As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data analysis process was completed by transcribing the interview recordings and coding the data using a codebook and data-management software. Themes that emerged from data analysis included strategies to increase digitization in all areas, improve communication with IT personnel, provide ongoing training, and encourage the gradual adoption of technology. The implications of this study for positive social change include the potential to provide hospital managers with successful strategies related to the use of IT in hospitals to facilitate improved patient care and community well-being.

In the face of climate change, our planet is going through unprecedented changes, making international governance and cooperation on this issue a necessity. Recent studies indicate that the window to act to stay within the 1.5 °C target of the Paris Agreement has narrowed, and that strong and urgent action is needed. Furthermore, there are indicators that Sweden will not reach its national emission reduction goal of net zero emissions by 2045. Many researchers point to the Paris Agreement's increased focus on non-state actors as contributors to climate change governance, and their ability to 'bridge the gap' between current actions and the actions needed to limit global warming. Businesses and the private sector are prominent non-state actors because of their financial and technological power. Hence, this study investigated how Swedish climate change initiatives that gather companies can assist with the transition to net zero emissions by 2045. Utilizing a mixed methods research design, this study has conducted both a survey as well as several in-depth interviews to investigate how climate change initiatives are perceived to affect member companies to reduce their emissions. It also explored the larger impact of climate change initiatives on non-members and society. The findings show that the main influence of climate change initiatives happens through lobbying. Lobbying is both described as one of the main reasons behind companies joining an initiative, as well as where climate change initiatives are perceived to have the largest impact. Furthermore, the study found that participation in initiatives may lead companies to reformulate their internal reduction targets into being more ambitious. It is, however, difficult to determine whether participation leads to actual emission reductions. Finally, climate change initiatives may also lead to impact further down the value chain of a company and facilitate knowledge sharing both internally and externally.