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Exit as market culture : nurse turnover and employer responses in Sweden

Selberg, Rebecca LU (2026) In Labour & Industry: a journal of the social and economic relations of work p.1-22
Abstract
Nurse turnover is a central driver of the growing care deficits that characterise contemporary capitalism. In Sweden, despite policy efforts to improve retention, nurse shortages persist – destabilising care provision and intensifying workplace strain. This article explores how turnover and employer responses in the Swedish healthcare sector reflect the contradictory dynamics of market culture. Drawing on document and media analysis, and informed by feminist-Polanyian theories of care and Hirschman’s exit-voice framework, the study shows that nurses respond to deteriorating conditions through exit, while regional authorities adopt market-based strategies selectively. Market logics are embraced when they enhance managerial control but... (More)
Nurse turnover is a central driver of the growing care deficits that characterise contemporary capitalism. In Sweden, despite policy efforts to improve retention, nurse shortages persist – destabilising care provision and intensifying workplace strain. This article explores how turnover and employer responses in the Swedish healthcare sector reflect the contradictory dynamics of market culture. Drawing on document and media analysis, and informed by feminist-Polanyian theories of care and Hirschman’s exit-voice framework, the study shows that nurses respond to deteriorating conditions through exit, while regional authorities adopt market-based strategies selectively. Market logics are embraced when they enhance managerial control but resisted when nurses act as autonomous market agents. This ambivalence reveals deeper tensions in the governance of care work under neoliberalism. The article contributes to scholarship on the care crisis, marketisation, and the transformation of professional subjectivities in human service organisations. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Labour & Industry: a journal of the social and economic relations of work
pages
1 - 22
publisher
Informa UK Ltd
external identifiers
  • scopus:105036436105
ISSN
1030-1763
DOI
10.1080/10301763.2026.2658369
language
English
LU publication?
yes
id
f5d45a6a-693e-434d-bf78-cbd5c59a74f0
date added to LUP
2026-05-08 09:32:56
date last changed
2026-05-21 14:14:53
@article{f5d45a6a-693e-434d-bf78-cbd5c59a74f0,
  abstract     = {{Nurse turnover is a central driver of the growing care deficits that characterise contemporary capitalism. In Sweden, despite policy efforts to improve retention, nurse shortages persist – destabilising care provision and intensifying workplace strain. This article explores how turnover and employer responses in the Swedish healthcare sector reflect the contradictory dynamics of market culture. Drawing on document and media analysis, and informed by feminist-Polanyian theories of care and Hirschman’s exit-voice framework, the study shows that nurses respond to deteriorating conditions through exit, while regional authorities adopt market-based strategies selectively. Market logics are embraced when they enhance managerial control but resisted when nurses act as autonomous market agents. This ambivalence reveals deeper tensions in the governance of care work under neoliberalism. The article contributes to scholarship on the care crisis, marketisation, and the transformation of professional subjectivities in human service organisations.}},
  author       = {{Selberg, Rebecca}},
  issn         = {{1030-1763}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{1--22}},
  publisher    = {{Informa UK Ltd}},
  series       = {{Labour & Industry: a journal of the social and economic relations of work}},
  title        = {{Exit as market culture : nurse turnover and employer responses in Sweden}},
  url          = {{http://dx.doi.org/10.1080/10301763.2026.2658369}},
  doi          = {{10.1080/10301763.2026.2658369}},
  year         = {{2026}},
}