scholarly journals Lean from the First-line Managers’ Perspective – Assuredness about the Effects of Lean as a Driving Force for Sustainable Change

2017 ◽  
Vol 8 (2) ◽  
pp. 49-56 ◽  
Author(s):  
Therese Kahm ◽  
Pernilla Ingelsson
Keyword(s):  
Driving Force ◽  
Healthcare Organization ◽  
Sustainable Change ◽  
Healthcare Organizations ◽  
First Line ◽  
Line Managers ◽  
Survey Question ◽  
Tools And Methods

AbstractThe purpose of this article is to present the results from a survey concerning first-line managers’ assuredness about the effects of Lean after two years of Lean application in a Swedish healthcare organization. The purpose is also to reflect about assuredness as a driving force for sustainable change. Questionnaires were sent to all first-line managers in a healthcare organization in order to investigate how these managers consider their role, ability and conditions to create change according to Lean. One of the questions included 17 statements about how assured these managers were about the effects of Lean. The results from this question will be presented in this paper. The study showed that the majority of the first-line managers in this particular healthcare organization were assured that developmental work supported by Lean contributes to a higher patient focus, supports first-line managers with useful tools and methods, contributes to the development of an improvement culture and that the Lean concept in general is a support in improvement work. The question can either be used separately or as a part of an entire questionnaire in healthcare organizations. Asking first-line managers about their assuredness about the effects of Lean on a regular basis is one way to follow the Lean process from their perspective. The survey question might encourage discussions about the process of Lean and hopefully contribute to a greater understanding about the importance of assuredness and about the desired effects when applying Lean.

Creating a development force in Swedish healthcare

2019 ◽  
Vol 32 (8) ◽  
pp. 1132-1144
Author(s):  
Therese Kahm ◽  
Pernilla Ingelsson
Keyword(s):  
Design Methodology ◽  
Healthcare Organization ◽  
First Line ◽  
Line Managers ◽  
Content Type ◽  
Clear Vision ◽  
Work Tasks ◽  
Ability To Drive

Purpose The purpose of this paper is to present the results from a study that investigates first-line healthcare managers’ views on their role and the conditions that influence their ability to drive improvement work based on Lean. Design/methodology/approach A questionnaire was sent to all first-line managers in a healthcare organization to investigate their views on their role, conditions and ability to create change according to Lean. The results from four of the questions are presented, which focus on how crucial they consider their role to be for managing improvement work based on Lean, what work tasks their time is spent on, what factors they consider to be important to their ability to drive change and what factors best describe what Lean provides. Findings The results show that first-line managers claim that their role is crucial in improvement work, but when they defined their work tasks, the time spent on improvements was not frequently described. Time, support from coworkers, and a clear vision and clear goals were the three factors that they considered to be most important to their ability to drive improvement work. Considering their leadership, Lean contributed to the structure with tools and supportive methods. Originality/value The questions can be used separately or as part of the entire questionnaire before and along a Lean process to obtain a better understanding of how to create a sustainable Lean approach in healthcare. Understanding the factors that first-line managers consider supporting their ability in improvement work and what they consider Lean provides is important in creating a development force in Swedish healthcare.

Experiences of job demand and control: A study of first line managers in for-profit psychiatric and addiction care

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Linda Widar ◽  
Erika Wall ◽  
Sven Svensson
Keyword(s):  
First Line ◽  
Line Managers ◽  
For Profit ◽  
Job Demand ◽  
Organizational Position ◽  
Wide Range ◽  
Line Manager ◽  
Addiction Care ◽  
And Control ◽  
Demand Control

BACKGROUND: The complex position of a first line manager is characterized by heavy workload and contradictory demands. Little is known about how first line managers experience demand and control in their work. OBJECTIVES: The aim of this study was to explore experiences of demand and control among first line managers within psychiatric and addiction care. METHOD: In the present study, interviews with ten managers in for-profit psychiatric and addiction care in Sweden were analyzed with a phenomenographic approach. RESULTS: The managers experiences of demand and control implied varied and extensive responsibilities for a wide range of professions; regulation by organizational, economic, and political frameworks; creating balance in their work; and handling the emergence and consequences of acute crisis. These experiences of demand and control involved high and contradictory demands together with coexisting high and low levels of control. Many of their work characteristics could be described in terms of both demand and control. CONSLUSION: The first line managers experiences of demand and control are more complex than implied by the job demand control theory. Our results suggest that the organizational position and branch should be considered when identifying health hazards in the work environment of first line managers.

scholarly journals Conditions for Workplace Learning as a New First-Line Manager in Elderly Care

