Osteoarthritis (OA) is a condition in the hip or knee joints that develops during a long period of time and sometimes needs hip or knee joint replacement surgery when pain gets too intense for the patient. This paper describes how an animated video for pre- and postoperative instructions for patients with osteoarthritis was designed. The design science research (DSR) approach was followed by creating a web-based animated video. The web-based animated video is used to support surgical departments with education for patients suffering from OA. In the web-based animated video, information about OA surgical treatment and its pre- and post-arrangements was included. The relevance, the rigor, and the design cycles were focused on, with some iterations of and improvements in the animations. Even after implementation, there was a feedback-loop with comments from the surgeons and their patients. Moreover, as more departments will use the web-based animated video, they want to make their special mark on it, so that further changes will be made. This paper presents the design and successful implementation of an animated video for pre- and postoperative instructions for patients with osteoarthritis, tightly linked to the patient journey and the workflow of healthcare professionals. The animated video serves not only as a tool to improve care but also as a basis for further scientific research studies. 

In technological transformations Industry 5.0 should bring us towards a sustainable, human-centric and resilient European industry. Critical assets have dematerialized, and the most valuable asset is knowledge (Marchegiani, 2021). Hence, employees and their well-being are more critical than ever. A good working environment must pay attention to and meet employee´s psychological needs.

Three areas of psychological needs are described by Deci and Ryan (2011) in the Self-Determination Theory (SDT):1) autonomy, responsibility and ownership of their own process and vision.2) competence and development possibilities, to build capability at different levels.3) relatedness, to be in a context and the possibility and authority to jointly influence and develop.

This paper aims to share experiences on how the use of these needs have increased our knowledge concerning employee´s psychological needs in a Swedish industrial company, in the view of a health-promoting working life. Interviews have been conducted with 32 respondents and deductively analyzed by using the needs in SDT as an analytical tool. The analysis reveals a number of needs, and hence opportunities, mainly in Competence and Relatedness:Competence perceived to work well in general, but there was an indication that it may have become a little worse the last time. Furthermore, the analysis reveals a need for strategic competence development when new things were decided to be included in the company. As put in the interviews: "We take things to heart and say we're going to have it, but it's not implemented. You do not get the possibility to learn it. It's expected that you just have to work and understand.”:Relatedness

The analysis shows that the company´s main needs and hence the main opportunities were in “Relatedness”, Here three subareas were identified:- Context, “spirit”: The employees thrive with each other, but there was also a feeling that people are not as engaged anymore. E.g. “I have made this wall and is proud of it, now you don't care in the same way”. Furthermore, there seems to be different pictures between management and the other employees. “I want it to be good and do well, but I perceived as negative when I say something, even though it's about caring for the company”.- Development work and changes: People feel unable to influence. "The management says that they are listening and taking to heart, but nothing is happening." The employees want to be more involved and have more information. There is a great need to understand why things are going to change and getting feedback how it proceeds.- Internal communication: There is a need for more visibility of the management in production. The company has developed their digital communication, but there still is a need of analog communication in some situations.

Using the three areas of psychological needs in SDT as an analytical tool increases our understanding of which company-specific areas that are important to focus on for a health-promoting working life. Furthermore, it gave us knowledge and understanding concerning suitable activities for meeting the needs. For example: develop a clear structure and rules for how to perform the development work. Explaining why and giving continuous and structured feedback are important aspects. Another important aspect is that decisions concerning work changes must include decisions concerning the need for training.

Purpose – This paper focuses on knowledge sharing in health care. The aim of the paper is to furtherunderstand how digital applications can facilitate knowledge sharing between different care providers andhealth-care professionals.

Design/methodology/approach – The paper is based on a qualitative action case study, performed as aformative intervention study as a Change Laboratory, where a digital application concerning wound supportwas used. The Change Laboratory was used for knowledge sharing in the assessment and treatment process ofwounds. The collected data was then thematically analyzed.

Findings – The findings show how digital applications can facilitate knowledge sharing, but also the need forcomplementary collaborative sessions. The main contribution is the rich description of how digitalapplications together with these sessions can facilitate knowledge sharing.

Originality/value – This paper shows that activities as collaborative sessions performed on theorganizational level prove to support knowledge sharing and learning when a new digital application has beenimplemented in the work process. It also shows that these sessions contributed to identifying new knowledgethat has potential for being included in the application and hence are important to keeping the applicationupdated and relevant over time

In technological transformations Industry 5.0 should bring us towards a sustainable, humancentric and resilient European industry, as put by the European Commission. However, digitalization has proved to be challenging, and one underlying cause is the inherent complexity when technological, social, and organizational factors interact (Alter, 2008; DeSanctis and Poole, 1994). When designing and performing a digitalization project it is of vital importance to understand and apply Critical Success Factors (CSFs) (Aggestam and van Laere, 2012). CSFs concern actions that must be conducted for an organization to achieve its objectives in a project (Juniawan et al, 2022). To meet expected project benefits, applying and managing CSFs need to be included in the risk management of digitalization projects (Cyrus et al, 2018).

This paper aims to share experiences concerning how CSFs have been used to analyze and understand the main challenges in a Swedish industrial company that is into implementing a digital tool to support employees´ well-being and contributing to a sustainable workforce. Data has been collected by 18 interviews and then deductively analyzed by using CSFs as an analyzing tool. The four used CSFs can be summarized as follows (Aggestam, et al., 2023):- CSF1: To understand the culture and to learn from earlier projects as well as clearly communicate how it influences design and implementation.- CSF2: To have a holistic approach and to understand systems complexity, including paying attention to needed resources and risk management.- CSF3: To have well-defined and accepted objectives, on the three levels of inquiry (van Gigch, 1991), as well as an agreement concerning the working approach.- CSF4: To involve, motivate, and prepare the “right” stakeholders.

