Nilsson Kerstin, Sandoff Mette
Institute of Health and Caring Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
J Health Organ Manag. 2015;29(7):1029-46. doi: 10.1108/JHOM-03-2014-0048.
The purpose of this paper is to establish a knowledge bank for the development of overall hospital processes. Description and analysis are used to show how process managers experience their situation and the various possibilities it offers for active management in the context of managing processes of inpatient care and treatment at Swedish hospitals.
DESIGN/METHODOLOGY/APPROACH: A qualitative and explorative design with open-ended interviews with 12 process managers at three Swedish hospitals was used. Transcribed interviews were analysed by means of latent content analysis.
The two main categories emerging from the analysis were characteristics of process leadership and prerequisites of process management. Quality, relational and knowledge dimensions, and structure, time and information dimensions emerged as their respective sub-categories. The overall theme describes the interdependence between leadership characteristics and the prerequisites necessary for effective process management.
RESEARCH LIMITATIONS/IMPLICATIONS: No generalizations could be made from the results of the qualitative interview studies but a deeper understanding of the phenomenon was reached, which in turn can be transferred to similar settings.
ORIGINALITY/VALUE: This study contributes qualitative descriptions of leadership characteristics and the prerequisites necessary for active process management in the context of managing processes of inpatient care and treatment at Swedish hospitals, a subject that has not been investigated earlier.
本文旨在建立一个用于医院整体流程发展的知识库。通过描述与分析，展示流程管理者如何看待他们的处境，以及在瑞典医院住院护理与治疗流程管理背景下，这种处境为积极管理提供的各种可能性。
设计/方法/途径：采用定性探索性设计，对瑞典三家医院的12位流程管理者进行开放式访谈。对转录后的访谈内容采用潜在内容分析法进行分析。
分析得出的两个主要类别是流程领导的特征和流程管理的先决条件。质量、关系和知识维度，以及结构、时间和信息维度分别作为各自的子类别出现。总体主题描述了领导特征与有效流程管理所需先决条件之间的相互依存关系。
研究局限/启示：定性访谈研究的结果无法进行普遍推广，但对该现象有了更深入的理解，进而可应用于类似情况。
原创性/价值：本研究对瑞典医院住院护理与治疗流程管理背景下的领导特征以及积极流程管理所需的先决条件进行了定性描述，这一主题此前尚未得到研究。
