Impact of Project Leadership on Project Success: Mediated by Project Governance and Moderated by Goal Clarity

This study investigates the connections between project leadership, governance, goal clarity, and project success in Pakistan's Civil Engineering (Private) sector. Data was collected from employees using a quantitative approach. A questionnaire was distributed to gather information on project governance, goal clarity, and project success. The results showed a strong relationship between project leadership and project success, with a robust governance framework impacting project leadership effectiveness. Goal clarity moderated the relationship, emphasising the importance of well-defined objectives. The study emphasises the critical role of project leadership in Pakistan's civil engineering sector, emphasising the importance of solid project management frameworks and clear objectives. This information is crucial for organisations and project managers seeking to improve project performance in the dynamic environment of Pakistani civil engineering projects

TECHNOLOGY INNOVATION IN THE FACE OF UNCERTAINTY: THE CASE OF \u27MY HEALTH RECORD\u27

In this paper we address the challenges faced when new e-health components are introduced within an existing infrastructural arrangement by focusing on the delicate balance between immediate usefulness and forward-looking preparedness. While e-health solutions are currently seen as a core element of on-going health sector reforms in most European countries, much of the challenges related to their design, development and implementation remain understudied. Based on an interpretive case study of technology innovation in the Norwegian healthcare context, we study the practices of building and putting to use a novel web-based platform for communication between users and providers of healthcare services. In particular, we analyse the conceptual design, the association with the installed base, and the relationship with users as core enacting practices of the project team members. We make use of the concepts of generativity and robustness to bring into focus and articulate possible approaches for change anticipation

Whole Networks versus Inter-organizational Systems: Exploring Common Ground for US E-prescribing

Healthcare networks driven by technology, such as e-prescribing, play an increasing role in care coordination. These networks are a mix of public and private entities whose governance and performance have only recently been studied. Given the critical role these networks play, their structure and governance need to be better understood to achieve expected network performance. The inter-organizational information system literature has begun shifting its focus beyond enterprises to inter-organizational transactions (e.g., supply chain). At the same time, the public administration literature has grasped upon the governance of whole networks but has not embraced the implications of technology. This study seeks to describe the ambulatory e-prescribing network in the United States by drawing upon both literatures. One of the key challenges identified is the necessity of multi-level analysis and performance measures

INFRASTRUCTURES FOR PATIENT-CENTEREDNESS: CONNECTING NOVEL AND EXISTING COMPONENTS TO SERVE STRATEGIC AGENDAS FOR CHANGE

Web-based access to health services, health information and personal health records are increasingly offered to patients for enabling a new, more active patient role. However, incorporating such solutions into national health infrastructures poses challenges. In an information infrastructure perspective, the design of such technologies requires two main intertwined activities: designing ˜the new´ and dealing with ˜the old´ (i.e. the already established infrastructural arrangement). In this paper, we study such activities through the concept of institutional work to investigate how actors go about creating, maintaining and disrupting what was established in provider-centric healthcare. This is investigated in the context of an ongoing national initiative to design and develop a web-based, platform that will support shifting healthcare towards patient-centeredness. Analysing actors´ efforts for patient authentication , availability and comprehensiveness , we identify the pivotal role of activities that are about rearranging seemingly separate technological and institutional components