The findings confirm the critical importance of learning from earlier projects and to clearly communicate how this learning will be addressed in the current project (CSF1). "Values and culture are critical since they shine through in, not only for managers but also for operators" (translated from one interview). For example, experiences of starting (successful) things but after a while letting things down, “The production lift and then everyone was on, but then"… “ (translated from one interview), but also how the company´s culture has been influenced by its history of mergers and acquisitions during a ten year period of time have influenced. Furthermore, findings related to the other CSFs reinforce and concretize CSF1. For example:- CSF2: The importance of holding the whole together, reducing the distance between the administration and the production as well as the visibility of the management in production. Also, the critical importance of needed resources was lifted, “Raising problems means that you often have to deal with it yourself, without extra resources” (translated from one interview)- CSF3: The importance of understanding why things must be changed. “Decisions are made, but the right reason is not communicated” (translated from one interview)- CSF4: The importance of both being listened to and getting feedback (CSF4).

We can conclude using CSFs as an analyzing tool gives us critical knowledge in how to design and implement the current digitalization project aiming to employees´ well-being and contributing to a sustainable workforce.

Studies on Critical Success Factors (CSFs) in Healthcare Information Systems (HIS) development projects have traditionally often been limited to retrospectively identifying CSFs in a finished project. In this paper, we focus on how to prospectively apply and manage CSFs in HIS projects. Based on a holistic perspective and systems thinking, an inductive research strategy was applied and a single in-depth case study was conducted. The findings include detailed descriptions that contribute to further understanding of how to prospectively apply and manage CSFs in HIS projects. The analysis reveals that CSFs must be applied differently and managed on various system levels. Furthermore, it shows how interactions exist between different system levels, both in the case of a specific CSF and between different CSFs on various system levels. Our analysis framework and findings indicate new directions for future research: how to prospectively apply and manage CSFs in HIS development projects can now be investigated both in a more holistic way and more in detail. Finally, healthcare practitioners can use the descriptions as practical checklists for guiding them in how to realize situational adaptation of CSFs in HIS projects across different system levels.  

The fast development of the IT in the society of today has led to that more SMEs rely on ERP systems. Especially, IT has facilitated the management of the flow of goods within and between organizations and have made lead times more effective and also have increased the overview of the flow of goods. This will help SMEs obtain a competitive advantage. The aim of this paper is analyze the factors influencing SMEs adoption of ERP systems. A qualitative case study is conducted within a company which both is engaged in manufacturing and project work. The company runs service projects for its customers and at the same time they produce articles both for sale and for use within the service projects. An ERP system can also serve as an overall system for the administration, the production and inventory management in the company. However, there are important factors to take into account in the adoption phase, related to the technological infrastructure, the organizational challenges as well as environmental relations in order to decide on an implementation on an ERP system. It is of a critical importance that the SME really change their routines in order to follow the processes implemented in the ERP system. Otherwise, the company runs the risk to be stuck in its previous and ineffective inventory management processes, regardless of investments in the ERP system and the technological infrastructure.

Crises means a particular threat to small and medium-sized enterprises (SMEs). The pandemic is no exception; on the contrary, it reinforces this threat. This study provides insight into crisis management in SMEs over a period of time. Data were collected through semi-structured interviews in Peruvian SMEs at two points in time. The findings provide insight into how the Peruvian firms studied adapted to the new situation, and initiated responses to cope with the crisis covering the period April-December 2020. By having studied the phenomenon of crisis management in SMEs at different stages, the study contributes to the further development of still underdeveloped fields of research, namely, crisis management in Latin America in general, and crisis management in SMEs in particular. 

Small enterprises face multiple and complex challenges when developing digital technologies. The aim of this article is to explore the role of sustainable innovation in small enterprises in relation to the ongoing transformation of the primary healthcare sector. The purpose is to gain understanding of innovation processes within the framework of sustainable development, applied to a local primary healthcare center. Data were collected through seven semi-structured interviews. A qualitative thematic analysis was conducted. Five themes appeared in relation to the ongoing transformation of the primary healthcare sector: (1) The process of sustainable innovation in a long-term perspective; (2) the companies’ views on innovations in healthcare; (3) effects of innovations in healthcare; (4) sustainable product or service development, and (5) the role of collaboration in the innovation process. The companies expressed a positive attitude to new innovations, as a natural part of developing the companies. The article concludes that incremental development of tools in small businesses supports the transformation of processes and services in the primary healthcare sector. Cross-disciplinary teams in collaboration facilitates the necessary learning and the required creation and sharing of knowledge.

BACKGROUND: As the number of older people increases, so does the need for care. However, the workforce in eldercare cannot increase at the rate required to match the needs. Welfare technologies, such as surveillance cameras, can replace physical visits and be used at night to monitor older people in order to keep them safe, while not disturbing their sleep. The aim of the paper is to analyze obstacles and opportunities associated with implementation and use of surveillance cameras at nursing homes from the perspectives of the practitioners who use the technology, their working environment and the conditions of the older people with cognitive impairment who live in nursing homes.

METHODS: Individual semi-structured interviews were conducted with the eldercare personnel at nursing homes to understand their experiences of implementation and use of surveillance cameras. The transcribed interviews were analyzed using qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) was used as a guidance tool.

RESULTS: The results show that the eldercare personnel experienced lack of adequate information, education and support related to using surveillance cameras. Several benefits are highlighted, such as better working environment and that the residents were not unnecessarily disturbed at night. However, the results also show that it is important to clarify that surveillance cameras cannot replace the human presence.

