Change Management Research Articles

Líneas de investigación y perspectivas futuras de los estudios organizacionales: una revisión

Organizational studies allow us to analyze and understand the functioning of organizations, generate knowledge and improve their management and performance, from perspectives different from the classic ones with which the organizational phenomenon has been analyzed in a traditional way; These perspectives invite a critical look at this phenomenon. However, it is relevant to evaluate its potential to provide theories, models and tools that help advance the field of management and improve the effectiveness and sustainability of organizations. To date, no review has been identified in Scopus that synthesizes the literature on organizational studies from a bibliometric analysis, by doing so, this article provides a basis for researchers in organizational studies to learn about various future lines of research. The objective of this document is to review scientific documents published in Scopus(r) on organizational studies, to propose a structure of published scientific knowledge, so that different future lines of research are offered. 1091 documents were found that met the inclusion and exclusion criteria in the database that were processed with Bibliometrix, VosViewer and ToS. The main lines of research identified were: a) Leadership and management of organizational change; b) Changing, diverse and inclusive work environments; c) Legitimation, sustainability and organizational responsibility.

Long-Term Adoption of Televisits in Nursing Homes During the COVID-19 Crisis and Following Up Into the Postpandemic Setting: Mixed Methods Study.

There is growing evidence that telemedicine can improve the access to and quality of health care for nursing home residents. However, it is still unclear how to best manage and guide the implementation process to ensure long-term adoption, especially in the context of a decline in telemedicine use after the COVID-19 crisis. This study aims to identify and address major challenges for the implementation of televisits among residents in a nursing home, their caring nurses, and their treating general practitioners (GPs). It also evaluated the impact of televisits on the nurses' workload and their nursing practice. A telemedical system with integrated medical devices was introduced in 2 nursing homes and their cooperating GP offices in rural Germany. The implementation process was closely monitored from the initial decision to introduce telemedicine in November 2019 to its long-term routine use until March 2023. Regular evaluation was based on a mixed methods approach combining rigorous qualitative approaches with quantitative measurements. In the first phase during the COVID-19 pandemic, both nursing homes achieved short-term adoption. In the postpandemic phase, an action-oriented approach made it possible to identify barriers and take control actions for long-term adoption. The implementation of asynchronous visits, strong leadership, and sustained training of the nurses were critical elements in achieving long-term implementation in 1 nursing home. The implementation led to enhanced clinical skills, higher professional recognition, and less psychological distress among the nursing staff. Televisits resulted in a modest increase in time demands for the nursing staff compared to organizing in-person home visits with the GPs. Focusing on health care workflow and change management aspects depending on the individual setting is of utmost importance to achieve successful long-term implementation of telemedicine.

Therapeutic impact of 18F-FDG PET/CT for initial staging in patients with clinical stage I and IIA, HER2-positive, or triple-negative breast cancer.

While 18F-FDG PET/CT (FDG-PET/CT) is consensual for clinical stage ≥ IIB breast cancers (BC), its benefit for stage I or IIA HER2+ or triple-negative breast cancer (TNBC) patients lacks sufficient evidence. We reported a single-institution, retrospective study evaluating FDG-PET/CT impact on patient management and staging for stage I or IIA HER2+ or Triple-Negative BC. Patients who underwent FDG-PET/CT staging before any treatment between January 2015 and December 2020 at Oscar Lambret Center were included. patients with symptoms or conventional imaging suggestive of metastatic dissemination, or with prior malignancies. Initial stage was determined from mammography, breast ultrasound, breast MRI, and clinical examination. Staging and therapeutic impact based on FDG-PET/CT findings collected, including intra- (modification of dose/site/strategy in a type of management previously indicated) and inter-modality (modification of planned treatment strategy) changes. The cohort included 287 female patients with clinical stage I or IIA, HER2+ , or TNBC. Therapeutic impact observed for 18% of patients (n = 52), with 2% (n = 7) undergoing inter-modality change with omission of planned surgery. The impact on patient management was higher for stage IIA patients (20%, 47/237) than for stage I patients (10%, 5/50). Among stage IIA disease, changes in management were more important for T2N0 patients (22%, 44/205) than for T1N1 patients (9%, 3/32). While not statistically significant, trends suggest usefulness of FDG-PET/CT for T2N0 patients. Considering substantial therapeutic implications, our study suggests the usefulness of FDG-PET/CT for patients with stage IIA, HER2-positive, or Triple-Negative BC with tumor size > 2cm (T2N0).

