SOLIID - Sustainable Organizational Learning, Innovation, Improvement and Development in Health and Social services – Monica Nyström's group

SOLIID is a research group with two main nodes, Karolinska Institutet and Umeå University. SOLIID works with action oriented organizational research within health and social services, with a focus on sustainability in organizational learning, innovation, improvement and development.

SOLIID was initiated in 2009 to fulfill the goal of the Vinnvård research program: to develop research platforms for collaborative research in the broad area of organization, management, innovation, improvement and implementation research in the health and social services sector.

SOLIID focuses on research that will shed light on how to build organizational structures and processes that enhances sustainable learning, innovation, development and improvement in complex organizational systems. This multi-disciplinary area of interest involves both health and social services and the main part of the research projects are based on action oriented and mixed methods approaches.

Research builds on several areas such as Organizational behavior, Organizational Development, Organizational Learning, Strategic and Change management, Dissemination and Implementation research, Quality Improvement, Organizational creativity and innovation, Knowledge management, and Work and Organizational psychology. The members of the research network have different backgrounds medicine, nursing, psychology, management, economy, public health, sociology, work science and engineering.

Themes and ongoing projects

Research within SOLIID is currently focusing on several slightly overlapping themes. Additional applications for research funds are continuing in order to develop the research within the themes. More detailed information on specific projects and publications can be found under SOLIID Project info and SOLIID Publications.

  1. Building structures for sustainable organizational learning and improvement
  2. Enhancing health promotion and preventive approaches
  3. Innovative service development in health and social services
  4. Change Facilitating Agencies
  5. Health and social care staff’s work situation in relation to competence supply and quality improvement 
  6. Strategies for Large System Transformations (LST)
  7. Improving life for the frail older people
  8. The role of follow-ups and measurements in learning and development processes

Research group members

Research group leader

Profile image

Monica Nyström

Senior Lecturer

Research group at KI/LIME:

  • Monica Nyström, Research group leader/Research network coordinator, PhD Work and Organizational Psychology, Department of Learning, Informatics, Management and Ethics, MMC/SOLIID, Karolinska Institutet, 90% and Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University (UmU) 10%
  • Emma Granström, PhD Medical management, , Department of Learning, Informatics, Management and Ethics, MMC/SOLIID, Karolinska Institutet
  • Helena Strehlenert, PhD, Medical Management, MSc in Work and Organizational Psychology, Department of Learning, Informatics, Management and Ethics, MMC/SOLIID, Karolinska Institutet
  • Mariel Taxén, Research assistant, MSc in Helath economy, Policy and Management
  • Sara Tolf, PhD, MSc in Sociology, Post Doc Department of Learning, Informatics, Management and Ethics, MMC/SOLIID, Karolinska Institutet Core group

Collaborators in SOLIIDs research network

  • Monica Andersson Bäck, PhD Work science, Department of Sociology and Work Science, Gothenburg University
  • Anders Edström, Strategic management unit, Region Västerbotten
  • Rickard Garvare, Professor, Department of Business Administration, Technology and Social Sciences, Luleå University of Technology
  • Elisabet Höög, PhD, MSc in Work and Organizational Psychology, Department of Learning, Informatics, Management and Ethics, MMC/SOLIID, Karolinska Institutet and Department of Epidemiology and Global Health, Umeå University (UmU)
  • Anneli Ivarsson, MD, Professor Epidemiology and Public Health Sciences, Department of Epidemiology and Global Health, Umeå University (UmU) and R&D unit Region Västerbotten
  • Ann Charlott Norman, Head of Planning for Management Support and Strategy in Healthcare, Region Dalarna  
  • Ann Scheck McAlearney, Professor and Vice Chair for Research, ScD in Health Policy and Management, Dep. of Family Medicine, Ohio State University’s College of Medicine
  • Darcey Terris, PhD, Evaluation Lead and Quality Improvement Specialist, Institute for Behavioral Research, Centre for Family Research, University of Georgia, USA and Mannheim Institute of Public Health, Social and Preventive Medicine (MIPH), Heidelberg University, Germany
  • Lars Weinehall, Professor, Department of Epidemiology and Global Health, Umeå Univeristy (UmU)
  • Anna Westerlund, PhD, MSc in Work and Organizational Psychology, Dep. of Epidemiology and Global Health, Umeå University (UmU)
  • Karin Zingmark Professor, Dep. of Health Sciences, Luleå University of Technology


