Soins intégrés: comment accompagner un changement de culture [Integrated care: how to support a culture change?].

The primary care center at Lausanne University Hospital trains residents to new models of integrated care. The future GPs discover new forms of collaboration with nurses, pharmacists or social workers. The collaboration model includes seeing patients together or delegating care to other providers, with the aim of improving the efficiency of a patient-centered care approach. The article includes examples of integrated care in consultation for travelers, victims of violence, pharmacist medication adherence counseling, medicosocial team work for alcohol use disorders and nurse practitioners' primary care for asylum seekers.

Designing online interaction to address disciplinary competencies: A cross-country comparison of faculty perspectives

This study was conducted at colleges in three countries (United States, Venezuela, and Spain) and across three academic disciplines (engineering, education, and business), to examine how experienced faculty define competencies for their discipline, and design instructional interaction for online courses. A qualitative research design employing in-depth interviews was selected. Results show that disciplinary knowledge takes precedence when faculty members select competencies to be developed in online courses for their respective professions. In all three disciplines, the design of interaction to correspond with disciplinary competencies was often influenced by contextual factors that modify faculty intention. Therefore, instructional design will vary across countries in the same discipline to address the local context, such as the needs and expectations of the learners, faculty perspectives, beliefs and values, and the needs of the institution, the community, and country. The three disciplines from the three countries agreed on the importance of the following competencies: knowledge of the field, higher order cognitive processes such as critical thinking, analysis, problem solving, transfer of knowledge, oral and written communication skills, team work, decision making, leadership and management skills, indicating far more similarities in competencies than differences between the three different applied disciplines. We found a lack of correspondence between faculty¿s intent to develop collaborative learning skills and the actual development of them. Contextual factors such as faculty prior experience in design, student reluctance to engage in collaborative learning, and institutional assessment systems that focus on individual performance were some of these reasons.

Pk-yrityksen muutostilanne organisaation kehittämisen näkökulmasta

Työssä tarkasteltiin nuoren pk-yrityksen muutostilannetta, joka aiheutui liiketoiminnan nopeasta kasvusta. Tavoitteena oli selvittää, kuinka yrityksen toimintaa voidaan sopeuttaa muutostilanteeseen organisaation oppimisen avulla. Tutkielman teoriaosuudessa tarkasteltiin muutoksen kausaalisuhteita organisaatiossa. Ajallinen tekijä huomioitiin elinkaarimallin avulla. Lisäksi käytiin läpi niitä käsitteitä ja lainalaisuuksia, jotka liittyvät organisaation toiminnan kehittämiseen yrityskulttuurin ja oppimisen kannalta. Tutkielman empiriaosassa tarkasteltiin viitekehyksen soveltuvuutta käytäntöön analysoimalla case-yrityksen toimintaa. Aineistona käytettiin aihealueen teoksia, internet-lähteitä sekä yritysjohdon haastatteluja. Yrityksen kasvu ja kriisit voidaan nähdä organisaatiomuutoksen laukaisimiksi. Muutosprosessi käynnistyy, kun toiminnassa havaitaan eroa nykyisen ja tavoitetilan välillä, jolloin organisaatio hahmottaa itsensä uudella tavalla osana ympäristöä.Tavoitteena on ajattelu- ja toimintatavan muutos, jolloin vuorovaikutus lisääntyy ja valtaa sekä vastuuta jaetaan organisaation muille toimijoille (nk. empowerment). Yrityksellä on nopean kasvun tilanteessa varsin rajalliset keinot sopeuttaa toimintaansa. Pääasiassa tämä johtuu siitä, että osaamisen kehittäminen on pitkäjänteistä toimintaa, eivätkä pikakorjaukset välttämättä johda pysyvään muutokseen. Yrityksen olemassa olevien resurssien pohjalta voidaankuitenkin sopeuttaa toimintaa lyhyelläkin aikajänteellä kollektiivisesti mm. työssä oppimisen sekä tiimityöskentelyn avulla. Pitkällä tähtäimellä tulee pyrkiä osaamisen suunnitelmalliseen kehittämiseen sekä toiminnan jatkuvaan parantamiseen. Suotuisan infrastruktuurin avulla voidaan luoda paremmat edellytykset organisaation kehittämiselle. Organisaation jäsenillä tulee olla yhteinen näkemys tavoitteista ja keinoista.

