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Emergency care delivery is a process requiring input from various healthcare professionals within the hospital. To deliver efficient and effective emergency care, professionals must integrate rapidly at multiple interfaces, working across functional, spatial and professional boundaries. Yet, the interdisciplinary nature of emergency care presents a challenge to the optimization of patient flow, as specialization and functional differentiation restrict integration efforts. This study aims to question what boundaries exist at the level of professionals and explores how these boundaries may come to influence integration and operational performance.

To provide a more holistic understanding of the inherent challenges to integration at the level of professionals and in contexts where professionals play a key role in determining operational performance, the authors carried out an in-depth case study at a busy, Level 1 trauma center in The Netherlands. In total, 28 interviews were conducted over an 18-month period.

The authors reveal the existence of structural, relational and cultural barriers between (medical) professionals from different disciplines. The study findings demonstrate how relational and cultural boundaries between professionals interrupt flows and delay service processes.

This study highlights the importance of interpersonal and cultural dynamics for internal integration and operational performance in emergency care processes. The authors unveil how the presence of professional boundaries creates opportunity for conflict and delays at important interfaces within the emergency care process, and can ultimately accumulate, disrupting patient flow and increasing lead times.

Stakeholders have divergent views concerning sustainability in the development of tourism in Ylläs. The danger of these differences is that it can result into a conflict that could jeopardize the fragile ecosystem and livelihood of the locals. Therefore, the purpose of this paper is to explore how the quest for authenticity is discursively related to the interpretations of sustainability in tourism, based on a mix of qualitative and quantitative research.

This was an empirical study, based on a mix of quantitative (surveys) and qualitative (interviews) research methods.

Despite the different interpretations, almost all stakeholders agree on “sustainability” in the development of tourism, since it is the authentic nature that attracts tourists. Accordingly, the search for authenticity could contribute to the sustainability of the tourist destination Ylläs in the long term. Caution is asked though for the enclave-like construction of tourist destinations, e.g. Ylläs, that currently differentiate from their surrounding peripheries.

Despite the different interpretations, almost all stakeholders agree on “sustainability” in the development of tourism, since it is the authentic nature that attracts tourists. Accordingly, the search for authenticity could contribute to the sustainability of the tourist destination Ylläs in the long term. It is suggested to continue research regarding authenticity in practice.

The conditions under which sustainability could become a consideration for tourism development in Ylläs are linked to sustaining tourism business, the most important source of income for Ylläs.

Can the quest for authenticity, insofar as it remains a significant motive in contemporary tourism, contribute to the sustainability of tourist sites? Destinations that actively and continuously discourage tourism on ecological grounds are the most attractive ones for MacCannell’s authenticity-seeking tourist. Considerations regarding sustainability and development in the context of ecological vulnerable and economic valuable regions clash. It is with regard to such areas that the paths of the sustainability and authenticity discourses cross (Cohen, 2002).