Objective: This study sought to answer the question “What feasible changes can be made to care processes and clinical information systems to improve Continuity of Care for end of life patients?” Methods: This study adapted Genre Theory and Soft Systems Methodology into a new systems approach, the Circle of Care Modeling Approach. Thirty-four healthcare providers and health IT professionals were interviewed in two communities in British Columbia, Canada. The interviews sought to discover the nature of care provided for end of life patients and how clinical information systems supported care. Interviews were centered on two simulated end of life patients. The patient centric healthcare system, or Circle of Care, was described for each of these patients in each community. Rich Pictures and Conceptual Models were developed based on interview findings. These diagrams were used with participants to discuss gaps in continuity and to seek improvements during a series of structured discussion groups. Results and Discussion: The Circle of Care for end of life patients was found to be large and complex in both communities. Potentially dozens of providers would have been involved in each patient’s care over their last year of life. No provider knew all members of the Circle of Care. All communication activities that were described by participants could be described within the Circle of Care with ten Abstracted Genres. Patient information was housed in many disparate repositories (both paper and electronic) and access to these repositories was limited. The participants described several aspects of Continuity of Care. A new model to describe Continuity of Care was developed based on the findings and taking into account the systems orientation of this study. Six suggested improvements were generated with the study participants to better support Continuity of Care within the communities in this study. These are described in the dissertation. The suggested improvements were compared to existing functionality of clinical information systems. This novel approach to exploring and visualizing the healthcare system from a patient-centric lens, the Circle of Care Modeling Approach, provided a new way of describing and reasoning about the complexities associated with Continuity of Care.

A publicação do livro “The machine that changed the world” de Womack et al. (1990) tornou popular no mundo ocidental o termo Lean, que segundo os autores seria a forma generalizada do sistema Toyota de produção. Desde então, a academia tem se dedicado a estudar diversos aspectos envolvidos com o Lean. Apesar do conhecimento teórico gerado, poucas empresas têm conseguindo aplicar esta estratégia de manufatura apropriadamente e experimentar os supostos benefícios. Este é o caso, por exemplo, da siderúrgica AGR (nome fictício). Em 2004, a empresa iniciou um programa formal para transformação Lean e poucos anos depois os esforços foram descontinuados. Recentemente, novos direcionamentos na empresa conduziram à retomada destes esforços. Neste contexto específico, um questionamento foi realizado: como os esforços Lean podem ser retomados e organizados na AGR? Cabe ressaltar que implicitamente este questionamento desdobrou em uma revisão da literatura que identificou diferentes pontos de vista teóricos sobre o fenômeno Lean. Neste sentido, Fujimoto (1999), como pensador mais proeminente da escola de pensamento evolucionária – utilizando uma abordagem interpretativista – argumenta que a Toyota apresenta uma capacidade de aprendizagem evolucionária que permite a emergência de um novo sistema de manufatura ao longo do tempo. A provável ausência desta capacidade de aprendizagem em empresas que buscam se tornar Lean indicaria uma das razões pelas quais se tem dificuldade em alcançar e sustentar este sistema. Observando a descrição desta capacidade na Toyota, verifica-se que a mesma ocorre via construção social da realidade. Desta forma, uma aprendizagem similar poderia ser gerada ao operacionalizar-se a Soft Systems Methodology no processo de estruturação da transformação Lean. Uma pesquisa-ação foi conduzida para avaliar esta possibilidade na prática e ao mesmo tempo auxiliar a AGR com a situação problemática na retomada dos esforços Lean. / The term lean became popular in the Western world after publication of "The machine that changed the world" (Womack et al., 1990) which argues it is the generalized form of the Toyota Production System. Since then, the academy has been investigating several aspects about it. Despite theoretical knowledge contribution, few companies have been able to implement this manufacturing strategy properly and, therefore, have experienced the supposed benefits. This is the case of AGR (fictitious name) steelmaking facility. The company started a lean transformation program in 2004 and few years later the efforts were discontinued. Recently new directions led other attempt at lean efforts. In this particular context, an inquiry was made: how the lean efforts can be organized and reinitiate in AGR? It is noteworthy that this implicitly unfolded a literature review that identified different theoretical views on the lean phenomenon. Fujimoto (1999) as the most prominent thinker of evolutionary school of thought – using an interpretivist approach – argues that Toyota has an evolutionary learning capability that enables the emergence of a new manufacturing system over time. The absence of a similar learning capability in companies seeking lean practices indicates one possible reason why they are difficult to achieve and sustain. Fujimoto (1999) describes it operating at Toyota through social construction of reality. Thus, a similar learning could be generated applying the Soft Systems Methodology as the structuration process for lean transformation. An action research was conducted to evaluate this proposition in practice and at the same time to help AGR in the attempt at lean efforts.

