115 research outputs found
Do KPIs used by CIOs Decelerate Digital Business Transformation? The Case of ITIL
This study provides a critical assessment of the current KPI-driven steering practices carried out by Chief Information Officers (CIOs). It explores how the use of ITIL KPIs affect the IT Service Management (ITSM) organization’s learning behavior and how this behavior impacts on Digital Business Transformation. The results indicate that, when used to steer the ITSM organization, ITIL KPIs will reduce the organization’s willingness to transform the current ITSM environment (i.e. current processes, work routines, services, policies and technologies) into the digital era. The findings suggest that, in order to successfully manage Digital Business Transformation, CIOs will need new types of management techniques which would endorse the organization’s norm-challenging and innovative learning abilities but also assure the operative effectiveness of the ITSM environment
A New Dualistic CIO Toolbox: Towards Ambidexterity in the Digital Business Transformation
By transferring organizational learning concepts into the IT context, this paper provides a new behavior oriented foundation for managing IT organizations in the digital business transformation. As a practical contribution, the paper introduces a new management toolbox which supports Chief Information Officers (CIOs) to lead their Information Technology (IT) organizations towards ambidexterity in the digital business transformation. The organizational ambidexterity is required for the digital business transformation in order to contribute innovativeness while simultaneously assuring effective operational IT environment. The toolbox is constructed using the systematic concept analysis and the concept derivation methods to convert the organizational learning concepts into the dualistic CIO toolbox. The toolbox includes a set of traditional Key Performance Indicators (KPIs) to assure operational effectiveness and a set of leadership principles to enable an innovative and experimental organizational behaviour. The application of the new dualistic CIO toolbox is illustrated through hypothetical cases
Associations between sibling relationship quality and friendship quality in early adolescence : looking at the case of twins
Bidirectional pathways between twin relationship quality and friendship quality were investigated in a large longitudinal twin cohort. We examined negative and positive relationship features in 313 monozygotic (MZ) twins and 238 same-sex dizygotic (DZ) twins from ages 13 to 14 years, using latent structural modeling. Results showed stronger stability of the twin relationship quality compared to friendship quality. Positive features in the sibling relationship were associated with increased positive features in the relationship with the best friend a year later. In contrast, no significant association between negative sibling relationship features and change in negative friendship quality features was found. These findings speak to the important role of the sibling relationship in the development of good quality friendship relations in twins
Paternal psychological stress after detection of fetal anomaly during pregnancy. A prospective longitudinal observational study
Background and Aims. Knowledge of carrying a fetus with a prenatal diagnosed anomaly may cause acute psychological stress to the parents. Most studies focus on maternal stress, yet fathers are often present at the ultrasound examinations and birth, and therefore may be affected similarly to the expectant mother. However, to date no existing studies have examined how detection of a fetal anomaly emotionally affects the expectant fathers throughout the pregnancy. Our aim was to longitudinally examine general health perceptions, social dysfunction and psychological distress in a subgroup of men where fetal anomaly was detected during pregnancy. Methods and Results. This study is part of the SOFUS study, a prospective, longitudinal, observational study. Participants were recruited when referred for an ultrasound examination conducted by a specialist in fetal medicine at Oslo University Hospital on suspicion of fetal malformation (study group). We examined differences between the men in the study group (N= 32) and a comparison group (N=83) on the General Health Questionnaire (GHQ), Impact of Event Scale (IES) and Edinburgh Postnatal Depression Scale (EDPS) across four time points in pregnancy. Results from repeated measured ANOVA suggests that depression decreased over time among men in both groups (η2 =.15, p<.001). This effect was stronger in the study group, and differed from the comparison group (η2=.08, p<.001). There was also a main effect of time on IES scores, which decreased over time for both men in the study group and in the comparison group (η2=0.32, p<.001). That is, men in the study group were higher on IES initially, but this effect decreased more in the study group than in the comparison group. Men in tthe study group and comparison group did not differ on perceived general health (GHQ: p=.864,). Conclusion: Results suggests that detection of a fetal anomaly has implications for paternal mental health during pregnancy. Expectant fathers scored higher on EPDS and IES than the comparison group in the acute phase after detection of fetal anomaly, thus there is impetus to provide psychological support for fathers, as well as mothers, at this difficult time
The impact of diagnosed fetal anomaly, diagnostic severity and prognostic ambiguity on parental depression and traumatic stress: a prospective longitudinal cohort study
Introduction - The detection of a fetal anomaly during routine obstetric ultrasound is a potentially traumatic experience. The aim of this study is to examine longitudinally the impact of diagnosis of fetal anomaly on symptoms of depression and traumatic stress among mothers and fathers, and to examine how variations in psychological adjustment relate to diagnostic severity and prognostic ambiguity.
Material and methods - In this prospective observational study conducted at a tertiary perinatal referral center, 81 mothers and 69 fathers with ultrasound findings of fetal anomaly completed the Edinburgh Postnatal Depression Scale (EPDS) and Impact of Events Scale (IES) at four time points in pregnancy (T1–T4) and 6 weeks after birth (T5). We compared this with depression and traumatic stress in a sample of non-affected parents (n = 110 mothers, 98 fathers).
Results - Linear mixed effects models indicated that parents who received a diagnosis of fetal anomaly experienced higher levels of depression and traumatic stress over time, compared with non-affected parents. Depression: mean difference mothers = 4.46 ± 0.47, fathers = 2.80 ± 0.42. Traumatic stress: mean difference mothers = 20.04 ± 2.13, fathers = 12.66 ± 1.74. Parents with a more severe diagnosis experienced elevated symptoms compared with parents with a less severe diagnosis. Among mothers, prognostic ambiguity and changes in the anticipated diagnosis after birth were also associated with increased distress, regardless of whether the change was for the better or worse.
Conclusions - Diagnosis of fetal anomaly increases risk of depression and traumatic stress in expectant mothers and fathers, both acutely and over time
The importance of timing of socioeconomic disadvantage throughout development for depressive symptoms and brain structure
Prior studies have reported associations between socioeconomic disadvantage, brain structure and mental health outcomes, but the timing of these relations is not well understood. Using prospective longitudinal data from the Avon Longitudinal Study of Parents and Children (ALSPAC), this preregistered study examined whether socioeconomic disadvantage related differentially to depressive symptoms (n=3012–3530) and cortical and subcortical structures (n=460–733) in emerging adults, depending on the timing of exposure to socioeconomic disadvantage. Family income in early childhood and own income measured concurrently were both significantly related to depressive symptoms in emerging adulthood. Similar results were observed for perceived financial strain. In contrast, only family income in early childhood was associated with brain structure in emerging adulthood, with positive associations with intracranial volume and total and regional cortical surface area. The findings suggest that both objective and subjective aspects of one's financial standing throughout development relate to depressive symptoms in adulthood, but that specifically early life family income is related to brain structural features in emerging adulthood. This suggests that associations between socioeconomic disadvantage and brain structure originate early in neurodevelopment, highlighting the role of timing of socioeconomic disadvantage.</p
Psychometric testing of the Norwegian Diabetes Health Profile (DHP-18) in patients with type 1 diabetes
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