Ivan Spehar

Førsteamanuensis - Avdeling for helseledelse og helseøkonomi

English version of this page

E-post ivan.spehar@medisin.uio.no

Telefon +47 22850560

Brukernavn

Besøksadresse Forskningsveien 3A Harald Schjelderups hus 0373 OSLO

Postadresse Postboks 1089 Blindern 0317 Oslo

Last ned visittkort

Faglige interesser

Organisasjonspsykologi
Motivasjon og jobbtilfredshet
Identitet, rolleforståelse og ledertilblivelse
Ledelse og organisering
Medisinskfaglig ledelse

Research Gate

Undervisning

HLED3000 – Bacheloroppgave i helseledelse og helseøkonomi
HADM4601V – Ledelse i primærhelsetjenesten
HMAN5150 – Management in practice (HR-management)
MSc in Management in Health and Social Care (Oxford Brookes University, gjesteforeleser)
Veiledning masteroppgaver

Veiledede masteroppgaver på UiO

^{- Clinical leadership in Norwegian hospitals: A qualitative study of leadership challenges, skills and development
- Enhetlig ledelse i sykehus: Bare et slagord? Avdelingslederes refleksjoner om enhetlig ledelse og sitt lederskap (medveileder)
- Fastlegers erfaringer med å behandle psykisk syke pasienter
- Har kontrollspennet en betydning for opplevelse av kvaliteten på eget lederskap?
- Helsevennlige dult. En kvalitativ studie om kjennskap og holdninger til nudging på folkehelseområdet. 
- Hvordan brukes barne- og ungdomspsykiatere i Helse Sør-Øst og hvordan kan vi utnytte denne ressursen enda bedre?
- Impediments and facilitators for cooperation between dentists and medical specialists in obstructive sleep apnea treatment: a qualitative study
- Intensivsykepleier – bli ved din lest? En kvalitativ studie om turnover blant intensivsykepleiere
- Leaders´ approach to sickness absence: How does restructuring affect sickness absence and how do managers approach sickness absence resulting from such changes?
- Ledelse i et kjønnsperspektiv: En kvalitativ studie av lederes erfaringer og refleksjoner rundt kjønn og ledelse (medveileder)
- Mobilizing for leadership in health care: A qualitative study of clinicians´ motivation to engage in a program for leadership mobilization and for leadership roles
- Motivasjon hos sykehusleger - hvorfor fortsetter de?
- Motivation amongst health secretaries at Norwegian GP clinics: A qualitative study about health secretaries’ reflections and experiences as employees at GP clinics
- Patient focused care: Оbstасles аnd pоssible benefits оf its implementаtiоn
- Prehospital transport av psykisk ustabile pasienter: Pasientenes og ambulansearbeidernes opplevelser av psykiatriambulansen, ordinær ambulanse og politiet
- Primærhelseteam. En kvalitativ studie om allmennlegers refleksjoner rundt teamarbeid
- The Quality of Life of parents of children with Diabetes type 1
- Tverrfaglig samarbeid: Hvilke faktorer er det som påvirker samarbeidet mellom Avdeling for Medisinsk Biokjemi og de øvrige avdelingene på Rikshospitalet?
- Understanding patient focused care in psychiatric care: Exploring mental health workers’ views and strategies on treating immigrants in Norway}

Bakgrunn

Mastergrad i helse- og sosialpsykologi, Universitetet i Oslo
Doktorgrad i helseledelse

Verv

Tidligere leder for PhD-forumet ved Institutt for helse og samfunn.
Lederverv i Psykofil, faglig diskusjonsgruppe ved Psykologisk institutt.

Samarbeid

Medlem av NOHR (Nordic Network of Healthcare Management Research)
Medlem av COST (European Cooperation in Science and Technology)

Emneord: Organisering og ledelse, Sykehus, Primærhelsetjenesten, Kvalitativ metode