Innovation – from individual intuition to collaborative innovation. The role of individual key actor in facilitation of innovation in large organization context

The objective of this research was to study the role of key individuals in facilitation of technology enabled bottom-up innovation in large organization context. The development of innovation was followed from the point of view of individual actor (key individual) in two cases, through three levels: individual, team and organization, by using knowledge creation and innovation models. This study provides theoretical synthesis and framework through which the study is driven. The results of the study indicate, that in bottom-up initiated innovations the role of key individuals is still crucial, but innovation today is collective effort and there acts several entrepreneurial key individuals: innovator, user champion and organizational sponsor, whose collaboration and developing interaction drives innovation further. The team work is functional and fluent, but it meets great problems in interaction with organization. The large organizations should develop its practices and ability to react on emerging bottom-up initiations, in order to embed innovation to organization and gain sustainable innovation. In addition, bottom-up initiated innovations are demonstrations of peoples knowing, tacit knowledge and therefore renewing of an organization.

CLIL FAQ’s: Orientacions per a introduir l’anglès a l’aula universitària

“CLIL FAQs: Orientacions per a introduir l’anglès a l’aula universitària” és una publicació oberta dirigida als docents que assumeixen el repte d’introduir una llengua estrangera a l’aula. Es tracta d’un recull d’orientacions sorgides de la pràctica d’un equip interdisciplinari de professors de la Facultat de Ciències de l’Educació de la Universitat Autònoma de Barcelona en el marc d’un projecte de Millora de la Qualitat Docent (Ref. 2010MQD00132). La publicació exposa una sèrie de preguntes o FAQs (Frequent Asked Questions) que creiem que tot docent CLIL es podria fer abans d’introduir l’anglès a l’aula. El grup de docents implicats en el projecte, després de dissenyar coordinadament una sèrie d’activitats en anglès i d’implantar-les a les seves respectives assignatures, ha elaborat aquest llistat de FAQs que miren de respondre amb reflexions, suggeriments d’acció, estratègies didàctiques, exemples i recursos sorgits de la pròpia experiència. En aquest article situem el projecte en el context català, presentem com es va dur a terme i us expliquem què podeu trobar en la publicació que se’n deriva. A mode de conclusió oferim algunes reflexions del grup sobre el treball en equip interdisciplinari, la introducció del multilingüisme a l’aula, els contextos CLIL i la resposta dels alumnes.

Baixem de les tarimes i connectem: recerca en història medieval i innovació docent

We would like to introduce our group of research, [CONTRA TAEDIUM], created by professionals from different fields, that have contributed in this article. Our purpose is to expose our reflections based on our own experiences, not only in research, but also in teaching. We propose new forms of writing history in order to understand the dairy life of the women and men of the past, from birth to death. We would like to point out that interacting all types of sources is essential to understand our history. But, what really makes sense is to bring our students in the historical methodology and involve them in their education. Moreover, it is necessary to design new teaching materials using the new technologies, although it requires team-work and a great, but satisfying, effort

Customized agile development process for embedded software development

Agile software development has grown in popularity starting from the agile manifesto declared in 2001. However there is a strong belief that the agile methods are not suitable for embedded, critical or real-time software development, even though multiple studies and cases show differently. This thesis will present a custom agile process that can be used in embedded software development. The reasons for presumed unfitness of agile methods in embedded software development have mainly based on the feeling of these methods providing no real control, no strict discipline and less rigor engineering practices. One starting point is to provide a light process with disciplined approach to the embedded software development. Agile software development has gained popularity due to the fact that there are still big issues in software development as a whole. Projects fail due to schedule slips, budget surpassing or failing to meet the business needs. This does not change when talking about embedded software development. These issues are still valid, with multiple new ones rising from the quite complex and hard domain the embedded software developers work in. These issues are another starting point for this thesis. The thesis is based heavily on Feature Driven Development, a software development methodology that can be seen as a runner up to the most popular agile methodologies. The FDD as such is quite process oriented and is lacking few practices considered commonly as extremely important in agile development methodologies. In order for FDD to gain acceptance in the software development community it needs to be modified and enhanced. This thesis presents an improved custom agile process that can be used in embedded software development projects with size varying from 10 to 500 persons. This process is based on Feature Driven Development and by suitable parts to Extreme Programming, Scrum and Agile Modeling. Finally this thesis will present how the new process responds to the common issues in the embedded software development. The process of creating the new process is evaluated at the retrospective and guidelines for such process creation work are introduced. These emphasize the agility also in the process development through early and frequent deliveries and the team work needed to create suitable process.