A publicação do livro “The machine that changed the world” de Womack et al. (1990) tornou popular no mundo ocidental o termo Lean, que segundo os autores seria a forma generalizada do sistema Toyota de produção. Desde então, a academia tem se dedicado a estudar diversos aspectos envolvidos com o Lean. Apesar do conhecimento teórico gerado, poucas empresas têm conseguindo aplicar esta estratégia de manufatura apropriadamente e experimentar os supostos benefícios. Este é o caso, por exemplo, da siderúrgica AGR (nome fictício). Em 2004, a empresa iniciou um programa formal para transformação Lean e poucos anos depois os esforços foram descontinuados. Recentemente, novos direcionamentos na empresa conduziram à retomada destes esforços. Neste contexto específico, um questionamento foi realizado: como os esforços Lean podem ser retomados e organizados na AGR? Cabe ressaltar que implicitamente este questionamento desdobrou em uma revisão da literatura que identificou diferentes pontos de vista teóricos sobre o fenômeno Lean. Neste sentido, Fujimoto (1999), como pensador mais proeminente da escola de pensamento evolucionária – utilizando uma abordagem interpretativista – argumenta que a Toyota apresenta uma capacidade de aprendizagem evolucionária que permite a emergência de um novo sistema de manufatura ao longo do tempo. A provável ausência desta capacidade de aprendizagem em empresas que buscam se tornar Lean indicaria uma das razões pelas quais se tem dificuldade em alcançar e sustentar este sistema. Observando a descrição desta capacidade na Toyota, verifica-se que a mesma ocorre via construção social da realidade. Desta forma, uma aprendizagem similar poderia ser gerada ao operacionalizar-se a Soft Systems Methodology no processo de estruturação da transformação Lean. Uma pesquisa-ação foi conduzida para avaliar esta possibilidade na prática e ao mesmo tempo auxiliar a AGR com a situação problemática na retomada dos esforços Lean. / The term lean became popular in the Western world after publication of "The machine that changed the world" (Womack et al., 1990) which argues it is the generalized form of the Toyota Production System. Since then, the academy has been investigating several aspects about it. Despite theoretical knowledge contribution, few companies have been able to implement this manufacturing strategy properly and, therefore, have experienced the supposed benefits. This is the case of AGR (fictitious name) steelmaking facility. The company started a lean transformation program in 2004 and few years later the efforts were discontinued. Recently new directions led other attempt at lean efforts. In this particular context, an inquiry was made: how the lean efforts can be organized and reinitiate in AGR? It is noteworthy that this implicitly unfolded a literature review that identified different theoretical views on the lean phenomenon. Fujimoto (1999) as the most prominent thinker of evolutionary school of thought – using an interpretivist approach – argues that Toyota has an evolutionary learning capability that enables the emergence of a new manufacturing system over time. The absence of a similar learning capability in companies seeking lean practices indicates one possible reason why they are difficult to achieve and sustain. Fujimoto (1999) describes it operating at Toyota through social construction of reality. Thus, a similar learning could be generated applying the Soft Systems Methodology as the structuration process for lean transformation. An action research was conducted to evaluate this proposition in practice and at the same time to help AGR in the attempt at lean efforts.