CONCLUSIONS: The conclusions from this study are the importance of prerequisites for implementation, and that using surveillance cameras contributed to improvements in the working environment at night and created possibilities to maintain security and integrity for older people living in nursing homes.

The aim of this paper is to describe frail older persons' experiences of hospital care of information and participation when being an inpatient at a hospital. A qualitative method was used. Data were collected at the hospital from 20 interviews with frail older patients, together with observations in the environment at the hospital ward. A content analysis was performed. Patients experienced not receiving information about their care and rehabilitation, or receiving such information in noisy surroundings. They experienced situations of misunderstanding related to their medication, which indicates the need for appropriate discharge calls for frail older patients. They expressed feelings of distress concerning the future, caused by hasty admissions or relatives' problems to handle the situation. The results highlight the need to receive appropriate information and to participate in decision-making. The level of health literacy should be taken notice of when giving information, using peaceful and quiet environments when informing frail older persons. Person-centered care should be recognized to a greater extent in order for healthcare professionals to give information to frail older people in a health literacy-friendly way. This might make it easier for frail older persons to participate in a partnership in care.

Interactive and communicative situations within social environments are prerequisites for learning in collaboration. Synchronous computer-mediated communication is often used as a means to achieve active learning in collaboration. Synchronous communication thus offers the opportunity to actively engage students in collaborative learning activities. This paper is based on an ethnographic case study of synchronous communication between students in the lower secondary school collaborating in a cross-border project involving Danish, Norwegian and Swedish students. The project is aimed to promote the students in their Scandinavian intercomprehension skills using their own native languages when the students are collaborating in different joint projects. The aim of the paper is to analyze the characteristics of the coping skills of the students within a collaborating learning project using synchronous computer-mediated communication.One of the students in each group in each of the collaborating countries acted as a group leader, decided in advance. The students were also prepared in advance of what to synchronously discuss with their collaborating Scandinavian student groups. However, a critical part of the synchronous collaboration was the assignment for the group collaboration leader. It has been obvious that the student assigned for the role really is coping with this situation. The group collaborating leader has to take initiative, relate the discussion to the actual subject, distribute the word between the participants, ask questions and distribute the questions between the students in the different collaborating countries speaking different neighbor languages. To help in this situation is to have visible name tags on each student. A prerequisite is that the group collaboration leaders have to have the social skills as self-esteem, empathy, emotional intelligence as well as problem solving. Thus, these students need different types of cognitive, affective and social skills related to cope with a real situation performed synchronously with support of information and communication technology. Some students sometimes prove specific coping skills in this real context in the school and are not necessarily those students who are the most skilled within their native language.The engagement from the teachers is of vital importance for the students' active participation in the synchronous collaboration. Therefore the teachers have to take part in the background in each room in the different countries within the collaborating computer-mediated synchronous session. This will imply a more serious and engaged participation of all the students. The instructional strategies and advices the students got from the teachers in advance were of significant importance. Moreover, the teachers' engagement also has an impact on the students' sense of trust and security between each other and between the students in each collaborating country within the synchronous communication.

In this single case study, we explore the process of a digital new venture development by closelyexamining the long-term paths of one digital venture’s founder and their team spanning fromthe time when the entrepreneurial opportunity was shaped until the venture achieved sustainablegrowth. Adopting the process-based perspective of entrepreneurship, we elucidate howentrepreneurs effectively navigate this journey by combining two different behavioural logics (bricolage and engineering) while engaging with and disengaging from various stakeholders.Based on the analysis of our rich empirical evidence, collected over six years, we develop a setof propositions explaining how these two logics are interlinked in the process of a digital new venture development over time, as well as how they are applied for initial and subsequentengagement with stakeholders. 

Viewing the entrepreneurship process as an entrepreneurial journey and employing a longitudinal process research design, this study aims to advance the current understanding of the dynamics of interactions between entrepreneurs and stakeholders in the development of a digital new venture (DNV). Drawing parallels to a Scandinavian folk tale about nail soup, which illustrates the concept of creating something substantial from seemingly nothing, we apply two logics of entrepreneurial behavior – bricolage and engineering – to explain entrepreneurs' interactions with key stakeholders while navigating the entrepreneurial journey.

Based on the analysis of our rich empirical evidence, collected over six years of following the journey of one DNV's founders, we develop a set of propositions explaining how these two logics are intertwined in the process of DNV development over time, as well as how they are applied for initial and subsequent stakeholder engagement.

New venture creation and development is regarded as a challenging process, where the formation of a legal entity is considered as an important milestone. This study addresses the need to advance the current understanding of the role of various stakeholders in the post-formation stage in the process of a new venture development in the health care sector, which is characterised by complex regulations, political sensitivity, a great number and variety of intricately interconnected stakeholders. Relying on a longitudinal single case study design, this work has examined the development of a new venture, offering innovative digital solutions for the health care in Sweden, since its formal establishment for five years.

The findings suggest that a new venture post-formation development is a stage process, where venturing activities in each stage are scaffolded by a certain configuration of stakeholders with a prevalence and higher relative influence of stakeholders of a certain type.

The results explain the dynamics of stakeholder engagement during the post-formation development, where the focus shifts from one group of external stakeholders in the entrepreneurial ecosystem (entrepreneurship supporting organisations) and health care sector, to academia and, later, to two specific groups of external stakeholders (customers and investors) and internal stakeholders (employees). Further, the findings emphasize the vital role of academia for a new venture successful moving through the post-formation stage despite all challenges associated with the health care sector.

