Local politico-administrative perspectives on quality improvement based on national registry data in Sweden : a qualitative study using the Consolidated Framework for Implementation Research.

Background. Through a national policy agreement, over 167 million Euros will be invested in the Swedish National Quality Registries (NQRs) between 2012 and 2016. One of the policy agreement¿s intentions is to increase the use of NQR data for quality improvement (QI). However, the evidence is fragmented as to how the use of medical registries and the like lead to quality improvement, and little is known about non-clinical use. The aim was therefore to investigate the perspectives of Swedish politicians and administrators on quality improvement based on national registry data. Methods. Politicians and administrators from four county councils were interviewed. A qualitative content analysis guided by the Consolidated Framework for Implementation Research (CFIR) was performed. Results. The politicians and administrators perspectives on the use of NQR data for quality improvement were mainly assigned to three of the five CFIR domains. In the domain of intervention characteristics, data reliability and access in reasonable time were not considered entirely satisfactory, making it difficult for the politico-administrative leaderships to initiate, monitor, and support timely QI efforts. Still, politicians and administrators trusted the idea of using the NQRs as a base for quality improvement. In the domain of inner setting, the organizational structures were not sufficiently developed to utilize the advantages of the NQRs, and readiness for implementation appeared to be inadequate for two reasons. Firstly, the resources for data analysis and quality improvement were not considered sufficient at politico-administrative or clinical level. Secondly, deficiencies in leadership engagement at multiple levels were described and there was a lack of consensus on the politicians¿ role and level of involvement. Regarding the domain of outer setting, there was a lack of communication and cooperation between the county councils and the national NQR organizations. Conclusions. The Swedish experiences show that a government-supported national system of well-funded, well-managed, and reputable national quality registries needs favorable local politico-administrative conditions to be used for quality improvement; such conditions are not yet in place according to local politicians and administrators.

IT support for administrative planning of clinical practice.

The administration of clinical practice placements for nursing students is a highly complex and information driven task. This demonstration is intended to give insight into the web based system KliPP (a Swedish acronym for Clinical Practice Planning) and to discuss the possibilities for further development and use.

Att skapa sammanhållning via ett systemutvecklingsprojekt : med inspiration av idrottspsykologi

Detta examensarbete har genomförts av två studenter vid Högskolan Dalarna i samarbete medIT-konsultbolaget Istone Concrevi. Edsbyverken, som är en möbeltillverkare baserad i Edsbyn,är kund hos Istone och har ett behov att öka sin leveranssäkerhet. Företaget upplever också attdet finns en bristande sammanhållning mellan de som arbetar administrativt och de som arbetarmed tillverkning i verksamheten. Edsbyverken hoppas att en ökad sammanhållning ska varabidragande till en bättre leveranssäkerhet. Sammanhållning är ett begrepp som är vanligtförekommande inom idrott och lagsporter och förknippas ofta med framgång inom idrotten.Forskningsstrategin som används i studien är design and creation som fokuserar på att skapa nyaIT-produkter, artefakter. Denna studie har resulterat i en artefakt av typen instansiering i form aven applikation som utvecklats med hjälp av ett användarcentrerat och agilt arbetssätt. Syftet medstudien är att undersöka och testa hur teorier inom idrottspsykologi kan användas inom ettsystemutvecklingsprojekt med ändamål att få artefakten och utvecklingsprocessen att främjasammanhållning hos verksamheten. Datainsamlingsmetoder som använts i studien är intervjueroch enkäter. Intervjuerna har använts för att insamla bakgrundsinfo från verksamheten ochönskemål kring appen och enkäterna för feedback på appen samt för att utvärderasystemutvecklingens och appens påverkan på sammanhållningen.Resultaten från datainsamlingen är i många fall spretande med allt från positiva omdömen sommenar att sammanhållningen förbättrats, till negativa som menar att ingen inverkan skett. Vid ensammanvägning kan man dock se att majoriteten menar att detta forskningsprojekt inte lyckatsmed att förbättra sammanhållningen. En viss andel anställda vid Edsbyverken tror dock attsammanhållningen kan öka på längre sikt. Slutsatsen kring idrottspsykologi är att den vid enkoppling till systemutveckling har ett begränsat användningsområde och att många av de teoriersom förekommer om sammanhållning inte är användbara eller passande vidsystemutvecklingsarbete.

Student and library services in cooperation

Abstract At Ångström Laboratory, one of the largest campuses at Uppsala University, the Library and the Student Services Office merged in November 2012. This merger is a pilot project to improve service for students and faculty. Ångström Laboratory has around 900 staff and almost 10,000 students, of whom most also spend time at other campuses. In this paper we describe the background and the implementation of the pilot project. One of the main reasons for moving together was the wish to gather together all kinds of student services, including the distribution of written examinations in one place. The central location and open environment of the Library made it a good choice. The heart of the Library and Student Services is an open office consisting of two service desks located in the library area. There are silent study areas; computers for searching and printing, an area for relaxing with newspapers and journals, meeting rooms and offices for the staff. The result is a lively place with a cosy atmosphere. As the Library and the Student Services still belong to different parts of the University we are now starting to find out how best to collaborate. To understand more we log all the questions we get and the services we deliver. We also have meetings together and use the same lunch room to get to know each other and our different functions. We will define which matters can be solved in common, and how we can back each other up when necessary.

On administrative borders and accessibility to public services: : The case of hospitals in Sweden.

An administrative border might hinder the optimal allocation of a given set of resources by restricting the flow of goods, services, and people. In this paper we address the question: Do administrative borders lead to poor accessibility to public service such as hospitals? In answering the question, we have examined the case of Sweden and its regional borders. We have used detailed data on the Swedish road network, its hospitals, and its geo-coded population. We have assessed the population’s spatial accessibility to Swedish hospitals by computing the inhabitants’ distance to the nearest hospital. We have also elaborated several scenarios ranging from strongly confining regional borders to no confinements of borders and recomputed the accessibility. Our findings imply that administrative borders are only marginally worsening the accessibility.

Informal sanctions and conditional cooperation: : A natural experiment on voluntary contributions to a public good.

In a natural experiment, this paper studies the impact of an informal sanctioning mechanism on individuals’ voluntary contribution to a public good. Cross-country skiers’ actual cash contributions in two ski resorts, one with and one without an informal sanctioning system, are used. I find the contributing share to be higher in the informal sanctioning system (79 percent) than in the non-sanctioning system (36 percent). Previous studies in one-shot public good situations have found an increasing conditional contribution (CC) function, i.e. the relationship between expected average contributions of other group members and the individual’s own contribution. In contrast, the present results suggest that the CC-function in the non-sanctioning system is non-increasing at high perceived levels of others’ contribution. This relationship deserves further testing in lab.