Rhizomatic Strategizing in Digital Transformation: A Clinical Field Study

Most organizations today are involved in transformation initiatives; this has led to a burgeoning interest in the phenomenon of digital transformation strategy. Here, we present the findings of a clinical field study of a large Swedish municipality that has been involved in an ambitious digital transformation program since 2017. Despite explicitly not having a formal strategy, the organization utilizes a pseudo-formalized and emergent strategy-as-practice for digital transformation that involves a set of key traits that have emerged over the years. We show how these traits have emerged and theorize on how the process can be understood as rhizomatic strategizing. The strategy emerges over time through a series of de- and reterritorializations, expanding through amalgamating new concepts into a strategy-as-practice for digital transformation

A qualitative study of how stakeholder information sharing and communication can add value to the life of frail older adults in Sweden

In a change situation characterized by growing aging populations, rising costs, decreasing resources there is a growing interest in the facilities provided by cloud computing for the development of e- Health and a patient-centered healthcare process. Though, the inter-organizational characteristics of the situation challenge management to align many technological, organizational, functional, and cultural issues. Therefore, the aim of this study was to contribute to management of patient-centered healthcare development and thus, to the good life of frail older adults. The investigation was conducted through an empirical study based on an extensive literature review. The primary data was collected from interviews with seven professionals with long experience within healthcare system, decision makers and providers. Secondary data was derived from two reports; the first report reflected the life of frail older adults and the second explained national e-health ambition in Sweden. The result showed that there are contrasting views on development of healthcare, weak communication among different levels of professional stakeholders regarding e-health and patientcentered healthcare process and little understanding of knowledge needed for dealing with the change situation and managing patient-centered healthcare development. Conclusions, however suggests that management could be enriched and find new inspiration by implementing theoretically underpinned guidelines for stakeholder information sharing and communication

Strategizing Digital Transformation: A Clinical Inquiry into a Swedish Public Sector Organization

Digital transformation is rapidly changing public sector organizations. At the same time, the process of digital transformation is still under-researched within the public sector, and previous research has identified the need for additional studies into the strategic realm of digital transformation. This study explores how digital transformation strategized in a public sector organization. This is studied longitudinally through a clinical inquiry into a large, Swedish municipality using rich primary data collected 2019-2021. The findings show that strategizing digital transformation focus on short-term activities constantly exceeds long-term activities

Transformation of business collaboration in a digital age : Towards a multi-relation perspective

The process of digitalisation is progressively transforming the way business is carried out and how enterprises collaborate. In this digital age, characterised by collaborations among a larger community of suppliers, customers, employees, and governments, all partners need to understand avariety of relations and how digitalisation transforms them. However, it is difficult to understand the multitude of unclear or even unknown relations generated by re-coordinating different types of relations in this digital age. Accordingly, this thesis contributes to the understanding of the transformation of business collaboration by exploring how collaboration can be understood in a digital age. The theoretical concepts involved collaboration, enterprise architecture, enterprise interoperability, and boundary object. These concepts enabled digging deeper into the complexity of sharing and aligning social and cultural worlds between communities of practice. The methodology employed was hermeneutics, which was suitable for understanding human activities. The study object concerned national development of data hubs for the electricity market in Denmark and Sweden, which replaced an old way of communicating point to point between companies. This was implemented in order to coordinate and manage data transactions between grid companies and electricity suppliers. The results indicated that digitalisation tends to increase the ability to manage collaboration and even closer relations among partners by clearly identifying every partner role and responsibility. Further, business collaboration appeared to transform from a traditional collaboration to a multi-relation collaboration that addressed digital age demands more comprehensively.Vid tidpunkten för framläggningen av avhandlingen var följande delarbete opublicerat: delarbete 2 (accepterat).At the time of the defence the following paper was unpublished: paper 2 (accepted).</p

How could Management of Patientcentred Healthcare be Improved?

