Some hospital leaders lacked strategies for implementing electronic medical record (EMR) systems. The purpose of this case study was to explore successful strategies that hospital leaders used in implementing EMR systems. The target population consisted of hospital leaders who succeeded in implementing EMR systems in a single healthcare organization located in the Los Angeles, California region. The conceptual framework used was Kotter's (1996) eight-step process for leading change, and data were collected from face-to-face recorded interviews with 5 participants and from company documents related to EMR design and development. Data were analyzed through methodological triangulation of data types, and exploring codes exhibiting high frequencies to identify principal themes and subthemes. The data coding revealed three primary themes. The first theme related to strategies addressing training, technology, and catalyzing team effort. The second theme related to strategies focusing on employees' concerns, and the third theme related to strategies for designing, developing, and disseminating workflow. The findings affirmed the conceptual framework of Kotter (1996) inasmuch as they showed that participating hospital leaders used one or more steps in Kotter's eight-stage process of creating, implementing, and sustaining significant change. The findings could effect social change by improving the quality of healthcare services provided to patients, which can subsequently benefit patients' families and communities through reducing the costs of healthcare.

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Submitted by NÚBIA FERNANDA GOMES PEREIRA (nubiafgp@yahoo.com.br) on 2013-11-12T16:57:31Z No. of bitstreams: 1 Dissertação Núbia Fernanda Gomes Pereira - Gestão de Mudanças VERSÃO FINAL.pdf: 5730211 bytes, checksum: 0d4a03445718a6190d033db4ed9980e8 (MD5) / Approved for entry into archive by Janete de Oliveira Feitosa (janete.feitosa@fgv.br) on 2013-11-27T13:37:46Z (GMT) No. of bitstreams: 1 Dissertação Núbia Fernanda Gomes Pereira - Gestão de Mudanças VERSÃO FINAL.pdf: 5730211 bytes, checksum: 0d4a03445718a6190d033db4ed9980e8 (MD5) / Approved for entry into archive by Marcia Bacha (marcia.bacha@fgv.br) on 2013-11-28T12:26:23Z (GMT) No. of bitstreams: 1 Dissertação Núbia Fernanda Gomes Pereira - Gestão de Mudanças VERSÃO FINAL.pdf: 5730211 bytes, checksum: 0d4a03445718a6190d033db4ed9980e8 (MD5) / Made available in DSpace on 2013-11-28T12:26:52Z (GMT). No. of bitstreams: 1 Dissertação Núbia Fernanda Gomes Pereira - Gestão de Mudanças VERSÃO FINAL.pdf: 5730211 bytes, checksum: 0d4a03445718a6190d033db4ed9980e8 (MD5) Previous issue date: 2013-09-27 / The purpose of this research was to investigate how change management have been applied in the Forensic Branch of the Brazilian Federal Police, as part of a broader field of study related to organizational changes. To determine which analytical categories were crucial to better understand this change process, a comprehensive review of published articles in this field was undertaken, leading to an investigation of three different themes. The first goal of this research was content of change, to determine the exact nature of the transformation proposed. Next, it was evaluated the change implementation process utilized and, finally, in what type of context was this change implemented. More specifically, this qualitative project attempted to assess the change management process occurred during the implementation of complexity indicators in the Forensic Branch of the Brazilian Federal Police, in light of the model proposed by John P. Kotter for the effective implementation of change in organizations, considering their interaction with the organizational context. Data was obtained through semistructured interviews with those responsible for spearheading the process, including management leaders and Directors of the Forensics Branch. Additional data was gathered through the study of organizational documents and direct observation. The results indicated significant competitive factors related to the three fields studied that prevented the achievement of the expected goals, including: a) the proposed change is a kind of performance evaluation, which is a contentious issue that raises many discussions, and, therefore, had very low acceptance; b) unfavorable organizational context, as the Forensics Branch is currently a part of a police organization with a strong punitive and discipline culture; c) process change management was mishandled, according to the theoretical model for the effective implementation of changes in the organizations proposed by Kotter (1995, 1997). / Este pesquisa, inserida no campo de estudo sobre mudanças organizacionais, buscou investigar como é realizada a gestão de mudanças na Criminalística da Polícia Federal. Para isso, partiu-se de um referencial teórico para a estruturação de categorias de análise essenciais para o estudo do tema, agrupadas em três dimensões: conteúdo da mudança, processo de implementação da mudança e contexto em que ocorreu a mudança. Dessa forma, essa pesquisa de caráter qualitativo avaliou o processo de gestão de mudança ocorrido por meio da implementação de indicadores de complexidade na Criminalística da Polícia Federal, à luz do modelo proposto por John P. Kotter para a implementação eficaz de mudanças nas organizações, considerando sua interação com as circunstâncias contextais prevalecentes. Para a coleta de dados foram utilizadas entrevistas semiestruturadas com os componentes do corpo gerencial e diretor da Criminalística, responsáveis pela condução do processo de implementação da mudança. A análise de documentos institucionais e a observação direta complementaram a coleta dos dados. Os resultados apontaram para uma significante concorrência dos fatores relacionados às três dimensões estudadas que impediu o alcance dos objetivos esperados com a mudança, destacando-se: a) aspecto negativo relacionado à própria natureza da mudança, que se enquadra no campo de avaliação de desempenho, questão polêmica que levanta muitas discussões; b) contexto organizacional desfavorável, por estar inserida em uma organização policial, com forte cultura disciplinar e punitiva; c) processo de gestão de mudança mal conduzido, de acordo com modelo teórico para a implementação eficaz de mudanças nas organizações proposto por Kotter (1995, 1997).