A publicação do livro “The machine that changed the world” de Womack et al. (1990) tornou popular no mundo ocidental o termo Lean, que segundo os autores seria a forma generalizada do sistema Toyota de produção. Desde então, a academia tem se dedicado a estudar diversos aspectos envolvidos com o Lean. Apesar do conhecimento teórico gerado, poucas empresas têm conseguindo aplicar esta estratégia de manufatura apropriadamente e experimentar os supostos benefícios. Este é o caso, por exemplo, da siderúrgica AGR (nome fictício). Em 2004, a empresa iniciou um programa formal para transformação Lean e poucos anos depois os esforços foram descontinuados. Recentemente, novos direcionamentos na empresa conduziram à retomada destes esforços. Neste contexto específico, um questionamento foi realizado: como os esforços Lean podem ser retomados e organizados na AGR? Cabe ressaltar que implicitamente este questionamento desdobrou em uma revisão da literatura que identificou diferentes pontos de vista teóricos sobre o fenômeno Lean. Neste sentido, Fujimoto (1999), como pensador mais proeminente da escola de pensamento evolucionária – utilizando uma abordagem interpretativista – argumenta que a Toyota apresenta uma capacidade de aprendizagem evolucionária que permite a emergência de um novo sistema de manufatura ao longo do tempo. A provável ausência desta capacidade de aprendizagem em empresas que buscam se tornar Lean indicaria uma das razões pelas quais se tem dificuldade em alcançar e sustentar este sistema. Observando a descrição desta capacidade na Toyota, verifica-se que a mesma ocorre via construção social da realidade. Desta forma, uma aprendizagem similar poderia ser gerada ao operacionalizar-se a Soft Systems Methodology no processo de estruturação da transformação Lean. Uma pesquisa-ação foi conduzida para avaliar esta possibilidade na prática e ao mesmo tempo auxiliar a AGR com a situação problemática na retomada dos esforços Lean. / The term lean became popular in the Western world after publication of "The machine that changed the world" (Womack et al., 1990) which argues it is the generalized form of the Toyota Production System. Since then, the academy has been investigating several aspects about it. Despite theoretical knowledge contribution, few companies have been able to implement this manufacturing strategy properly and, therefore, have experienced the supposed benefits. This is the case of AGR (fictitious name) steelmaking facility. The company started a lean transformation program in 2004 and few years later the efforts were discontinued. Recently new directions led other attempt at lean efforts. In this particular context, an inquiry was made: how the lean efforts can be organized and reinitiate in AGR? It is noteworthy that this implicitly unfolded a literature review that identified different theoretical views on the lean phenomenon. Fujimoto (1999) as the most prominent thinker of evolutionary school of thought – using an interpretivist approach – argues that Toyota has an evolutionary learning capability that enables the emergence of a new manufacturing system over time. The absence of a similar learning capability in companies seeking lean practices indicates one possible reason why they are difficult to achieve and sustain. Fujimoto (1999) describes it operating at Toyota through social construction of reality. Thus, a similar learning could be generated applying the Soft Systems Methodology as the structuration process for lean transformation. An action research was conducted to evaluate this proposition in practice and at the same time to help AGR in the attempt at lean efforts.

A North American university is engaged in a large transformation project involving the wholeorganisation. Students, Lecturers, departments and additional questions from the shared leadership team are engaging in defining the services offered, in particular from the university library and its associated sub-services. It is an exciting time for the University as it seeks to not only define its services but also how these can be created and consumed.There are many aspects to this re-organisation and many items to be addressed. In this report,we look at the current situation at the University, as well as taking into account the aspirations of the stakeholders. We start by drawing out a Rich Picture, part of Soft System Methodology (SSM) (Checkland, 1981) which we use in order to spot opportunities that are available for further exploration. Much of the information that we use comes from material supplied by the University itself as well as interviews with the Head of Library services and Head of Library IT. We look indepth at how SSM assists in this process of evaluation through its focus on participation and how it may assist us to understand the many different perspectives collected in our research. SSM consequently assists in defining problems with solutions to any areas that have drawn our attention. Following the evaluation of collected data, discussions and our own observations, we identify that a digital wall that is being proposed for the redesigned library presents an opportunity to explore possibilities for exploitation of this technology. Further research on other digital walls such as Brisbane’s Cube (Abdi et al, 2014), and Auraria Library’s Discovery Wall(Burch, 2016) shows some of the uses that these walls have been put to and how the Institutions use them. We then use a number of models to evaluate the data that we collected on digital walls and from the North American University and analyse it in order to inform our thinking. These models can be used independently or collectively to evaluate data from different perspectives. As such we were able to look at problems and solutions from the perspective of many of the actors involved in shaping the future library services. These models and results are discussed in the report. Finally, we take our results and make a number of proposals for the North American University digital wall along with the relevant justifications at the end of this report. / <p>This is a report in the Informatics course 5IK501 during the school year of 2016/2017.</p>

