A research study conducted by the National Council of State Boards of Nursing noted adjunct faculty educators have significant learning requirements and that nursing education throughout the United States has not met the basic needs of novice adjunct faculty educators. Adjunct faculty at a local community college noted a deficit in the orientation process for new clinical faculty. The purpose of this quality improvement project was to develop a guideline for new clinical faculty orientation. The sources of evidence were a literature review and a survey using the Delphi process with an expert panel comprising a group of 7 interested faculty, seasoned educators, and area hospital nurse educators. The Delphi process was used to achieve consensus on methods to orient adjunct faculty to their new role of clinical nurse educator. The knowledge-to-action cycle was used as the foundation for the adjunct faculty orientation recommendations. Benner's novice-to-expert theory was used as the framework to develop and to evaluate the competency level of adjunct faculty educators. Expert panelists recommended that clinical faculty orientation consist of a mixture of group orientation workshops, peer mentoring, seminar, role-modeling, role play, and written resources. An evidence-based adjunct faculty orientation guideline has the potential to positively affect social change by improving the teaching competence of nurse clinical experts who become new adjunct faculty nurse educators; thereby improving the quality of nursing care given by novice nurses beginning clinical practice, and ultimately, promoting positive outcomes in patient care.

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Syfte: Syftet med denna uppsats är att undersöka hur journalisters yrkesidentitet förändrats i och med mediebranschens stora förändringar på grund av teknologins utveckling. Vidare vill vi öka förståelsen för hur organisationer kan stötta personalens identitetsarbete i samband med stora förändringar som påverkar yrkesidentiteten. Metod: En fallstudie som undersöker journalisters yrkesidentitet med en abduktiv ansats. Den empiriska datan är insamlad med hjälp av intervjuer. Slutsats: Studien har visat på att journalister har en tydlig yrkesidentitet som grundar sig på de journalistiska idealen och värden som etik och neutralitet. Det har även konstaterats att på grund av ny teknologi har yrkesrollen för journalister förändrats och därmed har yrkesidentiteten också delvis förändrats. Vi kan se att oberoende vilken bransch som står inför stora förändringar på grund av ny teknologi så behövs en förståelse från organisationer om hur yrkesidentiteten kan påverkas. / Purpose: The purpose of this thesis is to investigate how journalist’s professional identity has changed because of the large changes of the media industry due to new technology. We also want to increase the understanding of how organizations can support their employees in identity work in connection to organizational changes that may impact the professional identity. Methodology: We have conducted a case study that investigates journalist’s professional identity with an abductive approach. The empirical data was collected using interviews. Conclusion: The study shows that journalists have a distinct professional identity based on journalistic ideals and values such as ethics and neutrality. It was also found that due to new technology the work role as journalists has changed and consequently the professional identity has also partly changed. We can see that regardless of which industry that is facing large changes due new technology, organizations need to understand how the professional identity can be impacted.

Comment un médecin peut-il devenir médecin-gestionnaire ? Un médecin peut-il même simplement devenir médecin-gestionnaire ? Cette thèse a pour vocation de mieux comprendre le phénomène de transition vers un rôle de médecin-gestionnaire, phénomène jugé difficile autant en pratique qu'en théorie. Celui-ci tend à se développer avec l'introduction de la gestion de la performance dans les organisations publiques européennes. Cette recherche prend comme illustration le rôle de responsable de pôle, nouveau rôle mêlant responsabilités médicales et gestionnaires, instauré au sein des hôpitaux publics français. Cette thèse s'articule autour de trois études menées de manière progressive. Une première étude envisage la transition de manière globale, en s'attachant à l'analyse des ajustements entre le médecin et son nouveau rôle. Elle est menée à partir d'une étude de cas et d'entretiens auprès de deux établissements de santé (un Centre Hospitalier Universitaire et un Centre Hospitalier) et de leurs 22 responsables de pôle. Elle met en avant l'importance de la dimension individuelle dans la transition analysée. Une deuxième étude se focalise sur l'influence de l'identification au rôle de médecin-gestionnaire sur la transition. Elle est menée à partir d'une étude de cas et d'entretiens auprès de 4 responsables de pôle d'un CHU et de leurs principaux collègues. Elle soulève l'effet de customisation de la posture d'identification au rôle sur la tenue de ce dernier. Une troisième étude s'oriente finalement sur le travail identitaire des médecins dans la tenue de leur rôle de médecin-gestionnaire. Elle est également menée à partir d'une étude de cas auprès des 4 mêmes responsables de pôle, mais au travers d'observations directes de leur comportement en réunion. Elle fait émerger l'importance de l'utilisation de l'identité en action pour tenir un rôle de médecin-gestionnaire. La thèse que nous défendons est que la transition vers un rôle de médecin-gestionnaire peut s'effectuer à partir d'ajustements et avec des postures d'identification variées, du moment que l'identité du médecin est retravaillée dans l'action. Nous conseillons aux établissements de santé de privilégier des dispositifs d'accompagnement personnalisés sur le terrain afin d'aider les médecins à comprendre la logique de leur rôle. / How can a doctor become a doctor-manager? Can a doctor even become a doctor-manager? This dissertation aims at better understanding the phenomenon of transition from a regular doctor role to a doctor-manager role, a transition that is experienced as difficult in practice and theory. This phenomenon tends to be developed with the spread of performance management within European public organizations. This research draws upon the example of the clinical director role, a new role in French public hospitals that is mixing both medical and managerial responsibilities. This dissertation is based on three progressive studies. A first study examines this transition with a global view by analyzing the adjustments between a doctor and his/her new role. It is carried out through a case study within two health care organizations (a teaching hospital and a hospital) and through interviews with their 22 clinical directors. This study shows the importance of the individual dimension for the transition to succeed. A second study focuses on the influence of role identification on the way a doctor-manager role is enacted. A case study and interviews with 4 clinical directors and their main colleagues within a teaching hospital are used to reach this goal. This study reveals the customization effect of identification on a doctor-manager role. A third and last study deeply focuses on the identity work of doctors in their enactment of a doctor-manager role. We address this issue by using a case study with the same 4 clinical directors, but through direct observations of their behavior during meetings. This study shows the importance of activating of identity into the context to enact a doctor-manager role. Finally, our main argument in this dissertation is that a transition to a doctor-manager role can be lead through various adjustments and identification situations, as long as identity is reworked during role enactment. We suggest to hospital directors to give priority to the use of field management tools oriented on personalization, in order to help doctors understand the logic of their roles.

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