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  • 1.
    Eriksson, Andrea
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Holden, Richard J.
    Williamsson, Anna
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    A Case Study of Three Swedish Hospitals' Strategies for Implementing Lean Production2016In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 6, no 1, p. 105-131Article in journal (Refereed)
    Abstract [en]

    Many hospitals have recently implemented the management concept lean production. The aim of this study was to learn how and why three Swedish hospitals selected and developed their hospital-wide lean production strategies. Although previous research shows that the concept is implemented in various ways, there is limited research on how and why different hospitals choose different implementation strategies and if the chosen strategies contribute to sustainable participation in organizational development. A case study of three different Swedish hospitals implementing lean production was thus performed. We studied the content of the hospitals' selected implementation strategies, conditions and rationales behind their strategy selection, and how different organizational actors participated in the implementation. Qualitative interviews with 54 key actors at the studied hospitals were performed. In addition, a self-administered survey questionnaire to employees was answered at T1 (2012, n = 557), T2 (2013, n = 554), and T3 (2014, n = 366). The three studied hospitals chose different strategies for implementing lean production due to different contextual conditions and for different reasons. The hospital-wide implementation strategies were related to employees' interest and participation in lean production. The results show that many different actors at different organizational levels need to participate in lean production in order to sustain and diffuse change processes. Furthermore, broad motives including quality of care seem to be needed for engaging different professional groups.

  • 2.
    Håkansson, Malin
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Holden, R. J.
    Department of BioHealth Informatics, Indiana University School of Informatics and Computing, Indianapolis, IN, USA.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, L.
    University of Gothenburg, Department of Sociology and Work science.
    Managerial practices that support lean and socially sustainable working conditions2017In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 7, no 3, p. 63-84Article in journal (Refereed)
    Abstract [en]

    Despite decades of using lean, there is little knowledge of how lean managerial practices affect working conditions. Thus, the aim of this study was to investigate in what ways managerial practices support socially sustainable working conditions (SSWCs) during a lean transformation. A mixed methods approach was used in this multiyear case study in a midsize Swedish manufacturing company. Assessment of work characteristics was combined with employee questionnaires and interviews with managers. Four practices were identified as instrumental for SSWCs: 1) a coherent lean approach with clear direction, 2) a value-creating leadership style comprising a participatorypromoting and caring leadership approach with joint focus on production and well-being, 3) conscious involvement of employees in a stepwise fashion, and 4) a focus on promoting meaningful jobs and health, aided by work environment management. Thus, managerial practices actively supporting important job resources as an integral part of the lean system seemed to support SSWCs.

  • 3.
    Schmidt, Lisa
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. IVL Svenska Miljöinstitutet.
    Sjöström, John
    IVL Svenska Miljöinstitutet.
    Antonsson, Ann-Beth
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Understanding the challenges facing occupational health services in the Swedish Public Sector2017In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 7, no 3, p. 85-104Article in journal (Refereed)
    Abstract [en]

    According to Swedish Work Environmental Act, all organizations are required to implement Occupational Health and Safety Management (OHSM). In support of this and when competence within the employer’s own organization is insufficient, regulations state that the employer are required to employ external resources such as an Occupational Health Service (OHS) provider. The aim of this study was to explore how public sector organizations utilised services and support from their OHS provider in preventive OHSM. Eleven public sector organizations were studied, one hundred of respondents (politicians, managers, HR, safety representatives and OHS professionals) interviewed and the data collected qualitatively and thematically analysed. The results showed that the OHS providers do not support the public-sector organisations with preventive OHSM according to the intentions of the legislation. A significant conclusion is that the HR department has an important role in the collaboration and for the utilization of preventive services in OHSM.

  • 4.
    Vanje, Annika
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Sick Leave - A Signal of Unequal Work Organizations? Gender perspectives on work environment and work organizations in the health care sector: a knowledge review2015In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 5, no 4, p. 85-104Article in journal (Refereed)
    Abstract [en]

    The background to this article review is governmental interest in finding reasons why a majority of the employees in Sweden who are on sick leave are women. In order to find answers to these questions three issues will be discussed from a meso-level: (i) recent changes in the Swedish health care sector's working organization and their effects on gender, (ii) what research says about work health and gender in the health care sector, and (iii) the meaning of gender at work. The aim is to first discuss these three issues to give a picture of what gender research says concerning work organization and work health, and second to examine the theories behind the issue. In this article the female-dominated health care sector is in focus. This sector strives for efficiency relating to invisible job tasks and emotional work performed by women. In contemporary work organizations gender segregation has a tendency to take on new and subtler forms. One reason for this is today's de-hierarchized and flexible organizations. A burning question connected to this is whether new constructions of masculinities and femininities really are ways of relating to the prevailing norm in a profession or are ways of deconstructing the gender order. To gain a deeper understanding of working life we need multidisciplinary research projects where gender-critical knowledge is interwoven into research not only on organizations, but also into research concerning the physical work environment, in order to be able to develop good and sustainable work environments, in this case in the health care sector.

  • 5.
    Vänje, Annika
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Sick Leave - A Signal of Unequal Work Organizations?: Gender perspectives on work environment and work organizations in the health care sector: a knowledge review2015In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 5, no 4Article in journal (Refereed)
    Abstract [en]

    The background to this article review is governmental interest in finding reasons why a majority of the employees in Sweden who are on sick leave are women. In order to find answers to these questions three issues will be discussed from a meso-level: (i) recent changes in the Swedish health care sector’s working organization and their effects on gender, (ii) what research says about work health and gender in the health care sector, and (iii) the meaning of gender at work. The aim is to first discuss these three issues to give a picture of what gender research says concerning work organization and work health, and second to examine the theories behind the issue. In this article the female-dominated health care sector is in focus.This sector strives for efficiency relating to invisible job tasks and emotional work performed by women. In contemporary work organizations gender segregation has a tendency to take on new and subtler forms. One reason for this is today’s de-hierarchized and flexible organizations.A burning question connected to this is whether new constructions of masculinities and femininities really are ways of relating to the prevailing norm in a profession or are ways of deconstructing the gender order.To gain a deeper understanding of working life we need multidisciplinary research projects where gender-critical knowledge is interwoven into research not only on organizations, but also into research concerning the physical work environment, in order to be able to develop good and sustainable work environments, in this case in the health care sector.

1 - 5 of 5
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