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  • 1.
    Alvehus, Johan
    et al.
    Lund University, Lund (SWE).
    Andersson, Thomas
    University of Skövde, Skövde (SWE).
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Reconceptualizing the management–profession conflict: Occupational heuristics and multi-professional interrelations in health care2023Conference paper (Other academic)
  • 2.
    Andersson, Thomas
    et al.
    Högskolan i Skövde.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations2020In: Scandinavian Journal of Management, ISSN 0956-5221, E-ISSN 1873-3387, Vol. 36, no 2, article id 101107Article in journal (Refereed)
    Abstract [en]

    The present study describes and analyses how social interactions between individual actors form institutional work in the highly institutionalized setting of healthcare organizations. Based on a qualitative case study, we affirm that social interactions mainly form maintaining institutional work, thus primarily upholding the rigidity of healthcare organizations. Social interactions either preserve distance between different actors or prevent their mutual influence, which decreases the effects of institutional complexity. However, when institutional work goes beyond maintaining, social interaction is characterized by processes of claiming influence and granting influence between individual actors who adhere to different institutional logics, which allows effects of institutional complexity. Such institutional work is contingent upon physicians' strong power position, and granting influence is likely to precede claiming influence.

  • 3.
    Eklund, Annika
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gadolin, ChristianUniversity West, School of Business, Economics and IT, Division of Business Administration.
    Samverkan i vården: från system till praktik2023Collection (editor) (Other academic)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo] 

  • 4.
    Eklund, Annika
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Samverkanskompetens2023In: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Liber, 2023, p. 196-208Chapter in book (Other academic)
  • 5.
    Eriksson, Erik
    et al.
    Chalmers University of Technology, Göteborg; University of Borås, Borås .
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Andersson, Thomas
    School of Business, University of Skövde, Skövde;VID Specialized University Oslo (NOR).
    Hellström, Andreas
    Chalmers University of Technology, Göteborg.
    Lifvergren, Svante
    Department of Technology Management and Economics Chalmers University of Technology Gothenburg SE‐412 96 Sweden;Skaraborg Hospital Group Skövde SE‐542 24 Sweden.
    Value Propositions in Public Collaborations: Regaining Organizational Focus Through Value Configurations2022In: British Journal of Management, ISSN 1045-3172, E-ISSN 1467-8551, Vol. 33, no 4, p. 2070-2085Article in journal (Refereed)
    Abstract [en]

    There is consensus that complex problems of contemporary society call for public service collaborations. So-called public service logic (PSL) focuses on joint value creation among a multiplicity of actors in service ecosystems. Despite recognizing various actors, this logic is essentially user-centric, with the service user being the one realizing the value. Consequently, single and collaborating organizations cannot deliver value, only potential value, or so-called value propositions. The elusive public service logic takes a network value configuration for granted and as a starting point. Drawing from two cases in Swedish healthcare, this paper argues that two other value configurations (chain andshop) are also relevant for understanding the development of value propositions – and that these may be related to both intra- and inter-organizational processes. Theoretically, we conclude that just like public service logic, other collaborative public management theories need to recognize the importance of a multiplicity of value configurations and that these are often related to both intra- and inter-organizational processes. We conclude that managers should not adopt the latest network trends without first reflecting on the relevance of existing internal processes.

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  • 6.
    Eriksson, Erik
    et al.
    Division of Service Management and Logistics, Department of Technology Management and Economics, Centre for Healthcare Improvement, Chalmers University of Technology, Gothenburg (SWE); Department of Work Life and Social Welfare, University of Borås, Borås (SWE).
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindahl, Göran
    Division of Building Design, Department of Architecture and Civil Engineering, Centre for Healthcare Architecture, Chalmers University of Technology, Gothenburg (SWE).
    Alexandersson, Patrik
    Division of Service Management and Logistics, Department of Technology Management and Economics, Centre for Healthcare Improvement, Chalmers University of Technology, Gothenburg (SWE).
    Eriksson, Johanna
    Division of Building Design, Department of Architecture and Civil Engineering, Centre for Healthcare Architecture, Chalmers University of Technology, Gothenburg (SWE).
    Public management in turbulent times: COVID-19 as an ecosystem disruptor2021In: Australian journal of public administration, ISSN 0313-6647, E-ISSN 1467-8500, Vol. 80, no 4, p. 732-747Article in journal (Refereed)
    Abstract [en]

