Leading change: a challenge for leaders in Nordic health care

Fagerström, Lisbeth; Salmela, Susanne

doi:10.1111/j.1365-2834.2010.01097.x

Cited by 21 publications

(25 citation statements)

References 14 publications

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“…These issues are a question of a long-term process related to organizational culture change. Previous studies have also emphasized the importance of a new kind of thinking and change management among nurse managers and a need to recognize their own opportunities in change management [7,26].…”

Section: Discussionmentioning

confidence: 99%

“…'Mid-level managers' set the pace for executing strategic plans and focus on the organization's priorities [6]. The Finnish system is the focus of this study because in recent years health care reforms have been more the rule than the exception in the Nordic countries [7]. As a result of the recent Health Care Act [8] citizens in Finland now have greater opportunities to choose their health care facility and their health care professionals.…”

Section: Introductionmentioning

confidence: 99%

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Nurse managers' visions of future challenges in health care organizations

Saarnio¹,

Suhonen²,

Isola³

2016

J Nurs

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Background: Because of the economic crisis and nursing shortage, the situation for hospitals will be demanding throughout the decade in the 2010s. This poses challenges for nursing management. This article focuses on Finnish health care, particularly on nurse managers. Aim: The aim of this study is to describe and analyse future challenges in hospitals in one hospital district in Finland from the viewpoint of the nurse managers. The research question for this study is as follows: What kinds of future challenges are there in one hospital district from the viewpoint of the nurse managers? Method: The data was collected in the year 2011 from a number of essays (n=60) written by front-line and mid-level nurse managers in one hospital district. The data was analysed using a qualitative content analysis. Findings: Nurse managers saw challenges and threats for the future on the level of society, the hospital, the work unitand for employees. Work-unit level challenges were emphasized in these findings. Conclusion:The study shows that nurse managers have the ability to identify challenges in the future that they can influence by carrying out change management procedures. There is a need for more holistic management and closer interprofessional co-operation in health care for the benefit of patients in terms of customer oriented care. Furthermore, shared leadership is needed, which on a work-unit level means better pair management involving a front-line nurse manager and a physician. One requirement for nurse managers is the need to develop a sense of community. The ability to create environments that promote staff well-being is also important from the viewpoint of staff turnover. Nurse managers are usually well educated, so they should make more of an effort to utilize their education in their management work and update their expertise in management matters as well.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurse managers' visions of future challenges in health care organizations

Saarnio¹,

Suhonen²,

Isola³

2016

J Nurs

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“…We cannot overlook leader's responsibilities, as leadership sets the norms and upholds a culture [39]. The leaders support and create conditions for caregivers to act in accordance with the collective agreements about ethical good care, but they also explicitly provide and disseminate the ethical care criteria for and within the organisation.…”

Section: Discussionmentioning

confidence: 99%

“…The leaders support and create conditions for caregivers to act in accordance with the collective agreements about ethical good care, but they also explicitly provide and disseminate the ethical care criteria for and within the organisation. Leaders also take questions about resource allocation seriously, by creating human and material conditions for caregivers to act in accordance with their ethical ideals [39]. …”

Section: Discussionmentioning

confidence: 99%

Assessment of Ethical Ideals and Ethical Manners in Care of Older People

Frilund

Fagerström

Eriksson

et al. 2013

Nursing Research and Practice

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The aim of this study is to establish structured clusters and well-defined ontological entities (nodes) describing ethical values as both ideal and opportunity for ethical manner as perceived by thecaregiver.In this study, we use Bayesian Belief Networks (BBNs) to analyse ethical values (ethos) and ethical manners in daily work with older people. Material is based on questionnaire data collected by the instrument for the self-assessment of individual ethos in the care of older people(ISAEC) in spring 2007 in a municipality in Western Finland. This study is unique in its kind, both concerning the selected approach and methodological questions. BBNs have not been used significantly in nursing research, nor are there any studies that examine the ethical possibilities with focus on the probable effects upon changing conditions.

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“…The results indicate that more focus on leadership and management in nursing education is needed at master's as well as doctoral levels. The most characteristic features of healthcare today may be the continuously changing environment and resulting organisational changes 3. Especially during times of organisational change, the importance of clear objectives, vision, information, dialogue and leader support increases.…”

Section: Implications For Practicementioning

confidence: 99%