Change Management Research Articles

Dampak Digitalisasi pada Komunikasi Perusahaan: Tinjauan Sistematis Literatur tentang Adaptasi dan Perubahan Budaya Kerja

In today's modern and digital era, all movements are required to be carried out more quickly and precisely with digital technology as the main key. Digitalization has changed the way of communication within companies, allowing information to be conveyed and received quickly, anytime and anywhere. Companies need to adapt to changes in technology and work culture to remain competitive, although digitalization also brings challenges in communication and interaction. A work culture that supports innovation is important to create an environment that is adaptive to technological change and motivates employees to contribute to the innovation process. This research uses library methods. The library method is a method of collecting data by reviewing relevant books, literature, notes and reports without having to use primary or secondary data from the field. Literature studies are important for exploring theories related to research topics and helping researchers understand the current state of the field of science being researched. The research results show that digitalization has brought significant changes in HR management and company work culture, accelerating the flow of information and decision making. Digital technology increases collaboration and work efficiency, as well as facilitating more efficient communication processes. HR managers must adapt to new roles that require digital skills and strong managerial abilities. While digitalization provides many benefits, such as increased recruitment efficiency and in-depth analytics, challenges such as data security and the impact on employee mental health also arise

Manajemen Perubahan Kurikulum Dari K-13 ke Kurikulum Merdeka di Madrasah Ibtidaiyah Swasta Al-Hikmah Kecamatan Beringin Deli Serdang

The purpose of this research is to determine the curriculum change management from the 2013 Curriculum to the Merdeka Curriculum at the Private Madrasah Ibtidaiyah Al-Hikmah, Beringin District, Deli Serdang. The research method used is qualitative with a case study approach. The results showed that the curriculum change management process at the Private Madrasah Ibtidaiyah Al-Hikmah includes planning, organizing, implementing, and evaluating. The conclusion of this research is that the curriculum change management from the 2013 Curriculum to the Merdeka Curriculum at the Private Madrasah Ibtidaiyah Al-Hikmah, Beringin District, Deli Serdang has been implemented well.

Change Management in the Healthcare Practice

Change Management in the Healthcare Practice

The nature of the response to airway management incident reports in high income countries: A scoping review.

Adverse events associated with failed airway management may have catastrophic consequences, and despite many advances in knowledge, guidelines and equipment, airway incidents and patient harm continue to occur. Patient safety incident reporting systems have been established to facilitate a reduction in incidents. However, it has been found that corrective actions are inadequate and successful safety improvements scarce. The aim of this scoping review was to assess whether the same is true for airway incidents by exploring academic literature that describes system changes in airway management in high-income countries over the last 30 years, based on findings and recommendations from incident reports and closed claims studies. This review followed the most recent guidance from the Joanna Briggs Institute (JBI). PubMed, Ovid MEDLINE and Embase, the JBI database, SCOPUS, the Cochrane Library and websites for anaesthetic societies were searched for eligible articles. Included articles were analysed and data synthesised to address the review's aim. The initial search yielded 28,492 results, of which 111 articles proceeded to the analysis phase. These included 23 full-text articles, 78 conference abstracts and 10 national guidelines addressing a range of airway initiatives across anaesthesia, intensive care and emergency medicine. While findings and recommendations from airway incident analyses are commonly published, there is a gap in the literature regarding the resulting system changes to reduce the number and severity of adverse airway events. Airway safety management mainly focuses on Safety-I events and thereby does not consider Safety-II principles, potentially missing out on all the information available from situations where airway management went well.

Aspectos clave de la Nueva Gestión Pública en los procesos de Modernización y Reforma de la Administración Pública: Costa Rica y El Salvador

The objectives of this investigation is to conduct an analysis of the paradigm of change in New Public Management, through a documentary methodology with a qualitative focus. Aspects of New Public Management in the processes of modernization and reform of public administration are analyzed through the specialized bibliography for the case study of Costa Rica and El Salvador through the application of neogerential trends, it is observed that the efficiency and quality of resources in the public administration of Costa Rica and El Salvador.