Changes in planned and unplanned canopy openings are linked in Europe’s forests

Canopy openings are increasing in Europe’s forests, yet the contributions of anthropogenic and ecological agents of disturbance to this increase remain debated. Here we attribute the root cause of all stand-replacing canopy disturbances identified for Europe in the period 1986–2020 from Landsat data (417,000 km²), distinguishing between planned and unplanned canopy openings (i.e., disturbance by human land use versus by wind, bark beetles, and wildfire). We show that canopy openings by humans dominate the European forest disturbance regime, accounting for 82% of the area disturbed. Both planned and unplanned canopy openings increased in the early 21st century (+24% and +30% relative to the late 20th century). Their changes are linked, with simultaneous increases in planned and unplanned canopy openings on 68% of Europe’s forest area. We conclude that an important direction for tackling disturbance change in policy and management is to break the link between planned and unplanned canopy openings in Europe’s forests.

Band Chemistry: Interpersonal and Group Dynamics in Rock Music

ABSTRACT The subject of band chemistry, or the interpersonal and collective dynamics within a rock band and their effects on longevity and musical creativity, has received little explicit scholarly attention. Drawing primarily on the words of musicians, this paper explores band chemistry in all its fragility and fickleness, easily disrupted and occasionally fortified by the ever-evolving interpersonal relationships of band members, commercial success or not, management and managerial change, producers, life on the road, drug and alcohol abuse, and the distribution of writing credits and royalties, among others. The paper argues that the intangible quality of band chemistry is most responsible, for good or bad, for the longevity of bands, and a major factor in their creativity while together.

Intracranial hemorrhage in glioblastoma: Incidence, risk factors, and outcome.

2074 Background: The incidence and clinical implications of intracranial hemorrhage (ICH) in patients with glioblastoma have not been well studied. Risk factors for ICH and associations with therapy and outcome remain unknown. It has been speculated that prior radiotherapy, chemotherapy-associated thrombocytopenia, steroid medications as well as age, other comedications and comorbidities contribute to the risk of ICH in this patient population. Methods: We identified consecutive patients with glioblastoma per WHO 2021 definition from the electronic charts of the University Hospital in Zurich, Switzerland and explored the incidence, putative risk factors, management and outcome of ICH in patients with glioblastoma. ICH was identified on central MRI and imaging report review. The study has been approved by Swissethics (2023-00532). Results: Among 387 patients diagnosed between 2010 and 2019, 6 patients presented with ICH, and 22 patients experienced ICH in the further disease course, after a median time of 153 days (IQR 79-323 days). Of the 6 patients with ICH at diagnosis, 2 patients were on anti-platelet agents and 1 was on anticoagulation. ICH occurred in the tumor region in all these patients. There were no specific features in their history compared with patients that did not present with ICH at diagnosis. Among 22 patients with ICH after diagnosis, 9 patients (41%) experienced ICH prior to first progression. ICH were not restricted to the tumor region, but included subdural hematomas in 7 patients and an epidural hematoma in one patient. Fifteen patients (68%) were hospitalized for ICH, and 5 patients (23%) had a craniotomy. Thirteen patients (59%) had no change in management, 4 patients (18%) started a new intervention, and 5 patients (23%) went to palliative care. Compared with patients without any ICH ever documented, the 28 patients with ICH were more often male, but not older, did not have a history of arterial hypertension, diabetes, chronic kidney disease or smoking, and did not have larger tumors at diagnosis. At the timepoint of intracranial hemorrhage, six patients (27%) had been preexposed to bevacizumab, yet, 188 patients (53%) of the reference cohort received bevacizumab across the disease trajectory without experiencing an ICH. Three patients (14%) had platelet counts below 100,000/µl. Overall survival in the 28 patients who experienced an ICH was not inferior to survival in the population of patients without an ICH. Conclusions: ICH at diagnosis is rare in glioblastoma and its etiology remains to be identified. It may be related to intrinsic features of the tumor and its blood vessels since no other patient-related risk factors were identified. Overall, male sex was the only risk factor associated with ICH in this study, but ICH does not signify a poor outcome overall.

