Nurse Usage of HIS to Coordinate Work across Shifts.

To provide continuous patient care, nurses rely on various forms of Health Information Systems (HIS) to coordinate work across shifts. While these technologies are critical for the quality of patient care, we know little about the practical challenges nurses face in making use of them when distributed across shifts. Against this backdrop, we used a social-technical design perspective grounded in organization theory to investigate how nurses used a HIS to support coordination across work shifts. We collected data by interviewing and observing nurses in their everyday work. Our analysis reveals interesting differences in how technology supported coordination, partly because of the specific coordination challenges nurses faced and because of nurses’ perception of the HIS as an enabler of coordination. We contribute to the literature on nursing in the context of work shifts with empirical insights into and a conceptual framework for studying nurses’ use of HIS across work shifts

Organisationsdesigns betydning for kvaliteten af patientbehandling

Med udgangspunkt i de danske akutafdelinger belyses, hvordan organisationers design har betydning for organisationens målopfyldelse, herunder den kvalitet, organisationen leverer. Grundet få og ikke specifikke nationale retningslinjer er akutafdelingerne organiseret meget forskelligt. Nogle afdelinger ændrer også organisering i løbet af døgnet og ugen. Vi belyser, hvordan disse organisationsforskelle har betydning for kvaliteten af patientbehandlingen og risikoen for at dø efter en indlæggelse. Dødelighed er en hyppig anvendt parameter for kvalitet af patientbehandling. En patients risiko for at dø efter en indlæggelse bestemmes ud fra kliniske parametre. Risikoen er ligeledes afhængig af den behandlingskvalitet, hospitalet kan levere. Hospitalets ressourcer, organisering af ressourcerne, samt kommunikation og beslutningsprocesser spiller en væsentlig rolle. Vi giver i artiklen et overblik over de organisationsdesignelementer, der er væsentlige: den grundlæggende organisering, brug af IT-systemer og organisering på forskellige tidspunkter, herunder natte- og weekendskift. Vi præsenterer ligeledes et værktøj, der kan vurdere organisationsdesignet – et værktøj, alle kan anvende

Digital transformation leadership competencies:A contingency approach

Practitioners and researchers are increasingly engaged and interested in digital transformation leadership. However, the existing literature is fragmented and we lack knowledge of the competencies required by business leaders to facilitate digital transformation. In response, we rely on a literature study and draw inspiration from the Competing Values Framework to identify digital transformation leadership competencies. We theorize four archetypical competency portfolios, which are labeled according to the types of leaders who personify the constituent competencies: the challenger, the bricoleur, the organizer, and the competitor. We draw inspiration from the Competing Values Framework in advancing a contingency perspective on archetypical these portfolios. By theorizing competency portfolios, we contribute new insights into the role of leadership in digital transformation, which requires different competencies depending on the transformation drivers and goals. Our proposed competency portfolio framework serves as a valuable tool for identifying the required competencies and making decisions on whether to upskill existing leaders or hire new ones to drive transformation efforts.</p