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In the context of the general funding scarcity in the nonprofit sector, this paper aims to inquire into the governance challenges facing nonprofit aid organizations in a donor–recipient partner relationship. In particular, the authors focus on the challenges of commercial diversification as the espoused alternative to aid-funding.

A qualitative design was deployed to collect and analyze data collected from interviews conducted in three case organizations in an aid development partnership.

The various responses at the organizational level are presented as well as analyses of the inter-organizational aspects. All organizations have responded strategically to reductions in funding from state/government and other aid sources by attempting to diversify commercially yet at the same time maintain dependency on aid-funding. This entailed tensions between the logics of the market and mission. These tensions are manifest not only within the organizations but also in the relations between them.

Analyses of the twin-track strategies have highlighted that maintaining aid dependency and resource diversification have different and conflicting relational prerequisites and require diverse and conflicting internal capabilities. The paper develops a conceptual framework for capturing the governance challenges of this strategic dilemma and concludes that the choices of pursuing continued aid-funding and seeking new commercial opportunities are invariably mutually exclusive.

This chapter presents a framework for an action research based intervention to develop and transform sustainable healthcare in a regional context. The framework is illustrated by the case of the Regional Cancer Centre (RCC) West in western Sweden.

The framework draws upon and develops Pettigrew’s context–content–process model of strategic change and applies it to the unfolding narrative of the change effort. The empirical focus is the activities of a learning platform consisting of the RCC leadership, senior cancer physicians designated as process owners and an action research team. Data were collected from documents, observations of the learning platform, notes from meetings and interviews. Outcome data were obtained via the self-reporting of the physicians.

The learning platform established the capability for wide ranging development and quality improvement on the 23 cancer pathways as well as some support activities around principles of patient-centred care. A clear result is greater inter-organisational collaboration between care professionals as well as the introduction of new medicines, clinical methods, joint learning activities and new forms of measurement and monitoring of care practices. All of the improved measures are sustained.

Whilst there is no shortage of rhetoric on patient-centred care, the reality is that in complex healthcare systems solutions such as process-oriented approaches often fail. This case presents a model and an approach that eschews clear visions for change and instead places an emphasis on dialogue, participation, professional autonomy and collaborative communities as means for achieving the patient-centred ideal. The case also shows the value of seeing sustainable health systems as being grounded on practitioner–scholar collaboration that combines practical knowing with scientific knowledge.

Wonders whether companies actually have employees best interests at heart across physical, mental and spiritual spheres. Posits that most organizations ignore their workforce – not even, in many cases, describing workers as assets! Describes many studies to back up this claim in theis work based on the 2002 Employment Research Unit Annual Conference, in Cardiff, Wales.

This article explores the symbolic aspects of change agency on a learning platform designed to facilitate system-wide transformation in cancer care. A sensemaking–sensegiving perspective is adopted to analyze the construction of meaning in interaction between the leader of a regional cancer center, senior physicians, and an action research team in relation to patient-centered care. The analysis suggests that the physicians, as change agents, made sense of the vision from three quite distinct discourses in relation to the development effort. We argue that although meanings reconstructed in development initiatives may well be far from shared, this by no means implies that they are dysfunctional.

In identifying a bias within situated learning theory towards routine work practices, this paper develops a theoretical framework for assessing the relationships between learning, sensemaking and power in the non‐routine practices of temporary organising. The paper locates processes of sensemaking and learning in a model of organisational change that attempts to render power in communities of practice more visible than has been the case in theorising hitherto, by focusing on sensegiving in change projects. Change is conceived in terms of an oscillation between the routines of permanent organising and the more experimental, innovative actions of temporary organising, where leaders mobilise actors to explore new ideas. The role of sensegiving in such processes, it is argued, helps shed light on the political nature of micro‐processes of change.

Purpose – This chapter examines the developmental journey toward a sustainable health care system in the West of Skaraborg County in Sweden from 2008 to the present by proposing and illustrating the concept of a clinical microsystem to capture the work of a mobile team to care for elderly people with multiple diseases in its embedded context.

Design – An action research approach was adopted that entailed four researchers, one of whom was also a health care practitioner, engaging in iterative dialogues with the mobile team. This aimed at catalyzing joint learning in repeated action-reflection cycles at least three times a year over a period of 3 years. Data from patient databases were also drawn upon as additional resources for reflection.

Findings – The outcome of the initial periods of the team's work in the microsystem dramatically improved the care of these patients, significantly increasing quality of life and stabilizing their medical situation. It has also led to decreased resource utilization, not just by the team, but elsewhere in the wider health system.

Originality/value – We draw on and develop the concept of clinical microsystems to argue that such systems have a team at their core, but their work practices and patient outcomes require us to look beyond the team itself and take into account its interactions with patients and actors in the wider health care system. We also draw on the framework of Christensen, Grossman, and Hwang (2009) to propose that each microsystem has three distinct value configurations, namely shops, a chain, and a network. In terms of design, we suggest that the clinical microsystem can be seen as a parallel learning structure to that of the established health care bureaucracy.

This paper draws on the metaphor of “magic” to explore the role of dialogue conferences and subsequent activities as a tool for organizational development and change. The metaphor is introduced and elaborated as a means of allowing critical reflection on action research projects.

In the empirical setting of a change project in a regional health authority in Sweden, researchers designed and facilitated a development coalition for introducing integrated care. This required an action research intervention that supported the establishment of new relationships and developmental practices across both organizational and professional boundaries.

The unfolding of developmental processes set in train by dialogue conferences are shown as being a dynamic process of magic underpinned by the principles of democratic dialogue.

By drawing attention to the three keywords of development, participation and dialogue three sites have been identified for critical reflection and reflexivity in action research. Magic is argued as an activity wherein the seemingly impossible is made to happen in these areas; equally it can be an activity of simple illusion whereby appearance is at odds with reality.

The purpose of this paper is to investigate the notion of attractive workplaces in the specific context of creative professional employment.

Based on observations and interview data at knowledge‐based firms in the UK, the paper looks at the extent to which employees are “rewarded” with the offer of creative work and the degree to which this offer really involves greater benefits for employees in terms of professional prestige and the confirmation of their identities as professional workers in the creative industries.

The paper finds that creative needs remain important components of the attractive workplace, but increasingly also of importance are the extrinsic rewards of an acceptable work‐life balance as the age profile of the technology worker changes and technology stagnates.

This research focused on one group of workers within one specific country. Whilst it was found that work in the software sector is becoming less creative, this may not be the case across all contexts.

There is clearly a problem, of developing young technology specialists within Scotland. In order to maintain the “Smart, Successful Scotland” propounded by the Scottish Government, drastic steps need to be taken to educate the IT workers and indeed, entrepreneurs of the future.

This paper is new as there has been little recent research undertaken examining the IT sector in Scotland. More generally, there is a scarcity of work focusing on workplace attractiveness for IT specialists.

A work system may be said to exhibit social sustainability if it utilizes its human, social, economic, and ecological resources with responsibility. This entails using these resources in a non-exploitive way, regenerating them, and paying due attention to the needs and ambitions of its stakeholders in the short- and long-term. For most presently existing organizations attaining and maintaining sustainability requires a midcourse correction, a transformation process. This chapter reviews the main concepts regarding sustainability and previous research of organizational development in this context. It presents a four-phase model for this transformation process and illustrates the model's application in four different contexts. The results are discussed and directions for further research are presented.