Advanced

Facilitation of Change in the Healthcare Context - Learning from an Action Research Project at an Operating Unit

Boström, Arvid LU (2015) MAM920 20151
Ergonomics and Aerosol Technology
Abstract
Healthcare is under pressure and a development towards a more integrated and efficient
healthcare requires better communication and collaboration across
boundaries. This thesis is about facilitation of change process in the healthcare context with
learnings from an authentic project, carried out with the clinic for reconstructive plastic surgery
at the Karolinska University Hospital. The methodological approach was based on action
research. The project deals with improving the utilisation of a clinic's operating rooms through
promoting cross-boundary collaboration and finding new ways to structure work and counter
deficient cultures. Through collection of qualitative data from interviews, workshops and
observations a comprehensive... (More)
Healthcare is under pressure and a development towards a more integrated and efficient
healthcare requires better communication and collaboration across
boundaries. This thesis is about facilitation of change process in the healthcare context with
learnings from an authentic project, carried out with the clinic for reconstructive plastic surgery
at the Karolinska University Hospital. The methodological approach was based on action
research. The project deals with improving the utilisation of a clinic's operating rooms through
promoting cross-boundary collaboration and finding new ways to structure work and counter
deficient cultures. Through collection of qualitative data from interviews, workshops and
observations a comprehensive picture of the organisation and its individuals was acquired,
along with a legitimacy of the facilitator. By interpreting the data and concurrently facilitating
a process of formulating and implementing change initiatives at the clinic, reflections could be
made on the complexity of challenges in interprofessional teamwork and decisive factors in
change processes. Based on participative leadership and empowerment the clinic staff was
supported to enhance their cross-boundary collaboration and capacity to problem-solve. The
clinic staff did, among other changes, improve the communication in the process of planning
surgeries and introduce a systematic and formalised process on following up on the surgeries’
time consumption to deal with root causes for delays and cancellations. A representative
challenge at the clinic, related to interprofessional teamwork, proved to be the difficulty of
getting started in the morning in time with everyone present. This challenge requires cultural
change with conviction of the problem and a willingness to improve the cross-boundary
collaboration. Throughout the process of formulating the problem and solution paths as well
as initiating implementation, the facilitator’s role constituted of gathering the group and
guiding the progress with an approach of humbleness and diplomacy. The learnings from the
study are relevant when discussing the approach and involvement of external actors in
healthcare in order to pursue organisational development and change management. (Less)
Please use this url to cite or link to this publication:
author
Boström, Arvid LU
supervisor
organization
course
MAM920 20151
year
type
H2 - Master's Degree (Two Years)
subject
keywords
change process, action research, healthcare, facilitation, change management
language
English
id
5464538
date added to LUP
2015-06-05 08:44:22
date last changed
2015-06-05 08:44:22
@misc{5464538,
  abstract     = {Healthcare is under pressure and a development towards a more integrated and efficient
healthcare requires better communication and collaboration across
boundaries. This thesis is about facilitation of change process in the healthcare context with
learnings from an authentic project, carried out with the clinic for reconstructive plastic surgery
at the Karolinska University Hospital. The methodological approach was based on action
research. The project deals with improving the utilisation of a clinic's operating rooms through
promoting cross-boundary collaboration and finding new ways to structure work and counter
deficient cultures. Through collection of qualitative data from interviews, workshops and
observations a comprehensive picture of the organisation and its individuals was acquired,
along with a legitimacy of the facilitator. By interpreting the data and concurrently facilitating
a process of formulating and implementing change initiatives at the clinic, reflections could be
made on the complexity of challenges in interprofessional teamwork and decisive factors in
change processes. Based on participative leadership and empowerment the clinic staff was
supported to enhance their cross-boundary collaboration and capacity to problem-solve. The
clinic staff did, among other changes, improve the communication in the process of planning
surgeries and introduce a systematic and formalised process on following up on the surgeries’
time consumption to deal with root causes for delays and cancellations. A representative
challenge at the clinic, related to interprofessional teamwork, proved to be the difficulty of
getting started in the morning in time with everyone present. This challenge requires cultural
change with conviction of the problem and a willingness to improve the cross-boundary
collaboration. Throughout the process of formulating the problem and solution paths as well
as initiating implementation, the facilitator’s role constituted of gathering the group and
guiding the progress with an approach of humbleness and diplomacy. The learnings from the
study are relevant when discussing the approach and involvement of external actors in
healthcare in order to pursue organisational development and change management.},
  author       = {Boström, Arvid},
  keyword      = {change process,action research,healthcare,facilitation,change management},
  language     = {eng},
  note         = {Student Paper},
  title        = {Facilitation of Change in the Healthcare Context - Learning from an Action Research Project at an Operating Unit},
  year         = {2015},
}