Høye, Sigurd; Brænd, Anja Maria & Spehar, Ivan (2020). Quality improvement and antimicrobial stewardship in general practice – the role of the municipality chief medical officer. A qualitative study. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 38(3), s 352- 359 . doi: 10.1080/02813432.2020.1794400
Frich, Jan C & Spehar, Ivan (2018). Physician leadership development: towards multidisciplinary programs?. BMJ Leader. ISSN 2398-631X. 2, s 91- 94 . doi: 10.1136/leader-2018-000070 Fulltekst i vitenarkiv.
Vassbotn, Ane Drougge; Sjøvik, Hege; Tjerbo, Trond; Frich, Jan C & Spehar, Ivan (2018). General practitioners' perspectives on care coordination in primary health care: A qualitative study. International Journal of Care Coordination. ISSN 2053-4345. 21(4), s 153- 159 . doi: 10.1177/2053434518816792 Fulltekst i vitenarkiv.
Frich, Jan C; Sjøvik, Hege & Spehar, Ivan (2017). Leder- og ledelsesutvikling i helsevesenet – en oversikt. Michael. ISSN 1893-9651. 14, s 168- 176 Fulltekst i vitenarkiv.
Spehar, Ivan; Sjøvik, Hege; Karevold, Knut Ivar; Rosvold, Elin Olaug & Frich, Jan C (2017). General practitioners' views on leadership roles and challenges in primary health care: a qualitative study. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 35(1), s 105- 110 . doi: 10.1080/02813432.2017.1288819 Fulltekst i vitenarkiv.
Spehar, Ivan; Jacques, Forest & Stenseng, Frode (2016). Passion for Work, Job Satisfaction, and the Mediating Role of Belongingness. Scandinavian Journal of Organizational Psychology. ISSN 1891-473X. 8(1), s 5- 14
Spehar, Ivan; Frich, Jan C & Kjekshus, Lars Erik (2015). Professional identity and role transitions in clinical managers. Journal of Health Organisation and Management. ISSN 1477-7266. 29(3), s 353- 366 . doi: 10.1108/JHOM-03-2013-0047
Spehar, Ivan; Frich, Jan C & Kjekshus, Lars Erik (2014). Clinicians in management: a qualitative study of managers' use of influence strategies in hospitals. BMC Health Services Research. ISSN 1472-6963. 14(251) . doi: 10.1186/1472-6963-14-251
Spehar, Ivan; Frich, Jan C & Kjekshus, Lars Erik (2012). Clinicians' experiences of becoming a clinical manager: a qualitative study. BMC Health Services Research. ISSN 1472-6963. 12(421) . doi: 10.1186/1472-6963-12-421 Vis sammendrag
Background There has been an increased interest in recruiting health professionals with a clinical background to management positions in health care. We know little about the factors that influence individuals' decisions to engage in management. The aim of this study is to explore clinicians' journeys towards management positions in hospitals, in order to identify potential drivers and barriers to management recruitment and development. Methods We did a qualitative study which included in-depth interviews with 30 clinicians in middle and first-line management positions in Norwegian hospitals. In addition, participant observation was conducted with 20 of the participants. The informants were recruited from medical and surgical departments, and most had professional backgrounds as medical doctors or nurses. Interviews were analyzed by systemic text condensation. Results We found that there were three phases in clinicians' journey into management; the development of leadership awareness, taking on the manager role and the experience of entering management. Participants' experiences suggest that there are different journeys into management, in which both external and internal pressure emerged as a recurrent theme. They had not anticipated a career in clinical management, and experienced that they had been persuaded to take the position. Being thrown into the position, without being sufficiently prepared for the task, was a common experience among participants. Being left to themselves, they had to learn management "on the fly". Some were frustrated in their role due to increasing administrative workloads, without being able to delegate work effectively. Conclusions Path dependency and social pressure seems to influence clinicians' decisions to enter into management positions. Hospital organizations should formalize pathways into management, in order to identify, attract, and retain the most qualified talents. Top managers should make sure that necessary support functions are available locally, especially for early stage clinician managers.
Spehar, Ivan & Kjekshus, Lars Erik (2012). Medical management in Norwegian hospitals. Professions and Professionalism. ISSN 1893-1049. 2(1), s 42- 59 . doi: 10.7577/pp.v2i1.178

Se alle arbeider i Cristin

Frich, Jan C & Spehar, Ivan (2018). Ledelsesutvikling for leger. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 138(15), s 1418- 1419 . doi: 10.4045/tidsskr.18.0645
Rød, Sigrid; Faiz, Kashif Waqar & Spehar, Ivan (2018). Hva motiverer sykehusleger?. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 138(16), s 1514- 1516 . doi: 10.4045/tidsskr.18.0545
Spehar, Ivan (2018). Engaging clinicians in management: role transitions and identity.
Spehar, Ivan; Klev, Nils Kristian; Rokstad, Kirsten Skinlo; Rosvold, Elin Olaug & Frich, Jan C (2017). Ledelseskurs for leger i primærhelsetjenesten. Utposten. ISSN 0800-5680. 46(6), s 42- 43
Spehar, Ivan (2016). Evaluering av piloten i Ledermobiliseringsprogrammet i regi av Nasjonal ledelsesutvikling. Rapport mars 2016..
Spehar, Ivan (2016). Gjør det vondt for leger å bli ledere?. Overlegen. ISSN 1503-2663. (3), s 14- 15
Spehar, Ivan (2016). Ledelse i norske helseforetak: Betraktninger om ledelsesutvikling i helsevesenet basert på en avhandling om ledelse i norske helseforetak. Sykepleien Ledelse. 4(1)
Spehar, Ivan (2015). Kompetanse alene er ikke nok - Noen refleksjoner rundt lederutvikling og rekruttering, basert på studier av klinikeres motivasjon for og opplevelse av å bli ledere i spesialisthelsetjenesten.
Spehar, Ivan (2015). Leadership in Norwegian hospitals: a qualitative study of clinical managers´ pathways, identities, and influence strategies.
Spehar, Ivan & Larsson, Martin (2012). Undervisningen må endres. Bergens Tidende. ISSN 0804-8983.
Spehar, Ivan (2010). Mind the gap: exploring the challenges related to clinical leadership (poster presentation).
Spehar, Ivan & Ng, Mei Ying (2010). Hjelpeløse på markedet (papirutgave). VG : Verdens gang. ISSN 0805-5203. s 50- 51 Vis sammendrag
Kronikkforfatterne foreslår at forventninger til å mislykkes på det norske arbeidsmarkedet kan være en viktig årsak til at mange innvandrere står utenfor jobb. Tiltak for å øke innvandreres mestringstro blir presentert som en mulig løsning for økt deltakelse i arbeidslivet.
Spehar, Ivan (2009). Jobblidenskapens skyggeside. Forskning.no. ISSN 1891-635X. Vis sammendrag
En lidenskapelig interesse for jobben kan fremme arbeidstakerens jobbtilfredshet. En tvangspreget form for lidenskap kan derimot medføre negative konsekvenser for både den ansatte og bedriften. I verste fall kan den ansatte drive seg selv til utbrenthet, godt hjulpet av en bedriftskultur som oppfordrer til overtidsarbeid.