The purpose of this paper is to provide information on how organizations prepare for organizational change by examining how they work for the EU General Data Protection Regulation (GDPR) which comes into action in May 2018. The following questions have been used in order to approach this action: How do municipal organizations prepare effectively for the changes that the EU Data Protection Regulation (GDPR) implies? What steps are particularly problematic in the change work? How can change leaders handle these steps? During the study, a qualitative method has been used through semi-structured interviews. Respondents have key positions in the preparatory work for GDPR within three municipal organizations. One respondent for each organization. As a theoretical reason, Kotter's eight- step change model and previous research on the importance of an individual perspective in change work have been used and the empirical material has been analyzed using content analysis and opinion concentration. The results show that the preparation work for the change looks different in different organizations. You then have a problem of communicating the vision of change when instructions from the EU and the Data Inspectorate for the new regulation are not fully met. Furthermore, the study demonstrates the importance of organizational understanding and knowledge of change, by the change leader, to introduce a new way of working in a municipal organization.

Hos Coca‐Cola European Partners är efterfrågan hög på varierande produkter, vilket göratt flödet består av flera omställningar från att producera en viss produkt till en annan.För att säkerhetsställa att produktionseffektiviteten är hög, bör tiden på momenten somej är värdeadderande minimeras. Genom ställtidsreducering ökar maskinensutnyttjandegrad samt vid standardisering underlättas planeringsarbetet förproduktionsteamet. Som en ideologi användes LEAN‐filosofin som bygger på att maximera kundnyttan ochminimera slöserier genom effektivisering. För att eliminera moment som inte har någotvärde för kunden utnyttjades metoder som SMED, 5S och PDCA. SMED‐metodenanvändes på ett strukturerat arbetssätt för att hantera inre och yttre ställtider vilket skaeffektivisera produktionsprocessen. Dessutom användes förbättringsverktyget Ishikawa(orsak‐verkan‐diagram) för att åskådliggöra rotorsaker till det definierade problemet. Målet med examensarbetet var att identifiera förbättringsförslag för att reduceraproduktionens ställtider. För att grunda förbättringsförslagen utfördes observationer föratt begripa hur processen fungerar, och för en detaljerad förståelse utfördes intervjuermed relevant personal. Litteraturstudie genomfördes för att utvidgaproduktionskunskaper för att lättare kunna spåna idéer vilket i sin tur berikaderesultatet. Examensarbetet har resulterat i att införa ett kommunikationshjälpmedel för atteffektivisera kommunikationen mellan samtliga stationer. För att reducera operatörersbegripsvårigheter medfördes förbättringsförslaget att införa mer visuella manualhanböcker för maskiner. Vid rengöringsprocessen föreslogs införing av envalfunktion i styr‐ och reglersystemet, där tekniker har möjligheten att behandla berördarör från tidigare produktionskörning. Förbättringsförslagen estimeras spara företaget uppemot 1 040 000 kr årligen. / At Coca‐Cola European Partners, demand is high for varying products, which means that the flow consists of several switches from producing a particular product to another. To ensure that production efficiency is high, the time on moments that are not value‐editing should be minimized. With stand‐by reductions, the utilization rate of the machine increases, and in the case of standardization, the planning work for the production team is facilitated. As an ideology, the LEAN philosophy was used, based on maximizing customer benefits and minimizing waste through efficiency. To eliminate points that have no value for the customer, methods such as SMED, 5S and PDCA were used. The SMED method was used in a structured way of working to handle internal and external set times, which will streamline the production process. In addition, the Ishikawa enhancement tool (causeeffectdiagram) was used to illustrate rotor causes to the defined problem. The aim of the thesis was to identify improvement proposals to reduce production deadlines. In order to base the improvement proposals, observations were made to understand how the process works, and for a detailed understanding interviews were performed with relevant personnel. Literature study was conducted to expand production skills in order to more easily predicted ideas, which in turn enriched the results. The thesis work has resulted in the introduction of a communication aid to streamline communication between all stations. In order to reduce operator comprehension difficulties, the proposed improvement was introduced to introduce more visual manual manuals for machines. In the cleaning process, it was proposed to introduce a selection function in the control system, where technicians have the ability to process affected pipes from previous production run. The improvement proposals are estimated to save the company up to SEK 1,040,000annually.