Scientific publications


  • FORTE - Swedish Research Council for Health Working Life and Welfare
  • Vinnova - Sweden's Innovation Agency
  • Swedish Association of Local Authorities and Regions (SALAR)
  • The Vinnvård program - a consortium of funders: Vårdalstiftelsen, Vinnova, Swedish Association of Local Authorities and Regions, Ministry of Health and Social Affairs
  • Vårdalstiftelsen
  • Patient Insurance LÖF
  • SFO-V - Strategic Research Programme in Care Sciences at Karolinska Institutet and Umeå University funded by the Swedish Research Council
  • Swedish National Institute of Public Health
  • FAS-centre for Global Health at Umeå University
  • The Swedish foundation for International Cooperation in Research and Higher Education (STINT)

Research group news


Selected publications

Selected publications

Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses’ work situation.
Westerlund A, Sparring V, Hasson H, Weinehall L, Nyström ME.
Nursing Open, 31 August 2020; 00:1–10.

Sense-making, Mutual Learning and Cognitive Shifts When Applying Systems Thinking in Public Health – Examples from Sweden; Comment on “What Can Policy-Makers Get Out of Systems Thinking? Policy Partners' Experiences of a Systems-Focused Research Collaboration in Preventive Health”
Nyström ME, Tolf S, Strehlenert H
Int Journal of Health Policy and Management, 5 July 2020; doi:

One size fits none - a qualitative study investigating nine national quality registries' conditions for use in quality improvement, research and interaction with patients
Sparring V, Granström E, Andreen Sachs M, Brommels M, Nyström ME
BMC Health Serv Res 2018 Oct;18(1):802

Enhancing policy implementation to improve healthcare practices: The role and strategies of hybrid national ‐ local support structures
Emma Granström, Johan Hansson, Vibeke Sparring, Mats Brommels, Monica Elisabeth Nyström
International Journal of Health and Management, 7 sept 2017

Collaborative and partnership research for improvement of health and social services: researcher's experiences from 20 projects
Nyström ME, Karltun J, Keller C, Andersson Gäre B
Health Res Policy Syst 2018 May;16(1):46

Exploring the potential of a multi-level approach to improve capability for continuous organizational improvement and learning in a Swedish healthcare region
Nyström ME, Höög E, Garvare R, Andersson Bäck M, Terris DD, Hansson J
BMC Health Serv Res 2018 05;18(1):376

Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare - a two-year follow up
Kardakis T, Jerdén L, Nyström ME, Weinehall L, Johansson H
BMC Health Serv Res 2018 04;18(1):227

Action research formulti-level facilitation of improvement in health and social care: Development of a change facilitation approach for a local R&D unit
Johan Hansson, Elisabet Höög, Monica Nyström
Action Research, 2017, Vol. 15(4)

Reaching beyond the review of research evidence: a qualitative study of decision making during the development of clinical practice guidelines for disease prevention in healthcare
Richter Sundberg L, Garvare R, Nyström ME
BMC Health Serv Res 2017 05;17(1):344

Kaizen practice in healthcare: a qualitative analysis of hospital employees' suggestions for improvement.
Mazzocato P, Stenfors-Hayes T, von Thiele Schwarz U, Hasson H, Nyström ME
BMJ Open 2016 07;6(7):e012256

Quality improvement in large healthcare organizations: Searching for system-wide and coherent monitoring and follow-up strategies
Elisabet Höög, Jack Lysholm, Lars Weinehall, Monica Elisabeth Nyström
Journal of Health Organization and Management, 2016, Vol 30, Issue 1 pp 133-53

Evidence-informed policy formulation and implementation: a comparative case study of two national policies for improving health and social care in Sweden.
Strehlenert H, Richter-Sundberg L, Nyström ME, Hasson H
Implement Sci 2015 Dec;10():169

Agile, a guiding principle for health care improvement?
Tolf S, Nyström ME, Tishelman C, Brommels M, Hansson J
Int J Health Care Qual Assur 2015 ;28(5):468-93

Facilitating system-wide organizational change in health care
Anna Westerlund, Rickard Garvare, Elisabet Höög, Monica Elisabeth Nyström
International Journal of Quality and Service Sciences, 2015, Vol. 7 Issue: 1, pp.72-89

Staff and contact

Group leader

All members of the group

Other people connected to the group

  • Edqvist, Malin
  • Sparring, Vibeke
  • Höög, Elisabet
  • Garvare, Rickard
  • Westerlund, Anna