This report works with a case provided in the course IS/IT for Organizing, Communication and Coordination II at Linnaeus University, Sweden. The case involves a University in North America that is renovating and revamping and, in essence, reinventing its library along with the services offered by the library and the facilities within. Along with the university staff in charge of the library renovations, the group analysed the possible gaps in the current working ecosystem and discussed how they can be improved upon. It was found out and understood that there is a lack of cohesion in the way the library staff generate, store and share documents and resources, which was intertwined with the lack of team culture and sense of professional community. Useful information was said to be in silos in the form of staff members that were somewhat disconnected from each other. This information was often in the form of explicit knowledge that was not easily accessible and tacit knowledge that was, in a sense, locked away since it was involuntarily not being shared. The group preparing this report used the theoretical background of knowledge management and knowledge sharing, along with a Soft Systems Methodology approach, to provide recommendations that the professionals in charge of the library renovations could execute upon during their plans. The recommendations revolve around organizing the organizational knowledge and bringing more cohesiveness to the way the staff and systems generate, store and share this knowledge, leading the way towards a knowledge-friendly culture. The proposed solutions elaborated by the group take Nonaka’s two types of knowledge (1994) into consideration: explicit and tacit knowledge. The recommendations begin with organizing the knowledge with aims of easier retrieval by users, using Shared Folder platforms or Content Management Systems. The active creation and sharing of knowledge shall be supported using blogs, wikis and e-learning authoring systems. Sharing of tacit knowledge can be enhanced by a Yellow Pages of the library staff, Community of Practice and through mentoring and networking activities. / <p>Rapport inom Informatikskurs 5IK501 IS/IT for Organizing, Communicating, and Coordinating II, läsåret 2016/2017</p><p>Report in the Informatics course 5IK501 IS/IT for Organizing, Communicating, and Coordinating II, year 2016/2017</p>

As of autumn 2011, all schools in Sweden have adopted and applied the latest curriculum for the compulsory school system. The following is written in concern to technology: "The school is responsible for ensuring that each pupil on completing compulsory school: [...] can use modern technology as a tool in the search for knowledge, communication, creativity and learning." (Skolverket, 2011, pp.13-14) With this said, there are no guidelines or manuals on how this is to be conducted. In a report from the Swedish Schools Inspectorate it was concluded that the investment in technology is not being used for school education. The education systems keep investing in technology in the belief that schools and teachers will sooner or later adopt and benefit from the use of mobile and ubiquitous technologies. The aim of this study is to “create an understanding of the aspects that have an impact on adopting novel use of mobile and ubiquitous technologies in everyday teaching and learning practices in compulsory schools.” The empirical foundation will be based upon three projects: Geometry Mobile (GeM); Learning Ecology with Technologies from Science for Global Outcomes (LETS GO); and Collaborative Learning Using Digital Pens and Interactive Whiteboards (Collboard). All were conducted at local compulsory schools in Växjö municipality, Sweden, in collaboration with teachers, students and fellow researchers from the CeLeKT research group at Linnaeus University. Two Thematic Analyses have been conducted: the first, an inductive analysis exploring the Students’ and Teachers’ Experience of using Mobile and Ubiquitous Technologies in their learning and teaching environment. The second analysis is deductive and uses themes from the Unified Theory of Acceptance and Use of Technology models with the aim of understanding the Perception and Acceptance of Teachers’ use of Mobile and Ubiquitous Technologies. In the results from the two analyses there are clear indicators on the added value that mobile and ubiquitous technology brings to the classrooms: students are able to actively participate, collaborate and discuss in different learning settings, which enhances their understanding of the subject at hand. The challenges are mainly to be found in the lack of training and education in use of the technology as a supporting tool for teaching and learning. Further factors influencing the teachers and the students are ease of use and reliability of the technology and societal changes. The results of the analysis and the theoretical base of Technology Enhanced Learning have been illustrated with Soft Systems Methodologies Rich Picture, providing a holistic view of the problematic situation and making it possible to discuss the various parts as well as the situation as a whole. This study indicates that there are several factors influencing the adoption of the novel use of mobile and ubiquitous technologies in everyday teaching and learning within a complex situation on different levels.

