Bjørn Erik Mørk

Journal of Health Organisation and Management 34(4) s. 427-447 Doi: https://doi.org/10.1108/JHOM-04-2019-0103

Purpose – The purpose of this paper is to increase the understanding of organizational challenges when decision-makers try to comply with technological developments and increasing demands for a more rational distribution of health care services. This paper explores two decision-making processes from 2007–2019 in the area of vascular surgery at a regional and a local level in Norway. Design/methodology/approach – The study draws upon extensive document analyses, semi-structured interviews and field conversations. The empirical material was analyzed in several steps through an inductive approach and described and explained through a theoretical framework based on rational choice (i.e. bounded rationality), political behavior and institutionalism. These perspectives were used in a complementary way. Findings – Both decision-making processes were resource-intensive, long-lasting and produced few organizational changes for the provision of vascular services. Stakeholders at both levels outmaneuvered the health care planners, though by different means. Regionally, the decision-making ended up in a political process, while locally the decision-making proceeded as a strategic game between different departments and professional fields.Practical implications –Decision-makers need to prepare thoroughly for convincing others of the benefits of new ways of organizing clinical care. By providing meaningful opportunities for public involvement, by identifying and anticipating political agendas and by building alliances between stakeholders with divergent values and aims decision-makers may extend the realm of feasible solutions. Originality/value – This paper contributes to the understanding of why decision-making processes can be particularly challenging in a field characterized by rapid technological development, new treatment options and increasing demands for more rational distribution of services.

Social Science and Medicine 228(May) s. 232-239 Doi: https://doi.org/10.1016/j.socscimed.2019.03.033

Mobilising knowledge and coordinating actions in order to make use of new innovations and technologies is a major challenge in the health care sector. Drawing upon a longitudinal, qualitative study of a Hybrid Operating Room in Sweden, we illustrate how the staff from a variety of medical specialties need to coordinate their tasks and competencies, and learn how to use the technology in a safe way. This study shows that learning across highly-professionalised communities is a recursive process of emergent coordination and situated learning, which includes the acknowledgement of others’ expertise, task interdependence, and the pragmatic accommodation of latitude and control. Moreover, there was continuous negotiations between the different communities about what should constitute approved practice based on the task being performed. This obstructed the development of a dominant community with the authority to independently exclude other communities. We thus conclude that emergent coordination of tasks and expertise is an important aspect of learning how to use technologies that break with conventions of established and previously separated practices.

The Academy of Management Annals 13(2) s. 704-736 Doi: https://doi.org/10.5465/annals.2017.0089

This article reviews scholarship dealing with the notion of “boundary work,” defined as purposeful individual and collective effort to influence the social, symbolic, material, or temporal boundaries, demarcations; and distinctions affecting groups, occupations, and organizations. We identify and explore the implications of three conceptually distinct but interrelated forms of boundary work emerging from the literature. Competitive boundary work involves mobilizing boundaries to establish some kind of advantage over others. In contrast, collaborative boundary work is concerned with aligning boundaries to enable collaboration. Finally, configurational boundary work involves manipulating patterns of differentiation and integration among groups to ensure that certain activities are brought together, whereas others are kept apart, orienting the domains of competition and collaboration. We argue that the notion of boundary work can contribute to the development of a uniquely processual view of organizational design as open-ended, and continually becoming, an orientation with significant future potential for understanding novel forms of organizing, and for integrating agency, power dynamics, materiality, and temporality into the study of organizing.

Praktisk Økonomi & Finans 34 [i.e. 35](1) s. 32-46 Doi: https://doi.org/10.18261/issn.1504-2871-2018-01-04

Controversies in Healthcare Innovation. Service, Technology and Organization s. 75-106 Doi: https://doi.org/10.1057/978-1-137-55780-3_4

Studies in Continuing Education 40(3) s. 306-322 Doi: https://doi.org/10.1080/0158037X.2018.1463212

In this paper, we interrogate the current views on medical expertise, and expertise more in general, by building upon the study of an innovative medical procedure called transcatheter aortic valve implantation (TAVI). We find that phenomena like TAVI require that we modify our traditional views of expertise to acknowledge its social, material and distributed nature. We also find that in the case of TAVI expertise feeds upon the broad circuits of knowledge created by the combination of professional relationships, social ties and, increasingly, economic interests. Becoming and remaining an expert implies not only being socialised in a local regime of activity but increasingly also participating in, learning to navigate, and exploiting alternative and potentially competing circuits of knowledge, which may be controlled by private companies. The case of TAVI helps us to appreciate expertise as a translocal and connected phenomenon and foreground some of the implications of the emergence of proprietary circuits of knowledge.

