Monica Nyström

Monica Nyström

Senior Lecturer | Docent
Visiting address: Widerströmska huset, Tomtebodavägen 18A, 17165 Solna
Postal address: C7 Lärande, Informatik, Management och Etik, C7 MMC Nyström, 171 77 Stockholm

About me

  • * Associate professor in Medical Management Karolinska Institutet, Senior
    lecturer in Psychology, Umeå university [1].
    * Research group leader SOLIID [2] (Sustainable Organizational Learning,
    Innovation, Improvement and Development in Health and Social services).
    [1] https://www.umu.se/personal/monica-nystrom/
    [2] http://ki.se/lime/soliid

Research

  • Organizational behavior and management in health service organizations, with a special interest in leadership, organizational development, quality improvement and organizational learning and innovation.

    The field of work and organizational psychology embraces three analytical levels: individual (e.g. cognition, stress, motivation, decision making), group (e.g. communication, leadership, team development) and organization (e.g. strategy, structure, culture, power, politics and development processes). My research aspires to involve a multilevel system view when investigating complex organizational phenomena.
    Since 2006 I have been the leader of 21 research projects (VINNVÅRD, VINNOVA, SFO-V) focusing on organizational structures and processes that enhances sustainable learning, innovation, development and improvement in complex organizational systems. They involve both health and social services and most of them are based on an action oriented and a mixed methods approach. Collaborators involved are e.g., Region Norrbotten, Swedish Association for Local Authorities and Regions (SALAR), Region Västerbotten, Sörmland region, the National Board of Health and Welfare, several municipalities, and Umeå university, Luleå Technical University and Gothenburg university.
    I have participated as a researcher in the “Managing innovations” project (Vinnova) and in two FORTE-programs: Co-Care and Value & Choice. I have as a researcher followed four national large scale intervention programs (LSTs) investigating national and regional support and implementation strategies, i.e., Safe delivery, Better Life for the ill older people, Enhancing the use of National Quality Registries for improvement, research and interaction with patients and citizens, and the ongoing program for improving maternity care and women’s health.
    I have been involved in CHEPSAA, an EU-funded project on how to strengthen capacity for health policy analysis in five African countries and an AFA-funded project on how to combine Lean and health promoting activities in a hospital. During 2010-2012 I coordinated an international research network: ”Organizational Culture and Quality Improvement research”. 2020-2022 I was responsible for developing and testing a learning arena for developers in health and social care with the purpose if spreading a more holistic view on development based on multiple perspectives and several overlapping research areas. The pilot test of the arena "Develop the future developers" was financed by Vinnova.
    Besides scientific articles the research projects have resulted in a number of Swedish reports, books and book chapters. My thesis concerned the
    experienced managerial role during periods of organizational change, testing a social constructivist and a rational/cognitive approach while addressing their weaknesses and strength.
    Since 1993 I have been engaged in university courses in work and organizational psychology, leadership and organizational development - for
    managers in general and in health and social care particularly, some on international basis. 2017-2019 I was responsible for the course "Leading research projects" aimed for junior or new researchers at Karolinska Institutet. This course has also been offered to other universities and research organisations.

    *Doctoral dissertation*
    Nyström, M. E. Contrasting perspectives on the subjective managerial role.
    [1] Doctoral dissertation from the Department of Psychology, Umeå
    University, SE-90187, Umeå, Sweden, 2005: ISBN 91-7305-881-5.

    *Financing (external funders)*
    Forte; Vinnova; Swedish Association of Local Authorities and Regions (SALAR);
    VINNVÅRD (Consortium: Vinnova, Vårdalsstiftelsen, SKL, Ministry of Health
    and Social Affairs); Patient Insurance LÖF; EU- Fp7- Call for Africa; AFA
    Insurance; Strategic Research Programme in Care Sciences; The Swedish
    Foundation for International Cooperation in Research and Higher Education
    (STINT).
    [1] http://umu.diva-portal.org/smash/record.jsf?pid=diva2:143666

Articles

All other publications

Grants

  • TeamBirth - an intervention to improve patient safety and person-centered care during childbirth
    Swedish Research Council
    1 January 2025 - 31 December 2028
    Most adverse events within maternity care stem from communication and teamwork failures. Despite national and international recommendations, few interventions include person-centered care as means for safe care. The aim of this project is to evaluate the effectiveness and implementation of TeamBirth (TB)
    designed to enhance teamwork and person-centered intrapartum care. TB will be evaluated at nine labor wards, covering 26% of all births in Sweden. During this four year project outcomes, processes, and implementation will be addressed in four work packages (WPs). The research group is multidisciplinary with extensive knowledge in epidemiology, implementation science, and biostatistics. WP1. Patient safety and person-centered care: Interrupted time series design using data from the Swedish Pregnancy Register & Questionnaire. WP2. Patient reported experiences: TBs contribution to person-centered care will be explored by validated questionnaires to women. WP3. Process measures: Patient safety climate and interprofessional teamwork will be investigated using a longitudinal cross-sectional design with validated scales to staff. WP4. Process evaluation: A mixed method design using data from questionnaires and interviews. Adverse events are devastating for those involved and highly costly for society, highlighting the urgent need for interventions. This project will advance the field of patient safety and contribute to new knowledge benefiting women, their infants, and society.
  • Forte - the Swedish Research Council for health, Working Life and Welfare
    1 January 2019 - 31 December 2022
  • Developing the future of developing - An arena for organizational learning about innovative development of health and social care
    VINNOVA
    1 January 2019 - 15 October 2022
  • FK Hälsa - National initiative for delivery care and womens health - national, regional and local strategies for supporting and achieving change
    Swedish Ministry of Health and Social Affairs - via Swedish Association of Local Authorities and Regions
    1 May 2017 - 31 December 2025
    Syftet med följeforskningen är att öka kunskapen om hur nationella och regionala strategier för stöd och implementering kan bidra vid nationella satsningar - samt att stödja lärandet under den pågående satsningen. Målet är att undersöka, beskriva och dra lärdomar av den implementeringsprocess och de stödstrategier för utveckling och lärande som används på nationell, regional och lokal nivå för att nå ut med satsningen, samt att förstå de valda strategiernas betydelse vid förändring, lärande och hållbarhet i insatser och förändringar efter satsningens slut
  • New forms for supporting innovative development in large and complex healthcare organizations
    VINNOVA
    1 December 2016 - 31 December 2018
  • VINNOVA
    17 August 2015 - 31 August 2016
  • Learning Networks – From islands of development to holistic approaches
    VINNOVA
    17 August 2015 - 31 August 2016
  • VINNOVA
    1 August 2015 - 30 June 2016
  • Challenges in internal change process facilitator roles within health and social care
    SFO-V
    31 August 2010 - 31 August 2012
  • International research network: Organizational Culture and Quality Improvement research OCQI
    STINT - Swedish Foundation for International Cooperation in Research and Higher Education
    1 January 2010 - 31 December 2011
  • National guidelines for Health promotion – the challenging journey from evidence to clinical practice/
    Vinnvård - a consortium of funders
    1 January 2009 - 31 December 2013
  • Future welfare services - New ways for innovative development of health and social services
    VINNOVA
    1 January 2009 - 1 January 2013
  • Towards sustainability in innovations and organizational learning in health care
    VINNVÅRD - Consortium of funders
    15 October 2007 - 30 June 2011

Employments

  • Senior Lecturer, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 2006-

Degrees and Education

  • Docent, Karolinska Institutet, 2020

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