Christer Sandahl

Christer Sandahl
Karolinska Institutet | KI · Department of Learning, Informatics, Management and Ethics

About

68
Publications
12,954
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,083
Citations

Publications

Publications (68)
Article
Purpose The purpose of this study was to explore rapid role shifts at work and to describe the factors that facilitate or inhibit such role shifts, and how these factors affect the employee. Design/methodology/approach A qualitative study was conducted with 12 participants from four public sector organizations. The participants systematically docu...
Article
Purpose The purpose of this paper is to examine the possible factors related to transfer of knowledge and skills from two leadership development courses to the work environment and its maintenance for two years post training. Design/methodology/approach A total of 12 leaders in two different types of courses were interviewed at least two years aft...
Article
Purpose The purpose of this paper is to report on the results of an experiential leader development course titled understanding group-and-leader (UGL). Design/methodology/approach The study sample consisted of 61 course participants (the managers) and 318 subordinate raters. The development leadership questionnaire (DLQ) was used to measure the...
Article
Full-text available
Purpose The purpose of this paper is to understand the influence of leadership programmes on leaders and co-workers, as well as which mechanisms are involved in the process. Design/methodology/approach An analysis was done into 431 free-text answers to questionnaires given to 120 participants in two different leadership programmes and their co-w...
Book
Hur ska vården i framtiden bli säkrare och hur ska patienttillfreds­ställelsen och vårdkvaliteten öka? Boken innehåller forsknings­baserad kunskap om olika betydelsefulla aspekter för kvalitets­arbete och patientsäkerhet. Förutom en teoretisk genomgång av begreppen får läsaren handfasta tips på hur förbättringsarbete kan utföras, liksom tips om led...
Article
The aim was to evaluate effects of leadership courses based on the developmental leadership model at the leadership behavioral level. A longitudinal design was employed with assessments before, one and six months after the leadership courses. The sample consisted of 59 leaders who made self-ratings and were rated by at least three subordinates on e...
Article
Purpose The purpose of this paper was to assess two different leader development interventions by comparing their effects on leadership behaviour and evaluating their combined impact after two years, from the viewpoints of both the participating managers and external raters. Design/methodology/approach The study was a longitudinal randomised contr...
Article
The purpose of this study was to describe and analyse leadership challenges in the organisation of strategic research centres, focusing on the relationship between organisation and the level of institutionalisation. Four main themes of leadership challenges were identified: (1) the changing university context, including relationships with top manag...
Article
Unit managers and employees in schools, social services, and child and adolescent mental health services (CAMHS) were asked to describe their views on children's and adolescents' psychosocial needs when collaboration was required. A descriptive case study design was employed and data were gathered from 23 professionals in six focus groups. The data...
Article
Purpose The purpose of this study is to investigate the relationship between leadership profiles and differences in managers’ own levels of work stress symptoms and perceptions of work stressors causing stress. Design/methodology/approach Cross-sectional data were used. Healthcare managers ( n = 188) rated three dimensions of their leadership beha...
Article
Demands on academic leadership are increasing, which raises the need for leadership training. This article describes development and implementation of a group training intervention in academic leadership at a departmental level. Little systematic research has addressed the question of what forms of leadership training are associated with effectiven...
Article
Full-text available
Professionals in healthcare, social services, and schools often collaborate when addressing children and adolescents with complex psychosocial needs. Based on theory of social representations, we investigated how professionals in the mentioned organizations perceived each other through their experiences of collaboration. Twenty-nine unit managers a...
Article
Visual management (VM) tools such as whiteboards, often employed in Lean thinking applications, are intended to be helpful in improving work processes in different industries including health care. It remains unclear, however, how VM is actually applied in health care Lean interventions and how it might influence the clinical staff. We therefore ex...
Article
Purpose: This paper aims to explore if and how employees in a healthcare organisation perceive changes in their managers' leadership behaviour over time. Design/methodology/approach: An interview study was conducted with employees whose managers had participated in a two-year leadership development programme offered by their employer, Healthcare...
Article
Full-text available
Aim: The aim of this study is to investigate factors contributing to the failure of a randomized clinical trial designed to implement and test clinical practice guidelines for the treatment of depression in primary health care (PHC). Background: Although the occurrence of depression is increasing globally, many patients with depression do not re...
Article
Purpose: As healthcare often is studied in relation to operational rather than socio-technical aspects of Lean such as teamwork, the purpose of this paper is to explore how a Swedish hospital Lean intervention was related to changes in teamwork over time. Design/methodology/approach: Teamwork was measured with the Group Development Questionnaire...
Article
Full-text available
Well-functioning collaboration between professionals in the welfare sector has a strong influence on the contacts with parents of children and adolescents suffering from mental illness, and it is a precondition for the availability of support for these parents. This paper describes how such parents perceive collaboration between professionals in me...
Article