Bakgrund: Organisationer står ständigt inför nya utmaningar där anpassning är absolut nödvändig för att inte bli föråldrade eller slås ut på marknaden. I denna dynamiska process spelar både ledarskapet och medarbetarna en avgörande roll, det är dock en utmaning att genomföra hållbara förändringar. Därför är det relevant att studera ledarskapets roll för både förändringsprocesser samt ur ett psykosocialt arbetsmiljö-perspektiv. Detta eftersom ledarskapet ses spela en avgörande roll för organisationens framgång, men också dess misslyckanden. Studier av detta slag är därför viktiga för en ökad förståelse samt bidra till samhällets utveckling och välfärd. Syfte: Syftet med studien är att bidra med ökad förståelse för hur chefers ledarskap kan främja hållbara förändringar samtidigt som hänsyn tas till medarbetarnas välbefinnande. Fokus låg på att undersöka samband mellan ledarskapets roll, förändringsprocesser och medarbetarnas psykosociala arbetsmiljö utifrån medarbetarnas perspektiv. Studien tog även sikte på att utforska hur förändringar och chefers ledarskap kan relateras till transformativt ledarskap och Kotters 8-stegsmodell.Metod: Studien använde en mixed method-ansats (QUAN + qual) där data samlades in via en webbaserad enkät. Deltagarna valdes ut genom bekvämlighetsurval och riktades mot medarbetarna inom en socialförvaltning. Studien antar en socialkonstruktivistisk ståndpunkt då den betraktar sociala fenomen som skapas och återskapas i den dynamiska processen mellan chefer och medarbetare. För dataanalys användes Cronbachs alfa (α), Spearmans rho (ρ), Pearsons r, determinationskoefficienten r² samt tematisk analys.Resultat och slutsats: Studien visade att det fanns starka signifikanta positiva samband mellan ledarskap, inflytande i förändringsprocesser och psykosocial arbetsmiljö (p &lt;0,001). Ledarskap förklarade en betydande del av variabiliteten i inflytande över förändringsprocesser och psykosocial arbetsmiljö. Resultaten visade särskild tyngdpunkt på kommunikation, delaktighet och stöd som betydande aspekter för ett väl fungerande ledarskap. Detta främjar medarbetarnas engagemang, hållbara förändringar, den psykosociala arbetsmiljön samt medarbetarnas välbefinnande positivt. Studien stödjer därmed tidigare forskning och understryker vikten av ett väl fungerande ledarskap. Begränsningar och implikation: Studiens begränsningar inkluderade ett smalare fokus på teorier och medarbetarnas perspektiv inom en specifik kontext, vilket kan påverka generaliserbarheten. Studien syftar till att bidra till förståelsen inom det arbets-pedagogiska fältet i relation till det viktiga samspelet som sker mellan medarbetare och chefer. / Background: Organizations constantly face new challenges where adaptation is absolutely necessary to avoid becoming outdated or eliminated. In this dynamic process, both leadership and employees play a crucial role, but implementing sustainable changes can be difficult. Therefore, it is relevant to study the role of leadership in both change processes and from a psychosocial work environment perspective. This is because leadership is seen as playing a crucial role in an organization's success, but also its failures. Studies of this kind are therefore important for increasing understanding and contributing to society's development and welfare. Purpose: The purpose of this study is to contribute to an increased understanding of how leadership can promote sustainable changes while considering employee well-being. The focus was on examining the relationships between the role of leadership, change processes, and employees' psychosocial work environment from the perspective of the employees. The study also aimed to explore how changes and leaders' leadership can be related to transformative leadership and Kotter's 8-step model.Method: The study used a mixed method approach (QUAN + qual) where data was collected through a web-based survey. The participants were selected through convenience sampling and targeted towards employees within a social welfare department. The study assumes a social constructivist standpoint as it considers social phenomena created and recreated in the dynamic process between managers and employees. For data analysis, Cronbach's alpha (α), Spearman's rho (ρ), Pearson's r, and determination coefficient r² were used, as well as thematic analysis.Results and conclusion: The study showed that there were strong significant positive correlations between leadership, influence in change processes, and psychosocial work environment (p &lt;0.001). Leadership