The Objectives of this research is to raise the awareness of the leaders and executives, from both the Business/Management and IT, to the role of ICT in organizational e-transformation, specifically in UAE, to enable them better facilitate their roles and responsibilities. Global Information and Communication Technology (ICT) changes and their Business/Management consequences have their regional reflections, shades, and effects. During the last few years, the United Arab Emirates (UAE) federal government in general, and Dubai government in particular, initiated and deployed progressive and ambitious steps towards the implementation of E-government. The main objectives being to better serve all government stakeholders, by enabling reductions in cost, time and effort. Each department/directorate formed its own leading teams, to achieve the Etransformation projects. These teams, supported by International consulting firms, and starting with targeted attainable objectives developed solutions that achieved fast and encouraging results. These results encouraged additional steps to be taken. The process continued, and many departments/directorates - having their Information Systems (IS) and Information Technology (IT) related solutions in place - believed that their goals had been achieved or almost achieved. Upon execution of the next phase, which required connecting departments/directorates together (Government to Government: G2G stage), many serious technical problems were raised. Problems arose with respect to information exchange, database structures, file formats, uniformity and integrity of applications, hardware scalability and interoperability, and integration, accompanied with related management and financial problems. This produced IT islands of information that had to be managed and shared more efficiently. This highlighted the following issues: 1) The absence of an enterprise detailed and integrated plan to: A) Harmonically harnessing the best of Business and IT strategies, infrastructures, and processes (business-IT alignment) B) Perfect Integration, Coordination and Cooperation inside and outside the organization, supported and facilitated by new Governance structure (business-IT alignment) C) The need for Integrated Enterprise Architecture Framework (IEAF): characterized by Wholeness, Intel-connectedness, in addition to Multidimensional solution, maintaining Alignment, Standards, Scalability, Interoperability, and Integration characteristics 2) The absence of "conscious transformation" leadership, to transform leader and employee mindset and behavior, to develop supportive to change culture. This influenced the determination and support for self and organizational transformation. This required revealing the implementation of E-transformation drivers in the UAE organizational E-transformation, and classifying them into two categories: Major ICT based drivers Technology Business-IT alignment, Enterprise Architecture Project management Minor ICT based drivers Leadership Vision and Strategy Stakeholders Continuity This research focuses on the Major ICT based drivers, mainly, the business-IT alignment, and the need for an Integrated Enterprise Architecture Framework. In order to prove the above, the researcher integrated the utilization of the "case study analysis" methodology, augmented by an "interview/questionnaire" The research revealed that most of the UAE government organizations are in the second stage - with some traits of the third stage - on the level of five stages (levels of maturity) with respect to the Business/IT alignment. Meanwhile, the IEAF is either not formulated yet, or in its initial stages. Additionally, the research revealed the following: Critical Success Factors, Identification of deficiencies, Areas for improvement, identified problem areas, and proposes a "Framework milestones for sustained E-Transformation".

Syftet med studien var att undersöka hur sjuksköterskor skildrar och kommunicerar med psykospatienter och vilket lärande de upplever i dessa möten inom slutenvården. Metoden var halvstrukturerade intervjuer som transkriberats och sedan analyserats med hjälp av van Manens fenomenologiska och hermeneutiska metod och hans livsvärldsexistentialer; relationen, rummet, tiden och kroppen. Sjuksköterskorna beskrev patienter med skilda egenskaper som från att vara starkt fysiskt påverkade och ha kramper till att vara vältränade och se bra ut men också från att vara skrämmande till att vara trevliga. Patienter kunde ha press från anhöriga, ha mycket resurser och de kunde förbättras snabbt men också snart återkomma för inläggning. Strategier vid kommunikation beskrevs som: Ett fokus på här, nu och framåt; ett balanserat, känsligt och kärleksfullt bemötande som förmedlar ett budskap av hopp, delaktighet och realistisk framtidstro. Fysisk omvårdnad kan motverka känslor av rädsla, misstänksamhet och skygghet. Sjuksköterskan kan behöva både sätta egna känslor åt sidan och tänka sig in i patientens situation. För en lyckad kommunikation krävs: Intresse, tålamod, lust och förmåga att se problem som en utmaning vilket skapar möjligheter till lärande för både vårdtagare och personal; utrymme för reflektion som kan förbättra arbetssätt; tid och tillgänglighet för ömsesidigt lärande mellan patient, anhöriga och sjuksköterskor. Humor kan förmedla hopp och avdramatisera kitsliga stämningar. Attityder till patienter som ”jobbig, tråkig eller obegriplig” skadar möjligheten för patienten att känna hoppfullhet. Tvångslagens utformning kan påverka attityder. Jag har funnit att sjuksköterskan bör ställa krav på sig att försöka förstå; inte ge upp; ha tålamod; känsligt möta patientens uppfattning; ingjuta hopp och inspirera till uthållighet; vara uppmärksam på patientens fysiska välbefinnande. Kärlek sågs som vägledande för ett etiskt lärande möte och erfarenheter från dessa användes i framtida möten med patienter. Kommunikationen måste anpassas till olika patienters behov och förutsättningar. / The aim of this study was to investigate how nurses depict meetings with psychosis patients, how they communicate with psychosis in-patients and what kind of learning they experience in these meetings. Semi structure interviews were transcripted and then analyzed with the phenomenological and hermeneutic perspective from van Manen and his life-world existentials; lived relation, lived space, lived time and lived body. The nurses described patients with varied characteristics, ranging from strong physical influence with spasms, to fit and good-looking but also as frightening or being pleasant. Patients could be exposed to pressure from relatives, have a lot of resources and quickly improve and despite these circumstances fall back into needing treatment. Strategies among the nurses when communicating with patients were described as: To focus on here, now and onwards; to give a balanced, sensitive and loving treatment that leaves an actual message of hope, participation and a realistic faith in the future. Physical care could work against feelings of fear, suspicion and shyness. Nurses need to both put their own feelings aside and to imagine themselves in the situation of the patient. To succeed in communicating the nurses need to have: Interest, patience, a will to help and the ability to see a problem as a challenge. These factors create possibilities for learning for both the patients and the staff, and also create time for reflection that can improve working methods, and give time and accessibility for mutual learning between patients, relatives and nurses. Humor could support the patient´s hope and calm an irritable atmosphere. Attitudes to patients as “trying, boring or incomprehensible” indicate a lack of competence and damage the possibility for a patient to perceive hope. The compulsory law design can have an influence on attitudes.  I have found that nurses should demand of themselves to try to understand; not give up; have patience; sensitively meet the patient’s concept; encourage hope and inspire to hold on and be aware of patient’s physical well-being. Love was seen as guide for an ethical learning in meetings with patients and the experiences from these meetings were used when meeting patients later on. Communication has to be adjusted to the patient´s individual needs and conditions.