Skillful performance : enacting capabilities, knowledge, competence, and expertise in organizations s. 27-49 Doi: https://doi.org/10.1093/oso/9780198806639.003.0002

Industrial Marketing Management 60 s. 187-195 Doi: https://doi.org/10.1016/j.indmarman.2016.04.002

Research on customer–supplier relationships in business markets has evidenced the centrality of interaction processes. However, while several studies examine interaction processes and their consequences in relation to the resource and activity layers of business relationships, the actor layer has not attracted the same attention. This raises the question: how adequate are our methodological approaches for investigating interaction processes in business networks? In this paper, we examine how practice-based approaches, with their preference for ethnography and techniques such as multi-site observations and analytical interviewing and treating actors as emergent entities, can help orient the research on business interaction. We argue that some of the themes emerging in practice-based approaches, applied to studies of interaction in business networks, could yield a better understanding of the dynamics of organizing across organizational boundaries. We conclude that research on interaction in business relationships would benefit from (1) zooming in and zooming out of multiple sites of interaction to better understand interaction processes and the role of controversies and interdependences among the different interacting roles; (2) including fluid multiple roles in business relationships that treat actors as emergent entities and transcend the ‘fixed’ conceptualization of two actor levels – individual and organizational; and (3) paying major attention to the reproduction of interaction practices and the role of materiality that permit relationships to be temporarily stabilized.

Capitalizing on creativity at work: Fostering the implementation of creative ideas in organizations s. 270-286 Doi: https://doi.org/10.4337/9781783476503

Samhandling for helse: Kunnskap, kommunikasjon og teknologi i helsetjenesten s. 258-279

Human Relations 65(2) s. 263-288 Doi: https://doi.org/10.1177/0018726711429192

This article contributes to our understanding of practices in innovating organizations. Previous studies have demonstrated how breakthroughs in knowledge may fail to be translated into practices if they are not aligned with existing practices, or if they cut across established boundaries and power structures. By drawing upon an ethnographic study of a medical R&D department that has been highly successful in developing new medical practices, this article investigates how such challenges can be overcome. To date, much of the literature has focused on coordination across single, well-defined boundaries. We here extend this focus and introduce the notion of ‘boundary organizing’ to analyse highly political and contingent processes of innovation and change within and across different practices. We add to existing literature by highlighting how the handling of multiple boundaries, the indirect effects of boundary work, the negotiation of mutual benefits and interests, and mutual adaptation are key aspects of boundary organizing.

Management Learning 41(5) s. 575-592 Doi: https://doi.org/10.1177/1350507610374552

Knowledge and Process Management 15(1) s. 12-23 Doi: https://doi.org/10.1002/kpm.295

Surgical Endoscopy 20(10) s. 1565-1569

European Journal of Innovation Management 9(4) s. 444-465 Doi: https://doi.org/10.1108/14601060610707867

Annals of Thoracic Surgery 79(5) s. 1584-1589

doi:10.1016/j.athoracsur.2004.10.019

Journal of Thoracic and Cardiovascular Surgery 128(5) s. 718-724

Heart Surgery Forum 4(3) s. 254-258

Kick-off i Helsedirektoratet for Kompetanseløft 2025

Pasientsikkerhetskonferansen 2022

Undertegnede ga en introduksjon og deretter var ordstyrer for en sesjon der hhv en deltager fra den nasjonale lederutdanningen for primærhelsetjenesten og tre toppledere som har gjennomført Topplederprogrammet for kommune- og spesialisthelsetjenesten presenterte sine utviklimgsprosjekter, og deretter hadde en panelsamtale

Ledersamling med over 300 ledere fra Vestre Viken Helseforetak

Pasientsikkerhetskonferansen 2022

Panelsamtale som var ledet av Helsedirektoratet, og paneldeltagerne var Inger Marethe Egeland (Flekkefjord kommune), Stephan Ore (Lovisenberg) og Linda Brørs (Lovisenberg), samt undertegnede

UiO/BI

• Bjørn Stensaker, viserektor ved UiO • Bjørn Erik Mørk, professor ved Institutt for strategi og entreprenørskap Handelshøyskolen BI • Arild Henrik Steen, forsker ved Arbeidsforskningsinstituttet, OsloMet • Carina Hundhammer, leder for høyere utdanning- og forskningspolitikk i Abelia • Kristin Danielsen, konstituert områdedirektør for forskningssystemet og internasjonalisering i Forskningsrådet • Panelsamtalen ledes av journalist og forfatter Linn Stalsberg

Læringsnettverk ledelse av pasientsikkerhet

Dagens medisin

Ledersamling BTI

Academic conference

12th International Process Symposium

Dagens medisin

Dagens medisin

Seminar for ansatte ved Bekkensenteret Ahus

Ledersamling i Kreftklinikken

Academic conference

Seminar for all employees in Lånekassen

Samling for Nasjonalt senter for sjeldne diagnoser

Leve hele livet og nye nasjonale satsninger: Hvordan møter vi fremtidens utfordringer?