    The decentralisation of Swedish healthcare closer to citizens has been slow. Drawing from empirical material of the reform prior and amidst the COVID-19 pandemic, this paper argues that the pandemic has disrupted the healthcare ecosystem. Consequently, citizen-centred collaborations have accelerated integration of resources (such as knowledge and skills) across organisational, hierarchical and professional borders. However, collaborations have been delimited to traditional healthcare providers, neglecting the resources of citizens and other actors to be used to improve service delivery. The pandemic has revealed strengths and weaknesses with the prevailing healthcare ecosystem that post-COVID-19 public management must address, both theoretically and practically. Theoretically, the paper contributes to the development of a public service logic, addressing both strengths and difficulties with the logic in turbulent times. Practically, the empirical descriptions contribute to improved understanding of public service delivery reform and how it is impacted during the pandemic. © 2021 The Authors. Australian Journal of Public Administration published by John Wiley & Sons Australia, Ltd on behalf of Institute of Public Administration Australia.

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    Wiley
  • 7.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Framtidens sjukvård kräver ny kompetens från cheferna2023In: Östgöta Correspondenten, ISSN 1104-0394, p. 24-24Article in journal (Other (popular science, discussion, etc.))
  • 8.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hur följer vi råden från staten?2020In: Norrländska SocialdemokratenArticle in journal (Other (popular science, discussion, etc.))
  • 9.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Låt fler jobba hemma – även efter pandemin2021In: Göteborgs-PostenArticle in journal (Other (popular science, discussion, etc.))
  • 10.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nu måste arbetsmiljön i den offentliga vården säkras: Debatt - Arbetsmiljö2020In: Dagens samhälle, ISSN 1652-6511, no 13, p. 8-Article in journal (Other (popular science, discussion, etc.))
  • 11.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Orimligt att man tvingas ringa för att säga upp en tjänst2022In: Göteborgs-Posten, ISSN 1103-9345, no 2022-11-05Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Debatt 

    Att säga upp en betaltjänst ska vara lätt. Trots det så blir vi konsumenter ofta hänvisade att ringa kundtjänst när vi vill säga upp en tjänst, exempelvis ett telefonabonnemang. Att skapa hinder som gör uppsägning krångligt utgör inte bara en inskränkning av konsuments rättigheter utan kan dessutom utgöra en ordentlig olägenhet, skriver Christian Gadolin, docent i företagsekonomi.

  • 12.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rekommendationer inte för din utan för allas skull2020In: Nya Wermlands-Tidningen, no 2020-06-10Article in journal (Other (popular science, discussion, etc.))
  • 13.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Samhällets normer för styrning av vården2022In: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, Lund: Studentlitteratur AB, 2022, 2, p. 241-259Chapter in book (Other academic)
  • 14.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    ”Samverkan i vården kräver sociala relationer”2021In: Dagens medicin, ISSN 1104-7488Article in journal (Other (popular science, discussion, etc.))
  • 15.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Samverkan som ideal i vården: vägen dit och förutsättningar för att lyckas2023In: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Liber, 2023, p. 34-51Chapter in book (Other academic)
  • 16.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Statliga råd och rekommendationer finns till för att främja det som är bäst för oss alla2020In: Dalarnas TidningarArticle in journal (Other (popular science, discussion, etc.))
  • 17.
    Gadolin, Christian
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Chalmers University of Technology, Gothenburg, Sweden .
    Andersson, Thomas
    Chalmers University of Technology, Gothenburg, Sweden;University of Skövde, Skövde, Sweden.
    Eriksson, Erik
    Chalmers University of Technology, Gothenburg, Sweden.
    Hellström, Andreas
    Chalmers University of Technology, Gothenburg, Sweden.
    Providing healthcare through "value shops": impact on professional fulfilment for physicians and nurses2020In: International Journal of Health Governance, ISSN 2059-4631, Vol. 25, no 2, p. 127-136Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this paper is to empirically explore and demonstrate the ability of healthcare professionals to attain professional fulfilment when providing healthcare inspired by "value shops". Design/methodology/approach: A qualitative case study incorporating interviews and observations was conducted. Findings: The empirical data suggest that the professional fulfilment of both physicians and nurses is facilitated when care is organized through â value shopsâ. Both groups of professionals state that they are able to return to their “professional core”. Originality/value: The beneficial outcomes of organizing healthcare inspired by the “value shop” have previously been explored in terms of efficiency and quality. However, the professional fulfilment of healthcare professionals when providing such care has not been explicitly addressed. Professional fulfilment is vital in order to safeguard high-quality care, as well as healthcare professionals' involvement and engagement in implementing quality improvements. This paper highlights the fact that care provision inspired by the "value shop"may facilitate professional fulfilment, which further strengthens the potential positive outcomes of the "value shop" when utilized in a healthcare setting. © 2020, Christian Gadolin, Thomas Andersson, Erik Eriksson and Andreas Hellström.

