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A complex challenge with unclear improvement: the need for involvement, contextualization and facilitation when managers implement a leadership model
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Uppsala universitet.ORCID iD: 0000-0001-6738-6102
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Uppsala universitet.ORCID iD: 0000-0002-1495-4943
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.ORCID iD: 0000-0003-1289-9896
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Uppsala universitet.ORCID iD: 0000-0001-6067-3520
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2023 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 36, no 2, p. 236-246Article in journal (Refereed) Published
Abstract [en]

Purpose

Management and leadership in health care are described as complex and challenging, and the span of control is known to be a key component in the manager’s job demands. The implementation of change can be a challenge in health care, and managers often have roles as implementation leaders. Little attention has been given to how managers perceive the process of implementation. Thus, this study aims to explore second-line managers’ perceptions of, prerequisites for and experiences from the implementation of changes in their manager’s work conditions.

Design/methodology/approach

A grounded theory–based qualitative design was used. Data were collected from a purposive sample of nine second-line managers by individual semi-structured interviews. The three stages of initial coding, focus codes and axial coding were used in data analysis.

Findings

Three thematic areas were identified: engagement, facilitation and achievement. The second-line managers’ descriptions suggest that the change work entails a complex challenge with an unclear result. Involvement, consideration for the context and facilitation are needed to be able to conduct a cohesive implementation process.

Originality/value

This study findings outline that to succeed when implementing change in complex organizations, it is crucial that managers at different levels are involved in the entire process, and that there are prerequisites established for the facilitation and achievement of goals during the planning, implementation and follow-up.

Place, publisher, year, edition, pages
Emerald , 2023. Vol. 36, no 2, p. 236-246
Keywords [en]
Change management; Health services; Implementation; Leadership; Organisation and administration; Qualitative research
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
URN: urn:nbn:se:hig:diva-40080DOI: 10.1108/lhs-05-2022-0055ISI: 000863665800001PubMedID: 36193881Scopus ID: 2-s2.0-85139172682OAI: oai:DiVA.org:hig-40080DiVA, id: diva2:1701780
Available from: 2022-10-07 Created: 2022-10-07 Last updated: 2023-04-25Bibliographically approved

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Lindberg, MariaSkytt, BerniceLindberg, MagnusWijk, KatarinaStrömberg, Annika

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Lindberg, MariaSkytt, BerniceLindberg, MagnusWijk, KatarinaStrömberg, Annika
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