Indicent reporting in shipping. Experiences and best practices for the Baltic Sea

Incident and near miss reporting is one of the proactive tools of safety management. By analyzing incidents and near misses and by corrective actions, severe accidents can potentially be avoided. Near miss and incident reporting is widely used in many riskprone industries such as aviation or chemical industry. In shipping incident and near miss reporting is required by the mandatory safety management system International Safety Management Code (ISM Code). However, in several studies the conclusion has been that incidents are reported poorly in the shipping industry. The aim of this report is to highlight the best practices for incident reporting in shipping and to support the shipping industry in the better utilization of incident reporting information. The study consists of three parts: 1) voluntary, shared reporting systems in shipping (international experiences), 2) interview study at four shipping companies in Sweden and in Finland (best practices), 3) expert workshop on incident reporting (problems and solutions). Preconditions for a functional reporting system are an existing no blame culture, commitment of the top management, feedback, good communication, training and an easy-to-use system. Although preconditions are met, problems can still appear, for example due to psychological, interpersonal or nationality-related reasons. In order to keep the reporting system functioning, the shipping company must be committed to maintain and develop the system and to tackle the problems. The whole reporting process from compiling, handling and analyzing a report, creating corrective actions and implementing them has to be handled properly in order to gain benefits from the reporting system. In addition to avoiding accidents, the functional reporting system can also offer other benefits by increasing safety awareness, by improving the overall safety and working conditions onboard, by enhancing team work and communication onboard and between ships and the land-based organization of shipping companies. Voluntary shared reporting systems are supported in the shipping industry in principle, but their development in the Baltic Sea is still in its infancy and the potential benefits of sharing the reports have not been realized. On the basis of this study we recommend that a common reporting system be developed for the Baltic Sea area which all the ships operating in the area could use regardless of their flag. Such a wider system could prevent some of the problems related to the current national systems. There would be more incident cases available in the database and this would support anonymity and thus encourage shipping companies to report to a shared database more frequently. A shared reporting system would contribute to the sharing of experiences and to the wider use of incident information in the shipping industry.

A systematic literature review on agile project

In the 21st century, agile project management (APM) has emerged as a major evolutionary step in the area of software project management. APM is defined as a conceptual framework, consisting of various methods such as Scrum, quick respond to change, better customer collaboration, minimum coverage of documentation and extreme programming (XP) that facilitates to produce working software in multiple iterations with team work. Because agile project management has become more popular in the software industry in recent years, it constitutes an interesting and comprehensive research topic. This thesis presents a systematic literature review (SLR) of published research articles concerning agile project management. Based on a predefined search strategy, 273 such articles were identified, of which 44 were included in the review. The selected 44 articles were published between years 2005 and 2012. The thesis defines a review process by developing a review protocol and presenting the results of the review. The results are expected to provide researchers, software man

Organisaatiomuutoksen jalkautuminen konepajayritykseen

Tutkimuksessa tarkasteltiin suomalaisen konepajayrityksen muutosprosessia, jossa se siirtyy yksilökeskeisestä tiimimäiseen toimintatapaan. Tavoitteena oli selvittää, missä asioissa organisaatio on onnistunut ja missä epäonnistunut muutosprosessissa. Tulosten pohjalta analysoitiin yrityksen muutosjohtamista ja muutosvastarinnan tekijöitä ja ideoitiin keinoja miten pysyvä muutos voitaisiin aikaansaada. Tutkimus on luokiteltavissa laadulliseksi tapaustutkimukseksi, jonka aineistona hyödynnettiin yrityksessä toteutettuja kyselytutkimuksia sekä niiden tulosten pohjalta muodostettujen puolistrukturoitujen yksilöhaastatteluiden lausumia. Tutkimus tarkasteli organisaatiota muutoksen alkutilanteessa ja noin vuosi muutoksen aloittamisen jälkeen, joten kyseessä oli toimintatutkimus. Vuoden aikana yrityksessä koettu muutos oli hyvin tiimikohtaista: toiset tiimit toimivat jo hyvinkin tiimimäisesti, mutta toiset tiimit olivat toteuttaneet tiimiytymistä lähinnä pakonomaisesti. Merkittävä syy vähäiseen muutokseen oli se, ettei johto ollut selkeästi viestinyt muutoksen välttämättömyydestä eikä kertonut mistä toiminnassa on kyse ja mitä sillä haetaan. Johtamisen olisi pitänyt myös olla selkeämmin ihmisten johtamista huomioiden yksilöiden motivointitekijöitä ja ryhmäkäyttäytymistä. Olennaista olisi myös kiinnittää enemmän huomiota työhyvinvointitekijöihin, jotta henkilöstö saadaan motivoituneeksi toimimaan yhteiseksi hyväksi.