  • 18.
    Gadolin, Christian
    et al.
    University West, School of Business, Economics and IT, Division of Business Administration.
    Andersson, Thomas
    School of Business, University of Skövde, Skövde (SWE); Faculty of Theology and Social Sciences, VID Specialized University, Oslo (NOR).
    Stockhult, Helen
    Örebro University, Örebro University School of Business (SWE).
    Complexity Leadership in a Public Sector Context: Exploring Adaptive Leadership Practices2023In: Change Management: An International Journal, ISSN 2327-798X, E-ISSN 2327-9176, Vol. 23, no 2, p. 63-81Article in journal (Refereed)
    Abstract [en]

    The public sector is becoming increasingly complex. As complexity leadership theory has been formulated in order to understand leadership in such a context, it thus seems appropriate that it should inform public leadership research. However, the applicability of complexity leadership theory and the concomitant adaptive leadership practices have thus far been underexplored empirically in a public sector context. To address this omission, this article uses a qualitative case study to exemplify how adaptive leadership practices may manifest themselves in a public sector context. The article’s findings indicate that adaptive leadership practices that reduce, rather than induce, tension within the dynamics of actors’ interactions may be a more viable route to handle challenges within a public sector context. Future research could beneficially pay greater attention to the public sector context when studying how adaptive leadership practices might manifest themselves in public sector organizations, as well as when assessing the merits of complexity leadership theory in informing public leadership.

  • 19.
    Gadolin, Christian
    et al.
    University West, School of Business, Economics and IT, Division of Business Administration. Centre for Healthcare Improvement,Department of Technology Management andEconomics, Chalmers University ofTechnology, Gothenburg (SWE).
    Eriksson, Erik
    Centre for Healthcare Improvement, Department of Technology Management and Economics, Chalmers University of Technology, Gothenburg (SWE), Department of Work Life and Social Welfare,University of Borås (SWE).
    Barriers and enablers of coordination across healthcare system levels2023In: Journal of Public Affairs, ISSN 1472-3891, E-ISSN 1479-1854, Vol. 23, no 4, p. 1-11, article id e2871Article in journal (Refereed)
    Abstract [en]

    Coordination across healthcare system levels is a global imperative to ensure efficient resource utilization and provide high-quality care. The substantial body of research on coordination in healthcare mainly concerns coordination across professional and organizational domains. Consequently, there is a dearth of empirical research aimed at delineating the determinants of coordination across healthcare system levels. This paper describes and analyses the barriers and enablers of healthcare coordination across national, regional, and local system levels in a populous Swedish region. Individual interviews and focus group discussions, encompassing a total of 63 individuals, were conducted with managers, administrators, and politicians. The findings of the paper underscore that the barriers identified were most often of a structural or institutional character, whereas the enablers of the studied cross-level coordination were mostly relational. Therefore, we propose that future research should aim to further delineate the prerequisites for personal relationships to emerge, as well as how they may act as enablers of coordination across healthcare system levels.

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  • 20.
    Gadolin, Christian
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Eriksson, Erik
    Chalmers tekniska högskola, Göteborg, Sverige.
    Alexandersson, Patrik
    Chalmers tekniska högskola, Göteborg, Sverige.
    Coordination of paediatric oncology care: an explorative Swedish case study2022In: Journal of Integrated Care, ISSN 1476-9018, Vol. 30, no 5, p. 27-36Article in journal (Refereed)
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  • 21.
    Gadolin, Christian
    et al.
    University West, School of Business, Economics and IT, Division of Business Administration.
    Larsman, Pernilla
    Göteborgs universitet, Göteborg.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pousette, Anders
    Göteborgs universitet, Göteborg.
    Törner, Marianne
    Sahlgrenska akademi, Göteborgs universitet, Göteborg.
    How do healthcare unit managers promote nurses' perceived organizational support, and which working conditions enable them to do so?: A mixed methods approach2022In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 63, no 6, p. 648-657Article in journal (Refereed)
    Abstract [en]

    Healthcare unit managers are pivotal to promote nurses' Perceived Organizational Support and hence to ensure nurses' health and well-being, as well as high-quality care. Despite this fact, there is a dearth of studies addressing how healthcare unit managers act and organize their work to promote nurses' Perceived Organizational Support and which working conditions enable them to do so. Through a mixed methods approach, comprising qualitative interviews and quantitative surveys among healthcare unit managers and nurses, this paper underscores that healthcare unit managers' availability to their nursing staff was essential for their ability to promote nurses' Perceived Organizational Support, and that responsive support from the care unit managers' superior management, administration, and managerial colleagues constituted enabling working conditions. Superior manager support strongly promoted the care unit manager's own Perceived Organizational Support, which, in turn, was positively correlated with nurses' organizational climate of Perceived Organizational Support.