DETERMINATION OF THE CARBON FOOTPRINT OF ANIMAL WASTE AND CLIMATE CHANGE; KARAMAN EXAMPLE

Climate change is a major concern around the world. In this context, the carbon footprint of animal waste is of critical importance for sustainability and climate change management. The aim of this study is to estimate the carbon footprint resulting from animal breeding and animal waste in the Karaman region. In the study, 2022 data was used and there are 1019277 sheep and 81368 cattle for Karaman. In the study, Tier 1 and Tier 2 approaches were used to estimate methane gas emissions related to both enteric fermentation resulting from animal digestive processes and manure management. According to the results of the study, the results obtained using Tier 1 and Tier 2 approaches are as follows: 0.4924-0.5014 kg CO2e per 1 liter of milk for Cattle. For sheep, it is 4.5167-6.5627 kg CO2e per 1 kg of meat. For goat, it is 5.0813-6.0231 kg CO2e per 1 kg of meat. These results can be taken into account when creating strategies to reduce methane gas emissions. It is recommended to add better quality and high energy content foods to the feed ration, especially to reduce enteric fermentation. In addition, this study is a resource for relevant researchers working in the field in calculating the carbon loads of animal waste and is thought to be a guide for decision makers and practitioners.

Эволюция антикризисного управления организацией в современных условиях

The article deals with the dynamics of the theory of anti-crisis management of the organization (ACM) in modern conditions. The basic classifications of types of anti-crisis management are considered, their comparative analysis is carried out, conclusions are made that in modern conditions anti-crisis management of an organization is inseparably connected with its sustainable development, therefore, it comes to a new level, becoming a part of strategic management and especially actual today change management. The levels of anti-crisis management of the organization are marked out. The article pays special attention to the ambiguity of interpretation of the concept of «crisis of the organization». It is necessary for formation of effective anticrisis strategy of the organization to understand the essence of its basic concept – crisis, the research of its genesis and modern interpretations. The study of economic literature has shown that the understanding of crisis is ambiguous. There are two main positions have been formed in studies on the problems of crisis management to understand the nature of the crisis. One group of authors (E.M. Korotkov, T.N. Rogova, V.K. Krutikov, K.V. Baldin, S.E. Kovan, etc.) focuses on the negative manifestations of the crisis, its destructive function. Other researchers (A.S. Bolshakov, V.Y. Zakharov, A.D. Chernyakhovsky, N.D. Koryagin, A.S. Lifshits, V.M. Pishchulov, etc.) consider crises as a contradictory phenomenon and analyse their positive sides and creative role. The dual nature of crises predetermines the multi-purpose orientation of ACS and multifunctionality of its content. This is the peculiarity of the anti-crisis management system. The unified ACM system includes tools for crisis prevention, diagnosis, overcoming the crisis, enterprise restructuring strategy, methods of crisis prevention, methods of forecasting and planning, strategic management, as well as non-standard methods of personnel management. The author notes that crisis management tools should be integral components of sustainable enterprise development strategies.

Leadership Behavior and Organizational Change Management in Selected Public Universities of Ethiopia: Exploring the Impact of Leadership Influences and Change Processes

Leadership Behavior and Organizational Change Management in Selected Public Universities of Ethiopia: Exploring the Impact of Leadership Influences and Change Processes

Quality of Work Life and Change Management

The concept of Quality of Work life (QWL) means having a work-environment where an employee’s activities become more important by implementing procedures or policies that make the work less routine and more rewarding for the employee. Results of high QWL are low absenteeism, high performance, and higher morale. To apply a new philosophical foundation in the organization, change management is needed. The objective of this study is to apply the QWL concept in a steel company located in East Java. Change management is needed to start the change process. The construct of QWL used are from the European Foundation for the Improvement of Living and Working Condition (EWON, 2002). The respondents are 24 people as the head of division and head of section. This study uses action research design conducted in a company, by applying the concept of change management from Lewin, which includes the stages unfreeze, move, and freeze. The given program is unfreeze program in a form of training with the aim to establish a self-awareness of employees to deal with change. The results obtained indicate that the program can unfreeze done to raise awareness of employees to change.

Green HRM and Organizational Culture Mediated by Change Management to Improve Performance PT Hutan Sawit Lestari in Central Kalimantan, Indonesia

Research in the field of HRM, in improving public service performance at PT. Hutan Sawit Lestari, Central Kalimantan Province. The important role of mediating effectiveness of Green HRM and change management in improving performance, based on TPB theory as the main foundation in achieving performance and developing the abilities of employees who are productive, skilled and creative in the work environment and work relationships. The research was conducted quantitatively with questionnaires to 50 employees and analyzed with Smart PLS 3.0, the results showed significant and positive green human resource management and change management as skill strategies in improving performance with skills, creativity, knowledge and change management to improve performance. The implications of the results show that green HRM and change management can be an HRM management strategy in increasing the effectiveness of performance.

