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The purpose of this paper is to explain how different emergency services adopt and adapt the same hospital-wide lean-inspired intervention and how this is reflected in hospital process performance data.

A multiple case study based on a realistic evaluation approach to identify mechanisms for how lean impacts process performance and services’ capability to learn and continually improve. Four years of process performance data were collected from seven emergency services at a Swedish University Hospital: ear, nose and throat (ENT) (two), pediatrics (two), gynecology, internal medicine, and surgery. Performance patterns were linked with qualitative data collected through realist interviews.

The complexity of the care process influenced how improvement in access to care was achieved. For less complex care processes (ENT and gynecology), large and sustained improvement was mainly the result of a better match between capacity and demand. For medicine, surgery, and pediatrics, which exhibit greater care process complexity, sustainable, or continual improvement were constrained because the changes implemented were insufficient in addressing the higher degree of complexity.

The variation in process performance and sustainability of results indicate that lean efforts should be carefully adapted to the complexity of the care process and to the educational commitment of healthcare organizations. Ultimately, the ability to adapt lean to a particular context of application depends on the development of routines that effectively support learning from daily practices.

In order to understand how collegiate athletics fits within the wider problem of sexual violence on college campuses, the purpose of this paper is to start with an examination of the overall scope of the issue of sexual violence in the USA and the larger culture that produces it. Next, the relevant laws and adjudication of sexual violence operant in American colleges are outlined. Finally, college athletics is placed into this bigger context by highlighting a number of particular cases to illustrate a broader understanding of collegiate athletes involved in sexual violence.

The author examines the history of rape laws and adjudication and the federal laws relevant to institutions of higher education. The author investigates the debate over adjudication of sexual violence within the criminal justice system or through campus systems. The author read previous literature to determine links between sexual violence and collegiate athletes and highlights particular cases that have gotten significant media attention for clues to the rape prone culture that can be fostered within collegiate athletics.

This analysis highlights how collegiate athletics can be a context that creates a rape prone culture and that universities and the criminal justice system need further reform to overcome long-standing beliefs in rape myths which perpetuate sexual violence, discourage reporting by victims of sexual violence, deter bystander intervention and underplay the impact of sexual violence on victims. Thus, structural changes are needed within collegiate athletic cultures as well as on college campuses to address sexual violence.

College campuses and athletic departments must address climates that create rape prone cultures. There remains a need for systematic data collection of perpetrators of sexual violence, along side data collection of experiences of sexual violence. College campuses and athletic departments must have in place procedures and policy that adhere to federal law, whereby athletes are not treated differently from non-athletes and victims are offered appropriate services that recognize the trauma of sexual violence. Further progress toward a standard of affirmative consent is needed to move toward greater sexual autonomy for everyone.

There is evidence that collegiate athletes are disproportionately represented among the population of sexual violence perpetrators on college campuses. Thus, it is vital to understand this population and that connection. The value of this work is to explicate the complicated adjudication process between university disciplinary processes and the criminal justice system.

The purpose of the paper is to produce new knowledge about the positions that public libraries both take and are given in the conflicts over politics and identity that play out in contemporary cultural and library policy debates. Using conflicts over drag story hour at public libraries as case, the study seeks to contribute to an emerging body of research that delves into the challenges that public libraries as promoters of democracy are confronting in the conflictual political landscape of today.

The paper presents an analysis of debates reported in news articles concerning Drag story hour events held at Swedish public libraries. Utilizing the analytical lenses of discourse theory and plural agonistics, the analysis serves to make visible the lines of conflicts drawn in these debates – particularly focusing on the intersection of different meanings ascribed to the notion of the reading child, and how fear is constructed and used as an othering devise in these conflicts.

Different imaginings of the reading child and the construction and imagination of fear and safety shapes the Drag story hour debates. The controversies can be understood as a challenge to the previous hegemony regarding the direction and goals of Swedish cultural and library policy and the pluralistic democratic society these policies are meant to promote.

The paper offers new insights into the consequences of the revival of radical right politics, populism and societal polarization, and the different responses from public libraries.

This analysis attempts a comparative specification of certain aspects of the country studies contained in this volume. The point of departure is the banking crises of the early 1990s (deep in Finland, Norway and Sweden, mini-crisis in Denmark and absent in Iceland) and the contrast to Iceland's financial meltdown in 2007/2008 (no crisis in the three, a new mini-crisis in Denmark). Detailed process tracing of the Icelandic crisis is provided. The case account is then used to shed light on the different roles of neoliberalism, economics expert knowledge and populist right-wing party formation in the five Nordic political economies.

The purpose of this paper is to explain why product-centric manufacturers utilize advanced services not as vehicles of transformation, but of reinforcement, to strengthen their established business model logic based on selling products and basic product-related services.

The empirical basis of this study relies on an in-depth case study of a globally operating manufacturer of industrial pumps and related services. The data includes 31 interviews conducted over several years of in-depth collaboration with the studied firm.

