Journal of Health Organization and Management: Volume 35 Issue 9

Creating pre-conditions for change in clinical practice: the influence of interactions between multiple contexts and human agency

Michelle Myall, Carl May, Alison Richardson, Sarah Bogle, Natasha Campling, Sally Dace, Susi Lund

The purpose of this paper is to explore what happens when changes to clinical practice are proposed and introduced in healthcare organisations. The authors use the implementation…

Mapping clinical governance to practitioner roles and responsibilities

Maureen Alice Flynn, Niamh M. Brennan

While clinical governance is assumed to be part of organisational structures and policies, implementation of clinical governance in practice (the praxis) can be markedly…

Inbound and outbound medical travel in Austria

August Österle, Carina Diesenreiter, Barbara Glinsner, Eva Reichel

The purpose of this paper is twofold: First, it analyzes demand and supply-side factors that influence patient flows to and from Austria. Second, building on the empirical…

Institutional excellence reloaded: a 17-years, two-phase in-depth study of corporate culture change in the health care sector

Margitta B. Beil-Hildebrand

This ethnographic revisit of a general hospital aims to critically explore and describe the mechanisms of corporate culture change and how institutional excellence is facilitated…

Explaining integration and differentiation by identifying the rules and coordination mechanisms in a hospital's logistical system

Annelies van der Ham, Arno van Raak, Dirk Ruwaard, Frits van Merode

Integration, that is, the coordination and alignment of tasks, is widely promoted as a means to improve hospital performance. A previous study examined integration and…

Patients' perceptions of quality in Swedish primary care – a study of differences between private and public ownership

Thomas Andersson, Nomie Eriksson, Tomas Müllern

The purpose of the paper is to describe and analyze differences in patients' quality perceptions of private and public primary care centers in Sweden.

Understanding self-managing teams in Dutch healthcare: empirical evidence to non-sequential team development processes

Iris A.G.M. Geerts, Joyce J.P.A. Bierbooms, Stefan W.M.G. Cloudt

This two-part study aims to contribute to the body of knowledge on team development by examining the development of self-managing teams (SMTs) in healthcare. Based on an…

Factors influencing the delivery of cancer pathways: a summary of the literature

Syaribah Noor Brice, Paul Harper, Tom Crosby, Daniel Gartner, Edilson Arruda, Tracey England, Emma Aspland, Kieran Foley

The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer…

Challenges in co-designing an intervention to increase mobility in older patients: a qualitative study

Jeanette Kirk, Thomas Bandholm, Ove Andersen, Rasmus Skov Husted, Tine Tjørnhøj-Thomsen, Per Nilsen, Mette Merete Pedersen

The aim of this study is to explore and discuss key challenges associated with having stakeholders take part in co-designing a health care intervention to increase mobility in…

Nursing assistant's perceptions of the good work environment in municipal elderly care in Sweden –a focus group study

Per-Ola Maneschiöld, Diana Lucaci-Maneschiöld

The purpose of this paper is to investigate aspects related to difficulty to retain nursing assistants at nursing homes in Sweden related to perceived work environment…

“I feel I have no voice”: hospital doctors' workplace silence in Ireland

Jennifer Creese, John-Paul Byrne, Anne Matthews, Aoife M. McDermott, Edel Conway, Niamh Humphries

Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and…

Just a leader? Leadership work challenges and identity contradiction experienced by Finnish physician leaders

Sari Huikko-Tarvainen, Pasi Sajasalo, Tommi Auvinen

This study seeks to improve the understanding of physician leaders' leadership work challenges.

Resource dependency and strategy in healthcare organizations during a time of scarce resources: evidence from the metropolitan area of cologne

Lena Ansmann, Vera Vennedey, Hendrik Ansgar Hillen, Stephanie Stock, Ludwig Kuntz, Holger Pfaff, Russell Mannion, Kira Isabel Hower

Healthcare systems are under pressure to improve their performance, while at the same time facing severe resource constraints, particularly workforce shortages. By applying…

Grounded accountability in life-and-death high-consequence healthcare settings

Maureen Alice Flynn, Niamh M. Brennan

The paper examines interviewee insights into accountability for clinical governance in high-consequence, life-and-death hospital settings. The analysis draws on the distinction…

Lower-status experts' influence on health-care managers' decision-making

Roy Liff, Ewa Wikström

The purpose of this paper is to investigate and theoretically explain how line managers and lower-status experts work together in public health-care organizations. Hence, this…

Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review

Kristina Rosengren, Petra Brannefors, Eric Carlstrom

This study aims to describe how person-centred care, as a concept, has been adopted into discourse in 23 European countries in relation to their healthcare systems (Beveridge…

Preconditions for nurses' perceived organizational support in healthcare: a qualitative explorative study

Christian Gadolin, Maria Skyvell Nilsson, Axel Ros, Marianne Törner

The purpose of this paper is to inductively explore the context-specific preconditions for nurses' perceived organizational support (POS) in healthcare organizations.

Centrality and compatibility of institutional logics when introducing value-based reimbursement

Thérèse Eriksson, Lars-Åke Levin, Ann-Charlotte Nedlund

Using financial incentives has been criticised for putting too much focus on things that can be measured. Value-based reimbursement may better align professional values with…

A framework to guide the implementation of lean management in emergency department

Anna Tiso, Maria Crema, Chiara Verbano

The paper aims at enriching the knowledge of the application of lean management (LM) in emergency department (ED), structuring the methodology for implementing LM projects and…

The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation

Aoife De Brún, Eilish McAuliffe

The field of implementation science has emerged as a response to the challenges experienced in translating evidence-based practice and research findings to healthcare settings…

Barriers and facilitators in the implementation of an evidence-based health promotion intervention in a primary care setting: a qualitative study

Heather L. Rogers, Susana Pablo Hernando, Silvia Núñez - Fernández, Alvaro Sanchez, Carlos Martos, Maribel Moreno, Gonzalo Grandes

This study aims to elucidate the health care organization, management and policy barriers and facilitators associated with implementation of an evidence-based health promotion…

Managing medicines at the end of life: a position paper for health policy and practice

Asam Latif, Christina Faull, Justin Waring, Eleanor Wilson, Claire Anderson, Anthony Avery, Kristian Pollock

The impact of population ageing is significant, multifaceted and characterised by frailty and multi-morbidity. The COVID-19 pandemic has accelerated care pathways and policies…

A win-win scenario? Restrictive policies from alternative standpoints

Caroline Cupit, Natalie Armstrong

In this viewpoint article, the authors consider the challenges in implementing restrictive policies, with a particular focus on how these policies are experienced, in practice…