Managerialist policies in educational management in the context of an educational quasi-market: manage change or change management?

Resumen El artículo reflexiona sobre las políticas gerencialistas y su rol como eje central en la gestión educativa. La tesis sostiene que dichas políticas han consolidado un sistema capaz de modificar e imponer cambios en el quehacer de las instituciones y los actores educativos. El escrito se enfoca desde dos argumentos: el primero ubica a las políticas gerencialistas como una nueva forma de ejercer control y regulación a través de la validación de mecanismos basados en la descentralización, estandarización, privatización y rendición de cuentas. El segundo argumento sustentado en la distorsión de las prácticas pedagógicas, subordinación y desprofesionalización del trabajo docente, como consecuencia del discurso de la calidad y la efectividad. La reflexión pretende contribuir al debate teórico sobre las políticas gerencialistas y su rol en el fortalecimiento de una visión instrumental de la Educación basada en los resultados académicos como sinónimos de calidad y sus implicancias en el quehacer docente.

Change management and its relationship to developing sports activities in Saudi universities - Kingdom Vision 2030

Change management and its relationship to developing sports activities in Saudi universities - Kingdom Vision 2030

Maximizing efficiency and patient outcomes to meet the demands of a rapidly growing cancer institute.

e23203 Background: In 2023, the US is projected to have 1.96 million new cancer diagnoses with a 33% decline in cancer-related deaths. The prevalence of cancer is increasing at a rate that is difficult for oncology practices across the country to manage. Improvement processes must be evaluated to address these demands and create a practice with a foundation for long-term growth, scalability, and structure. The main target of this research was to standardize practice procedures to improve communication leading to reduced variation in order entry practices that resulted in confusion for staff, interruptions for providers, and chair time delays for patients. Methods: A QI project was undertaken at a rapidly expanding community oncology practice to meet patient volume demands. Three separate areas were identified to create standardization of procedures to improve care including referral guidelines, infusion center orders, and handoffs on patient care. New patient referral guidelines were created to determine if patients met criteria for urgent referrals or needed a referral at all. In addition, infusion center guidelines were standardized to require providers to sign all orders prior to an infusion clinic appointment time. The last area addressed was creating a means of safe and effective handoff between staff members at the end of a patient appointment through required utilization of the "Wrap-Up" section in Epic. Data was collected both before and after implementation of routine practice standards in all three areas mentioned. Utilizing the data gathered over a 6-month period, comparisons were made to identify if the changes had any measurable benefit. Results: Standardization of practice procedures had a significant positive impact. Through standardization of referral guidelines, 500 patients being referred to as urgent were determined not to meet criteria for an urgent evaluation in addition to over 300 patients that did not even need to be seen. By identifying these unnecessary referrals, patients that needed to be seen could be seen sooner. In addition, improved infusion center guidelines requiring providers to sign orders prior to appointment times increased infusion volumes that had a direct margin improvement upwards of $3 million dollars over a 6-month period. The last area addressed was streamlining patient handoff that directly correlated to an average reduction of 100 monthly in-basket messages across all providers. Conclusions: By standardizing daily practices across multiple areas within the practice, there were direct measurable benefits related to each intervention. These were simple, manageable changes that most practices could easily implement to increase productivity, improve patient care, and decrease the work burden on the staff. Ultimately, these improvements led to increased patient and employee satisfaction with decreased staff turnover as observed in this study.