Change Management: Multi-Partnership Collaboration to Green-Socio-Entrepreneurship in the Elephant Wong River Area in DIY

This research aim For know condition of the river area after the 2006 earthquake in Yogyakarta, especially in the area Gajah Wong river, from seedy become a green area, through socio- entrepreneurship approach supported the existence of multi-collaborative partnerships initiave alignment and integrated left condition environment edge the river is getting bigger seedy. They building semi- permanent homes that narrow down wide river, mining illegal sand and logging trees, even For sufficient need life they scavenging and raising livestock including goats, pigs, cows, geese and so on. Everyone cooperates party must put forward benefit all party especially for inhabitant affected must There is solution, one of them with approach green socio- entrepreneurship, that is finish issue social benefits Can enjoyed by all party or the result give contribution positive to public surroundings / community wide with outlook environment green. One of them happened in the Bendung area Lepen, Sunagi Gajah Wong, DIY. Efforts made by the Government and the Council make wisdom with issued a Decree/SK for slum areas. The existence of this decree is for entrepreneurs Can involved in arrangement areas, including in the river area. Through Irrigation Movement Clean from Yogyakarta to Indonesia, channel irrigation For keep fish direct without karamba, Inhabitant organized and guided For selling in this area with implement Gandheng Gendhong.

Two thirds of patients may not need routine 12-month specialist review in an epilepsy clinic: A cross-sectional study of clinic appointments

ObjectivesTimely access to specialist outpatient clinics can be difficult to achieve as outpatient services are often oversubscribed leading to unacceptable wait times. New patients, or those with emergent issues may wait for appointments whilst existing patients are booked in for routine reviews “just in case” there is a problem, using considerable clinic resources. We investigated routine 12-month review appointments to assess whether these appointments changed patient management. MethodsThe medical records of 100 randomly selected adult patients attending annual review appointments over 12 months at a publicly-funded specialist outpatient epilepsy clinic in Melbourne, Australia were audited. Demographic and clinical data as well as information about the content of each appointment were analysed to determine whether the appointment resulted in changes to epilepsy management (eg medication change), administrative actions (eg drivers license approval) or the provision of information or education. Logistic regression was performed to assess what clinical factors were associated with changes in patient care arising from the 12-month review appointment. ResultsAlmost half (47%) of appointments resulted in no change to patient care and 37% had only administrative outcomes, such as the completion of a regulatory driving report. Only 16% of appointments resulted in a change in medical management. The only factor that independently predicted a change in medical management was the occurrence of a seizure in the previous year. The only factor independently associated with not having any change in medical management or administrative action was having an unknown seizure type. Conclusions/ significanceOnly a small number of patients experience a change in medical management when attending a 12-month epilepsy clinic appointment, with a need for management change associated with the presence of ongoing seizure. Outpatient services should limit the use of routine annual follow up to those patients most likely to need intervention or support, creating “just in time” capacity for timely access to review as issues arise.

Practice survey on recent changes in post cardiac arrest care and temperature management in French intensive care units

BackgroundRecent guidelines for post-cardiac arrest (CA) management have undergone significant changes regarding targeted therapeutic management (TTM), transitioning from hypothermia to temperature control. We aimed to assess changes in post-CA management in French intensive care units following the new recommendations. MethodsTwo declarative web surveys were conducted from March to August 2023. We compared the doctors' survey to that previously published in 2015. We contacted 389 departments from 276 French centers and compared data with the French 2015 survey. ResultsThree hundred thirty-four physicians from 189 distinct ICUs departments participated in the survey. TTM was used by 95.5 % of respondents. TTM with temperature feedback device was used by 64 % of respondents. In multivariate analysis, use of TTM with temperature feedback was associated with university hospital responder [OR 1.99 (1.19–3.34, p = 0.009)], high CA admissions rate [OR 2.25 (1.13–4.78, p = 0.026)], use of a written CA procedure [OR 1.76 (1.07–2.92, p = 0.027)] and presence of a cath-lab performing coronary angiography [OR 2.42 (1.33–4.44, p = 0.004)]. The targeted temperature rose from 32 to 34 °C in 2015, to 35–36 °C in 2023 (p < 0.001). Proportions of TTM with temperature feedback devices switched from 45 % to 65 % (p < 0.001). 660 nurses responses from 150 ICUs were analyzed. According to TTM users, gel-coated water circulating pads and intravascular cooling were considered the most effective devices and were found to be easily adjustable. ConclusionsThese surveys provide insights into post-resuscitation care and TTM practice in France. One year after their publication, the latest recommendations concerning TTM have not been fully implemented, as the majority of ICUs continue to use moderate hypothermia. They widely reported employing specific TTM, with the use of TTM with temperature feedback devices increasing significantly. Heterogeneity exists regarding the TTM systems used, with a significant proportion lacking temperature feedback. This aspect requires specific attention, depending on local constraints and devices costs.

