Jacobsson Mattias, Näsholm Malin
Umeå School of Business, Economics and Statistics, Umeå University, Umeå, Sweden.
J Health Organ Manag. 2024 Dec 19;39(9):16-35. doi: 10.1108/JHOM-10-2023-0317.
Based on the well-known risks associated with deviating from established routines in primary healthcare and the positive consequences of upholding them, the purpose of this study is to increase the understanding of the role of meaningfulness in the enactment of organizational routines.
DESIGN/METHODOLOGY/APPROACH: The study is based on 24 semi-structured interviews with three different professional categories in primary healthcare in Sweden. The data were analyzed using thematic analysis on a latent level, combined with a two-factor model as sensitizing concepts.
Differences are identified between factors that reduce meaninglessness (called "sufficiency factors") and those that enable meaningfulness (called "meaningfulness factors"). Nine sufficiency factors and six meaningfulness factors explain what makes organizational routines perceived as meaningful by the different professional groups. A two-factor matrix is developed that highlights the intricate challenges associated with routine enactment based on these factors.
ORIGINALITY/VALUE: The study is unique in that it is the first to integrate research on organizational routines and meaningfulness. However, understanding meaningful organizational routines is not only essential because it is an overlooked area in both of these two streams of research but also because of its clear, practical relevance in the primary healthcare setting.
鉴于在初级医疗保健中偏离既定常规所带来的众所周知的风险以及坚持这些常规的积极后果，本研究的目的是增进对意义在组织常规制定中的作用的理解。
设计/方法/途径：该研究基于对瑞典初级医疗保健中三个不同专业类别的24次半结构化访谈。数据采用潜在层面的主题分析，并结合双因素模型作为敏感概念进行分析。
确定了减少无意义感的因素（称为“充分性因素”）和促成意义感的因素（称为“意义性因素”）之间的差异。九个充分性因素和六个意义性因素解释了不同专业群体认为组织常规具有意义的原因。基于这些因素构建了一个双因素矩阵，突出了与常规制定相关的复杂挑战。
原创性/价值：该研究的独特之处在于它首次将组织常规和意义性的研究结合起来。然而，理解有意义的组织常规不仅至关重要，因为这是这两个研究领域中一个被忽视的领域，还因为它在初级医疗保健环境中具有明显的实际相关性。
