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Exit Spirals in Hospital Clinics:: ConceptualizingTurnover Contagion Among Nursing Staff
Departrment of gender studies, Lund University.
Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-4225-8590
2022 (English)In: Scandinavian Journal of Public Administration, ISSN 2001-7405, E-ISSN 2001-7413, Vol. 26, no 1, p. 87-107Article in journal (Refereed) Published
Abstract [en]

This article introduces the concept of the exit spiral to conceptualize processes in whichpoorly functioning hospital clinics or wards enter a phase of decline due to widespreaddissatisfaction among staff, prompting turnover contagion. In describing and analyzingcases 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, employeesexperience increased workloads, loss of control and discontent. Managers may react withincreased rigidity. Instability, discontinuity, and insufficient knowledge transfer areprocesses sparked by exit spirals. The article suggests that exit spirals can be halted ifmanagement recognizes the depth of organizational decline and directs resources toresolve it. This requires further analysis, stimulation of employee voice, innovation, andflexibility.

Place, publisher, year, edition, pages
University of Gothenburg , 2022. Vol. 26, no 1, p. 87-107
Keywords [en]
nursing, care work, nurse management, exit spirals, EVLN, public administration, public sector
National Category
Social Sciences Interdisciplinary
Research subject
Arbete och organisation
Identifiers
URN: urn:nbn:se:mau:diva-50694DOI: 10.58235/sjpa.v26i1.7045Scopus ID: 2-s2.0-85151453701OAI: oai:DiVA.org:mau-50694DiVA, id: diva2:1645829
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2022-03-19 Created: 2022-03-19 Last updated: 2023-12-12Bibliographically approved

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Mulinari, Paula

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  • apa
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Output format
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