explained a significant part of the variability in influence over change processes and psychosocial work environment. The results showed a particular emphasis on communication, participation, and support as significant aspects of effective leadership. This promotes employee engagement, sustainable changes, psychosocial work environment, and employees' well-being positively. The study supports previous research and emphasizes the importance of effective leadership.Limitations and implications: The limitations of the study included a narrower focus on theories and employee perspectives within a specific context, which may affect generalizability. The study aims to contribute to understanding within the field of work pedagogy in relation to the important interaction that occurs between employees and managers. / <p>PE207G. Examinationsdatum 2023-06-08.</p>

In this thesis, a task-based qualitative study was conducted at a volunteer defense organization, the Swedish Working Dog Club (Svenska Brukshundklubben). The organization contributes to total defense by training patrol dogs and their handlers for the Home Guard. The Swedish Armed Forces have established guidelines for training instructors in volunteer defense organizations, from which Svenska Brukshundklubben had a dispensation until 2025. Consequently, they now need to create a new training process for their patrol dog instructors. This study aims to develop proposals for a new, quality-assured training process for Svenska Brukshundklubben, and to provide suggestions for implementing and managing the change process. To achieve this, data was collected through documents, statistical data, interviews, and surveys with experienced people within the organization. Offensive quality development is the study's foundation. In identifying proposals, Lean management was used as the main theory with a deductive approach. For implementation proposals change management theories were utilized. Svenska Brukshundklubben should implement a more standardized flow in their training process and introduce clearer routines and working methods. Standardization can facilitate the organization and improve process quality. The new training process is presented as a flow divided into three blocks. The first part covers basic instructor courses, the second addresses the experience and education required in canine knowledge, and the third includes specialized patrol dog courses followed by practical training. Svenska Brukshundklubben should also take central responsibility for their patrol dog instructors, actively manage instructor assignments, follow up, and exercise transformational leadership in the change process. / I det här examensarbetet har en uppdragsbaserad kvalitativ studie genomförts vid en frivillig försvarsorganisation, Svenska Brukshundklubben. Organisationen bidrar till totalförsvaret genom att utbilda patrullhundar och hundförare till Hemvärnet. Försvarsmakten har fastställda anvisningar gällande hur instruktörer vid frivilliga försvarsorganisationer ska utbildas, vilket Svenska Brukshundklubben fram till 2025 haft avsteg från. De behöver därför nu skapa en ny utbildningsprocess för sina patrullhundsinstruktörer. Syftet med studien är tvådelat, dels att ta fram förslag till SBK på en ny och kvalitetssäker utbildningsprocess, dels ge förslag på hur implementeringen och ledningen av förändringsarbetet kan genomföras. För att uppnå syftet har data insamlats genom dokument, statistisk data, intervjuer och enkäter med Sakkunniga. Offensiv kvalitetsutveckling är grunden för studien och vid identifiering av förslag har Lean management och Likers 14 principer nyttjats som huvudteori med en deduktiv ansats. I arbetet med förslag till implementeringsarbetet har Kotters åttastegsmodell för förändring nyttjats ihop med teori om förändringsledning. Svenska Brukshundklubben bör nyttja ett mer standardiserat flöde i sin utbildningsprocess samt införa tydligare rutiner och arbetssätt. En standardisering kan underlätta för organisationen samt höja processens kvalitet. Den nya utbildningsprocessen presenteras som ett flöde indelat i tre block. Den första delen berör de grundläggande instruktörskurserna, det andra blocket erfarenheten och utbildningen som krävs inom hundkunskap och slutligen blocket med kurserna specialiserade inom patrullhund följt av praktik. Organisationen bör även ta ett mer centralt ansvar gällande sina patrullhundsinstruktörer, ta en aktiv roll i tilldelning av instruktörsuppdrag, uppföljning samt utöva ett transformativt ledarskap i förändringsarbetet.