Infectious Diseases Department, Karolinska University Hospital, Stockholm, Sweden. To understand the challenges faced by nurses and physicians in the treatment of patients co-infected with the human immunodeficiency virus (HIV) and tuberculosis (TB), with special focus on opportunities for information and communication technology. Using a qualitati...
Article
Full-text available
Background Teamwork—that is, collaboration and communication—is an important factor for safe healthcare, but professions perceive the quality of teamwork differently. Objective To examine the relationship between simulation-based team training (SBTT) and different professions’ self-efficacy, experienced quality of collaboration and communication, p...
Article
Full-text available
This study aims to describe implementation of simulator-based medical team training and the effect of this programme on inter-professional working in an intensive care unit (ICU). Over a period of two years, 90 percent (n = 152) of the staff of the general ICU at Karolinska University Hospital, Huddinge, Sweden, received inter-professional team tra...
Article
Despite the reported success of Lean in health care settings, it is unclear why and how organizations adopt Lean and how Lean transforms work design and, in turn, affects employees' work. This study investigated a cardiology department's journey to adopt and adapt Lean. The investigation was focused on the rationale and evolution of the Lean adopti...
Article
Background Studies show that first-line nurse managers (F-LNMs) experience high psychological job demands and inadequate managerial guidance. The purpose of this study was to investigate whether F-LNMs have higher stress levels and show more signs of stress-related ill health than registered nurses (RNs). Aim The aim of this study was to examine po...
Article
Full-text available
Patients on long-term sick-leave (> 90 days) from white collar work, with a diagnosis of work-related depression, dysthymia, or maladaptive stress reaction were randomized either to cognitive group therapy (CGT), focused psychodynamic group therapy (FGT), or to a comparison group. All patients were interviewed and responded to self-report questionn...
Article
Full-text available
It is essential for professionals from different organizations to collaborate when handling matters concerning children, adolescents, and their families in order to enable society to provide health care and social services from a comprehensive approach. This paper reports perceptions of obstacles to collaboration among professionals in health care...
Article
Purpose – The purpose of this study is to describe the perceptions of registered nurses (RNs), enrolled nurses (ENs), and leaders (i.e. the first-line nurse manager, F-LNM and the substitute F-LNM) as to what characterises an excellent work environment in a palliative care unit and the involvement of leadership in that environment. Design/methodolo...
Article
The aim of this study was to describe first-line nurse managers' (F-LNMs) and subordinate registered nurses' (RNs) conceptions and experiences of their routine work and how leadership was exercised. Extensive changes in health care organisations have had a powerful impact on leadership in nursing management. Nursing leadership, in turn, has an affe...
Article
In a previous study, 61 patients with generalised anxiety disorder were randomised to participate in affect-focused body psychotherapy (ABP) or treatment as usual. In this current study a sub sample, 30 of the patients in the ABP group has been interviewed. A qualitative interview was used in order to investigate how the patients experienced partic...
Article
Full-text available
Purpose – The purpose of this article is to study the impact of two leadership programmes for healthcare managers regarding their attitudes to, and views on, their leadership. Design/methodology/approach – A total of 53 managers participated in two different leadership programmes i.e. one-week (OW-DGL) intensive leadership course and long-term supp...
Article
Full-text available
The aim of this study was to explore the long-term effects of affect-focused body psychotherapy (ABP) for patients with generalized anxiety disorder (GAD). A group of 61 consecutive patients, 21–55 years old, were randomized to ABP and psychiatric treatment as usual (TAU). The patients were assessed before treatment and followed up 1 and 2 years af...
Article
Full-text available
The purpose of this paper is to examine the aspects of being a physician that such medical professionals mention in dialogue groups when given the opportunity to choose their own topics of discussion. Over a period of two years, 60 physicians participated in eight dialogue groups at one of the main hospitals in Stockholm, Sweden. Five focus group i...
Article
The relationship of treatment preferences and experiences to outcome was explored in patients with generalized anxiety disorder (GAD). Patients were randomly allocated to either affect-focused body psychotherapy (ABP) (N=26) or standard psychiatric out-patient treatment (N=17). Initial preferences and subsequent experiences of treatment interventio...
Chapter
Group therapy in stepped careDecision to change (step 2)Treatment conditions in relapse prevention (step 3)Group psychotherapy for demanding patients (step 4)Conclusions
Article
Full-text available
Abstract Eighteen patients diagnosed with burnout-related depression and receiving short-term psychodynamic group psychotherapy were included in this study. The participants completed the group version of the California Psychotherapy Alliance Scales (CALPAS) five times during treatment and evaluated the relationship positively. Alliance increased s...
Article
Full-text available
Research into the efficacy of programs of leadership and group dynamics in undergraduate medical education is sparse. The aim of this study was to apply and test a pre- post evaluation design of a one-week experiential learning based course of group dynamics. Two questionnaires were sent to 160 medical students, before and after the course. The res...
Article
Full-text available
The purpose of this study is to evaluate whether dialogue groups for physicians can improve their psychosocial work environment. The study assessed the impact of eight dialogue groups, which involved 60 physicians at a children's clinic in one of the main hospitals in Stockholm. Psychosocial work environment measures were collected through a valida...
Article