2021 ◽  
Author(s):  
Karin Wastesson ◽  
Anna Fogelberg Eriksson ◽  
Peter Nilsson ◽  
Maria Gustavsson
Keyword(s):  
Workplace Learning ◽  
Elderly Care ◽  
Qualitative Interviews ◽  
Professional Experience ◽  
Learning Needs ◽  
Work Experiences ◽  
First Line ◽  
Line Managers ◽  
Learning Conditions ◽  
Line Manager

AbstractThe purpose of this article is to explore first-line managers’ experiences of workplace learning in elderly care, with a particular focus on the conditions for learning when entering a new workplace as the new manager. Qualitative interviews were conducted with 35 first-line managers from three organisations in Sweden. Four learning conditions emerged as being particularly significant for first-line managers: the managers’ previous professional experience, job-specific training, social support, and the joint repertoire of organisational arrangements. These conditions shifted in importance during the process of entering the workplace, and the way in which the conditions gave access to learning for different managers varied. The managers’ professional experience and others’ recognition of them had a considerable impact on their admittance to the new workplace. After the initial entry phase, the other three learning conditions became more significant and played a role in enabling or constraining the managers’ learning and becoming the new manager. One conclusion is that contextual and work experiences from elderly care were significant for learning during the initial phase and in order to gain access to workplace learning. Another conclusion is that high expectations and great responsibility were placed on the managers to satisfy their own learning needs. This implies that professional, social and emotional support that is received informally is just as significant for learning as formalised training for entering a new workplace as a new manager.

Managing different forms of distances in Dutch healthcare organizations

2015 ◽  
Vol 29 (7) ◽  
pp. 1080-1097
Author(s):  
Annemiek Stoopendaal
Keyword(s):  
Design Methodology ◽  
Healthcare Organization ◽  
Ethnographic Study ◽  
Healthcare Organizations ◽  
Content Type ◽  
Daily Work ◽  
Healthcare Executives ◽  
Governance Practices ◽  
The Relationship

Purpose – Dichotomous “gap” thinking about professionals and managers has important limits. The purpose of this paper is to study the specific ontology of “the gap” in which different forms of distances are defined. Design/methodology/approach – In order to deepen the knowledge of the actual day-to-day tasks of Dutch healthcare executives an ethnographic study of the daily work of Dutch healthcare executives and an ontological exploration of the concept “gap” was provided. The study empirically investigates the meaning given to the concept of “distance” in healthcare governance practices. Findings – The study reveals that healthcare executives have to fulfil a dual role of maintaining distance and creating proximity. Coping with different forms of distances seems to be an integral part of their work. They make use of four potential mechanisms to cope with distance in their healthcare organization practices. Originality/value – The relationship between managers and professionals is often defined as a dichotomous gap. The findings in this research suggest a more dynamic picture of the relationship between managers and professionals than is currently present in literature. This study moves “beyond” the gap and investigates processes of distancing in-depth.

scholarly journals Role Competencies of First-Line Managers

1992 ◽  
Vol 23 (6) ◽  
pp. 49-52 ◽  
Author(s):  
CHRISTINE DUFFIELD
Keyword(s):  
First Line ◽  
Line Managers

scholarly journals Competency Requirements For First-Line Managers

2003 ◽  
Vol 1 (2) ◽  
Author(s):  
CN Lombard ◽  
A Crafford
Keyword(s):  
Functional Analysis ◽  
Change Management ◽  
Resistance To Change ◽  
Literature Study ◽  
First Line ◽  
Line Managers ◽  
Effective Change

Continuous changes in the needs of markets require effective change management at all levels in organisations. First-line managers are directly responsible for meeting the demands of clients and resistance to change at this level could result in sub-standard outputs. The effectiveness of change interventions will be largely determined by the competence of first-line managers to facilitate the desired change taking into account resistance to change. The purpose of this article is to identify competencies required by first-line managers to deal with resistance to change. The findings are based on a literature study and functional analysis. OpsommingKontinue verandering in die behoeftes van markte vereis effektiewe bestuur van verandering in alle vlakke van organisasies. Eerstelyn bestuurders is direk verantwoordelik daarvoor om aan verwagtinge van kliënte te voldoen, want weerstand teen verandering op hierdie vlak kan tot sub-standaard uitsette aanleiding gee. Die effektiwiteit van veranderingsintervensies in organisasies sal grootliks afhang van die bevoegdheid van eerstelyn bestuurders om die verwagte verandering te weeg te bring met in agneming van weerstand teen verandering. Die doel van hierdie artikel is om bevoegdhede te identifiseer wat eerstelyn bestuurders sal benodig om weerstand te kan hanteer. Die bevindinge is gebaseer op ‘n literatuur studie en funksionele analise.