Objectives. This study aims to explore how humane entrepreneurship (HumEnt) manifests in an industrial manufacturing setting.

Theoretical foundations. The theoretical foundations of the study are built on corporate entrepreneurship and emerging HumEnt conceptual and empirical research.

Approach/Method. Given the novelty of the HumEnt domain, we conducted a qualitative study adopting a single case study design. We selected a medium-sized manufacturing firm, operating in the mobility transportation sector. Data were collected through semi-structured interviews with top management team, on site observations, participation in management meetings, and the analysis of internal documents, firm webpage and social media channels. The collected data were analyzed using a generic qualitative approach, where a priori categories were derived from the literature, a posteriori categories emerged through iterative data coding, and relationships between the categories were identified through multiple iterations of the analysis.

Results/Findings. Based on our single case study, we conceptualize HumEnt as the result of the firm’s combined exogenous and endogenous responses to exogenous shocks. In this process, entrepreneurially oriented leaders engage in opportunity-seeking behavior (while pursuing corporate entrepreneurship initiatives) and advantage-seeking behavior (while pursuing human-centric initiatives), focusing on developing the firm’s unique intellectual capital profile (by focusing on its multiple subcategories) with the aim of achieving desired outcomes in both initiatives. Furthermore, we propose a framework for HumEnt process integrating its antecedents, process elements, and outcomes.

Value and Implications. This study contributes to the emerging theory of HumEnt by offering a new conceptual framework of HumEnt within an industrial manufacturing context. It introduces the interplay between exogenous and endogenous responses to external shocks, demonstrating how both entrepreneurial and human-centric behaviors can coexist and reinforce each other. These insights help distinguish HumEnt from related concepts like humanistic management, adding depth to the theoretical understanding of HumEnt's role in organizational change. The study also offers practical insights for managers in industrial settings who aim to balance organizational efforts aimed at corporate renewal and improvement of employee well-being.

Digitalization and technology are interventions seen as a solution to the increasing demand for healthcare services, but the associated changes of the services are characterized by multiple challenges. A work-integrated learning approach implies that the learning outcome is related to the learning environment and the learning affordances available at the actual workplace. To shape workplace affordances it is of great importance to get a deeper understanding of the social practices. This paper will explore a wide range of managers' and professionals' emotions, moods and feelings related to digitalization and new ways of providing healthcare services, as well as the professionals' knowledge and experiences. Zhang's affective response model (ARM) will be used as a systematic approach and framework to gain knowledge of how professionals and managers experience and experience digitization of municipal health services. The research question is: How can knowledge about dark sides of technology reduce barriers to work-integrated learning?This paper is based on a longitudinal study with a qualitative approach. Focus group discussions were used as method for collecting data. The findings and themes crystallized through the content analysis were then applied to the Affective Response Model as a systematic approach to gain more knowledge about professionals and managers' experiences and how that knowledge can reduce the barriers to work-integrated learning. Understanding of, and consciousness about the dark sides of technology and the professionals' affective responses may support the digitalization of the sector and the development of the new ways of providing healthcare services.

eHealth is considered a solution to current challenges in healthcare. However, its use is not very well developed, and its potential has been little exploited. There are many reasons for the limited diffusion of eHealth. Knowledge, opportunities for training and collaborative activities are examples of factors that influence diffusion. Managerial responsibility is decisive in transforming healthcare. This paper aims at exploring middle management strategies that can facilitate workplace learning when introducing eHealth and new ways of providing healthcare. Introduction of eHealth will imply new and innovative working processes, where both employees and managers need to be aware that their work will change fundamentally, from routine work to work that involves learning, skills development and continuous changes in work practice. This study takes a qualitative approach by analysing data collected through focus group interviews. The findings indicate a necessity for a shift towards learning-oriented leadership and adaptive management that emphasizes employee involvement and opportunities for learning. Helping employees make sense of the complexities associated with continuously changing work practices is another identified middle management strategy. Scenario planning and backcasting stand out as suitable tools for sensemaking in complex organizations and as techniques that can promote workplace learning. © 2020 The Author(s)

The research question of the article is to explore whether the method dialogue meetings could be relevant for collaboration reflective learning among researchers and practitioners when welfare technology should be implemented in municipalities, or not. A testbed was planned to be implemented in a retirement home in a Swedish municipality, and the practitioners worked with a pre-study of that testbed. The aim of the article is to describe the collaboration and dialogue between the researchers and the practitioners in the dialogue meetings, and to reflect upon the potential of dialogue meetings as an arena for democratic collaboration and reflection among researchers and practitioners. The research methodology approach is participatory action research with mixed methods (dialogue meetings, focus groups,participant observations). During the dialogue meetings, the researchers learned more about the use of traditional research methods, and the practitioners learned more about how they could improve their use of the methods in order to facilitate change processes in their organization. Dialogue meetings could be relevant for reflective learning among researchers and practitioners in different organizational contexts, as a method to promote bridging the gap between practice and research in a democratic way; create inter-professional collaboration and reflection, and contribute to work change processes and sense-making.

Bakgrund Flera svenska rapporter visar att de mest sjuka äldre ofta far illa på grund av bristande samordning och oklar ansvarsfördelning mellan olika behandlingsinstanser. Primärvården, hemtjänsten och den kommunala hemsjukvården anses i otillräcklig omfattning ta över ansvaret efter utskrivningen av de sjuka äldre från sjukhuset. Svenska erfarenheter stämmer väl med vad man funnit i flera internationella studier: sjukvården är illa rustad för att möta de mest sjuka äldres komplexa behov av vård och omsorg.

Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

Small enterprises strive to survive and grow in the business they are involved. They make efforts to utilize different resources and technologies available to this end as long as it is affordable and productive. Information Communication Technology or e-commerce are among those technologies that take the front line. This paper aims to define an adoption level of e-commerce in small Ethiopian enterprises and show that their business requirements and perceived benefits of e-commerce are related to business growth. It takes five small enterprises involved in import and export business to perform case study research on the issue and examines their utilization level of the technology. The findings show that small enterprises in the country have low levels of e-commerce utilization due to: (1) the scarcity of infrastructure development and expertise in the area, and (2) barriers created by government policy and bank regulations. However, this study found good understanding of the business opportunities and benefits that could be exploited from e-commerce.

BACKGROUND: Although coordination of care and integrated care models aim to enhance patient satisfaction and perceived care quality, evidence regarding their practical implementation remains scarce. Understanding the nuances of collaboration across care providers to achieve effective coordination of care is imperative for seamless care integration. The aim of this study was to construct a grounded theory of how inter-organizational collaboration is performed to support coordination of care for patients with complex care needs.

METHODS: A qualitative design with a constructivist grounded theory approach was applied. In total, 86 participants with diverse backgrounds were recruited across multiple care settings, including hospitals, ambulance services, primary care centers, municipal home healthcare and home care services. The grounded theory was developed iteratively, based on a combination of observations and interviews, and using constant comparative analysis.

RESULTS: Coordination of care, a complex process that occurs across interconnected healthcare organizations, is manifested as "Negotiating care in organizational borderlands." Care coordination evolves through a spectrum of inter-organizational collaboration, ranging from "Dividing care by disease-specific expertise" to "Establishing paths for collaboration" and ultimately "Co-constructing a comprehensive whole." These categories highlight the challenges of coordinating care across both professional and organizational boundaries. In the multifaceted healthcare landscape, effective care coordination occurs when healthcare professionals actively bridge the divides, leveraging their collective expertise. Importantly, organizational boundaries may serve a purpose and should not be dissolved to facilitate effective care coordination.

CONCLUSIONS: The key to effective care coordination lies in robust inter-organizational collaboration. Even when patients receive integrated care, healthcare professionals may have fragmented roles. This research emphasizes the importance of clearly defined lines of accountability, reinforcing mutual responsibility and facilitating bridging of professional and organizational boundaries. Healthcare professionals and policymakers can use these insights to effectively utilize inter-organizational collaboration in supporting care coordination for patients with complex care needs.

We are becoming older and more people remain in their home with the need for care, as well as these persons for some reasons be hospitalized. This imply for the need of coordinated care planning in hospitals, as the person would be able to leave the ward in a safe manner. With an increasing number of elderly persons in need of care interventions in their home, the need for coordinated care planning in hospitals will also increase. Such planning is today being performed increasingly often via video conferencing. This form of digital encounters poses new challenges for the nurse in creating and maintaining a mutuality. The aim of this paper is to shed light on how coordinated care planning via video conferencing affects the ability of health care professionals to understand and interpret the patient’s situation from a holistic perspective, thus performing a person-centered meeting at a distance. A qualitative research approach was used to gain an understanding of nurses’ experience of coordinated care planning via video conferencing, where seven semi-structured interviews have been conducted. The result shows that the communication is affected and that meetings via video technology lose proximity and thus a part of the human contact. This can disrupt the possibility of seeing each other as persons but can be compensated by a person-centered approach. The technology can act as a means of human interaction, but not as a compensation for it. Coordinated care planning via video conferencing involves challenges in conveying presence and genuine interest that compensates for the loss of physical presence. The nurses need to be well acquainted with person-centered care in order to meet the patient despite the barrier that the screen may create. Proper technology can be used with great time gains to access each other regardless of geographical location and can contribute to human interaction but not replace it. © 2019 Academic Conferences Limited. All rights reserved.

AIM: The aim was to illuminate how nurses experience person-centred care planning using video conferencing upon hospital discharge of frail older persons.

DESIGN: Care planning via video conferencing requires collaboration, communication and information transfer between involved parties, both with regard to preparing and conducting meetings. Participation of involved parties is required to achieve a collaborative effort, but the responsibilities and roles of the involved professions are unclear, despite the existence of regulations.

METHOD: A qualitative content analysis was conducted based on 11 individual semi-structured interviews with nurses from hospitals, municipalities and primary care in Sweden.

RESULTS: This study provides valuable insights into challenges associated with care planning via video conferencing. The meeting format, that is video conferencing, is perceived as a barrier that makes the interaction challenging. Shortcomings in video technology make a person-centred approach difficult. The person-centred approach is also difficult for nurses to maintain when the older person or relatives are not involved in the planning.

Some risk factors exist within the implementation process of an ERP system in small companies. However, researchers claim different views on which impacts the implementation of ERP systems have. Actually, there are relatively few empirically based ERP implementation studies in small companies and its impact, as most of such studies are focused on larger companies. This paper is based on a case study at a small company. The aim of the paper is to explore risks at a small company when planning to implement an ERP system. The analysis shows that an ERP system is a good solution to avoid using systems that are not integrated. An ERP system could integrate all information in only one system, and all information could easily be accessed within that system. The implementation therefore lead to decreasing costs in the daily work as the activities and processes can be performed more effective and efficient.