Focused Group Therapy (FGT) was developed within a research project on treatment for burned out patients on long-term sick leave. The core of FGT is to find and formulate an individual focus expressed in behavioural terms. This focus is then worked with in the here-and-now of the group therapy. It is argued that the use of common factors in group t...
Article
In this article, the authors discuss some of the dilemmas inherent in the combined role of being both clinician and researcher, and some central methodological problems connected to research on long-term psychotherapy. The thesis represents an important contribution to the field, which is in serious need of empirical research on long-term group-ana...
Article
In a randomized controlled study, 49 moderately alcohol-dependent patients underwent short-term group psychotherapy (25 in psychodynamic therapy and 24 in cognitive–behavioral therapy [CBT]). Self-efficacy before treatment correlated positively with drinking pattern at follow-up for both the psychodynamic and the CBT groups. However, the measure of...
Article
This thesis adapts an existing Teamwork Model, that uses self-improvement, to fit the Department of Applications at Ericsson Mobile Communications AB in Lund. The Teamwork Model uses an add-on for handling metrics, to improve the analysis of the team process. The adapted process is evaluated through a case study. The evaluation puts an emphasis on...
Article
Full-text available
This article describes the psychometric characteristics of two major assessment instruments used in a World Health Organization (WHO) clinical trial: (a) Alcohol Timeline Followback (TLFB, which assesses daily drinking patterns), and (b) Inventory of Drinking Situations (IDS, which assesses antecedents to "heavy" drinking). Clients (N = 308) were o...
Article
This article focuses on a research study analysing communication patterns in groups and how the group conductor may influence these. Videotapes from five group-analytically oriented and five cognitive-behaviourally oriented time-limited group therapies with moderately alcohol-dependent patients were analysed by means of the System for Analysing Ver...
Article
It is important to develop and evaluate methods of identifying alcohol dependent patients and patients at risk of alcohol problems. The World Health Organisation recommends a 10-item questionnaire, AUDIT (Alcohol Use Disorders Identification Test), which assesses hazardous alcohol use, dependence symptoms, and harmful alcohol use. The article descr...
Article
It is important to develop and evaluate methods of identifying alcohol dependent patients and patients at risk of alcohol problems. The World Health Organisation recommends a 10-item questionnaire, AUDIT (Alcohol Use Disorders Identification Test), which assesses hazardous alcohol use, dependence symptoms, and harmful alcohol use. The article descr...
Article
In recent reviews of treatment of alcohol dependence, psychodynamic group psychotherapy has been evaluated as being comparatively less effective than other methods. Some North American studies have, however, demonstrated differential treatment effects for subgroups of alcohol dependent patients. The focus of the present study was on the evaluation,...
Article
Full-text available
In recent years a number of drinking-related assessment instruments have undergone extensive developmental work and are in widespread use. These include measures that are designed to assess: 1) patterns of alcohol consumption. Timeline Followback Method (TLFB); and 2) antecedents to alcohol use, Inventory of Drinking Situations (IDS)-two constructs...
Article
The MRG was published 1988 in order to support developments in group psychotherapy methods as one of the all too few process observation research methods for studying group-as-a-whole. After 9 years of what pilot studies have labeled successful clinical trials, this study aims at validating the MRG against the established SAVI: Structural Analysis...
Article
Thirty-five alcohol dependent patients were followed-up one year after completion of treatment in relapse prevention groups. In terms of alcohol consumption this group had a statistically significant better outcome than a comparable group of patients given standard treatment. In a second study, 59 patients, of which a significantly larger proportio...
Article
The effects of brief group psychotherapy in relapse prevention were tested. The groups focused on the clients' capacity to formulate their own treatment goals, including controlled drinking, programmed relapse, and total abstinence. Twelve months after completion of the eight-week outpatient group treatment, thirty-five clients were followed up. Th...
Article
The Situational Confidence Questionnaire (SCQ) developed by Annis (1986 A relapse prevention model for treatment of alcoholics. In Treating Addictive Behaviors. Processes of Change, Miller W. R. and Heather, N. eds, pp. 407-435. Plenum Press, New York) is an important assessment instrument for use in the treatment of alcoholism and particularly in...
Article
The relationship between drinking habits and personality functioning was studied in a consecutive series of 300 alcoholic inpatients during treatment and 2 1/2 years later. The alcoholic sample showed more signs of neuroticism and lack of ego strength than the general population. Among the alcoholics there was a relationship between advanced drinki...
Article
An ordinal scale to measure severity of alcohol problems in a follow-up study was constructed. The measure refers to the preceding 6 months and is based on reports of amount of alcohol consumed, drinking pattern, signs of alcohol dependence and time sober. The measure was tested on 300 patients reinvestigated about 2 1/2 years after discharge for i...
Article
In this study a simple interview method to identify patients with potential alcohol problems was tested in a clinical setting. Nurses interviewed an unbiased sample of 393 patients attending practices within occupational health care. The technique used was a day by day follow back procedure covering the preceding two weeks. The time needed to accom...
Article
This study reports on a replication of Marlatt and Gordon's (1980) findings concerning relapse determinants among alcoholics. It was undertaken in a somewhat different drinking culture (Sweden) and with a group of alcoholics also containing patients relapsing after a longer period of abstinence than those in the Marlatt and Gordon study. The differ...

Network

Cited By