Partnerforum

Lean Forum 2020

Samling for primærhelseteam

Brukermedvirkning i helsesektoren et ideal, men vanskelig i praksis (paneldebatt)

Dagens medisin

Dagens medisin

Pasientsikkerhetskonferansen 2020

Tjenesteledersamling bydel Østensjø

Cappelen Damm Akademisk

Ledersamling

Dagens medisin

11th International Symposium on Process Organization Studies

Pasientsikkerhetskonferansen 2019

Diploma Ceremony in honor of the 2019-20 Norwegian Fulbright Grantees

BTI-konferansen 2019 om Inkluderende felleskap og tverrfaglig samarbeid

Lederinspirasjonsseminar ved OUS

35th EGOS Colloquium

Diploma Ceremony in honor of the 2017-18 Norwegian Fulbright Grantees

Organizing for the Digital World. IT for individuals, communities and societies, Lecture Notes in Information Systems and Organisation (LNISO) s. 247-263

Academy of Management

The 13th Organizational Learning, Knowledge and Capabilities Conference (OLKC)

Kompetansedagene

OBHC (International Organizational Behavior in Healthcare Conference) 2018

HR i helsesektoren

9th International Process Symposium

Fagdag for digital læring i Helse Sør-Øst

33rd EGOS Colloquium

Diploma Ceremony in honor of the 2017-18 Norwegian Fulbright Grantees

14th conference of the Italian Chapter of AIS (Association for Information Systems)

Intervensjonssenteret, Oslo Universitetssykehus

32nd EGOS Colloquium

Academy of Management 2016

Academy of Management 2016

11th Organizational Learning, Knowledge and Capabilities Conference (OLKC)

8th International Process Symposium (PROS)

Forskningsseminar

The Tenth Organizational Learning, Knowledge and Capabilities Conference (OLKC)

7th International Process Symposium

7th International Process Symposium

4th Innovation in Information Infrastructures (III)

Norwegian Prostate Cancer Symposium

ISM/IKON research seminar

Health care innovation seminar

Informasjonsmøte for nye Fulbrightere

International Conference on Organizational Learning, Knowledge and Capabilities

Analysing epistemic practices in professional work and learning

Research seminar on theorising ignorance

Research seminar

Research seminar

International Conference on Organizational Learning, Knowledge and Capabilities

The IMP Conference

The Ninth Organizational Learning, Knowledge and Capabilities Conference (OLKC)

PhD Days

Aftenposten Viten

IMP

NEON konferansen

Kurs i Innovasjonsledelse

The Eight Organizational Learning, Knowledge and Capabilities Conference (OLKC)

The Eight Organizational Learning, Knowledge and Capabilities Conference (OLKC)

Fulbright orienteringsseminar

29th EGOS Colloquium

NEON konferansen

Oslo Innovation Week

PhD-course in organisational theory applied on health care organisations

Workshop for å diskutere pågående forskning ved hhv Ahus og BI

Fulbright Asilomar Conference

The IMP 2012 conference

The Fifth International Conference on Organizational Learning, Knowledge and Capabilities (OLKC)

Kontaktmøte mellom Helse Sør-Øst RHF og KS i fylkene

Fagseminar

Innovasjonsseminar med en rekke sentrale aktører i helse-Norge

The Fifth International Conference on Organisational Learning, Knowledge and Capabilities (OLKC)

Mastergradskurs i metode

Lederutviklingsseminar

The Fourth Organizational Learning, Knowledge and Capabilities Conference (OLKC)

Mastergradskurs i metode

Prøveforelesning

The Organizational Learning, Knowledge and Capabilities Conference

Mastergradskurs i innovasjon og entreprenørskap

Disputas

annual Conference for Organization, Learning, Knowledge and Capabilities,

The Third Organizational Learning, Knowledge and Capabilities Conference (OLKC)

Mastergradskurs i metode

The Third Organizational Learning, Knowledge and Capabilities Conference (OLKC)

the annual Conference on Organization, Learning, Knowledge and Capabilities,

Mastergradskurs i innovasjon og entreprenørskap

Master Course “Innovation as Strategic Business Processes”

IKON research centre arrangerte fagseminar

The First International Conference on Organisational Learning, Knowledge and Capabilities (OLKC)

Mastergradskurs ved Universitetet i Tromsø

EGOS

The Fifth Organizational Knowledge, Learning and Capabilities Conference (OKLC)

Fagseminar Statoil

PhD Days

OKLC2006

PhD Days

1st International Conference – Professional Learning in a Changing Society, University of Oslo

NEON

The Fifth Organizational Knowledge, Learning and Capabilities Conference (OKLC)

The Fifth Organizational Knowledge, Learning and Capabilities Conference (OKLC)

1st national conference on leadership and organisation of the health care sector

PhD Days

Organizational Knowledge, Learning and Capabilities Conference

EAWOP (11th European Congress on Work and Organizational Psychology

Seminar UiO og LSE

PhD Days

Kirurgisk forening høstmøte