The aim of this paper is to describe the essence of the concept "true and fair view, in Swedish "a correct view" (en rattvisande bild). The aim is also to present how this concept is practically handled in some different countries and how this has influenced the accounting internationally. In the harmonization process of the accounting in different countries the concept "true and fair view" have been important. Different accounting traditions have traditionally had an impact on the accounting in different countries. Which tradition a country belongs to is to a great extent dependent on how the companies in the country have financed their capital. The countries where the companies' capital is built up by a capital-based financial market with individual investors and shareholder have traditionally belonged to the Anglo-Saxon accounting tradition. In the countries traditionally belonged to the continental accounting tradition it is the polity and the credit-market who have financed the long-termed investments. Today, the financing market is being more and more globalized. This will impy that companies in different countries are needed to harmonize their financial accounting. Thereby some laws and directive in different countries are going to be changed.

Employee health can be promoted by companies by offering various health-specific programs, activities, and measures and by forming a well-functioning work organization that is beneficial to productivity, well-being and health. The aim of this paper is to investigate employees’ experiences of using a mobile health application, GOOZO, as inspired by gamification, to promote work-related health. An exploratory case study with an inductive approach is used in this study. The results show that using a digital application to promote work-related health can be a good way to draw attention to the importance of health. Gamification is also an incentive to increase the social coherence at the workplace, as activities with a competition focus can engage employees.

Osteoarthritis (OA) is a condition in the joint that is developing for a long time and hit first and mainlyarticular cartilage, and it is a long-term chronic disease characterized by deterioration. In the final stage itis affected all the tissues of the joints such as bones, ligaments, arthritis, joint fluid and muscles, whichresults in bones rubbing together and creating stiffness, pain, and impaired movement. This disease canaffect the joints in the knees, hands, feet, spine and shoulder. OA is the single most common cause ofdisability in older adults worldwide. Patients need to receive detailed information about the disability,learn about their disease, its treatment and how to follow recommendations both before and after thesurgery. As hospital stays are shortening the need of information is increasing, as the patients need toprepare themselves at home before the operation, as well as take care of their rehabilitation when they arecoming home, discharged from hospital. In this paper we present a case study about the development of aweb-based animated video that was developed to support the learning for patients with OA, using adesign science research approach. DSR is an iterative process that include three iterative research cycles.The relevance cycle provided the requirements for the application from the very beginning. The relevancecycle, the rigor cycle and the design cycle were conducted iteratively, and have generated designalternatives that have been evaluated in discussions with OA surgery physicians, as representatives fromthe application domain. 

Background

In an increasingly strained maternity care system with a shortage of midwives and great demands for service, pregnant women in their early labour are at risk of receiving insufficient support. Women make calls and visit the labour ward on multiple occasions before being admitted. A video call with a labour ward midwife during early labour is an unknown practice but could support pregnant women and their partners during this uncertain period.

Aim

The study aimed to describe women’s experiences of remote video calls with a labour ward midwife during early labour.MethodsA qualitative study comprising nine semi-structured interviews followed by an inductive thematic analysis was conducted.

Results

The results revealed that video calls prepared women and their partners by means of practical support. They received an assessment of early labour and the interaction with labour ward midwives prepared them for the impending birth. The participants reported feeling secure and strengthened by being met at their current stage of labour. Furthermore, they found the service accessible, easy to use and emphasised the need for increased availability and continuity.

Conclusion

This study highlights the positive impact of video calls in early labour when conducted by competent labour ward midwives. The perceived accessibility and ease of use e-health system underscore a demand for extended availability. These findings indicate the potential benefits of integrating video calls in labour care to enhance support, security, accessibility and overall satisfaction for pregnant women and their partners.

Within the healthcare sector in Sweden, efforts are made to strengthen the position of patients and practitioners and the opportunities to co-create planned change. Planned change refers to planned organizational change and change whose initiative is initiated outside the unit where change is planned. The likelihood of successful change becoming sustainable, meeting the needs of those affected, and adapting to the unique context where change is intended to occur increases when patients, practitioners, and other relevant stakeholders see the need and value of planned change and have the opportunity to influence. Despite this, first-line managers and practitioners are often tasked with converting planned changes into a way of working in practice without the feeling that they can influence the implementation and without sufficient prerequisites. Co-creation is one way for patients, practitioners, and managers to influence planned change.

Further, there are existing approaches for how patients, practitioners, and first-line managers can be involved in the development of healthcare, and there are a growing number of studies where change is co-created. Despite this, it is perceived as challenging to influence planned change in healthcare. To develop a model that is used, perceived as valuable, and supports the co-creation of planned change in healthcare, it is important to understand the needs and conditions of the intended users.

The purpose of this study is to investigate different stakeholders' perceptions of a healthcare organization's conditions and needs for making planned change happen through co-creation.

The research approach follows the principles of insider action research, in which the insider action researcher is an active agent who makes development and change happen while co-creating knowledge simultaneously. Action research is a scientific approach and consists of a repeating cyclical process comprising the steps, plan, act, and evaluate. The project has a reference group composed of representatives of the organization and patient representatives. The reference group participates in the project by guiding and influencing the research process to facilitate the implementation of the project and ensure its relevance and value from the different stakeholders’ perspectives, which is an important quality aspect in action research where knowledge is co-created.

This paper presents initial findings from ten semi-structured individual interviews with patient representatives and representatives from the healthcare organisation, all with experience of co-creating planned change in healthcare. The interviews are audio-recorded, transcribed verbatim and analysed using thematic analysis. An inductive approach to thematic analysis is used to stay as close as possible to the respondents' experience and proceed from the data collected without predefined themes.

The study is expected to result in a deeper understanding of the conditions in a healthcare organisation to make planned change happen through co-creation. This understanding can support patients, practitioners, and first-line managers convert planned change into a way of working in healthcare practice through co-creation. The result will also be used to develop a useful, valuable, and supportive model for how planned change can be co-created in healthcare practice.

