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Older patients are at high risk of hospital readmission, which has led to an increasing number of screening and intervention programs. Knowledge on implementing screening tools for preventing readmissions in emergency department (ED), where the primary focus is often the present-day flow of patients, is scant. The purpose of this paper is to explore whether a new screening tool for predicting readmissions and functional decline in medical patients>65 years of age could be implemented and its influence on cross-continuum collaborations between the primary and secondary sectors.

The study took place in an ED in Denmark, in collaboration with the surrounding municipalities. An evaluation workshop with nurses and leaders from the ED and the surrounding municipalities took place with the aim of investigating the organizational changes that occurred in daily practice after the implementation of the screening tool. The workshop was designed and analyzed using cultural historical activity theory (CHAT).

The results showed that it was possible to develop collaboration between the two sectors during the test period. However, the screening tool created different transformations for the municipality employees and in the ED. The contradictions indicated that the screening tool did not mediate a general and sustained transformation in the cross-continuum collaboration.

Screening tools are not objective, neutral or “acontexual” artifacts and must always be adapted to the local context and sectors. CHAT offers a perspective to understand the collective object when working with organizational transformations and implementation.

The study have shown that screening tools are not objective, neutral or “acontexual” artifacts and must always be adapted to the local context. This is called adaption process. This adaption requires time and resources that should be taken into consideration from the beginning of introduction of new screens.

This paper contributes with knowledge about CHAT which offers a way to understand the leading collective object when working with organizational transformations and implementation. CHAT focuses not only on the structural changes but also on the cultural aspects of organizational changes, which is important if we want to reach a sustained change and implement the new screening tool in different sectors.

The aim of this study is to explore and discuss key challenges associated with having stakeholders take part in co-designing a health care intervention to increase mobility in older medical patients admitted to two medical departments at two hospitals in Denmark.

The study used a qualitative design to investigate the challenges of co-designing an intervention in five workshops involving health professionals, patients and relatives. “Challenges” are understood as “situations of being faced with something that needs great mental or physical effort in order to be done successfully and therefore tests a person's ability” (Cambridge Dictionary). Thematic content analysis was conducted with a background in the analytical question: “What key challenges arise in the material in relation to the co-design process?”.

Two key challenges were identified: engagement and facilitation. These consisted of five sub-themes: recruiting patients and relatives, involving physicians, adjusting to a new researcher role, utilizing contextual knowledge and handling ethical dilemmas.

The population of patients and relatives participating in the workshops was small, which likely affected the co-design process.

Researchers who want to use co-design must be prepared for the extra time required and the need for skills concerning engagement, communication, facilitation, negotiation and resolution of conflict. Time is also required for ethical discussions and considerations concerning different types of knowledge creation.

Engaging stakeholders in co-design processes is increasingly encouraged. This study documents the key challenges in such processes and reports practical implications.

It is becoming increasingly clear that the engine for organisational development is not analysts, but managers and people who do the work. Without altering human knowledge, skills, and behaviour, change in technology, processes, and structures is unlikely to yield long‐term benefits. Managing business productivity has essentially become synonymous with managing change effectively. To manage change, companies must not only determine what to do and how to do it, they also need to be concerned with how employees will react to it. In this respect, the role of human resource management (HRM) is moving from the traditional command and control approach to a more strategic one, and studies have highlighted “employee empowerment” as one of its critical success elements. Introduces a study that aimed at identifying the current trends and best practices in employee empowerment by analysing case studies of pioneering organisations and validating the findings through a survey of leading UK organisations. Presents the findings of this survey and provides comments and a conclusion about the future directions in “empowerment”.

This paper provides an analysis of the notion of dugnad (collective effort) in the context of the first weeks of the outbreak of COVID-19 in Norway. By appealing to people's sense of collective effort (dugnadsånd) Norwegian leaders successfully managed to coordinate the actions of the population and beat the outbreak.

The argument builds on the pragmatic sociology associated with Boltanski and Thévenot and their “orders of worth”. Building on qualitative interview studies of the Norwegian middle and working classes a moral ideal type labelled “the socially responsible citizen” is identified.

The authors argue that dugnad is embedded in a moral repertoire of the socially responsible citizen that is indicative of a specific Norwegian welfare mentality and that is imperative for the sustainability and resilience of the Norwegian welfare model. This repertoire is found across social classes and has to be understood in light of the Norwegian welfare model and the role of civil society.

The analysis explains the societal impact of the appeal and endorsement of the notion of dugnad in the context of the outbreak of COVID-19.

The paper explores the roots and impact of a social phenomenon that has not been a matter for much sociological analysis.

Both intellectual capital and the management of knowledge are strongly emerging themes in today’s organisational world. Many authors and practitioners note that the emerging patterns are that intellectual capital will replace natural resources, commodities, finance, technology and production processes as the key factor influencing competitive advantage. However, knowledge management (KM) is still in its infancy. Aims to identify the critical success factors and best practices of KM through analysing the experiences of several organisations. Starts by defining what is meant by “knowledge” and “knowledge management”, and overviews the methodology used for identifying best practices. The second part is concerned with presenting a systematic and critical review of the published experiences of 40 organisations in KM. The analysis examined the methodologies pursued, IT support used, structures employed, results achieved, and the perceived critical success factors. This analysis allowed the proposal of several “best practices” for successful KM, which are presented and discussed.

The purpose of this paper is to empirically investigate firms’ motives to patent in general, and more specifically how some of these motives depend upon firms’ technology strategies and especially their level of open innovation.

The paper is based on a questionnaire survey sent to chief technology officers (or equivalent) of the largest R&D spenders among Swedish large firms (e.g. ABB, AstraZeneca, Ericsson, and Volvo) and among Swedish small and medium-sized enterprises. Principal component analysis and multiple linear regressions were used to check the impact from open innovation upon the importance of 21 different motives to patent, with a specific focus on protection and bargaining related motives.

The most important motive to patent is to protect product technologies, but protecting freedom to operate is almost as important, followed by a number of other motives. Increasing importance of open innovation in firms is related to stronger bargaining motives to patent, and even stronger protection motives. In fact, when comparing with closed innovation, the results show that open innovation is more strongly positively related with all different motives to patent except for one (to attract customers). This indicates that firms find it more important to patent when engaged in open innovation than when engaged in closed innovation.

The paper reports results from the first study that links patenting motives to technology strategies. It contributes to an emerging stream of empirical studies investigating the role of patents in external technology strategies and open innovation, showing that the motives to patent are strengthened within open innovation settings.

Investigates urban bias in state policy making in Mexico. Refers to literature claiming that rural poverty in developing nations is a major problem because capitalism reflects an urban bias. Examines social security coverage for the rural poor in Mexico and notes that there are great variations depending on area, suggesting that social security coverage is politically negotiable. Outlines briefly the historical development of Mexico’s welfare state and uses a power resource model to demonstrate how groups with competing interests go about securing benefits from the state. Cites literature on dependency theory, indicating that rural groups have failed to mobilize politically and have therefore not secured the same state resources (such as social security benefits and housing) as urban groups, yet argues that this does not always apply in Mexico, partially due to party politics and bureaucratic paternalism. Explains how data was collected to examine regional variations in social security coverage among the rural poor and how the data was analysed. Reveal that workers in important international export markets (such as cotton and sugar) have greater political leverage in obtaining better social security benefits. Notes also that areas supporting the political party in power obtain better benefits. Concludes, therefore, that rural workers are not powerless in the face of urban capitalism and that urban bias and dependency theories do not reflect the situation in Mexico – rather social security benefits are politically negotiable.