Overcoming barriers to agri-environmental management at landscape scale: balancing farmer coordination and collaboration with the aid of facilitators and pioneers

Policy instruments that integrate the actions of multiple farmers are of growing interest for improving landscape scale environmental sustainability of agriculture. We conducted in-depth, semi-structured interviews with farmers in south-east England and applied thematic analysis to the responses to perform a qualitative investigation into the combined role of economic, social, and cultural barriers to cooperative environmental management, and identify possible solutions for these barriers. Interviewees recognised environmental benefits of cooperative management, but this was a low priority compared to other management activities, being seen as complex and time-consuming, with uncertainty over direct benefits to participants. External coordination could address this by overseeing information sharing on cooperation benefits and minimising the logistical burden for participants, but given farmer mistrust of outside intervention, these projects will be more successful when collaborating farmers feel they are in control. The efforts of both pioneering farmers able to initiate projects with their peers, and respected facilitators who embody local knowledge and experience, will be vital for balancing coordination and collaboration. Finding the optimal balance between these different elements will vary with local circumstances: policy should have the flexibility to accommodate this. Farmers were wary of connecting with others possessing different farming ideals and thus having to compromise on their management approach. Some respondents sought to bridge these gaps by focusing on aspects of farming identities they shared with their peers, raising the possibility that support targeting these individuals will help develop relationships that foster lasting cultural change for farmer cooperative environmental management.

Clinician’s perspectives on the feasibility of patient controlled analgesia in emergency departments: A qualitative descriptive study

BackgroundDespite pain being the most common reason for patients to visit the emergency department (ED), conventional pain management methods are often inadequate. Patient controlled analgesia (PCA), which allows patients to self-administer intravenous analgesia, is widely used across many hospital wards, however, is not routinely used in ED. We aimed to identify clinicians’ perceptions of PCA use in the ED setting. MethodsA qualitative descriptive approach was employed using semi-structured individual interviews conducted with ED clinicians from two hospitals in Western Australia. Interviews were recorded and transcribed. Data was analysed using qualitative content analysis. ResultsData saturation was achieved after 20 participant interviews. Five themes emerged from the interview data: sustainability and choosing the right patient; time; safety concerns and side effects; anticipating the patient’s perspective (staff perception); facilitating PCA use in ED. ConclusionMost participants perceived that patients would experience several benefits from PCA use in ED. Several perceived barriers and facilitators were also identified. To facilitate the use of PCA in ED, there is a need for staff education on PCA use, patient selection guidelines and effective change management strategies. Further research about the time it takes to administer analgesia via PCA compared with conventional methods is needed.

Targeted Treatments for Myasthenia Gravis in Children and Adolescents.

Myasthenia gravis (MG) is an antibody-mediated disorder of the neuromuscular junction affecting children and adults. MG is a treatable condition with most patients requiring immunosuppression for disease control and/or remission. Juvenile myasthenia gravis (JMG) is rare in comparison with adult-onset MG but given the same underlying pathophysiology, treatment strategies are similar to those in adults. Until recently, there were only a few randomised controlled trials (RCTs) for MG treatments in adults and none in children, and management strategies were primarily based on expert consensus. In addition, treatment options for refractory MG cases have been severely limited, resulting in poor long-term quality of life in such patients due to the significant disease burden. Recently, there have been several RCTs focussing on novel therapeutic strategies with potentially promising outcomes, suggesting a change in MG management over the coming years and access to more effective and faster-acting drugs for MG patients. This paper will review current and new MG treatments including efgartigimod, eculizumab, rozanolixizumab, ravulizumab, and zilucoplan, with a focus on juvenile myasthenia gravis.

