Patient safety has progressed in 15 years from being a relatively insignificant issue to a position high on the agenda for health care providers, managers and policymakers as well as the general public. Sweden has seen increased national, regional and local patient safety efforts since 2011 when a new patient safety law was introduced and a four-year financial incentive plan was launched to encourage county councils to carry out specified measures and meet certain patient safety related criteria. However, little is known about what structures and processes contribute to improved patient safety outcomes and how the context influences the results. The overall aim of this thesis was to generate knowledge for improved understanding and explanation of influences on patient safety in the county councils in Sweden. To address this issue, five studies were con-ducted: interviews with nurses and infection control practitioners, surveys to patient safety officers and a document analysis of patient safety reports. Patient safety officers are healthcare professionals who hold key positions in their county council’s patient safety work. The findings from the studies were structured through a framework based on Donabedian’s triad (with a contextual element added) and applying a learning perspective, highlight areas that are potentially important to improve the patient safety in Swe-dish county councils. Study I showed that the conditions for the county councils’ patient safety work could be improved. Conducting root-cause analysis and attaining an organizational culture that encourages reporting and avoids blame were perceived to be of importance for improving patient safety. Study II showed that nurses perceived facilitators and barriers for improved pa-tient safety at several system levels. Study III revealed many different types of obstacles to effective surveillance of health care-associated infec-tions (HAIs), the majority belonging to the early stages of the surveillance process. Many of the obstacles described by the infection control practi-tioners restricted the use of results in efforts to reduce HAIs. Study IV of the Patient Safety Reports identified 14 different structure elements of patient safety work, 31 process elements and 23 outcome elements. These reports were perceived by patient safety officers to be useful for providing a structure for patient safety work in the county councils, for enhancing the focus on patient safety issues and for learning from the patient safety work that is undertaken. In Study V the patient safety officers rated efforts to reduce the use of antibiotics and improved communication be-tween health care practitioners and patients as most important for attaining current and future levels of patient safety in their county council. The patient safety officers also perceived that the most successful county councils regarding patient safety have good leadership support, a long-term commitment and a functional work organisation for patient safety work. Taken together, the five studies of this thesis demonstrate that patient safety is a multifaceted problem that requires multifaceted solutions. The findings point to an insufficient transition of assembled data and information into action and learning for improved patient safety.

Darbuotojų mokymo įtaka organizacijos konkurencingumui Magistro studijų baigiamasis darbas, sudaro 72 puslapiai, darbe pateikiama 36 paveikslai, 5 lentelės bei 2 priedai. Raktiniai žodžiai: organizacijų mokymai, besimokanti organizacija, mokymų įtaka organizacijos konkurencingumui. Tyrimo objektas – Lietuvos organizacijų darbuotojai. Tyrimo laikotarpio trukmė – 2010 m. pirmas ketvirtis. Darbo objektas - Lietuvos organizacijų darbuotojų mokymai. Darbo tikslas – nustatyti, ar personalo mokymai tiekia naudą organizacijų konkurencingumui. Darbo uždaviniai: 1. Išnagrinėti darbuotojų mokymų sampratą bei procesą. 2. Aptarti darbuotojų mokymo ir tobulinimo sistemą Lietuvoje. 3. Įvertinti darbuotojų mokymų įtaka organizacijos konkurencingumui. Tyrimo metodai: anketinis, palyginamosios analizės. Anoniminis anketavimas pasirinktas dėl patogumo respondentams ir tikėtinai teisingos informacijos. Norint pabrėžti skirtumus tarp įvairių organizacijų ir jų pasirinktos mokymosi/nesimokymo strategijos naudojama palyginamoji analizė. Pirmojoje dalyje „Darbuotojų mokymai teoriniu aspektu“ aptariami darbuotojų mokymai teoriniu aspektu, nagrinėjama darbuotojų mokymų samprata, mokymų proceso etapai bei metodai. Antrojoje darbo dalyje „Darbuotojų mokymo ir tobulinimo sistema Lietuvoje“ nagrinėjama Lietuvoje šiuo metu egzistuojanti darbuotojų mokymo ir tobulinimo sistema. Aptariama kvalifikacijos tobulinimo svarba organizacijos konkurencingumui. Taip pat nagrinėjama besimokančios organizacijos... [toliau žr. visą tekstą] / LAURINĖNIENĖ, Elinga. (2010) The Influence of Personal Training for Companies Competitive Ability. MBA Graduation Paper. Kaunas: Kaunas Faculty of Humanities, Vilnius University. 72 p. SUMMARY Master's degree final paper consists of 72 pages. 36 figures, 5 tables and 2 appendixes are exposed. Key words: organizational training, learning organization, training and the influence of training to ompanies competitiveness. Research of object – staff of Lithuania organizations. Study period - the first quarter of 2010. Object - Lithuanian organizations in staff training. The aim - to determine whether staff training benefits the competitiveness of organizations. The tasks: 1. To verview the concept of employee training and process. 2. To xplore the training and development system in Lithuania. 3. To evaluate thye staff training on the organization's competitiveness. Research methods: questionnaire, comparative analysis. Anonymous questionnaire was chosen for the better convenience of selected respondents and the higher probabilily for the correct information gathering. To highlight the differences between various organizations and the preferred learning/not learning strategy a comparative analysis was used. The first part „The theoretical concept of employee training“ consist of the theoretical aspect of staff training, overviewing staff training concepts, processes and methods of trainings. The second part of "Training and development system if staff in Lithuania“ contains analysis... [to full text]

