Exit spirals in hospital clinics: Conceptualizing turnover contagion among nursing staff
(2022) In Scandinavian Journal of Public Administration 21(1). p.87-107- Abstract
- This article introduces the concept of the exit spiral to conceptualize processes in which poorly functioning hospital clinics or wards enter a phase of decline due to widespread dissatisfaction among staff, prompting turnover contagion. In describing and analyzing cases amassed during observations and interviews, the article provides tools to identify, analyze and halt exit spirals. Once a hospital ward finds itself in an exit spiral, employees experience increased workloads, loss of control and discontent. Managers may react with increased rigidity. Instability, discontinuity, and insufficient knowledge transfer are processes sparked by exit spirals. The article suggests that exit spirals can be halted if management recognizes the depth... (More)
- This article introduces the concept of the exit spiral to conceptualize processes in which poorly functioning hospital clinics or wards enter a phase of decline due to widespread dissatisfaction among staff, prompting turnover contagion. In describing and analyzing cases amassed during observations and interviews, the article provides tools to identify, analyze and halt exit spirals. Once a hospital ward finds itself in an exit spiral, employees experience increased workloads, loss of control and discontent. Managers may react with increased rigidity. Instability, discontinuity, and insufficient knowledge transfer are processes sparked by exit spirals. The article suggests that exit spirals can be halted if management recognizes the depth of organizational decline and directs resources to resolve it. This requires further analysis, stimulation of employee voice, innovation, and flexibility. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/ece5d3af-18ea-45e8-9c0c-c230643ffcfa
- author
- Selberg, Rebecca LU and Mulinari, Paula
- organization
- publishing date
- 2022-03-15
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Nursing, Care work, Nurse management, Exit spirals, EVLN, Public administration, Public sector
- in
- Scandinavian Journal of Public Administration
- volume
- 21
- issue
- 1
- pages
- 21 pages
- publisher
- University of Gothenburg, School of Public Administration
- external identifiers
-
- scopus:85151453701
- ISSN
- 2001-7405
- language
- English
- LU publication?
- yes
- id
- ece5d3af-18ea-45e8-9c0c-c230643ffcfa
- alternative location
- https://ojs.ub.gu.se/index.php/sjpa/article/view/5148
- date added to LUP
- 2022-03-15 11:51:31
- date last changed
- 2023-04-15 04:00:17
@article{ece5d3af-18ea-45e8-9c0c-c230643ffcfa,
abstract = {{This article introduces the concept of the exit spiral to conceptualize processes in which poorly functioning hospital clinics or wards enter a phase of decline due to widespread dissatisfaction among staff, prompting turnover contagion. In describing and analyzing cases amassed during observations and interviews, the article provides tools to identify, analyze and halt exit spirals. Once a hospital ward finds itself in an exit spiral, employees experience increased workloads, loss of control and discontent. Managers may react with increased rigidity. Instability, discontinuity, and insufficient knowledge transfer are processes sparked by exit spirals. The article suggests that exit spirals can be halted if management recognizes the depth of organizational decline and directs resources to resolve it. This requires further analysis, stimulation of employee voice, innovation, and flexibility.}},
author = {{Selberg, Rebecca and Mulinari, Paula}},
issn = {{2001-7405}},
keywords = {{Nursing; Care work; Nurse management; Exit spirals; EVLN; Public administration; Public sector}},
language = {{eng}},
month = {{03}},
number = {{1}},
pages = {{87--107}},
publisher = {{University of Gothenburg, School of Public Administration}},
series = {{Scandinavian Journal of Public Administration}},
title = {{Exit spirals in hospital clinics: Conceptualizing turnover contagion among nursing staff}},
url = {{https://ojs.ub.gu.se/index.php/sjpa/article/view/5148}},
volume = {{21}},
year = {{2022}},
}