Robert Holmberg

Leadership and implementation of evidence‐based practices

Purpose – This paper seeks to investigate the role of leadership styles in the implementation of evidence-based treatment methods (EBP) for drug abuse and criminal behaviour. Design/methodology/app ...

Developing leadership skills and resilience in turbulent times: A quasi-experimental evaluation study

Purpose – The purpose of this paper is to evaluate a leadership program in a way that captures leadership self-efficacy, political skills (PS) and resilience in the form of indicators of health and well-being that would have relevance for leadership roles in turbulent organizations. Design/methodology/approach – The design was quasi-experimental with pre- and post-measurement with unequal controls. Measurement was made through a mail survey before and after the leadership development program. n=107. Findings – Program participants differed from the control group in the post-measurement in that they reported higher levels on leadership self-efficacy and had better health compared to a year earlier. Research limitations/implications – Concepts like leadership self-efficacy, PS and measures of health and well-being can be used to operationalize and measure broad and contextually relevant outcomes of leadership development. Practical implications – Evaluation of leadership development can benefit from includi...

Leadership and the Psychology of Awareness: Three Theoretical Approaches to Information Security Management

The authors argue that information security management (ISM) would benefit from studies that examine the social and psychological mechanisms that, when in evidence, generate employee awareness of information security (IS)-related issues. Properly instilled, IS awareness has the power to engender a proactive wariness beyond mechanical guidelines, however detailed. To study how awareness travels in complex organizations, the authors devise a framework to catch mechanisms grounded in psychological and sociological theories. To illustrate the framework, the authors then turn to an empirical study of a medium-sized company where they sound out managers for definitions of IS and ISM; for initiatives intended to influence IS and IS awareness among employees; and for their views on learning related to IS and ISM. The study highlights the difficulties facing managers charged with IS matters, whose responsibilities are often considered peripheral by the general employee. The study also provides several pointers on how to go about the complex business of building awareness.

Contextualizing distributed leadership in higher education

ABSTRACT This case study of development in a technical university situates distributed leadership in higher education in an organizational perspective. Analysis of documentation from development programs and interviews with 10 faculty members showed that leadership practices were related to different institutional logics prominent in four key activities in this specific university: education, research, formal organization and boundary-spanning cross-scientific environments. A shared understanding of these logics was accompanied with a reported increase in organizational understanding and leadership awareness that helped establish collaboration and sensemaking. Furthermore, we show that the theory of logic multiplicity provides a way to analyze previously neglected aspects of power, tensions, context and the practical relevance of the concept of distributed leadership.

Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study

Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. AIM The aims were: (a) to identify classes (clusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. DESIGN AND RECRUITMENT The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. STATISTICS Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 7.3 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. RESULTS A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbachs alpha for the 18 ORC indexes ranged from α=0.67 to α=0.78. A principal component analysis yielded a four-factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (α=0.64), institutional resources (α=0.52), staff attributes (α=0.76), and organizational climate (α=0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n=614), Profile 2 (n=934), and Profile 1 (n=246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. CONCLUSION In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users.

When implementation falters: the challenge of having peripheral issues stick in organisations

Purpose The purpose of this paper is to study a class of issues that in spite of recognised needs and explicit managerial demands have proven hard to have “stick” in organisations (information security is used as an example). It offers a theory-driven rationale why superficially different issue areas can indeed be considered as instances of the identified class, and builds on complexity leadership theory (CLT) to explain how the related strategic challenges can be explained and possibly alleviated. Design/methodology/approach A. Kenneth Rice’s notion of organisations’ “primary task” is used to home in on its opposite that is here labelled “peripherality”. Existing strands of organisation research that can be related to this notion are then revisited to ground the fundamental concept theoretically. The CLT is finally used to provide a detailed understanding of the underlying dynamics. Findings The paper explains how and why certain issue areas seem resistant to common managerial intervention methods even though it would seem that organisational members are in fact favouring proposed changes (a state that would normally increase the chances of success). It also offers ideas how these challenges may fruitfully be approached. Originality/value Problems related to the suggested “peripherality” class of issues have thus far been approached as wholly unrelated (and for that reason as idiosyncratic). The proposed framework offers a hitherto never attempted way systematically to link these challenges – and so structure and concentrate discussion about possibly common remedies.

An ethnographic observation study of the facilitator role in an implementation process

BackgroundEven though the importance of a facilitator during an implementation process is well described, the facilitator’s role is rarely problematized in relation to the organizational context in terms of power and legitimacy; themes which have recently been brought to the fore when studying change in health care organizations. Therefore, in this article, we present a qualitative study with the aim of identifying key aspects of the experience of being in a facilitator role. The data collection involved ethnographic fieldwork encompassing observations and field notes, as well as two qualitative interviews with the facilitator. The data were analysed using a phenomenological hermeneutical method in order to formulate thematic aspects of the implementation process. The study was conducted in southern Sweden between January 2013 and August 2014.ResultsOne main theme, “walking a tightrope”, and four sub-themes, all of which involved balancing acts of different levels and different ways, were identified. These included: being in control, but needing to adjust; pushing for change, but forced to stand back; being accepted, but dependent; and being reasonable, but culturally sensitive.ConclusionInstead of listing the desirable qualities and conditions of a facilitator, this study shows that being a facilitator can be described more completely by applying the concept of role, thus allowing a more holistic process of reflection and analysis. This in turn makes it possible to move from the reactive stance of balancing to a more proactive stance of negotiating.