Notre travail consiste donc à développer la problématique suivante : l'Université d'Entreprise de l'avenir dépend de sa capacité à gérer et exploiter l'interaction complexe des sous-systèmes de l'apprentissage organisationnel par un espace d'apprentissage collectif en amorçant des bonnes pratiques nécessaires pour devenir une entreprise apprenante. Pour cela nous nous sommes intéressés à l'entreprise AREVA, qui dispose d'une Université comme espace d'apprentissage. Après une analyse du modèle existant, nous leur proposerons l'instauration d'une démarche de gestion de connaissance et la création d'une communauté pratique via un réseau de formateurs internes et externes. Enfin, nous pensons que la mise en place de ces mesures permettra le partage et la mutualisation des expertises et de l'expérience en interne ainsi qu'en externe, via un partenariat avec les acteurs du marché du nucléaire. / Our job is to develop the following problem: The Corporate University's future depends on its ability to manage and operate the complex interaction of subsystems organizational learning by a collective learning space by initiating good practice to become a learning organization For this, we are interested in the company AREVA, which has a University as a learning space. After an analysis of the existing model, we will propose the establishment of a knowledge management approach and the creation of a community of practice via a network of internal and external trainers. Finally, we believe that the implementation of these measures will allow the sharing and pooling of expertise and experience internally and externally, through a partnership with the players of the nuclear market.

