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Impact of the organisational culture on primary care staff members' intention to engage in research and development
Region Halland, Dept Res & Dev, Halmstad, Sweden. & Univ Gothenburg, Sahlgrenska Acad, Dept Primary Hlth Care, Gothenburg, Sweden..
Region Halland, Dept Res & Dev, Halmstad, Sweden. & Univ Gothenburg, Sahlgrenska Acad, Dept Primary Hlth Care, Gothenburg, Sweden..
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Univ Gothenburg, Sahlgrenska Acad, Dept Primary Hlth Care, Gothenburg, Sweden. & Jonkoping Univ, Sch Hlth Sci, Jonkoping, Sweden..
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2015 (English)In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 29, no 2, p. 234-251Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to understand how organisational culture influences the intentions of primary care staff members (PCSM) to engage in research and development (R&D).

Design/methodology/approach

The participants (n = 30) were PCSM employed in a care centre in south-western Sweden. The study had an observational design with an ethnographic approach. The data were collected by means of observations, interviews and analysis of documents.

Findings

The results revealed the perceptions of PCSM in two domains, research and clinical practice, both of which existed at three different cultural levels: visible (structures and policy), semivisible (norms and values) and invisible (taken-for-granted attitudes).

Research limitations/implications

It is difficult to conduct a purely objective ethnographic study because the investigation is controlled by its context. However, it is necessary to highlight and discuss the invisible level to improve understanding of negative attitudes and preconceptions related to the implementation of R&D in the clinical setting. Practical implications - By highlighting the invisible level of culture, the management of an organisation has the opportunity to initiate discussion of issues related to concealed norms and values as well as attitudes towards new thinking and change in the primary health context.

Originality/value

This paper is one of the very few studies to investigate the influence of organisational culture on the intentions of PCSM to engage in R&D.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2015. Vol. 29, no 2, p. 234-251
Keywords [en]
Organizational culture, Health care, R&D, Ethnography, Communication, Organizational change
National Category
Work Sciences Health Care Service and Management, Health Policy and Services and Health Economy Social Sciences Interdisciplinary Information Systems, Social aspects
Identifiers
URN: urn:nbn:se:hh:diva-35442DOI: 10.1108/JHOM-03-2013-0067ISI: 000355690700006PubMedID: 25800335Scopus ID: 2-s2.0-84928536025OAI: oai:DiVA.org:hh-35442DiVA, id: diva2:1159467
Available from: 2017-11-22 Created: 2017-11-22 Last updated: 2018-06-05Bibliographically approved

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Palm, Lars

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