Management of Climate Changes in Turkana County, Kenya

Management of Climate Changes in Turkana County, Kenya

Cardiac biomarkers prior to noncardiac surgery

Cardiac biomarkers, such as high-sensitivity cardiac troponin (hs-cTn) and brain natriuretic peptide (BNP) or N‑terminal prohormone of brain natriuretic peptide (NT-proBNP) are measured perioperatively to improve the prognosis and risk prediction. The European Society of Cardiology (ESC), European Society of Anesthesiology and Intensive Care (ESAIC) and the German Society of Anesthesiology and Intensive Care Medicine (DGAI) have recently published guidelines on the use of cardiac biomarkers prior to surgery. This article provides an overview of the available evidence on perioperative troponin and BNP/NT-proBNP measurements. Current guideline recommendations are presented and discussed. MEDLINE, Cochrane and google.scholar were searched for relevant keywords. Titles and abstracts of identified papers were checked for relevance and published results were summarized. Guideline recommendations from the ESC, ESAIC and DGAI are presented, compared and evaluated based on the available literature. In addition, the significance of new perioperative cardiac biomarkers is discussed based on the existing evidence. The definitions, diagnosis and management of cardiovascular events in the perioperative context differ from those in the nonsurgical setting. The evidence for the measurement of hs-cTn and BNP/NT-proBNP is evaluated differently in the guidelines and the resulting recommendations are partly contradictory. In particular, recommendations for changes in perioperative management based on biomarker measurements diverge. The ESC guidelines propose an algorithm that uses preoperative biomarkers as the basis for additional cardiac investigations. In particular, invasive coronary angiography is recommended for patients with stable chronic coronary syndrome who have no preoperative cardiac symptoms but elevated biomarkers. In contrast, the ESAIC guidelines emphasize that the available evidence is not sufficient to use perioperative biomarker measurements as abasis for achange in perioperative management. Treating physicians should coordinate interdisciplinary (surgery, anesthesiology, cardiology) recommendations for clinical practice based on the aforementioned guidelines. If cardiac biomarkers are routinely determined in high-risk patients, this should be done in accordance with the ESC algorithm.

Understanding the Future Competitive Advantages of the Construction Industry

Technological changes (such as Construction 4.0) in an organization cause the workforce to exhibit resistance to change, job redundancy, etc. Geographical location will no longer provide a competitive advantage, but resources will be the source of competitive advantage in the future, and these resources will be intangible, valuable, and not be easily imitated. The aim of this study is to provide an understanding of the future competitive advantages of organizations in the construction industry that could help the construction workforce easily adapt to technological changes. This study is based on resource-based theory and the ADKAR change management model. This study developed an ADREKA sequence for organizations to achieve future competitive advantage during technological changes in the construction industry. Hence, building social, relational, and human capital is necessary during technological changes to achieve competitive advantage for an organization and foster workforce adaptability to change.

Identification of the Requirement Change Management and Maturity Model in the Internet of Things (IoT)

Identification of the Requirement Change Management and Maturity Model in the Internet of Things (IoT)

Diagnostic accuracy of supplemental three-dimensional breast ultrasound in the work-up of BI-RADS 0 screening recalls

ObjectiveTo evaluate the diagnostic accuracy of supplemental 3D automated breast ultrasound (ABUS) in the diagnostic work-up of BI-RADS 0 recalls. We hypothesized that 3D ABUS may reduce the benign biopsy rate.Materials and methodsIn this prospective multicenter diagnostic study, screening participants recalled after a BI-RADS 0 result underwent bilateral 3D ABUS supplemental to usual care: digital breast tomosynthesis (DBT) and targeted hand-held ultrasound (HHUS). Sensitivity, specificity, positive predictive value, and negative predictive value of 3D ABUS, and DBT plus HHUS, were calculated. New 3D ABUS findings and changes of management (biopsy or additional imaging) were recorded.ResultsA total of 501 women (median age 55 years, IQR [51–64]) with 525 BI-RADS 0 lesions were included between April 2018 and March 2020. Cancer was diagnosed in 45 patients. 3D ABUS sensitivity was 72.1% (95% CI [57.2–83.4%]), specificity 84.4% (95% CI [80.8–87.4%]), PPV 29.2% (95% CI [21.4–38.5%]), and NPV 97.1% 95.0–98.4%). Sensitivity of DBT plus HHUS was 100% (95% CI [90.2–100%]), specificity 71.4% (95% CI [67.2–75.2%]), PPV 23.8% (95% CI [18.1–30.5%]) and NPV 100% (95% CI [98.7–100%]). Twelve out of 43 (27.9%) malignancies in BI-RADS 0 lesions were missed on 3D ABUS, despite being detected on DBT and/or HHUS. Supplemental 3D ABUS resulted in the detection of 57 new lesions and six extra biopsy procedures, all were benign.Conclusion3D ABUS in the diagnostic work-up of BI-RADS 0 recalls may miss over a quarter of cancers detected with HHUS and/or DBT and should not be used to omit biopsy. Supplemental 3D ABUS increases the benign biopsy rate.Trial registrationDutch Trial Register, available via https://www.onderzoekmetmensen.nl/en/trial/29659Critical relevance statementSupplemental 3D automated breast ultrasound in the work-up of BI-RADS 0 recalls may miss over a quarter of cancers detected with other methods and should not be used to omit biopsy; ABUS findings did increase benign biopsy rate.Key PointsAutomated breast ultrasound (ABUS) may miss over 25% of cancers detectable by alternative methods.Don’t rely solely on 3D ABUS to assess indication for biopsy.New findings with supplemental 3D ABUS increase the benign biopsy rate.Graphical

