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This paper's aim is to identify existing and developing new concepts of organization, management, and leadership at a large European university hospital; and to evaluate whether mixed qualitative‐quantitative methods with both internal and external input can provide helpful views of the possible future of large health care providers.

Using the Delphi method in semi‐structured, semi‐quantitative interviews, with managers and employees as experts, the authors performed a vertical and a horizontal internal analysis. In addition, input from innovative faculties in other countries was obtained through structured power questions. These two sources were used to create three final scenarios, which evaluated using traditional strategic planning methods.

There is found a collaboration scenario in which faculty and hospital are separated; a split scenario which divides the organization into three independent hospitals; and a corporation scenario in which corporate activities are bundled in three separate entities.

In complex mergers of knowledge‐driven organizations, the employees of the own organization (in addition to external consultants) might be tapped as a knowledge resource to successful future business models.

The paper uses a real world consulting case to present a new set of methods for strategic planning in large health care provider organizations.

Interdisciplinary approaches to doctoral education have been identified as a route towards enhancing research capacity to address pressing technical and socio-technological challenges. Increasingly, technological supports for part-time, distance, and flexible access to doctoral programmes are bringing together international groups of supervisors and students. Doctoral programmes in the field of educational technology often include academic staff and doctoral candidates from a fairly wide range of originating undergraduate and graduate disciplines. While technologies provide these diverse, dispersed doctoral students and their supervisors with digital connectivity, theoretical continuity remains a challenge for both new and established contributors to the field. This chapter reports results of a grounded theory informed study of doctoral supervisors’ experiences in dealing with disciplinary issues in educational technology. Resultant supervisory challenges and practices are reported. We posit a conceptual framework for examining perspectives on disciplinarity within educational technology and present an argument that the field provides fertile trans-disciplinary ground for represented disciplines to influence and potentially be reoriented by others. Trans-disciplinary reorientation provides a promising avenue towards developing shared discourses and theoretical underpinnings for at least broadly uniting the field and could make a substantive contribution to resolving persistent concerns in educational technology doctoral supervision and perhaps beyond.

The purpose of this paper is to critically examine the concept of multi-stakeholder partnerships in relation to the United Nations' sustainable development goals and propose a renewed multi-stakeholder partnerships framework that enables the implementation of the sustainable development goals.

This paper employs an integrative review methodology to assess, critique and synthesize the extant literature on the multi-stakeholder partnerships and sustainable development goals.

We propose a conceptual framework of multi-stakeholder partnerships to support the sustainable development goals implementation. Thus, this paper contributes to the conceptual understanding of the multi-stakeholder partnerships mechanism that enhances the sustainable development goals implementation.

We propose a conceptual framework of multi-stakeholder partnerships to support the sustainable development goals implementation. Thus, this paper contributes to the conceptual understanding of the multi-stakeholder partnerships mechanism that enhances the sustainable development goals implementation.

We contend that this is one of the few early papers that contributes to the conceptual development of a collaborative multi-stakeholder partnerships paradigm by which such partnerships are formed and institutionalized among multiple interacting sectors to achieve the sustainable development goals.

The increasing responsibility of organisations towards society and the environment has inverted the relationship between accounting and accountability, leading to accountability-based accounting systems. This study aims to explore the debate on accountability for climate change within the integrating thinking (IT) perspective. Ascertaining the most significant trends in the debate around purposes and performance that characterise climate mitigation engagement and their connections, the study would explore if and to what extent organisations are tackling climate actions.

A narrative review of the extensive academic literature developed from the Kyoto Protocol to date was performed. After selecting a representative sample, papers were analysed with the support of a new analytical framework that involves three dimensions – answerability, enforcement and outcome – and governance schemes that emerge from the involvement of the private and public sector and civil society. With the support of NVivo software, themes arisen were analysed and coded. Key items were labelled, creating specific nodes and synthesised into the proposed framework.

A “silo approach” largely characterises the debate on accountability for climate change. The most significant reasons behind the shortcomings of extant climate actions may be retrieved firstly in the weakness of the motivations that guide organisations to operate in a climate-friendly way.

This study underlines the need for a 360° integrated approach for strategically tackling climate actions.

This study would represent a further step towards an integrated approach for studying organisations behaviours in the “climate war”, embracing the connectivity between purposes and outcomes, capitals and the relationships amongst the various stakeholders.

Biodiversity conservation is a major challenge globally. This global challenge exists due to the Scarcity of funds to preserve biodiversity. The need for more funds is the primary issue in managing biodiversity in this uncertain environment wherein different challenges emerge routinely. Thus, the main purpose of this study is to focus on the issues of biodiversity conservation and to examine alternative sources for biodiversity financing. Biodiversity is a multidimensional aspect covering several facets of the environment. It acts as a life support on earth and is a catalyst for human survival. However, biodiversity conservation is critical due to the Scarcity of biodiversity financing (Negacz, Petersson, Widerberg, Kok, & Pattberg, 2022). Thus, it is the need of the hour to overcome this issue by examining varied sources to generate more funds for preserving biodiversity. The study is based on a systematic review of past research wherein possible alternatives have been provided for generating necessary funds to mitigate biodiversity loss. It is revealed through past literature that though effort is made to combat the problem of funds, a very minimal effort is made at the individual level. More so framework lneeds to be not implemented globally. Therefore, the present study has proposed the practice of Green finance as an innovative financial mechanism to deal with biodiversity loss by emphasising environmental benefits. As laid down in this paper, a theoretical framework about biodiversity loss will encourage researchers to carry out various studies from varied outlooks to have a holistic approach towards this issue, hence ensuring environmental sustainability.

Mergers are important and challenging elements in hospital reforms. The authors study the social aspects of management and the roles of middle managers in the aftermath of a hospital merger. Especially, the purpose of this paper is to investigate how professional staff and middle managers perceive their relationships with top managers several years after the merger.

A survey was conducted among the professional staff in two merging hospitals’ units six years after a merger. Based on the main findings from this survey, a follow-up interview study was done with a group of middle managers.

The management practices were diagnostic with few interactive or communicative activities. The respondents expressed that mistrust developed between the staff and the top management, and a lack of involvement and interaction lead to decoupled and parallel organizations. Social controls, based on shared norms, had not been developed to create mutual commitment and engagement.

Policy makers should be aware of the need in profound change processes not only to change the tangible elements, but to take care of changing the less tangible elements such as norms and values. Professionals in hospitals are in powerful positions, and changes in such organizations are dependent on trust-building, bottom-up initiatives and evolutionary pathways.

The paper addresses the need to understand the dynamics of the social aspect in managing hospitals as knowledge-intensive organizations when comprehensive restructuring processes are taking place over several years.

Recognizing the need to build global-minded citizens, higher education institutions are increasingly trying to find ways to leverage their international programs to develop students’ intercultural competence. The MA in global leadership at Royal Roads University, Canada, created an international partnership in Ecuador that serves to go beyond the traditional student study abroad or service learning focus and instead focuses on developing competencies of global mindedness and strategic relationships. In this chapter, we present an analysis of how an international student group engaged in building dynamic partnerships within a Global South country to create change for sustainable development initiatives of mutual concern. Through a case example, we describe how these partnerships evolved and adapted in ways that enhanced the learning needs of the students while simultaneously supporting the development of new educational opportunities for Ecuadorians. To illustrate, this chapter delineates the activities that members of the program undertook to connect and develop a mutuality of relationship across diverse stakeholders in Ecuador. The authors analyze this network-building process from the perspective of cultural context, building trust and influence, and responding to social development needs of host communities.