  • 22.
    Gadolin, Christian
    et al.
    University West, School of Business, Economics and IT, Division of Business Administration.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsman, Pernilla
    Department of Psychology, University of Gothenburg, Gothenburg, (SWE).
    Pousette, Anders
    Department of Psychology, University of Gothenburg, Gothenburg; School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, (SWE).
    Törner, Marianne
    School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, (SWE).
    Managing Healthcare under Heavy Stress: Effects of the COVID-19 Pandemic on Care Unit Managers' Ability to Support the Nurses - A Mixed Methods Approach.2022In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 30, no 8, p. 4080-4089Article in journal (Refereed)
    Abstract [en]

    AIM: Investigate care unit managers' perceptions of how the COVID-19 pandemic influenced their ability to support the nurses.

    BACKGROUND: The COVID-19 pandemic placed extreme pressure on healthcare organizations. More knowledge regarding how the pandemic influenced care unit managers' ability to support nurses is central to ensuring high-quality healthcare in future crises.

    METHOD: A mixed-methods study in Swedish hospitals with a survey (n=128) and interviews (n=20) with care unit managers.

    RESULTS: Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring. Full focus on direct patient care, and strong professional and social support were important job resources.

    CONCLUSION: For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers' perceived organizational support positively affects the quality of their crisis leadership. Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises. Implications for Nursing Management This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.

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  • 23.
    Gadolin, Christian
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ros, Axel
    Region Jönköping County and Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE).
    Törner, Marianne
    School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Preconditions for nurses' perceived organizational support in healthcare: a qualitative explorative study.2021In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 35, no 9, p. 281-297Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose of this paper is to inductively explore the context-specific preconditions for nurses' perceived organizational support (POS) in healthcare organizations.

    DESIGN/METHODOLOGY/APPROACH: A qualitative interview study was performed, based on the critical incident technique (CIT), with 24 registered nurses in different specialities of hospital care.

    FINDINGS: The nurses perceived three actors as essential for their POS: the first-line manager, the overarching organization and their college. The preconditions affecting the nurses' perceptions of organizational support were supportive structuring and structures at work, as well as individual recognition and professional acknowledgement.

    ORIGINALITY/VALUE: Previous studies of POS have mostly had a quantitative outset. In this paper, context-specific preconditions for nurses' POS are described in depth, enabled by the qualitative approach of the study. The findings may be used to guide healthcare organizations and managers aiming to foster nurses' POS, and thereby, benefit nurses' well-being and retention, as well as healthcare quality and efficiency.

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  • 24.
    Hörberg, Anna
    et al.
    School of Health and Welfare, Dalarna University, Falun (SWE).
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustavsson, Petter
    Department of Clinical Neuroscience, Karolinska Institute, Stockholm, (SWE).
    Rudman, Ann
    School of Health and Welfare, Dalarna University, Falun (SWE); Department of Clinical Neuroscience, Karolinska Institute, Stockholm (SWE).
    Experienced Nurses’ Motivation, Intention to Leave, and Reasons for Turnover: A Qualitative Survey Study2023In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 2023Article in journal (Refereed)
    Abstract [en]

    There is a global nurse shortage, and researchers have made great efforts in trying to unveil the reasons for turnover and how to increase retention. However, such research has had a tendency to study variables related to intention to leave (ITL) or turnover as isolated phenomena. Objective. To simultaneously explore what factors motivate experienced nurses in the workplace and the underlying reasons for strong ITL and high staff turnover within the profession. Design. An inductive qualitative content analysis was used based on data from open-ended survey questions. The data originated from the longitudinal analyses of nursing education/employment/entry (LANE) in work-life study. The qualitative data analyzed in this study were distributed in October 2017-January 2018, to all nurses in three cohorts corresponding to 11-, 13- and 15-year postgraduation. Of the 2,474 nurses answering the survey, 1,146 (46%) responded to one or more of the open-ended questions. Results. The result showed that what motivates experienced nurses, their intention to leave (ITL), and reasons for turnover could be described in the form of five broad categories, namely, organizational characteristics, work characteristics, relationships at work, work recognition, and health issues. There was rarely a one single reason described, rather several reasons needed to be experienced over time for nurses to stay motivated or leave the profession. Conclusions. There is no single reason that makes nurses leave the profession, nor is there one single reason that makes them motivated to stay. Retention and turnover are complex processes and need to be addressed as this, not as a single isolated phenomenon. © 2023 Anna Hörberg et al.