Data-driven decision support systems, such as data warehouses, are extremely costly to develop. Forty one per cent of data warehouse development practitioners have experienced project failures. These projects were either completed after exceeding budget and time limits, or not at all. Some influential data warehousing authors advocate user involvement as a solution, while others focus on technical factors to improve data warehouse success. This study proposes a framework for data warehousing success based on systems thinking methodology. Systems thinking implies a holistic approach to problem solving. A system is a set of interrelated elements. A systems approach represents a broad view, taking all aspects into account and concentrating on interactions between different parts of the problem. This study investigates the practices of data warehousing professionals from a systems thinking point of view, before proposing a framework for the explicit use of specific systems thinking methodologies in data warehouse development. Interpretive case study research is used to investigate practices of data warehousing professionals in three different organisations. Pattern matching is used to analyse collected data. This is done by mapping practices to different systems thinking perspectives. However, the theory component of the thesis is not a description of current data warehousing practices from a systems thinking point of view, as in typical interpretive research. The theory component relates more to critical research in that it is meant to change data warehousing practices towards specific systems thinking methodologies. The proposed framework incorporates three sources of information. These are a literature study on systems thinking philosophy, methodology and practice; a literature study on data warehousing and data warehousing success factors; and the results of case studies on current practices of data warehousing professionals analysed from a systems thinking perspective. The framework gives a methodological foundation for a holistic approach to data warehousing with maximum user involvement. It views a data warehouse as a system with typical systems characteristics, such as specified objectives relating to the organisation’s objectives, an environment, available resources, specified components and effective management. / Thesis (PhD (Information Technology))--University of Pretoria, 2006. / Informatics / unrestricted

Perçu comme un système adaptatif complexe, l’espace public pourrait être examiné par le biais de la complexité. Dans cette thèse, nous discutons du cas d'un parc urbain, Horch Beyrouth, visant à mettre en valeur les apports épistémologiques et méthodologiques de l'approche de la complexité dans les études urbaines. Malgré que Horch Beyrouth représente jusqu'à 70% des espaces verts de Beyrouth, il a été en grande partie fermé au public depuis la fin de la guerre civile libanaise en 1990. Entouré de trois quartiers culturellement hétérogènes, le parc triangulaire incarne à la fois la multiplicité et l'exclusion urbaine. L’approche de la complexité offre non seulement un lexique scientifique transdisciplinaire, mais également des outils de modélisation interdisciplinaires. Pour illustrer ces outils, nous avons utilisé la triangulation systémique pour le diagnostic urbain de Horch Beyrouth. Il s’agit d’un outil qui reconnaît l’inscription des problèmes complexes dans des continuums structurels, fonctionnels et dynamiques, établissant des relations entre eux et projetant des interactions entre le système et son environnement. Nous avons également présenté l'outil de la méthodologie des systèmes souples pour une gouvernance interactive basée sur des représentations non linéaires de la réalité urbaine. Cette approche nous a fourni de nouvelles idées. Premièrement, aborder les villes, ainsi que les entités urbaines comme Horch Beyrouth, en tant que systèmes complexes, pourrait diverger notre perception des solutions linéaires fragmentées vers des processus évolutifs adaptifs. Deuxièmement, le chaos n’est pas à craindre. En fait, en se situant au bord du chaos les systèmes complexes s’adaptent et co-évoluent, ainsi la créativité se catalyse et le changement émerge. Enfin et surtout, un espace public ne doit pas être conçu, mais encouragé à émerger. Il serait donc préférable d’induire son auto-organisation que d'essayer de la contrôler. Ainsi, un changement d'attitude est nécessaire : le rôle des acteurs urbains, architectes et urbanistes, devrait se réorienter pour rechercher la dynamique sous-jacente d’un système urbain, établir ses propriétés émergentes, pour ultérieurement, déterminer et induire ses opportunités synergiques. / Perceived as a complex adaptive system, public space could be