Catheter-associated urinary tract infections (CAUTI) significantly increases patient morbidity and mortality, length of stay, and organizational cost. In the 2 years prior to project implementation, the incidence of CAUTI increased by 15% in the local acute care, inpatient facility that served as the project site. Nursing leaders at the project site linked the increase in CAUTIs to a nursing knowledge deficit related to CAUTI prevention principles. The clinical question focused on the impact of CAUTI prevention staff training on the incidence of CAUTI, length of stay, and cost to the local acute care organization. After a review and critical appraisal of the literature, using Lewin's theory of planned change and the Iowa Model of Evidence-Based Practice Change, an evidence-based, CAUTI-prevention training program was piloted as a quality improvement initiative. The project purpose was to evaluate that initiative by tracking the incidence of CAUTI for 90 days postintervention. A 1-sample t-test of the mean incidence with a 95% confidence interval revealed no statistically significant (p = .732) decrease in the incidence of CAUTI. Similar initiatives with fewer than 12 months of evaluation data have failed to demonstrate statistically significant findings; therefore, additional data are needed to adequately assess the impact of the project. Recommendations include extending the pilot project and additional training of unlicensed nursing personnel. Proper evaluation of the project may provide support for the implementation of CAUTI-prevention training programs, promoting social change by reducing the rate of infection, improving patient outcomes, and demonstrating financial stewardship of the local acute-care organization.

The world has been challenged by the COVID-19 pandemic since 2020. The pandemic affected all businesses, and the banking sector was no exception. Within this context, efficient change management (CM) is crucial to keep up with the changing business environment. Previous research has extensively covered the planned and emergent approaches to CM. However, the authors found that the perspective of complex organisations and their effect on change was missing. The purpose of the study was to develop a deeper understanding of how the internal processes were challenged during the COVID-19 pandemic, following a Scandinavian bank in their change to open a sister department in Vilnius. To study this, the authors conducted 12 semi-structured interviews with employees of Bank XYZ, from Vilnius and Stockholm. Kotter’s 8-step model and the complexity theory were combined and used as the conceptual framework.  The conclusion shows that the pandemic challenged three different aspects, communication, motivation, and new ways of working. These aspects challenged the traditional view of CM, which is viewed as static. The nonlinearity of CM processes is more present in disruptive changes such as the COVID-19 pandemic.

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<p>The purpose of this thesis is to analyse the police organizational culture in Sweden. Previous research on Police in Sweden has focused largely on Police Chiefs and police officers. It has ignored a major element in the organisational culture of the police – civilian employees. This thesis revisits the organisational culture of the Swedish Police Service in its entirety. The thesis reports the change, steering and management issues that arose from the introduction of ’planned change’, via quality management, into the organisational culture of the police. To clarify these issues, it focuses on a recent reform initiative – community policing in the period between 1993 and 2004. Fieldwork and other data on a quality project were collected between 1995 and 1998. The results of this initiative were uneven. It was difficult to accomplish planned change. Much time was taken up with ’muddling through’. These results are then compared earlier accounts of planned change and ’muddling through’, taken from the international literature on organisational cultures. Overall, the research suggests that the organisation of Police Chiefs, police officers, and civilian staff are not fully integrated, and boundaries between these groups are a source of internal, time-consuming discussion, all of which have an impact on the Swedish police service. In sum, organizational culture of the Swedish police service can be understood in terms of its relationships with different sub-cultures and in term of its relationship with the outside world. These features give the service a unique character.</p>

The purpose of this thesis is to analyse the police organizational culture in Sweden. Previous research on Police in Sweden has focused largely on Police Chiefs and police officers. It has ignored a major element in the organisational culture of the police – civilian employees. This thesis revisits the organisational culture of the Swedish Police Service in its entirety. The thesis reports the change, steering and management issues that arose from the introduction of ’planned change’, via quality management, into the organisational culture of the police. To clarify these issues, it focuses on a recent reform initiative – community policing in the period between 1993 and 2004. Fieldwork and other data on a quality project were collected between 1995 and 1998. The results of this initiative were uneven. It was difficult to accomplish planned change. Much time was taken up with ’muddling through’. These results are then compared earlier accounts of planned change and ’muddling through’, taken from the international literature on organisational cultures. Overall, the research suggests that the organisation of Police Chiefs, police officers, and civilian staff are not fully integrated, and boundaries between these groups are a source of internal, time-consuming discussion, all of which have an impact on the Swedish police service. In sum, organizational culture of the Swedish police service can be understood in terms of its relationships with different sub-cultures and in term of its relationship with the outside world. These features give the service a unique character.

