Hamad Medical Corporation, the main healthcare provider in the state of Qatar, sponsored this study to investigate the use of electronic records management as the basis for a novel information management system in its Nursing Department. To assess the viability of an electronic records management system a questionnaire survey of a representative sample of the staff and interviews with key post holders were under taken. Results obtained indicated a wide spread dissatisfaction with the existing manual system. However, introduction of any computer-based technology requires great care. To assist with identifying any issues with this technological change, Soft System Methodology (SSM) was employed to discern what changes could be made to improve the current problematic situation found in the Nursing Department. In fact the change archetypes uncovered (procedural, attitudinal, structural and cultural) formed an innovative input into obtaining a roadmap for development of the electronic staff records system. This roadmap was facilitated by the use of Nominal Group Technique (NGT) and Interpretive Structural Modelling (ISM): In fact the roadmap was an ISM intent structure. The roadmap suggested that change could be affected by having written policy documents and the top goal to be achieved reflected an improvement in manpower placing and budgetary forecasts. The use of a multi-methods approach meant that as well as this study's main objectives being reached, the process encompassed some methodological innovations. This study is the first to use the output of SSM to facilitate the NGT and ISM interactions. Equally, it is the first study of its sort to be applied to the Nursing Department at HMC, Qatar, which is an example of a cross-cultural eastern philosophical tradition. The methods used here revealed some significant findings, and have helped in the development of an electronic records management system for use at HMC, Qatar.

Selon la théorie de la légitimité, la volonté de l’entreprise de se légitimer influence la communication de sa responsabilité sociétale (RSE). Nous voulons comprendre le rôle de la recherche de légitimité dans la communication de la RSE par une démarche multi-méthodes et ancrée sur le terrain des Caisses d’Épargne. Nous montrons que les banques communiquent davantage sur la RSE spécifique de leurs activités après la crise bancaire de 2008, conformément à la théorie de la légitimité (papier 1). Elles communiquent différemment sur la RSE, ce que l’on associe à la recherche de différents types de légitimité (pragmatique, moral, cognitif). Les Caisses d’Épargne se démarquent par leur communication sur les volets sociétal et communicationnel. Cette différenciation n’est pas surprenante au regard de leur philanthropie intégrée dans leurs activités, gouvernance et culture (papier 2). Le type d’intégration de la RSE apporterait une explication appropriée du type de légitimité visé. L’emploi de la responsabilité morale viserait à restaurer la légitimité et celui de la philanthropie de l’entreprise à la maintenir ; les légitimités (pragmatique, moral et cognitive) seraient associées à différentes intégrations (activités, gouvernance, culture) de la philanthropie (papier 3).Un retour à la théorie affine notre définition de la RSE (papier 4) et de la légitimation (papier 5) pour élargir l’étude de la légitimation par la philanthropie à celle de la légitimation par la RSE (papier 6). Les liens entre la légitimité visée et la RSE communiquée nous conduisent à proposer un approfondissement conceptuel de la théorie de la légitimité et des outils de gestion de la légitimation par la RSE. / According to legitimacy theory, the driver of corporate legitimacy influences corporate communication of corporate social responsibility (CSR). We aim to understand the role of the search for legitimacy in the communication of CSR, through a multi-method approach, embedded in the French Saving Banks research field.We show that banks disclose more CSR information related to their activities tafter the 2008 banking crisis, in accordance with legitimacy (paper 1). Banks communicate differently on CSR, which is associated with the search for different types of legitimacy (pragmatic, moral and cognitive). The French Saving Banks differentiate themselves from the other banks by communicating more about the societal and communicative CSR component. This differentiation is not surprising given their philanthropy integrated into their activities, governance and culture (paper 2).The type of integration of CSR could provide an appropriate explanation of the type of legitimacy sought.The use of moral responsibility would seek to restore legitimacy and the use of corporate philanthropy would seek to maintain legitimacy; the types of legitimacy (pragmatic, moral and cognitive) would be associated with different types of integration of philanthropy (activities, governance, culture) (paper 3).We return to the theoretical framework, to refine our definition of CSR (paper 4) and legitimation (paper 5) in order to expand the study of legitimation through philanthropy, into the study of legitimation through CSR (paper 6). The linkages between the legitimacy sought and the CSR communicated leads us to propose a deepening of legitimacy theory and CSR legitimation management tools.