Impact of social innovation on value in cooperatives: a systematic literature review and a modeling attempt

Social innovation is often presented as a fashion or a trend in the world of business and management. However, it is important to note that it is much more than just a passing mode. It is usually classified as a way to boost the competitiveness and profitability of the social organizations, or a way to generate their value.For cooperatives, social innovation concerns more social and environmental issues. A perception that remains very limited given the managerial changes and organizational transitions of these cooperatives. Hence the need to develop a wider spectrum of reflection in terms of the value created by social innovation.Furthermore, the main objective of this communication is to model the conciliation between social innovation and value in cooperatives. In other words, the authors tried to pinpoint the concept of value in social organizations and study the impacts of social innovation on this value.To do so, the authors conducted a text mining analysis referring to 510 articles from Scopus engine by using IRaMuteQ 0.7 alpha 2 software.The results of this communication reveal a typology three categories of social value (economic, social, and organizational) and present a model describing the contribution of social innovation to value in cooperatives.This communication remains a reflection on modeling the complexity of the existing relationships between social innovation and value in cooperatives.

Significance of land use as a flood control measure: Unveiling the historical and contemporary strategies in the unique case of Kofu basin alluvial fan, Japan

Vulnerability to flood damage is increasing due to the drastic increase in external forces caused by the climate change and high populations in urban areas. As there are limitations to structural flood control measures, measures that include land use optimization are essential for the resilience of humankind. This study investigated the relationship between water management, settlement, and land-use changes from the Paleolithic to the present day in the Kofu basin alluvial fan, Japan, which has a high flood frequency. The results of a chronological analysis of 191 archaeological sites showed that the highest elevation was 352 m in the Paleolithic period and the lowest elevation was 290 m in the Middle Ages, which later indicated the expansion of settlements into lowlands as time passed. Analysis of the relationship between land use and microtopography in the post-modern period also revealed that approximately until 1929, most of the settlement was located on natural levees. However, the construction of continuous levees since the modern era has led to settlements in areas with a high risk of flooding, which is known as the levee effect. While the importance of land use in flood control has been highlighted, here, by examining the relationship between the distribution of settlements, the change of river channels, and flood risk since the recorded history, we highlight the heterogeneity of the current practice of prioritizing development and the timeless universality of land use as a countermeasure for flood inundation.

Praseodymium orthovanadate-waste PET bottle derived sulfur doped carbon for efficient Z-scheme photocatalytic CO2 reduction