Tjänstelogiskt perspektiv, systemtänkande och organisatoriskt lärande främjar innovation i organisationer. Utmaningen är att ta reda på användarens behov och välja en anpassad organisatorisk struktur som metod för att skapa värde. Grunden är att öka bredden och djupet på lärandet i organisationen för ökad flexibilitet. Konsten är att välja och implementera främjande perspektiv. Studiens undersökning utgår från ett tjänstelogiskt perspektiv för att förstå användarnas behov i ett mindre problem. I studien diskuteras ett ramverk att förbättra innovationsmiljön på ett socialkontor i mellersta Sverige. Metoden är inspirerad av aktionsforskning. Nio intervjuer genomfördes i syfte att skapa förförståelse för användarnas behov. En transparent kommunikation med uppdragsgivarna hölls frekvent i syfte att öka medvetenhet för nya metoder och perspektiv. Författarna höll en workshop med åtta deltagare i syfte att skapa en gemensam mental modell, transparens mellan enheter som är beroende och för att låta författarnas problembild valideras. En slutpresentation hölls inför ledningsgruppen i syftet deltagarvalidering. Resultatet visar att det standardiserade IT-systemet skapar en komplex manuell administration. IT- utvecklare och enhetschefer upplever att integrationen mellan systemen brister. Medarbetarnas involvering är inte tillräcklig och kommunikationen brister i viktig detaljerad information mellan enheterna. / Service logic perspective, systems thinking and organizational learning promotes innovation in organizations. The challenge is to find out the users’ needs and to select a custom organizational structure as a method to create value. The foundation is to increase the breadth and depth of learning in the organization for increased flexibility. The trick is to select and implement promotion perspective. The study's survey is based on a service logic perspective to understand the needs of users in a minor problem. There is a discussion in this study of a framework to improve the innovation environment in a social office in central Sweden. The method is inspired by action research. Nine interviews were conducted in order to create pre-understanding of user needs. A transparent communication with clients held over time in order to increase awareness and understanding of different approaches and perspectives. The authors held a workshop with eight participants in order to create a shared mental model, transparency between entities that are dependent and to allow authors problem scenario validated. A final presentation was held for the management team for the purpose of a respondent validation. The results show that the standardized IT- system creates a complex manual administration. IT- developers and unit managers feel that the integration between the systems has flaws. Employee involvement is not sufficient and communication gaps in important detailed information between entities.

The final thesis focuses on thema education and development of employees. The aim is to define these terms and explain the main theoretical approaches to education and development of employees. The first part of final thesis states new knowledge which were afterwards applied into practice during the research. Research, based on questionnaire completed by employees, is aimed at evaluation of project efficiency in a concrete company. The goal of project is to implement a new education strategy. At the end of practical part the survey results and improvement suggestions to project are described.

<p>This study investigates forces and organizational structures that facilitate or hinder sustainabledevelopment to be introduced and integrated in the core activities of public institutions.Specifically, the way global national sustainable development goals find their way into thelocal curriculum and overall-encompassing strategy of a few Swedish high-schools isidentified.To facilitate the search, the study is assisted by actor-network theory to find human and nonhuman―power-brokers‖ that can ensure the adoption and continuous application of newconcepts in a school. A pre-study of several schools, consisting of explorative interviews,located and classified factors and processes of potential importance for the implementation ofactivities related to sustainable development. At the same time, the large variety ofdefinitions of sustainable development encountered was recorded.The main study expanded on the findings from the pre-study and provided a more detailedanalysis of one senior high-school (upper secondary school). Several examples oforganizational structures and other factors– macro-actors in the theoretical model - werelocated with the potential to influence the furthering of the cause of sustainable developmentin that particular school. The possibility is discussed that the school would profit fromdeveloping a common mode of communication based on exploring experiences from applyingthe many issues that can be related to sustainable development. Such an endeavor could resultin organizational change typical of a learning organization. In that case, the resilience andcapacity of the organization to handle abrupt changes in national policy would be increased aswell as the preparedness of its students – our future – to handle rapidly changing situations intomorrow‗s society.The study further suggest that a similar ―tool-box‖ of theoretical models could be applied tothe local implementation of other national issues in an institutional setting.</p>