Product-centric manufacturers utilize advanced services as engagement platforms to facilitate the external and internal engagement of the actors and the resources controlled by them. Externally, advanced services facilitate access to customer decision makers and insights into their latent needs. Internally, advanced services help the manufacturer to more effectively leverage resources that reside within its different organizational units. Ultimately, in leveraging advanced services as engagement platforms, the manufacturer seeks to boost activities with the greatest immediate impact on its market performance: the sale of products and basic product-related services.

The study explains why managers should invest into development of advanced services even if such services contribute only marginally to the manufacturer’s direct revenues and profits.

This study contributes to development of an alternative explanation of servitization that departs from the current paradigmatic assumptions in the field.

Social sustainability is a concept frequently referred to in public debates concerning how to construct the governance of future societies. The interpretations of its meaning, however, are ambiguous, and practices often dubious. Confronting top-down technocratic governance structures, this paper aims to argue for for tripartite collaborations between residents, higher education institutions (HEIs) and local government, as an approach toward social sustainability that involves residents’ interests in local governance.

This study argues that a specific time-spatial method of analysis can benefit the co-creation of knowledge as it passes through the spectrum of resident–HEI–local government. It provides a way for resident perceptions to become structured knowledge that originates from the residents, effectively engendering a bottom-up governance structure.

This study shows how to include residents in policymaking and implementation processes as co-creators of knowledge, and thereby displays the possibility of examining knowledge and competence within municipal projects for social sustainability.

The model developed in this study can be used as a methodological instrument to analyze and expand resident participation in local social sustainability work. It thereby provides a toolbox for inclusive policymaking and strategies.

The purpose of this research is to support the customization ability for industrial house building companies striving to offer individualized products but with a strategy which includes a production facility. This is accomplished by analyzing the as-is state in terms of existing engineering assets and by proposing a to-be state using the design platform and product lifecycle management (PLM) support.

This study is based on design research methodology and collected data are in-depth interviews, document reviews and workshops and method development. The theoretical baseline is product platforms and the design platform.

The analysis showed that despite use of a platform, inherent assets are disorganized. Still, the identified object-based engineering assets were possible to include in a conceptual proposal for better management, both in the process and product view, using an asset relationship matrix and a PLM system.

The results should be applicable for industrial house building and off-site construction companies and offers an approach to identify and manage their assets and platforms which are crucial to stay competitive.

Previous research on design platforms has focused on engineer-to-order companies within the mechanical industry. The contribution of this paper lies in the application and support of the design platform for industrial house building and the introduction of PLM system support.

The purpose of this article is to explore themes and challenges in making supply chains environmentally sustainable.

The study began with a systematic review, and content analysis of articles in top‐ranking related journals from logistics, transport, sustainability and environmental areas, and ended with research propositions contributing to the further advancement of supply chain management.

The findings illustrate the major themes published in 18 journals concentrating on sustainable supply chains with special focus on environmental issues. From the systematic review five major areas of challenges for supply chain management are derived: costs, complexity, operationalisation, mindset and cultural changes, and uncertainties. From all of these areas synthesising discussions are provided and research propositions suggested. It is concluded that there is a great need for models and frameworks that consider the complexity involved, take holistic perspectives, and challenge the basic assumptions underlying most of the research published (i.e. reductionism, positivism and economic growth).

Sustainability in this article is mainly related to environmental issues. Analysis of complex interactions between environmental, social and economic aspects might provide opportunities for future research.

The results presented in this paper provide a systematic structure for classifying issues related to logistics sustainability; something which will be beneficial for managers and policy‐makers when they approach sustainable supply chain management challenges.

This paper provides propositions for research based on the emergent outcome of challenges that can guide research, industry and policy‐makers in future sustainability efforts.

Drug sales facilitated through digital communication on the surface web and on darknet cryptomarkets have increased during the past two decades. This has resulted in an increase in drug law enforcement efforts to combat these markets and a subsequent increase in judicial sentencing of people selling drugs online. The aim of this study was to analyze how Swedish courts describe sentenced sellers and how the courts apply case law.

The empirical material consists of 71 sentencing documents produced by Swedish courts in cases of online drug selling between January 1, 2010 and January 1, 2020. In total, 99 sentenced persons occur in the documents. Using a qualitative research design, the authors analyzed the material through thematic text analysis.

Overall, in their descriptions of online drug sale operations, the courts’ characterizations of the concepts of street capital and digital capital show a dichotomy. These forms of capital are situationally described as both aggravating and mitigating aspects in the application of case law, indicating that it may be fruitful to view both street and digital capital as resources used on contemporary drug markets in general.

Very little research exists into how judicial systems describe and perceive the developing phenomenon of online drug sales. Using a relatively large sample from a decade of sentencing, the authors provide an analysis of how Swedish courts view and valuate capital forms in the online drugs trade.