Collectiveness within startup teams – Leading the way to initiating and managing collective pursuit of opportunities in organizational contexts

While traditional entrepreneurship literature addresses the pursuit of entrepreneurial opportunities to a solo entrepreneur, scholars increasingly agree that new ventures are often founded and operated by entrepreneurial teams as collective efforts especially in hightechnology industries. Researchers also suggest that team ventures are more likely to survive and succeed than ventures founded by the individual entrepreneur although specific challenges might relate to multiple individuals being involved in joint entrepreneurial action. In addition to new ventures, entrepreneurial teams are seen central for organizing work in established organizations since the teams are able to create major product and service innovations that drive organizational success. Acknowledgement of the entrepreneurial teams in various organizational contexts has challenged the notion on the individual entrepreneur. However, considering that entrepreneurial teams represent a collective-level phenomenon that bases on interactions between organizational members, entrepreneurial teams may not have been studied as indepth as could be expected from the point of view of the team-level, rather than the individual or the individuals in the team. Many entrepreneurial team studies adopt the individualized view of entrepreneurship and examine the team members’ aggregate characteristics or the role of a lead entrepreneur. The previous understandings might not offer a comprehensive and indepth enough understanding of collectiveness within entrepreneurial teams and team venture performance that often relates to the team-level issues in particular. In addition, as the collective-level of entrepreneurial teams has been approached in various ways in the existing literatures, the phenomenon has been difficult to understand in research and practice. Hence, there is a need to understand entrepreneurial teams at the collective-level through a systematic and comprehensive perspective. This study takes part in the discussions on entrepreneurial teams. The overall objective of this study is to offer a description and understanding of collectiveness within entrepreneurial teams beyond individual(s). The research questions of the study are: 1) what collectiveness within entrepreneurial teams stands for, what constitutes the basic elements of it, and who are included in it, 2) why, how, and when collectiveness emerges or reinforces within entrepreneurial teams, and 3) why collectiveness within entrepreneurial teams matters and how it could be developed or supported. In order to answer the above questions, this study bases on three approaches, two set of empirical data, two analysis techniques, and conceptual study. The first data set consists of 12 qualitative semi-structured interviews with business school students who are seen as prospective entrepreneurs. The data is approached through a social constructionist perspective and analyzed through discourse analysis. The second data set bases on a qualitative multiplecase study approach that aims at theory elaboration. The main data consists of 14 individual and four group semi-structured thematic interviews with members of core entrepreneurial teams of four team startups in high-technology industries. The secondary data includes publicly available documents. This data set is approached through a critical realist perspective and analyzed through systematic thematic analysis. The study is completed through a conceptual study that aims at building a theoretical model of collective-level entrepreneurship drawing from existing literatures on organizational theory and social-psychology. The theoretical work applies a positivist perspective. This study consists of two parts. The first part includes an overview that introduces the research background, knowledge gaps and objectives, research strategy, and key concepts. It also outlines the existing knowledge of entrepreneurial team literature, presents and justifies the choices of paradigms and methods, summarizes the publications, and synthesizes the findings through answering the above mentioned research questions. The second part consists of five publications that address independent research questions but all enable to answer the research questions set for this study as a whole. The findings of this study suggest a map of relevant concepts and their relationships that help grasp collectiveness within entrepreneurial teams. The analyses conducted in the publications suggest that collectiveness within entrepreneurial teams stands for cognitive and affective structures in-between team members including elements of collective entity, collective idea of business, collective effort, collective attitudes and motivations, and collective feelings. Collectiveness within entrepreneurial teams also stands for specific joint entrepreneurial action components in which the structures are constructed. The action components reflect equality and democracy, and open and direct communication in particular. Collectiveness emerges because it is a powerful tool for overcoming individualized barriers to entrepreneurship and due to collectively oriented desire for, collective value orientation to, demand for, and encouragement to team entrepreneurship. Collectiveness emerges and reinforces in processes of joint creation and realization of entrepreneurial opportunities including joint analysis and planning of the opportunities and strategies, decision-making and realization of the opportunities, and evaluation, feedback, and sanctions of entrepreneurial action. Collectiveness matters because it is relevant for potential future entrepreneurs and because it affects the ways collective ventures are initiated and managed. Collectiveness also matters because it is a versatile, dynamic, and malleable phenomenon and the ideas of it can be applied across organizational contexts that require team work in discovering or creating and realizing new opportunities. This study further discusses how the findings add to the existing knowledge of entrepreneurial team literature and how the ideas can be applied in educational, managerial, and policy contexts.

