The effects that work has on individuals are not unknown. The importance of work in terms of the subjective well-being and growth of individuals through their work, however, is not as extensively discussed and documented. Risk factors and unhealthy factors have long been discussed at the expense of positive conditions for well-being and personal growth. We like to call work with that type of potential regenerative work. Hence, that is the type of work that we have chosen to focus on in this study. The following research objectives have guided us through the study: Which everyday work processes may contribute to sustainable prerequisites for the subjective well-being and growth of individuals? The study takes an explorative approach to two workplaces*a care unit at a hospital and a manufacturing company. Our aim is to increase the understanding of prerequisites for the well-being and growth of individuals through their work. Three themes emerged in this type of regenerative work: performance, general overview and participation, and dialogue. These themes are problemised by looking at their potential in relation to the organisation of the work. Prerequisites for performance, general overview and participation, and finally dialogue prove to be more efficient in contexts where the complexity of the work and organisation is acknowledged and where there is room for inter-subjective sense-making and self-organising.
The primary aim of this paper is to narrow down the description of how school leaders interpret the assign-ment (the task) and identify the markers for how they look upon the conditions of doing a good job in Sweden. The aim is in the context of practice-based and process-oriented research. We use complexity and complexity theories to frame the emerging practice of leading and organizing. This is in contrast to techno-cratic homogenization—that is, law texts, steering documents, documentation, standardized methods, plan-ning, and ceremonies. A questionnaire was conducted with three open questions (n=363 out of a possible 548 participants) and four focus groups (n=21). Complexity, dilemmas, and inconsistency emerge in the respondents’ answers the closer they are to everyday action. The results show that complexity theories put focus on a conflict between the image of schools as complicated and complex. Complicated is accompanied by generalizing and weak contextualizing of control systems, standardized methods, planning, law texts, and evidence-based education—that is, the concept of technocratic homogenization. Complexity theories emphasize the life in organizations, everyday practice as leaders, and a conflict between weak and robust contextualizing from the perspective as practice-based and process-oriented research.
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