This article identifies change and learning within a complex ecosystem aiming for healthy ageing through action research. Learning, innovation and progress are all referred to as change. Reflecting on a surprisingly good outcome within a collaborative project between dental care and municipal healthcare, fearing that change and learning from a predetermined outcome could overshadow elements that enabled change, a theoretical flow approach was used as an entrance to perspectives of change and learning. Flow approach made it possible to sense movement, focusing on timing, attentionality and undergoing. A research question was formulated: What change and learning outcomes can be identified through the lens of a flow approach? By looking beyond the project, focusing on what enabled change, actions could be traced that might have been overlooked in the absence of a flow approach. Although oral health is important for health, interprofessional collaborative projects have, to our knowledge, never been explored using a flow approach. This article contributes to theory by broadening perspectives on change and learning. Long-term interprofessional collaboration became evident as an enabling factor when mapping the emergence of change through a flow approach aiming for healthy ageing.

There are great risks of diseases in the ageing population, and oral diseases are no exception. Poor oral health has profound negative impacts on the quality of life. It is therefore crucial to include the oral health perspective in the care for older adults. To meet the challenges associated with oral health in the ageing population, a formative intervention was launched. The intervention, called the TAIK project (=“Dental hygienist in a municipality organization”, in Swedish: Tandhygienist i kommunal verksamhet), meant that six dental hygienists served non-clinically as oral health consultants in five Swedish municipal organizations. The intervention formed an infrastructure and platform for work that benefits the ageing population and created a new basis for decisions regarding oral health in homecare. The aim of this paper is to explore how aspects of collaboration in an interprofessional and interorganizational intervention may lead to expansive learning. Expansive learning forms the theoretical framework of this study. The dental hygienists and the local head nurses were interviewed individually in-depth. Reflection documents from the dental hygienists were also part of the analyzed data. The conclusion is that the formative intervention was reliant of change which created a foundation for reciprocal understanding that led to expansive learning between dental care and municipal healthcare, with resilience and empowerment as crucial factors

BACKGROUND: In pandemics, it is critical to find a balance between healthcare demand, and capacity, taking into consideration the demands of the patients affected by the pandemic, as well as other patients (in elective or emergency care). The purpose of this paper is to suggest conceptual models for the capacity requirements at the emergency department, the inpatient care, and intensive care unit as well as a model for building staff capacity in pandemics.

METHODS: This paper is based on a qualitative single case study at a middle-sized hospital in Sweden. The primary data are collected from 27 interviewees and inductively analyzed.

RESULTS: The interviewees described a large difference between the immediate catastrophe scenario described in the emergency plan (which they had trained for), and the reality during the COVID-19 pandemic. The pandemic had a much slower onset and lasted longer compared to, for example, an accident, and the healthcare demand fluctuated with the societal infection. The emergency department and inpatient care could create surge capacity by reducing elective care. Lower inflow of other emergency patients also helped to create surge capacity. The number of intensive care beds increased by 350% at the case hospital. At the same time, the capacity of the employees decreased due to infection, exhaustion, and fear. The study contributes to knowledge of conceptional models and key factors affecting the balance between demand and capacity.

CONCLUSION: The framework suggests conceptual models for balancing surge capacity during a pandemic Health care practitioners need to provide assumptions of the key factors to find the balance between the demand and capacity corresponding to the reality and maintain the delivery of high-quality healthcare services.

Purpose:

This study aims to explore the management learning during a long-term crisis like a pandemic. The paper addresses both what health-care managers have learnt during the COVID-19 pandemic and how the management learning is characterized.

Design/methodology/approach:

The paper is based on a qualitative case study carried out during the COVID-19 pandemic at two different public hospitals in Sweden. The study, conducted with semi-structured interviews, applies a combination of within-case analysis and cross-case comparison. The data were analyzed using thematic deductive analysis with the themes, i.e. sensemaking, decision-making and meaning-making.

Findings:

The COVID-19 pandemic was characterized by uncertainty and a need for continuous learning among the managers at the case hospitals. The learning process that arose was circular in nature, wherein trust played a crucial role in facilitating the flow of information and enabling the managers to get a good sense of the situation. This, in turn, allowed the managers to make decisions meaningful for the organization, which improved the trust for the managers. This circular process was iterated with higher frequency than usual and was a prerequisite for the managers’ learning. The practical implications are that a combined management with hierarchical and distributed management that uses the normal decision routes seems to be the most successful management method in a prolonged crisis as a pandemic.

Practical implications:

The gained knowledge can benefit hospital organizations, be used in crisis education and to develop regional contingency plans for pandemics.

Originality/value:

This study has explored learning during the COVID-19 pandemic and found a circular process, “the management learning wheel,” which supports management learning in prolonged crises. © 2024, Ritva Rosenbäck and Ann Svensson.

Primary care needs to find strategies to deal with today’s societal challenges and continue to deliver efficient and high-quality care. Employee-driven innovation is increasingly gaining ground as an accessible pathway to developing successful and sustainable organisations. This type of innovation is characterised by employees being engaged in the innovation process, based on a bottom-up approach. This qualitative study explores employees’ experiences of employee-driven innovation at a primary care centre in Sweden. Data are collected by focus group interviews and analysed by inductive qualitative content analysis. The result is presented with the overarching theme “Standing together at the helm” followed by three categories: “Motivating factors for practising employee-driven innovation”, “Challenges in practising employee-driven innovation” and “Benefits of employee-driven innovation”, including nine subcategories. The study found that employee-driven innovation fosters organisational innovation, empowers employees, and enhances adaptability at personal and organisational levels. This enables individual and collective learning, and facilitates the shaping, development, and adaptation of working methods to meet internal and external requirements. However, new employees encountered difficulty grasping the concept of employee-driven innovation and recognising its long-term advantages. Additionally, the demanding and task-focused environment within primary care posed challenges in sustaining efforts in innovation work. The employees also experienced a lack of external support to drive and implement some innovative ideas.