scholarly journals AS RACIONALIDADES SUBSTANTIVA E INSTRUMENTAL NA PRÁTICA ORGANIZACIONAL: um olhar sobre Guerreiro Ramos e os estudos organizacionais

Revista Foco ◽  
2017 ◽  
Vol 10 (2) ◽  
pp. 125 ◽  
Author(s):  
Lucas Tadeu Cerri ◽  
Carolina Machado Saraiva de Albuquerque Maranhão ◽  
Jussara Jéssica Pereira
Keyword(s):  
Social Action ◽  
Interpersonal Relations ◽  
Minas Gerais ◽  
Structured Interviews ◽  
First Line ◽  
Line Managers ◽  
Public Agency ◽  
Quadrilátero Ferrífero ◽  
Control Decision ◽  
Substantive Rationality

Este trabalho de cunho qualitativo se propôs compreender como se entrelaçam as racionalidades substantiva e instrumental no cotidiano dos gestores de primeira linha de uma multinacional e alguns funcionários de alto escalão de um órgão público na região do quadrilátero ferrífero em Minas Gerais. A coleta de dados ocorreu por meio da entrevista semiestruturada, que foram gravadas, transcritas e posteriormente analisadas via Análise de Conteúdo de Bardin (2006). A base teórica que fomentou as análises foram os trabalhos de Guerreiro Ramos (1981) e Maurício Serva (1996). Diante disso foi possível identificar 11 rubricas previstas por Serva (1996), entendidas nas análises como unidades de sentido; estas foram classificadas por proporção conforme sua aparição nos relatos; são elas: valores e objetivos, satisfação individual, reflexão, controle, tomada de decisão, divisão do trabalho, hierarquia e normas, conflito, ação social, relações interpessoais e dimensão simbólica. A presença da racionalidade instrumental ainda é latente no cotidiano analisado, sendo necessária alguma evolução para que esse modelo reificado do ser humano se altere. Todavia, tal pesquisa se mostra relevante, pois permitiu verificar uma manifestação considerável da racionalidade substantiva em um ambiente supostamente instrumental. This qualitative study was proposed to understand how the substantive and instrumental rationalities are interwoven in the daily life of first-line managers of a multinational and some high-ranking officials from a public agency in the iron quadrilateral region of Minas Gerais. The data were collected through semi-structured interviews, which were recorded, transcribed and analyzed through Bardin Content Analysis (2006). A theoretical basis that fostered as analyzes were the works of Guerreiro Ramos (1981) and Maurício Serva (1996). Thus, it was possible to identify 11 items predicted by Serva (1996), understood in the analyzes as units of meaning; These were classified by proportion according to their appearance in the reports; are they: values and objectives, individual satisfaction, reflection, control, decision making, division of labor, hierarchy and norms, conflict, social action, interpersonal relations and symbolic dimension. The presence of instrumental rationality is still latent in the daily analyzed, and some evolution is necessary for this reified model of the human being to change. However, such research is relevant because it has allowed us to verify a considerable manifestation of substantive rationality in a supposedly instrumental environment.

scholarly journals Resistance to change during uncertainty-perspective of covid-19: An empirical investigation into resistance management in the healthcare organizations

2021 ◽  
Vol 22 (2) ◽  
pp. 5-20
Author(s):  
Ali Ahmad ◽  
◽  
Dababrata Chowdhury ◽  
Keyword(s):  
Research Study ◽  
Resistance To Change ◽  
Resistance Management ◽  
Computer Software ◽  
Human Resource Managers ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
Line Managers ◽  
Top Executives ◽  
Resource Managers

Resistance to change is widely recognized as the main reason forfailure whenit comes to any kind of change initiative. Despite its importance, there is still rather limited knowledge concerning the factors that trigger this behaviorinthe workplace. The primary purpose of this research study is to uncover the reason behind the resistance to change during uncertainty (perspective of covid-19). A mixed methodologyapproach was used in this research study to identify the factors that facilitate resistance management in healthcare organizations in Bangladesh. Data collection was semi-structured interviews with purposive sampling to select respondents which included top executives, human resource managers, CEOs,and line managers. To create themes and sub-themes computer software NVIVO has been used and 10 total interviews were recorded by the software. Clustered probability sampling method has been carried out for the questionnaire survey and analyzedthe data with computer software SPSS. The results show that effective communication reduces the intensity of resistance in healthcare organizations.The study also revealed that resistance to change often helps to explore alternative perspectives

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