University College of Northern Denmark

To investigate the association between multimorbidity level, all-cause 30-day readmissions, and 30-day mortality in a cohort of patients hospitalised with an ambulatory care sensitive condition. Older patients with moderate or severe multimorbidity had higher 30-day readmission and mortality compared with those without multimorbidity, increasing with the level of multimorbidity. Multimorbidity increases 30-day readmission and mortality risk. Identifying high-risk patients and tailoring care during and after hospitalisation is therefore crucial. We investigated the association between multimorbidity level, all-cause 30-day readmissions, and post-discharge 30-day mortality. Using Danish national registries, we identified patients aged ≥ 65 years hospitalized for ambulatory care-sensitive conditions between 2013–2018. Multimorbidity was defined as having 2–3 (moderate) or ≥ 4 (severe) of 39 chronic conditions. We estimated 30-day cumulative incidence of readmission after discharge and used Cox regression to calculate hazard ratios (HRs) for readmission and mortality. Among 178,445 patients, median age was 78 years (IQR: 71–85), 59

This article explores the ‘transformed institutionalization’ of individuals with intellectual disabilities in Denmark, Finland, and Sweden. The concept refers to how living arrangements formally classified as non-institutional settings in practice retain key features of traditional institutions. This is a critical, thematic study based on literature from a wide-ranging field, aiming to offer a nuanced understanding of the challenges in achieving full deinstitutionalization. Three institutional trends are scrutinized across the three countries: (1) the increasing number of residents per unit, (2) the persistence of institutional cultures, and (3) the lack of individualized support. In accordance with the argument that deinstitutionalization did not eliminate the mechanisms of control but rather transformed them, we argue that institutional logics persist and transform in ostensibly post-institutional settings. Examining this ‘transformed institutionalization’ also calls into question the Nordic countries’ reputation as leaders in the development of social welfare services for people with intellectual disabilities.

Introduction Midwives and obstetricians often overuse Cardiotocography (CTG) when monitoring low-risk births, despite evidence and guidelines recommending intermittent auscultation (IA). This study aims to examine whether and how a participatory intervention can provide initiatives that enhance midwives' use of evidence-based CTG monitoring in low-risk births. Methods Midwives and obstetricians from Viborg Regional Hospital participated in workshops at the hospital. Participatory design was applied using the “User Innovation Management” framework to guide two workshops with midwives and obstetricians. In Workshop 1, the participants explored needs, motives, and visions related to fetal monitoring. In Workshop 2, they developed specific initiatives for evidence-based practice. Data from the workshops was collected through audio recordings and written notes and analysed using manifest content analysis. Results Through collaborative workshops, participants co-developed three overarching initiatives aimed at the midwives: (1) Creating a culture of psychological safety and knowledge sharing, (2) Fostering recognition and mentoring, (3) Implementing practical changes. These initiatives were supported by 14 proposed actions, including training days for educational staff, improved communication materials, and structural adjustments to daily routines. These initiatives reflect a strong desire among clinicians to create a psychologically safe working environment, enhance professional recognition, and implement practical changes aligned with clinical guidelines and evidence-based practice. Conclusion Engaging clinicians through participatory methodologies facilitated the co-development of initiatives that are both actionable and contextually appropriate. This collaborative approach may enhance midwives' information to couples, thereby aligning the use of CTG monitoring in low-risk births with current evidence-based guidelines.

Small- and medium-sized enterprises (SMEs) are vital to the economy across various business domains, including manufacturing. However, as manufacturing principles and technologies evolve, SMEs often struggle to fully benefit from emerging knowledge and innovations. Their limited capacity to absorb and apply expertise in physical and data-driven processes hinders manufacturing innovation. One way to build this capacity is through professionals’ engagement in learning factory activities. Learning factory approaches have been proposed as a means to support the development of knowledge and competencies essential for manufacturing innovation. To advance the understanding of how knowledge and skills gained through learning factory approaches influence manufacturing innovation, this study explores the question: “What role do diverse learning factory approaches play in facilitating SMEs’ transition to new manufacturing technologies and operational strategies?”