Duties and Education of Danish Hospital Dietitians

Three forms of leadership are frequently identified as prerequisites to the re-humanization of the healthcare system: ‘authentic leadership’, ‘mindful leadership’ and ‘ethical leadership’. In different ways and to varying extents, these approaches all focus on person- or human-centred caring. In a phenomenological action research project at a Danish hospital, the nurses experienced and then described how developing a conscious sense of wonder enhanced their ability to hear, to get in resonance with the existential in their meetings with patients and relatives, and to respond ethically. This ability was fostered through so-called Wonder Labs in which the notion of ‘phenomenon-led care’ evolved, which called for ‘slow thinking’ and ‘slow wondrous listening’. For the 10 nurses involved, it proved challenging to find the necessary serenity and space for this slow and wonder-based practice. This article critiques and examines, from a theoretical perspective, the kind of leadership that is needed to encourage this wonder-based approach to nursing, and it suggests a new type of leadership that is itself inspired by wonder and is guided by 10 tangible elements.

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Dual leadership in a hospital practice

Leadership in Health Services ◽

10.1108/lhs-09-2015-0030 ◽

2017 ◽

Vol 30 (1) ◽

pp. 101-112 ◽

Cited By ~ 3

Author(s):

Bettina Ravnborg Thude ◽

Svend Erik Thomsen ◽

Egon Stenager ◽

Erik Hollnagel

Keyword(s):

Health Care ◽

Qualitative Study ◽

Design Methodology ◽

Leadership Teams ◽

Decision Processes ◽

Power Balance ◽

Structured Interviews ◽

Hospital Practice ◽

Content Type ◽

Danish Hospital

Purpose Despite the practice of dual leadership in many organizations, there is relatively little research on the topic. Dual leadership means two leaders share the leadership task and are held jointly accountable for the results of the unit. To better understand how dual leadership works, this study aims to analyse three different dual leadership pairs at a Danish hospital. Furthermore, this study develops a tool to characterize dual leadership teams from each other. Design/methodology/approach This is a qualitative study using semi-structured interviews. Six leaders were interviewed to clarify how dual leadership works in a hospital context. All interviews were transcribed and coded. During coding, focus was on the nine principles found in the literature and another principle was found by looking at the themes that were generic for all six interviews. Findings Results indicate that power balance, personal relations and decision processes are important factors for creating efficient dual leaderships. The study develops a categorizing tool to use for further research or for organizations, to describe and analyse dual leaderships. Originality/value The study describes dual leadership in the hospital context and develops a categorizing tool for being able to distinguish dual leadership teams from each other. It is important to reveal if there are any indicators that can be used for optimising dual leadership teams in the health-care sector and in other organisations.

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Ideas Underlying Danish Hospital Planning

Psychiatric Services ◽

10.1176/ps.7.4.21 ◽

1956 ◽

Vol 7 (4) ◽

pp. 21-21

Author(s):

ALSTON G. GUTTERSEN

Keyword(s):

Hospital Planning ◽

Danish Hospital

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Candidaemia and risk of intraocular infection: A Danish hospital-based cohort study

Scandinavian Journal of Infectious Diseases ◽

10.1080/00365540701642120 ◽

2008 ◽

Vol 40 (3) ◽

pp. 241-246 ◽

Cited By ~ 8

Author(s):

Marianne Kirkegaard Karmisholt ◽

Ulla Hjort ◽

Lars Loumann Knudsen ◽

Henrik Carl Schønheyder

Keyword(s):

Cohort Study ◽

Danish Hospital

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PROFESSIONS, INSTITUTIONAL DYNAMICS, AND NEW PUBLIC MANAGEMENT IN THE DANISH HOSPITAL FIELD

International Journal of Public Administration ◽

10.1081/pad-120014261 ◽

2002 ◽

Vol 25 (12) ◽

pp. 1555-1574 ◽

Cited By ~ 25

Author(s):

Peter Kragh Jespersen ◽

Lise-Line Maltha Nielsen ◽

Hanne Sognstrup

Keyword(s):

Public Management ◽

New Public Management ◽

Institutional Dynamics ◽

New Public ◽

Danish Hospital

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The Rise, Heyday, and Incipient Decline of Specialization: Hospitals in Denmark, 1930–1990

International Journal of Health Services ◽

10.2190/lqub-bfmu-lqnw-htxh ◽

1999 ◽

Vol 29 (2) ◽

pp. 431-457 ◽

Cited By ~ 1

Author(s):

Signild Vallgårda

Keyword(s):