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  • 25.
    Larsman, Pernilla
    et al.
    Department of Psychology, University of Gothenburg, Gothenburg (SWE).
    Pousette, Anders
    Department of Psychology, University of Gothenburg, Gothenburg (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Törner, Marianne
    School of Public Health and Community Medicine, Inst. of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Ethical value conflicts in healthcare and their effects on nurses’ health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study2024In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 50, no 2, p. 113--121Article in journal (Refereed)
    Abstract [en]

    Objective: Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well as to the quality of care. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses’ work-related stress, burnout symptoms, turnover intent, team effectiveness, and patient safety.

    Method: A two-wave longitudinal cohort questionnaire study was performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 nurses in 228 care units (CU), and longitudinal analyses (T1 – T2) on 965 nurses in 190 CU. Hypothesis testing was performed using multilevel controlled regression modeling.

    Result: The results indicated that nurses who were often exposed to EVC also to a higher extent tended to report these conflicts as stressful. Frequent exposure to EVC induced by insufficient resources, inapt organizational structures or interpersonal staff relations were cross-sectionally associated with work-related stress, burnout symptoms, turnover intent, and team effectiveness. The longitudinal analyses indicated that EVC induced by a lack of resources primarily had negative effects on nurses’ health and well-being. At the CU level, such conflicts also impaired team effectiveness. At the individual level, EVC induced by organizational constraints or interpersonal relations negatively affected care effectiveness.

    Conclusions: EVC are related to negative consequences in healthcare, and such processes take place both on the individual and organizational levels.</p>

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  • 26.
    Skyvell Nilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Larsman, Pernilla
    Department of Psychology University of Gothenburg, Gothenburg (SWE).
    Pousette, Anders
    Department of Psychology University of Gothenburg, Gothenburg (SWE); Occupational and Environmental Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Törner, Marianne
    Occupational and Environmental Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: A mixed methods study2024In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, no 2, p. 765-776Article in journal (Refereed)
    Abstract [en]

    Aim: To explore if and how nurses' perceived organizational support affects their ability to handle and resolve ethical value conflicts.

    Design: A mixed methods design with a longitudinal questionnaire survey and focus group interviews.

    Methods: A questionnaire survey in six hospitals in two Swedish regions provided data from 711 nurses responding twice (November–January 2019/2020 and November–January 2020/2021). A cross-lagged path model tested the mutual prospective influence between the organizational climate of perceived organizational support, frequency of ethical value conflicts, and resulting moral distress. Four focus group interviews were conducted with 21 strategically selected nurses (April–October 2021). Qualitative data collection and analysis were inspired by Grounded Theory.

    Results: A climate of perceived organizational support was empowering, contributing to role security. It prospectively decreased the frequency of ethical value conflicts but not the moral distress when conflicts did occur.

    Conclusion: It is important to facilitate the development of perceived organizational support among nurses, but also to reduce the occurrence of ethical value conflicts that the nurses cannot resolve.

    Implications for the Profession: By ensuring a shared care ideology, good interprofessional relations within the entire care organization, providing clear and supportive organizational structures, and utilizing competence adequately, healthcare managers can facilitate and support the development of perceived organizational support among nurses. Nurses who are empowered by perceived organizational support are stimulated by and take pride in their work and experience the work as meaningful and joyful.

    Impact: The study addressed the question of whether healthcare organizations could support nurses to resolving ethical value conflicts, and thus reduce moral distress. Perceived organizational support is related to factors such as ideological caring alignment and supportive organizational preconditions. This study contributes specific knowledge about how healthcare organizations can empower nurses to effectively resolve ethical value conflicts and thereby reduce their moral distress.

    Patient or Public Contribution: No patient or public contribution.

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  • 27.
    Stockhult, Helen
    et al.
    Orebro University (SWE).
    Andersson, Thomas
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Bringing the unsolvable together: wicked tendencies and coordinating aspects of collaborations in public health2022Conference paper (Other academic)
  • 28.
    Törner, Marianne
    et al.
    Avdelningen för samhällsmedicin och folkhälsa, Institutionen för medicin, Göteborgs universitet, Göteborg (SWE).
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsman, Pernilla
    Psykologiska institutionen, Göteborgs universitet, Göteborg (SWE).
    Pousette, Anders
    Psykologiska institutionen, Göteborgs universitet, Göteborg (SWE).
    Ros, Axel
    Jönköping University, Jönköping (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hälsobringande sjukvård: för personal och patienter2022Book (Other academic)
1 - 28 of 28
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