Purpose

To meet future healthcare needs, primary care is undergoing a transformation in which innovations and new ways of working play an important role. However, successful innovations depend on joint learning and rewarding collaborations between healthcare and other stakeholders. This study aims to explore how learning develops when entrepreneurs, healthcare professionals and older people collaborate in a primary care living lab.

Design/methodology/approach

The study had an action research design and was conducted at a clinically embedded living lab at a primary care centre on the west coast of Sweden. Data consisted of e-mail conversations, recordings from design meetings and three group interviews with each party (entrepreneurs, healthcare professionals and older people). Data were analysed with inductive qualitative content analysis.

Findings

An overarching theme, “To share each other’s worlds in an arranged space for learning”, was found, followed by three categories, “Prerequisites for learning”, “Strategies to achieve learning” and “To learn from and with each other”. These three categories comprise eight subcategories.

Originality/value

This research contributes to knowledge regarding the need for arranged spaces for learning and innovation in primary care and how collaborative learning can contribute to the development of practice.

Objective

This study describes nurses’ experiences of using eHealth for assessment in the healthcare of patients with asthma.

Methods

Five nurses with experience of using Asthma Tuner in the healthcare of patients with asthma participated in the study. Individual semi-structured interviews were conducted with the nurses to understand their experiences of using the eHealth system. The transcribed interviews were analyzed using qualitative content analysis.

Results

The results show that nurses as well as patients find the tool useful and easy-to-handle. AsthmaTuner gives the nurses access to more and better information about the patients, which facilitates assessments and makes their work more efficient. The patients become more involved in their care, gain increased control and take more responsibility for their illness and treatment.

Conclusions

The nurses appreciate eHealth in asthma care. Using AsthmaTuner makes the nurses’ work more efficient and the patients become more involved in their care.

Health information technology has become one of the most important resources for the development and improved efficiency of healthcare services. Frail elderly patients is a growing group of people that that requires healthcare. Different care providers have to participate in healthcare planning for frail elderly patients to ensure that the patient is provided with suitable care in his or her home. The use of video conferencing offers great potential for improving the efficiency and effectiveness of healthcare planning sessions, as well as reducing travel expenses. This paper reports from a qualitative study aiming at identifying and analyzing attitudes of hospital professionals, when using video conferencing for healthcare planning. The result indicates that the attitude toward using video conference tools is exclusively positive. The intention to use is high, due to the ability of the technology to make professionals ’ work more efficient, and that the technology can improve patient care.

Just over a year ago the #metoo movement began, which is a reminder that there are faults in society even if everything looks fine on the surface. There are many signs that #metoo is not a passing phenomenon. This is not a coordinated action with a clear goal, nor is there any one leader of the movement. The #metoo movement is self-organized, a way to make visible what over basically all of human history has been silenced, denied and trivialized, even though everyone has known about it. This report takes a look at the #metoo movement's impact on organisations from a management perspective. We are interested in the phenomenon of "#metoo management", which we define as organisations' work to prevent and deal with sexual harassment (or assault) as a result of the #metoo movement. The primary purpose of the report is to find out if #metoo management exists. The second purpose is to investigate how organisations work with #metoo management. A third purpose is to explain why organisations choose to work with #metoo management in different ways. Based on interviews with representatives of ten organisations, in several cases quite different, we have determined that the #metoo movement has indeed given rise to #metoo management. More precisely, #metoo management refers to a number of different measures and activities. Organisations have restated and specified their policies about sexual harassment. The programs have been given renewed distribution at workplaces and additional measures for program compliance have been taken. Procedures for complaint processing have been developed, trainings have been initiated and risk factors have been identified and reduced. Not least, the occurrence of problems with sexual harassment has been quantified. Somewhat surprisingly, we noted that there was no example that the programs against sexual harassment were evaluated and that plans were lacking for reducing dependency relationships between supervisors and employees in the organisations where these were significant. It is important to emphasize that there are significant differences between organisations in how intensively the work with #metoo management has been pursued. The differences seem to depend on several different factors. One is that the incidence of sexual harassment varies, and another is that organisations make varying assessments of how much damage publicized cases would have on the employer's brand. Additional explanations for the intensity of the work are differences in how ambitious the process was prior to the #metoo movement, and that in certain organisations there is greater awareness of risk factors than in others. Finally, the organisation's size and visibility appear to play a role in that those that are more closely monitored have greater reason to avoid problems that attract negative attention.

Organisations have become more knowledge-intensive and professional during the last decades. Professional work generally has certain specific properties related to its working context. For this study, two different case studies have been conducted within two different types of professions; aircraft maintenance and emergency healthcare, each respectively belonging to two distinct categories of professions: T(hing)- and L(ife)-professions. This paper analyses the importance of management and organisation for the use of information systems within T and L-professions. The aim of this paper is to highlight the specific characteristics for the two different types of professions, T and L, and how they are affected by the organisation and management. A further objective is to derive general challenges regarding professionals' use of information systems, related to the way of managing and organising the professional complex work. Finally, a new leadership for professional organisations is suggested and its implications are discussed.

This paper addresses profession-orientated work and the professionals’ involvement and engagement in design and use of information systems. Two ethnographical studies have been performed within different types of professional organizations. Information systems should will reduce the complexity in the professionals’ work, but only if the professionals could trust the usage of information systems. The analysis reveals the importance of the professionals’ engagement in information systems design and use in order to trust the systems integrated in the work.