The purpose of this study was to determine whether organisational restructuring of business units within a South African Fast Moving Consumer Goods company had any effect on the organisational climate of the organisation. An organisational climate survey was used before and after the restructuring over a two-year period. Five manufacturing plants formed part of the study; with four plants undergoing the restructuring (experimental group) and one plant being the control group, where no organisational restructuring took place within the two-year period under review. The total population consisted of 3700 employees. The samples for 2010 and 2011 were drawn from the population of the five manufacturing plants’. The sample of employees that took part in the survey from the five manufacturing plants was, in 2010, 778 versus a headcount of 1802, yielding a response rate of 21.02%, and in 2011, 904 versus a headcount of 1736, yielding a response rate of 24.43%. The research results show that organisational restructuring did have a significant impact on organisational climate; with a drop in the organisational climate from 2010 prior to the organisational restructuring, to 2011 after the organisational restructuring at four of the manufacturing plants (experimental group). Interestingly, the control group (the 5th manufacturing plant) also showed a significant drop in its organisational climate scores from 2010 to 2011; without organisational restructuring taking place. / Industrial and Organisational Psychology / MCOM (Industrial and Organisational Psychology)

The purpose of this study was to determine whether organisational restructuring of business units within a South African Fast Moving Consumer Goods company had any effect on the organisational climate of the organisation. An organisational climate survey was used before and after the restructuring over a two-year period. Five manufacturing plants formed part of the study; with four plants undergoing the restructuring (experimental group) and one plant being the control group, where no organisational restructuring took place within the two-year period under review. The total population consisted of 3700 employees. The samples for 2010 and 2011 were drawn from the population of the five manufacturing plants’. The sample of employees that took part in the survey from the five manufacturing plants was, in 2010, 778 versus a headcount of 1802, yielding a response rate of 21.02%, and in 2011, 904 versus a headcount of 1736, yielding a response rate of 24.43%. The research results show that organisational restructuring did have a significant impact on organisational climate; with a drop in the organisational climate from 2010 prior to the organisational restructuring, to 2011 after the organisational restructuring at four of the manufacturing plants (experimental group). Interestingly, the control group (the 5th manufacturing plant) also showed a significant drop in its organisational climate scores from 2010 to 2011; without organisational restructuring taking place. / Industrial and Organisational Psychology / MCOM (Industrial and Organisational Psychology)

In the last decades there has been a growing interest in studying processes in improvement work. A particular interest has been the improvement process that the organisation undergoes and why events evolve in the way they do. By better understanding improvement processes and identifying supporting and hindering forces, the possibilities successfully to plan and implement improvement work in a systematic way increases. The focus of this thesis is organisation processes in schools and the relations that hold between planned and emergent improvement, when using a research-based strategy. The aim of the study is to describe and understand how processes are initiated, developed and completed when using a strategy called ‘Scope for Action Model’(frirumsstrategin). The empirical material of the study was organised and analysed according to Van de Ven’s and Poole’s four ideal types for process studies. Within each type, motors have been identified, which contain generative mechanisms that are a key to how actions, events and activities emerge and are driven forward. The results of the study show that the emergent initiatives are more frequent than the planned ones and that they are more likely to generate an improvement – in the study defined as something new in the organisation. However, on several occasions the planned improvement work inspires emergent initiatives for improvement and in some cases seems to be a fundamental condition for their existence. The different motors, which in the analysis are seen as driving forces, support or challenge each other, making the process develop and produce a result. The study shows that the participants reshape the strategy to make it fit into the organisation of the school. The results also show that teachers and principals have to be well-informed of how to work with a strategy in a practical and constructive way. They have to be able to translate crucial moments in the strategy to stimulate the participants to creative actions. The strategy for school improvement is not shown to be a solution which itself can create improvement, but in combination with the participant’s creative goal settings it can be a contributory factor. / Denna avhandling riktar intresset mot skolförbättring och de processer som uppstår när en planerad förändring genomförs på skolor med stöd av en forskningsbaserad strategi. Syftet med avhandlingen är att beskriva och förstå hur dessa processer - i arbetet med frirumsstrategin - initieras, fortlöper och avslutas. Studien visar att det finns relationer mellan planerade och framväxande processer. De framväxande processerna är mest frekventa och har sin grund i deltagarnas egna målformuleringar. De förmår skapa utveckling i skolverksamheterna, något de planerade processerna inte lyckas med. Det planerade förbättringsarbetet tycks bidra genom att vara en inspirationskälla eller i vissa fall en förutsättning för de framväxande initiativ som tas av deltagare från olika delar av organisationen. Studien pekar på att en strategi kan vara igångsättare av förbättringsarbete och utgöra en grund för skolor att utgå från. Av resultatet framgår att det är viktigt att rektorer och lärare har goda kunskaper om förbättringsarbetets processer för att kunna använda strategin på ett konstruktivt sätt. Genom att ha insikt i vilka mekanismer som påverkar processer kan ett förbättringsarbete ledas medvetet samt tillåtas innehålla både de konflikter och den samstämmighet som kan bidra till att utveckling sker.