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While transition programs are widely used to facilitate newly graduated nurses transition to healthcare settings, knowledge about preconditions for implementing such programs in the hospital context is scarce. The purpose of this study was to explore program coordinators’ perspectives on implementing a transition program for newly graduated nurses.

An explorative qualitative study using individual interviews. Total of 11 program coordinators at five acute care hospital administrations in a south-west region in Sweden. Data was subjected to thematic analysis, using NVivo software to promote coding.

The following two themes were identified from the analysis: Create a shared responsibility for introducing newly graduated nurses, and establish legitimacy of the program. The implementation process was found to be a matter of both educational content and anchoring work in the hospital organization. To clarify the what and why of implementing a transition program, where the nurses learning processes are prioritized, was foundational prerequisites for successful implementation.

This paper illustrates that implementing transition programs in contemporary hospital care context is a valuable but complex process that involves conflicting priorities. A program that is well integrated in the organization, in which responsibilities between different levels and roles in the hospital organization, aims and expectations on the program are clarified, is important to achieve the intentions of effective transition to practice. Joint actions need to be taken by healthcare policymakers, hospitals and ward managers, and educational institutions to support the implementation of transition programs as a long-term strategy for nurses entering hospital care.

Major incidents in tunnel environment will pose several challenges for the emergency service organisations in terms of heat, visibility and lack of experiences from working in confined environments. These aspects, in turn, could pose challenges to establish collaboration. This study aims to contribute to the field of collaborative tunnel responses by exploring how “common knowledge” (Edwards, 2011) is built by the emergency services organisations, that is, what the organisations consider important while working on a potentially common problem, and their motives for the interpretations and actions if a major tunnel incident occurs.

Participants from the road traffic control centre, emergency dispatch centre, emergency medical service, rescue service and police were included in the study. Data from four focus group sessions was analysed using thematic analysis.

The study revealed that the tunnel environment presents specific aspects of how common knowledge was produced related to lifesaving and safety. The themes structuring mechanisms to reduce uncertainty, managing information for initial priorities, aligning responsibilities without hampering each other's work and adjusting actions to manage distance, illustrated how common knowledge was produced as crucial aspects to a collaborative response. Organising management sites, grasping and communicating risks, accessing the injury victims, was challenged by the confined environment, physical distances and imbalance in access to information and preparedness activities in tunnel environments.

This study offers new insights of common knowledge, by illustrating a motive perspective on collaborative responses in tunnel incidents. Creating interoperability calls not just for readiness for action and tunnel safety, but also training activities acknowledging different interpretations and motives to further develop tunnel responses.

This paper aims to identify conditions affecting sustainability of Lean implementations in Swedish psychiatric healthcare, from a socio-technical perspective.

Longitudinal focus group interviews were conducted with 24 first-line managers within Swedish psychiatric healthcare. The analysis was made using Cherns’ ten socio-technical principles and a framework for sustainable development work in healthcare.

The most critical socio-technical principles for a sustainable Lean implementation were boundary location; power and authority; and compatibility. At hospital level, socio-technical principles were inhibited by the weak ownership of the Lean implementation. However, strong ownership at division level meant the same principles were supported. Unclear goals made follow-ups difficult which had negative effects on the learning processes in the Lean implementation. The role and responsibility of first-line managers were unclear in that they perceived they lacked power and authority resulting in negative effects on the participation – an important sustainability concept.

Empirically based papers assessing Lean implementations in psychiatry are rare. This study is a contribution to the research area of sustainable Lean implementations in healthcare. The practical implication of this study is that decision makers, senior managers, first-line managers and psychiatrists can be supported in reaching sustainable implementations of Lean.

In Norway the most critical effects of climate change are predicted to be increased rain and snow, higher temperatures, increased wind loads, and sea‐level rise. This will increase the number of floods and landslides, along with more cycles around the freezing point and increased exposure to high moisture. The main issue for protecting Norway's historical monuments from climate change is how to be aware of and how to handle the coming problems. One challenge is to define and give this information to heritage owners and local authorities. The purpose of this paper is to describe some of the practical threats related to climate change, and provide suggestions for mitigation and adaption strategies.

Theoretical information of the problem is useful at a general level, but the practical impact has to be used at a local level. Improved knowledge about the risks for deterioration at different exposure levels, thorough surveys, and practical solutions, can significantly reduce the negative effects. This knowledge must reach the people that have local and daily contact with the cultural heritage. Information to the owners and responsible authorities about the normal risk of deterioration and how to identify risks related to climate change is crucial.

The main results of the authors' work is a methodology dealing with the problem step‐by‐step production of a web‐site based on fact sheets for heritage owners and managers. The fact sheets are divided amongst different subjects and are designed to be informative and easy to use for owners and responsible authorities.

The results presented in this paper will increase the knowledge of how owners of cultural heritage can be prepared for climate change on a practical, hands‐on level. This can, for example, be done by a brief overall analysis of the threats of the cultural heritage in a specific municipality. The analysis can be summarised in a list of increased possible risks, with direct practical information given to those needing it, and placed online. This would enable detection of and reaction to warning signs of an unusual situation. Information, training and production of both general and specific plans for action in case of extreme situations are also important in order to prevent the negative effects of climate change.