Escalating amounts of carbon dioxide (CO2) in the Earth's atmosphere are a major cause of climate change and its negative consequences, making it a global concern. The present work highlights the intersection of waste management, resource utilization, and climate change mitigation, showcasing the potential for an additional sustainable and circular economy. Synthesizing carbon from waste polyethylene terephthalate (PET) bottles is an eco-friendly approach. X-ray diffraction, Raman spectroscopic, scanning electron microscopic, tunnelling electron microscopic, infrared fourier transform spectroscopy (FTIR) and X-ray photoelectron spectroscopic results indicate the effective extraction of carbon doped with sulfur (S@C) and the successive formation of nanocomposite with PrVO4 (PrV/S@C). Superior photocatalytic activity was observed under visible light compared to UV light. PrV/S@C showed enhanced light-driven CO2 reduction compared to pristine materials and was found to evolve 39, 56, and 98 µmol h−1 g−1 of H2, CH4 and CO, respectively. The effect of reaction temperature was examined and optimized at 100 °C. The enhanced activity in PrV/S@C compared to PrV and S@C probably due to the increased surface area, conductivity and synergy. In-Situ Diffused reflectance (DRIFT-IR) and liquid chromatography mass spectroscopy (LC-MS) confirm the evolution of CO and CH4. The optical, photo/electrochemical, Scavenger studies, Electron spin resonance (ESR) and Mott-Schottky studies suggest the formation of a direct Z-scheme photoredox reaction in the presence of PrV/S@C and sacrificial gent. The reusability studies for 5 cycles indicate good stability with a slight deviation in structure and morphology of PrV/S@C, as observed in XRD and SEM. Tackling plastic pollution and generating value-added carbonaceous products through CO2 reduction is the twin application of the present work that has piqued the interest of several researchers in environmental remediation.

Impact of technological innovations on healthcare delivery: A literature review of efficiency, patient care, and operational challenges

The rapid integration of technology in healthcare systems globally has ushered in transformative changes in patient care, operational efficiency, and data management. This literature review assesses the impact of emerging technologies such as blockchain, information technology, electronic medical records (EMRs), and artificial intelligence (AI) within healthcare settings. Drawing from a wide range of peer-reviewed articles and empirical studies, this paper synthesizes current research findings to understand the multifaceted effects of these technologies on healthcare delivery. The review highlights how these innovations enhance healthcare quality, streamline operations, and tackle prevalent challenges, particularly focusing on their implementation in Saudi Arabian healthcare contexts. Key findings indicate that while technological advancements offer significant improvements in patient care and system management, they also introduce challenges related to privacy, security, and the need for significant infrastructure investments. The review underscores the necessity for ongoing research to navigate technology adoption’s complexities and optimize healthcare practices effectively. This paper contributes to academic and practical discussions on leveraging technology to foster more efficient and responsive healthcare systems worldwide.\

Global high-resolution growth projections dataset for rooftop area consistent with the shared socioeconomic pathways, 2020–2050

Assessment of current and future growth in the global rooftop area is important for understanding and planning for a robust and sustainable decentralised energy system. These estimates are also important for urban planning studies and designing sustainable cities thereby forwarding the ethos of the Sustainable Development Goals 7 (clean energy), 11 (sustainable cities), 13 (climate action) and 15 (life on land). Here, we develop a machine learning framework that trains on big data containing ~700 million open-source building footprints, global land cover, road, and population datasets to generate globally harmonised estimates of growth in rooftop area for five different future growth narratives covered by Shared Socioeconomic Pathways. The dataset provides estimates for ~3.5 million fishnet tiles of 1/8 degree spatial resolution with data on gross rooftop area for five growth narratives covering years 2020–2050 in decadal time steps. This single harmonised global dataset can be used for climate change, energy transition, biodiversity, urban planning, and disaster risk management studies covering continental to conurbation geospatial levels.

An evaluation of current technology in supply chain management

This research presents a scoping review of the evaluation of current technology that is being used in SCM by analysis of existing studies and contemporary concepts on this topic. A methodology based on a scoping review approach in the subject discipline was organized to carry out this research. Two databases and one search engine were searched for journals from 2019 to 2023 using relevant keywords designed for the study. Information regarding research designs, year of publications, publication authors, and findings of each study were documented. Out of the obtainable preliminary 70 studies extracted from the selected databases, only 44 research papers were accepted to meet the exclusion and inclusion criteria delineated for this study, where 45 % of papers were published between 2020–2021. Five different technological research areas were addressed in this scoping review. The major technology areas were AI and the IoT, followed by Data analytics and Big data IoT, and last but not least, Blockchain technology. The main obstacles to applying technology to SCM include change management, human reception/acceptance of these technologies, technical knowledge of the workforce already in place, and the significant costs associated with implementing these solutions. Leveraging technology improves customer happiness, reduces errors, and increases organizational responsiveness. Less crucial but still important are the difficulties in locating qualified workers and the possibility that technology will surpass human performance. However, there is undeniable proof that technology has many benefits; when applied wisely, businesses can benefit greatly from this new technology.