examined through the means of complexity. In this thesis, we discuss the case of an urban park, Horch Beirut, aiming to showcase the contributions of the complexity approach to urban studies, both epistemological and methodological ones. Horsh Beirut makes up to 70% of green spaces in Beirut, but has been mostly closed to the public since the end of the Lebanese civil war in 1990. Surrounded by three culturally heterogeneous neighborhoods, the triangular park embodies both urban multiplicity and exclusion. The complexity approach not only offers a transdiciplinary scientific lexicon but also interdisciplinary modeling tools. To showcase these tools, we apply Systemic Triangulation for the urban diagnosis of Horch Beirut. This tool acknowledges the inscription of complex problems in structural, functional and dynamic continuums, establishing the relationships between them, and projecting interactions between the system and its environment. We also propose the Soft Systems Methodology tool for an interactive governance based on non-linear representations of urban reality. The complexity approach has provided us some new insights. First, addressing cities, and urban entities like Horsh Beirut, as complex systems could diverge our perception of fragmented linear solutions towards adaptive evolutionary processes. Secondly, chaos is not to be feared. In fact, by being on the edge of chaos complex systems adapt and co-evolve, consequently creativity is catalyzed and change emerges. Finally, and most importantly, a public space should not be designed, but encouraged to emerge. It would be better to induce its self-organization than to try to control it. Thus, a change of attitude is necessary: the role of urban actors, architects and urban planners, should be reoriented towards seeking the underlying dynamics of an urban system, establishing its emerging properties, and subsequently, determining and inducing its synergistic opportunities.

This study explores stakeholder analysis and requirements engineering within an agile project at a system development company requesting a case management system. Stakeholder analysis is commonly explored in traditional project planning studies, such as the waterfall model. In agile projects, on the other hand, it is not common to have a project-planning phase or to carry out a stakeholder analysis, often due to that a stakeholder analysis entail a long and extensive documentation. Our study explores how Soft Systems Methodology can be used in an agile project-planning phase as well as how rich pictures from the SSM support requirements engineering. The study is based on an agile method in which the project-planning phase is expected to deliver a product log, and hence a requirements list. Requirements are collected, modelled and validated together with users in the form of user stories where role, goals and purpose are expressed in a sentence. Stakeholders and roles are identified and analyzed using methods in Soft Systems Methodology, like "finding-out" analyses. The result is then presented in so called rich pictures of the current situation and in a future desired situation. The data collection is carried out together with informants at the case company in the form of observations and semi-structured interviews. The result of the study indicates how rich pictures from SSM can support the start-up of an agile project. / Denna studie utforskar intressentanalys och kravinsamling inom ett agilt projekt på ett systemutvecklingsföretag som efterfrågar ett ärendehanteringssystem. Intressentanalyser är vanligt förekommande och utforskade i traditionella förstudier så som enligt vattenfallsmodellen. I agila projekt är det däremot vanligt att en förstudie inte utförs eller att förstudien inte innehåller en intressentanalys, ofta på grund av att intressentanalyser innebär lång och omfattande dokumentation. Vår studie utforskar hur Soft Systems Methodology kan användas i en agil förstudie samt hur rika bilder från SSM stöttar kravhantering. Studien utgår från an agil metod där förstudien förväntas leverera en produktlogg, där studiens fysiska bidrag blir en kravlista. Krav samlas in, modelleras samt valideras tillsammans med användare i formen av användarhistorier där roll, mål och syfte uttrycks i en mening. Intressenter och roller identifieras och analyseras med hjälp av metoder inom Soft Systems Methodology, som exempelvis ”finding out”-analys. Resultatet presenteras därefter i så kallade rika bilder över nuvarande situation samt i en framtida önskad situation. Datainsamlingen görs tillsammans med informanter på ett fallföretag i form av observationer och semistrukturerade intervjuer. Utfallet av studien visar hur den rika bilden från SSM kan stödja uppstarten av ett agilt projekt.