Factors of innovation creation within functional heterogeneous project teams Case study: ABB Group

The research topic of the work is: “Factors of innovation creation within functionally heterogeneous project teams”. The research question is “What are the factors of innovation creation within functionally heterogeneous project teams?” The subject of this research is to explore the teams of projects, aimed at creating innovations, and understand how innovation is generated through project team work within them in term of factors. In line with the purposes of this study, firstly, it was analyzed what factors of such teams’ work are affecting creating innovation positively and negatively on the base of chosen literature and a preliminary conceptional framework was formulated, and secondly, the research of the work of project teams in one of the divisions of ABB company has been done and other factors and interdependencies between them have been added to the conceptional framework. This final conceptional framework constitutes the essense of the work findings and can be used as a tool to analyze the innovation creation process in functionally heterogeneous project teams

The challenges and successful strategies of secondary school administrators /

This study presents information gathered during personal interviews in the area of challenges that administrators have faced in their careers, and the strategies they have found to be successful in meeting those challenges. This research is a qualitative study, using an inductive approach. Five participants were chosen, based on convenience sampling, with semi-structured interviews that were audio recorded. The theoretical research found that school violence and stafS'school morale were key challenges facing administrators, with a variety of approaches suggested to foster success in meeting those challenges. Some of these approaches included knowledge, team work, an ethic of care, and having a school vision. From the interviews it became clear that the challenges administrators faced included those posed by students, including disciplinary issues, those posed by adults and those posed by government changes in education. In regards to strategies for success, the interviews revealed three key concepts that were emphasized as vital. These were the assets of craft knowledge (experience), collegiality, and the use of other professional resources and educators.

L’influence du développement durable à travers la formation universitaire en design industriel

Aujourd’hui, nous savons qu’environ 75 à 80% des impacts environnementaux des produits sont déterminés lors de la conception. Le rôle du designer industriel est donc crucial pour arriver à une forme de développement plus viable. Cette recherche tente de cibler les champs de connaissances qui devraient faire partie de la formation des professionnels du développement de produits pour y intégrer les aspects environnementaux. Après une recension de la littérature en design industriel, en pédagogie et en environnement, l’étude de terrain a été conduite en deux temps. Selon des critères prédéfinis, des programmes universitaires « spécialisés » en environnement/développement durable, au Québec, ainsi que des formations en éco-conception, offerts en France, ont été analysés. L’étude de terrain a été complétée par un entretien en profondeur semi-dirigé avec un consultant, qui aide des entreprises québécoises à intégrer l’environnement en développement de produits. L’analyse des informations recueillies met en évidence la nécessité de transformer rapidement les formations universitaires en conception de produits. Le nouveau cursus de design industriel devrait; 1. Intégrer les connaissances relatives aux impacts environnementaux; 2. Encourager le travail en équipes multidisciplinaires pour enrichir la collecte d’informations relative aux projets de développement; 3. Établir une collaboration étroite entre les établissements d’enseignement et les industries, ce qui est essentiel à la compréhension des enjeux de développement de produits et services (culture de l’entreprise, coût, délais, logistique, réglementation, etc.).

L’influence de la coopération patronale-syndicale sur le fonctionnement et le degré d’autonomie des équipes de travail

Cette étude traite du travail en équipe et de la coopération patronale-syndicale. Nous avons évalué l’influence de la coopération patronale-syndicale sur le fonctionnement et l’autonomie collective des équipes de travail. La méthodologie utilisée s’appuie sur une étude de cas contrastés du point de vue de la variable indépendante (l’intensité de la coopération patronale-syndicale), en neutralisant le plus grand nombre possible de variables de contrôle pouvant influencer la variable dépendante (fonctionnement et autonomie des équipes de travail). Des entrevues semi-structurées avec les représentants des deux usines sélectionnées ont confirmé que la coopération patronale-syndicale était élevée dans une usine et faible dans l’autre. L’analyse des données relatives à notre variable dépendante est basée principalement sur les résultats d’un questionnaire et les données obtenues indiquent que les répondants de l’usine d’Alma font des évaluations plus élevées des aspects liés aux dimensions de la variable dépendantes et celles-ci recouvrent des aspects axés sur la gestion des opérations alors que celles où les évaluations sont plus élevées à Kénogami concernent majoritairement des aspects plus secondaires. Notre hypothèse est essentiellement confirmée et démontre une relation positive entre un degré élevé de coopération patronale-syndicale et l’évaluation par les membres du fonctionnement et de l’autonomie collective de leur équipe. Cette relation positive est cependant mitigée, car elle ne se vérifie pas pour certaines dimensions qui renvoient à des aspects plus secondaires de l’autonomie collective des équipes de travail.