The advancement of information infrastructure for healthcare in general hassupported medical professionalism while leaving nursing struggling with management ofa fragmented healthcare system. Thus, this study inquired how patient-centred healthcarecould be improved. A qualitative approach was chosen to investigate the situation

Identifying Traces of Boundary Object Properties in Data Hub Development Narratives : Two Cases from Scandinavian Electricity Market

Digital technology enables multi-relational collaborations between parties with different experiences, knowledge, values, and goals. Regarding digital technology triggering enterprise transformation, boundary object as theoretical model for understanding such differences in development is not well understood, especially the ways boundary object emerges in practice. We inquired what traces of boundary object properties can be identified in data hub development narratives. An interpretive approach was chosen for understanding experience-centered narratives that origins from interviews conducted in two separate studies of national development of data hubs for the electricity market in Denmark and Sweden respectively. Through a literature review covering boundary objects, nine prosperities were chosen for the theoretical frame used in the interpretation of the narratives. The conclusion was that boundary object properties were part of the narratives of the data hub developments early on in the in-use taking processes and even before the digital artifact was taken into use

Illustrating What Alignment Dimensions Must be Addressed to Advance Person-centred Healthcare

If development can not bring healthcare into line with information systems, information pathologies will continue rendering a gap between adding value to healthcare and leaving a negative reality of team tasks, care processes, distribution of power, responsibility and knowledge. Thus, risking scarce resources to be over-spent on ineffective health systems. In particular, when stakeholder views on new information technologies vary from ideal to no view at all development, whether for a single unit, a region or a nation, might cause conflict in the cross-sector of healthcare and IT. That is a challenge for healthcare management. The aim of this study was therefore to contribute to the creation of public value by investigating what frame of reference is needed for management to address critical issues of person-centred healthcare. We thus, inquired what alignment dimensions must be addressed to advance person-centred healthcare? A qualitative approach was chosen as it provided opportunity to explore the situation. The theoretical frame was based on a literature study covering person-centred healthcare and alignment dimensions. Primary data were collected through four interviews in Swedish healthcare. Secondary data were used to strengthen the primary data. The first report was a study, based on a process analysis of healthcare and home care in Sweden. The second report by the national centre for e-health presents objectives for the period 2013-2018 on the subject of citizen’s future means for participating and engaging in his/her healthcare. Data were analysed according to the theoretical frame and summarized in table form. Result illustrate that alignment is not just fit between IT and business. Moreover, alignment is a non-stop activity of value creation through synchronization of the enterprise and IS/IT. For the wider good of healthcare, we argue for alignment in terms of grouping of persons, their parties and powers. To cover their issues, infological and sociocultural dimensions must be effectively brought into account by healthcare management

Patient-Centred Healthcare: Stakeholder Views of Cloud Computing on Information Sharing and Communication

Today it is well recognized in many societies that healthcare demands will be greater than corresponding supplies. In Sweden, as in many other countries, there is a growing interest to find new strategies for balancing the ever-changing expectations for healthcare with available capacities, competencies and capabilities that can contribute to a desired healthcare. Society’s growing level of connectedness and grade of satisfaction with online applications and data storage outcomes is in high anticipation in regards to fast and easy information access. Patients need for better information sharing and communication in healthcare focus attention to the unbalance of required and available facilities and drives public demand for developing an effective healthcare system. In order to contribute to patient-centred healthcare the aim was to create better understanding of how professional healthcare stakeholders view the impact of cloud computing on information sharing and communication. Data was collected through a literature study and seven interviews with representatives from cloud computing suppliers, developers at national, regional and local level as well as medical staffs in Swedish healthcare. Discussing the views we found a split understanding among stakeholders. They were separated in different islands with no or very little communication and thus, with different goals and ambitions for healthcare. Thus, patient\ub4s needs for respect, security and a fully responsible healthcare are not fulfilled. The wrong is not in the technique Rather, in order to reach shared understanding and a common goal for patient-centred healthcare medical staffs, patient and family need to be included in the development. In this sense, the situation is not good or bad and nobody is right or wrong. Rather, there are problems to be solved by healthcare developers who should balance patient needs for better information sharing and communication in healthcare and public demand for patient-centred healthcare with the cloud supplier capabilities