In den letzten 20 Jahren sind Evaluationen Schritt für Schritt zu einem festen und gleichzeitig kontrovers diskutierten Bestandteil politischer Förderung geworden. Auf der Basis langjähriger Beobachtungen der Evaluationspraxis des Förderprogramms „Soziale Stadt“ zeigt dieses Buch zunächst, dass Evaluationstätigkeiten in Ministerien, Kommunalverwaltungen und Planungsbüros mit ganz unterschiedlichen Erwartungen, Herausforderungen, Widersprüchen und Irritationen verknüpft werden. Evaluationen werden dabei sowohl als Hoffnungsträger, als auch als Schreckgespenst gesehen. Der Autor nimmt diese Beobachtungen zum Anlass, den Umgang mit Evaluationen in politischen Organisationen kritisch zu hinterfragen und systematisch zu erklären. Reduziert auf die Frage „Wozu Evaluation?“ wird auf der Basis eines systemtheoretischen Zugangs erklärt, welche unterschiedlichen Funktionen Evaluationen in Organisationen erfüllen können. Vertiefend wird dabei auf organisationales Lernen, auf politische Steuerungslogik und auf die Notwendigkeit von Symbolisierungen eingegangen. / The neighborhood development program “Social City” aims to discontinue the downward tendency of so-called disadvantaged neighborhoods by funding numerous projects. In the course of the program implementation, the method of evaluation – as a target-performance analysis – becomes more and more relevant. But whether something can be called a successful neighborhood management or a successful measure of integration strongly depends on its context and the point of view. For this reason evaluation research says that the effects of programs are usually only indicated unsatisfactorily. These observations lead to the research aim, to explain the function of evaluations for the constitution of development programs beyond usual arguments of effectiveness and efficiency. Using a system theoretical approach Wilhelm analyzed the explicit and implicit norms and observation schemes of a successful program implementation. The following theses on the role of evaluations in program implementations can be derived: a) Evaluations lay down the change in the distinctions of political intervention and facilitate communication about success,b) Evaluations manifest the differentiation between underprivileged and privileged neighborhoods in the program and help to legitimate it, c) evaluations actualize the funding programs’ ability to absorb insecurity and finally d) evaluations take the “illusion of control” inherent to every political strategy of intervention as a basis and thus contribute to its manifestation.

It is generally assumed that monetary incentivization is the most effective means of motivating organizationally-beneficial behaviors. Individuals, under this line of thought, pursue their own objective self-interest above all else. However, evidence is being uncovered that indicates that human motivation may be a much more complicated facet of the human psyche. The purpose of this study is to examine the deeper underpinnings that drive people work that might lie beyond financial rewards. In order to do this, the Shakedown Café, a student-run restaurant on Pitzer College’s campus, will be examined. This specific organization is of particular interest because it does not have the ability to reward employees in the manner that most businesses are able to employ. In looking at the Shakedown, the author's direct experiences while working in the restaurant, observations, a variety or intra-organizational correspondences, and modern organizational behavior theories will be utilized. The findings of this research indicate that the human drives to learn, bond with others, and defend oneself and one's surroundings are all just as important aspects of motivation as is the drive to acquire money. Within the organization of interest, these drives manifest themselves through organizational purpose, group learning, and shared leadership. From this example of the Shakedown Café, it is suggested that proliferation of financial rewards in today's organizations may well be an outdated model of motivating which could be prohibiting organizations and the people within them from reaching their full potentials.

No description available.

This comparative case study aimed to explore the elements that align with Senge&rsquo / s framework of the Learning Organization, comprised of the disciplines of Personal Mastery, Shared Vision, Mental Models, Team Learning, and Systems Thinking, in the English Language Preparatory Programs of two selected higher education institutions to determine what characteristics of a learning organization they possess. In this study, qualitative case study method was employed. The study was conducted in two organizations, one (Organization A), part of a private Englishmedium university, and the other (Organization B), part of a public Englishmedium university, in Ankara, Turkey. The sample contained seven administrators and twenty-two instructors from Organization A and seventeen instructors and 3 administrators from Organization B. The data collected through semi-structured interviews were analyzed using content analysis technique. The findings revealed that both organizations are evolving towards a learning organization, but have not institutionalized the five disciplines to an ideal state yet. Organization A is doing somewhat better than Organization B as regards the disciplines of Team Learning and Personal Mastery / however, there is no considerable difference between the organizations in terms of the disciplines of Shared Vision, Mental Models and Systems Thinking. Overall, in both organizations there are impediments in terms of the development and achievement of personal visions, learning of individuals and teams, development of a shared vision, surfacing and questioning mental models, and acting from a comprehensive systems approach.