Governing the Implementation of a Complex Information Systems Network: - The Case of Finnish Electronic Prescription

This paper reports briefly preliminary experiences from implementation case of a complex health care information system, namely Electronic Prescription System (EPS). Theoretical approach of the study is built on inter-organizational networks and their governance. The author claims that the Finnish implementation pilot was a relative failure from network management perspective. Statement is supported by semi-structured interviews collected during the evaluation process

Curing Health Case Information Systems with Open Source Software

The purpose of this paper is to examine the current state of open source projects in health care environment and the level of collaboration in this field. We underpinned our discussion on the theoretical foundations of institutional theory, collaboration and virtual organisations. This article reports briefly the challenges of health care information systems and open source software as a possible solution alternative. The empirical part analyses an EU sponsored open source health care project, SPIRIT. We argue that both interorganisational HCIS and OSS development projects face similar challenges in collaboration due to their organisational setting. To enhance future collaboration, we introduce a set of managerial solutions found in successful open source projects

Virtual learning intervention to reduce bullying victimization in Primary School: a controlled trial

Background: Anti-bullying interventions to date have shown limited success in reducing victimization and have rarely been evaluated using a controlled trial design. This study examined the effects of the FearNot anti-bullying virtual learning intervention on escaping, and reducing overall victimization rates among primary school students using a nonrandomized controlled trial design. The program was designed to enhance the coping skills of children who are known to be, or are likely to be, victimized. Methods: One thousand one hundred twenty-nine children (mean age, 8.9 years) in twentyseven primary schools across the UK and Germany were assigned to the FearNot intervention or the waiting control condition. The program consisted of three sessions each lasting approximately 30 minutes over a three-week period. The participants were assessed on selfreport measures of victimization before and one and four weeks after the intervention or the normal curriculum period. Results: In the combined sample, baseline victims in the intervention group were more likely to escape victimization at the first follow-up compared with baseline victims in the control group (adjusted RR, 1.41; 95% CI, 1.02-1.81). A dose-response relationship between the amount of active interaction with the virtual victims and escaping victimization was found (adjusted OR, 1.09; 95% CI, 1.003-1.18). Subsample analyses found a significant effect on escaping victimization only to hold for UK children (adjusted RR, 1.90; CI, 1.23-2.57). UK children in the intervention group experienced decreased victimization rates at the first follow-up compared with controls, even after adjusting for baseline victimization, gender and age (adjusted RR, 0.60; 95% CI, 0.36-0.93). Conclusions: A virtual learning intervention designed to help children experience effective strategies for dealing with bullying had a short-term effect on escaping victimization for a priori identified victims, and a short-term overall prevention effect for UK children. Keywords: anti-bullying intervention, victimization, virtual learning, controlled trial Abbreviation: FearNot: Fun with Empathic Agents to achieve Novel Outcomes in Teaching Trial Registration: Clinical Trials Registry, NCT0059733

Stability and change of outsider behavior in school bullying: the role of shame and guilt in a longitudinal perspective

We analyzed developmental changes in outsider behavior, testing whether the likelihood that it turns into bullying or defending over time depends on the individual proneness to feel shame or guilt. Participants were 155 preadolescents (72 boys and 83 girls; (Formula presented.)ageat T1 = 10.74 years). Bullying, defending, and outsider behaviors were assessed twice by peer nominations. Shame- and guilt-proneness were assessed at T1 by a self-report questionnaire. All behaviors appeared quite stable; however, regression analyses revealed that shame and guilt were associated with outsider developmental pathway. In particular, students steadily presented outsider behavior after a 9-month period if they showed low guilt or high shame at T1. Results are discussed in terms of future directions for research and interventions

Differential effects of the KiVa anti-bullying program on popular and unpopular bullies

This study utilized data from the evaluation of the Finnish KiVa program in testing the prediction that school bullies' high perceived popularity would impede the success of anti-bullying interventions. Multiple-group structural equation modeling (SEM) analyses were conducted on a subsample of 911 third-, fourth-, and fifth-graders identified as perpetrators of bullying. They belonged to 77 Finnish schools, including 39 schools implementing the KiVa program and 38 control schools. Data on peer-reported bullying and perceived popularity were collected before program implementation and one year later. Controlling for sex, age, and initial levels of bullying, KiVa participation resulted in lower rates of bullying (indicated by fewer peer nominations) after one year for bullies of low and medium popularity. However, there was no significant effect for those high in popularity, suggesting that popular bullies are less responsive to anti-bullying interventions than less popular bullies.</p