Health Care ◽

Division Of Labor ◽

Cost Containment ◽

Hospital Policy ◽

Hospital Sector ◽

Central Task ◽

Specialized Hospital ◽

Therapeutic Procedures ◽

The 1960S ◽

Danish Hospital

Between 1930 and 1990 Denmark's hospital sector and hospital policy underwent radical changes. In 1930 the sector was dominated by many small hospitals, with care as the central task. By 1990 the number of hospitals had almost halved, specialization had developed, and diagnostic and therapeutic procedures were hospitals' most important functions. There have been many claims that the shape of the health care sector is determined by the development of medicine. This article demonstrates that changes in other areas of society have greatly influenced the development of the Danish hospital sector. In the 1930s and 1940s, the focus was on equity and specialization; in the 1950s, on growth, rationalization, and division of labor; in the 1960s, on growth and planning; and during the last decades, on management, productivity, and cost containment. Since 1980 the specialization, growth, and political acceptability of the specialized hospital sector have decreased, a change that can be characterized as the incipient decline of the specialized hospital sector.

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Can Hospital Discharge Diagnosis be used for Surveillance of Bacteremia? A Data Quality Study of a Danish Hospital Discharge Registry

Infection Control and Hospital Epidemiology ◽

10.1017/s0195941700087117 ◽

1998 ◽

Vol 19 (3) ◽

pp. 175-180 ◽

Cited By ~ 14

Author(s):

Kreesten Meldgaard Madsen ◽

Henrik Carl Schønheyder ◽

Brian Kristensen ◽

Gunnar Lauge Nielsen ◽

Henrik Toft Sørensen

Keyword(s):

Data Quality ◽

Hospital Discharge ◽

Blood Cultures ◽

Discharge Diagnosis ◽

Reference Standard ◽

Urban Hospital ◽

Hospital Discharge Registry ◽

Hospital Discharge Diagnosis ◽

Danish Hospital

AbstractObjective:To assess the data quality of septicemia and sepsis registration in a hospital discharge registry in the County of Northern Jutland, Denmark.Design:Comparison of data from the discharge registry of an 880-bed, public, urban hospital in the County of Northern Jutland with data from a computerized bac-teremia database at the regional department of clinical microbiology.Setting:Urban hospital with approximately 45,000 admissions per year.Patients:The study included 406 episodes of bac-teremia in the bacteremia database and 83 discharges with the diagnosis of septicemia registered in the hospital discharge registry between January 1, 1994, and December 31, 1994.Interventions:None.Results:Eighteen episodes were registered in both the hospital discharge registry and the bacteremia database. Using the bacteremia database as reference standard, the sensitivity for the diagnosis of septicemia in the hospital discharge registry was 4.4% (18/406; 95% confidence intervals [CI95, 2.4%-6.4%]). By review of hospital records, we estimated the positive predictive value of septicemia registration in the hospital discharge registry as 21.7% (18/83; CI95, 12.8%-30.5%). No blood culture had been obtained in 44.4% (36/81; CI95, 33.6%-55.3%) of the cases with a discharge diagnosis of septicemia. In 33.3% (27/81; CI95, 23.1%-43.6%), the discharge diagnosis of septicemia was given, although blood cultures were negative.Conclusions:The hospital discharge registry revealed numerous misclassifications, and the system was found not suited for surveillance of, or research in, bacteremia at present

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Adoption and implementation of new technologies in hospitals: a network perspective

IMP Journal ◽

10.1108/imp-05-2017-0027 ◽

2018 ◽

Vol 12 (2) ◽

pp. 368-391

Author(s):

Olga Mikhailova

Keyword(s):

New Technologies ◽

Single Case ◽

Limited Resources ◽

Content Type ◽

Advanced Medical Technology ◽

Adoption And Implementation ◽

Challenges And Opportunities ◽

Danish Hospital ◽

Innovation Processes

Purpose The purpose of this paper is to address challenges and opportunities that smaller hospitals with limited resources may face when they are adopting and implementing innovative technologies. Design/methodology/approach Based on a single case study with interviews and document analysis, this paper focuses on the recombination of resources, actors and activities during the process of technology adoption and implementation at a Danish hospital. Theoretically, it takes an interaction perspective for exploring the interplay between inner and outer networking during the innovation processes. Findings This study illustrates how the adoption and implementation of advanced medical technology requires significant investment, which is particularly burdensome for smaller hospitals. Constrained by limited resources, they have to develop creative combinations of resources through negotiation and embrace collaborative approaches to join and sustain themselves in the user-producer network. Originality/value This paper contributes to the innovation field by suggesting ways in which practitioners at smaller hospitals can align with technology providers’ strategies and succeed by positioning their hospitals in relation to extended user-producer networks. This study further emphasizes the necessity of a broader discussion regarding the importance of user-producer interactions during innovation processes in health care settings.

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