Publications by authors named "L A Wallin"

Article Synopsis
  • Decommissioning programs in healthcare face higher failure risks than other change processes, emphasizing the need to understand the challenges from resource scarcity.
  • A study surveyed 172 healthcare managers in Sweden to assess their experiences regarding leadership, participation, and commitment during a large-scale decommissioning program.
  • Results showed significant differences in experiences between department and unit managers, with unit managers expressing more dissatisfaction, particularly regarding leadership support and utilization of their skills, suggesting that better involvement of unit managers could improve outcomes.
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Article Synopsis
  • Sweden is shifting towards a person-centred approach in healthcare, emphasizing patient partnership and tailored health plans, but the ambulance service’s task-oriented nature may conflict with this model.
  • * The study aimed to understand how nurses in the Swedish ambulance service interpret and implement person-centred care (PCC).
  • * Findings revealed that while ambulance PCC is seen as vague and challenging to apply in practice, it can still be relevant if care is adjusted for urgency and individual needs, highlighting the importance of communication and empathy in emergency situations.
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Purpose: A local healthcare organisation providing healthcare to 288,000 residents in Sweden struggled with a longstanding budget deficit. Several attempts to overcome the demanding financial situation have failed. A decommissioning programme was launched, and two years later, an evaluation indicated positive outcomes.

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Background: The growing concern about a dwindling healthcare workforce, exacerbated by demographic changes, calls for innovative solutions. One viable approach involves implementing new professional roles and restructuring existing healthcare teams within hospital care units.

Objectives: To evaluate the implementation of an innovative task-shifting concept, care-related services (CRS), from the managers' perspective in somatic care units across the hospitals in a region in Sweden.

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Objective: Prior to a multifaceted implementation strategy for a healthy lifestyle-promoting practice the expectations of primary health care managers, appointed internal facilitators and health care professionals on supporting change was explored.

Design: This study had an explorative qualitative design using data gathered from individual interviews and focus groups. Qualitative content analysis with a deductive category development was applied using the Consolidated Framework for Implementation Research.

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