Relationship between Above-ground Biomass and Different Vegetation Indices of Tea Plantation of Alipurduar District, West Bengal, India

This study investigates the relationship between above-ground biomass (AGB) and various vegetation indices in the tea plantations of Alipurduar District, West Bengal, India. The research was conducted in three major tea estates: Kumargram, Sankos and Newlands, using stratified random sampling across 36 plots. Field measurements of trees, shrubs and herbs were taken and AGB was estimated using allometric equations. Sentinel-2 satellite data was utilized to derive vegetation indices such as NDVI, GNDVI, SAVI, MSAVI, EVI-1, EVI-2, NDVIRE, RDVI, DVI, OSAVI and ARVI. The study found significant variation in AGB, ranging from 31.40 Mg ha-1 to 68.84 Mg ha-1, with an average of 47.22 Mg ha-1. Strong positive correlations were observed between AGB and indices like GNDVI (r=0.96) and EVI-2 (r=0.96), indicating their effectiveness in biomass prediction. The integration of remote sensing technologies enhances the scalability and precision of biomass estimation, providing valuable insights into the carbon storage potential and ecological health of tea plantations. These findings have implications for sustainable management and climate change mitigation in agroforestry systems.

Digitalization as a trend in the modern development of the economy of Kyrgyzstan and increasing the financial literacy of the country’s population

In modern Kyrgyzstan, transformational processes related to digitalization are taking place, which have led to a change in public consciousness, a reassessment of values in the field of economics, finance and in general in public life. At the moment, society is faced with the introduction of digital technologies, which have led to a powerful generation of new knowledge, attitudes and skills; there is a need to adjust personal financial management and lifestyle changes. Changing the model of financial behavior can be regarded as a way for the population to respond to the current situation, the purpose of which is to create opportunities for managing personal finances and ensuring relationships that allow the subject to achieve their life priorities. Citizens understand the need to involve them in new technological solutions in order to keep up with

Exploring the barriers to farmer participation in soil carbon projects under the Australian Carbon Credit Unit Scheme

ABSTRACT The Australian Carbon Credit Unit Scheme was established to incentivise reductions in emissions or carbon storage. However, there has been low participation by farmers in soil carbon projects since the first soil carbon method was established for agriculture in 2014, even though carbon prices are high and management changes to sequester carbon on farms should be complementary to other business outcomes. This study explores the barriers that might limit participation in soil carbon projects. A novel approach is that instead of interviewing landholders, we worked with agents, service providers and agencies in Australia to gain their insights about the participation challenges for farmers. The main barriers identified are information gaps, risk and uncertainty about returns, high upfront costs, poor knowledge, limited business cases and program complexity. Potential opportunities to overcome barriers include increasing awareness of and access to factual and science-based information, reducing risk and uncertainties, reducing measurement and practice change costs, increasing financial support and incentives, quantifying environmental benefits and complementary benefits of the practices, and simplifying the methods and program systems. This study also suggests better business models for carbon projects need to be developed, with adjustable scenarios, so that farmers can tailor them to their enterprise.

Changes over the last two decades in Hemophilia A and B management in a Tertiary Care Pediatric Centre

ObjectiveThe treatment of Hemophilia A and B has significantly evolved. Study designwe conducted a retrospective, observational study among patients with HA and HB managed in a Pediatric Hematology and Oncology Unit for almost 22 years for a total of 34 patients. ResultsUntil 2009, more than 80 % of patients were treated only on demand, while in 2022,100 % of patients with moderate and severe disease were receiving continuous prophylaxis. The median age at the start of prophylaxis passed from 10,9 to 1,65 years. In 2022, only one patient was on Standard-half-life-rFVIII, 7 patients were on Extended Half-Life (EHL)-rFVIII/rFIX and 7 patients were on Emicizumab; 1 patient was on Concizumab. The mean ABR passed from 5,7 in the period 2001–2009 to 0,8 in the period 2019–2022. We performed 106 ultrasonographic exams in 19 patients to evaluate the HEAD-US score: a percentage of 45,3 % of these exams revealed a score of 0 and the HEAD-US score resulted inferior in patients who started prophylaxis at an age below the median age at the initiation of prophylaxis. The score showed a tendency to correlate with the number of previous hemarthrosis. In our cohort, the overall prevalence of inhibitors is 0,09 among all patients, and 0,14 in severe HA/HB. 4 patients needed a Central Venous Line (CVL), and 3 patients developed at least one severe complication. Before 2017, we observed 4 cases of life-threatening bleeding in children less than 2 years old not on prophylaxis. Resultsour real-life experience reflects the changes in hemophilia management in the last two decades. In the future, other drugs are expected.