Background:The Person-Centred Community Care Inventory - Swedish version (PERCCI-S) has been used in Swedish municipalities to measure person-centred care in home-based primary care (HBPC) from the patient's perspective since 2021. With use, areas for improvement have emerged. The aim was to develop a revised version that addresses issues identified in practice and incorporates recommendations from the previous validation study while maintaining or improving psychometric properties. A secondary aim was to confirm measurement equivalence of the PERCCI-S to support its use for patients with HBPC alone and those with both HBPC and social care services. Methods:Data were collected via two surveys of patients 18 years or older receiving municipal HBPC in Sweden including: a) 1 422 participants who completed the original PERCCI-S in 2023, and b) 1 204 who completed the revised version in 2024. The revised PERCCI-S was developed based on prior feedback and validated based on a series of psychometric and item-response theory analyses comparing the two versions. Results:The revised PERCCI-S consists of 12 items. One item was replaced, and three were reworded to emphasize partnership, autonomy, and emotional attunement, core elements of contemporary person-centred care frameworks. Additionally, three items were reworded for clarity. The response scale was changed from four to seven response options. Results of psychometric analyses provide support for the measurement structure of the revised PERCCI-S and measurement equivalence between patients with HBPC alone and those with both HBPC and social care services. The overall scale has good internal consistency reliability (α = 0.97) and fewer ceiling effects compared to the original. Discussion:The revised PERCCI-S (PERCCI-S-Rev) improves on the original with clearer wording and expanded response options that better distinguish patients' experiences, while maintaining strong psychometric properties.

Purpose - This study aims to examine managers' conditions for workplace alcohol prevention in Sweden, where employers are legally required to address organizational and social risks. Despite this obligation, prevention often remains fragmented. The study investigates how organizational structures, workplace cultures and managerial practices intersect to shape prevention efforts and what conditions enable more sustained preventive action and how these conditions can be understood as part of everyday organizational practices rather than isolated policy measures. Design/methodology/approach - Six focus groups with managers from diverse workplaces were conducted. Data were analyzed thematically, moving from empirical coding to thematic categories and theoretical abstraction. The analysis draws on social practice theory and sociological perspectives on stigma, power and gender, which were used as sensitizing concepts to interpret how prevention is enacted in practice. Findings - Managers reported multiple, intersecting barriers, including limited time and training, high turnover and unclear routines. Policies frequently remained symbolic, functioning as formal documents rather than integrated practices. Stigma, hierarchical relations and gendered norms further constrained action and contributed to silence around alcohol use. Prevention was largely reactive, initiated only after visible problems. Variation across organizations showed that when alcohol prevention was embedded into routines, such as onboarding, annual cycles or alcohol-free events, more proactive practices became possible, even in challenging cultural environments, highlighting how routinization functions as a key mechanism for enabling preventive action. Originality/value - The study contributes in three ways. First, it identifies a persistent policy-practice gap, showing how alcohol policies risk remaining symbolic without continuous reinforcement. Second, it conceptualizes alcohol prevention as a social practice sustained through organizational routines, hierarchies and generational identities. Third, it demonstrates how stigma, gender norms and power dynamics limit managers' ability to act. By highlighting four conditions that enable preventive action - time, knowledge, supportive routines and a culture where alcohol can be discussed openly - the study provides actionable insights for human resources and leadership. While grounded in the Swedish regulatory context, the findings offer analytically transferable insights into mechanisms shaping workplace alcohol prevention across different organizational settings.

PurposeTo explore clinicians' conceptualization of the value of medical technology, clinicians play an important role in the adoption of medical innovations. Therefore, understanding their perceptions will make it possible to obtain key insights into the conditions that are required for technology to be successfully integrated in the healthcare field. Design/methodology/approachQualitative study based on 32 semi-structured interviews at a major Swedish university hospital. Participants included clinicians and key stakeholders involved in thrombectomy and osseointegrated prostheses. Thematic analysis of the data was used to identify the ways in which clinicians conceptualize value across multiple stakeholder perspectives and benefits. FindingsThe clinicians expressed a varied understanding of value from various perspectives, including societal, organizational, professional and patient. The overarching perspectives were consistent across settings; however, depending on the clinical context, the benefits associated with each perspective revealed both shared conceptualizations and context-specific variations. In the case of osseointegrated prostheses, professional value also showed temporal variation, shifting from early emphasis on research and networking to a later focus on collaboration and patient-centered contributions. Originality/valueThis study makes an original empirical contribution by demonstrating the complexity and temporal nuance in clinicians' value conceptualizations. The study shows that clinicians engage holistically with multiple value dimensions, albeit differently and with an implicit hierarchy, and that perceptions may evolve with technological maturity.

Successful implementation and sustainability of person-centred care (PCC) require continuous evaluations and valid measurements. While several instruments measure patients’ experience with PCC, to our knowledge, no validated instrument exists in Swedish for use in home-based primary care (HBPC). This study aimed to adapt and further develop an instrument for measuring patients’ experiences of person-centred care in HBPC for use in the Swedish municipal health care system, with a 12-item version of the Person-Centred Community Care Inventory (PERCCI) used as a starting point. Furthermore, its content and measurement properties were evaluated via a mixed-methods approach involving item response theory and qualitative content analyses. This study was conducted in two stages. First, the PERCCI 12 item version was translated into Swedish using a forward-backward approach. Content validity was evaluated through focus groups with 24 registered nurses and managers, resulting in revisions. Second, the revised version (PERCCI-S) was psychometrically evaluated via two rounds of postal questionnaires (2022; 2023) with patients 18 years or older receiving municipal HBPC in Sweden (n = 1,171; n = 1,429). The psychometric evaluation involved factor analyses and item response theory analyses to assess dimensionality, item difficulty and discrimination, item and test information, test‒retest reliability, internal consistency reliability, as well correlational analyses of convergent and discriminant validity. Content validity was further assessed through a panel review with experts (n = 7) and cognitive interviews with patients (n = 20). Exploratory and confirmative factor analyses support an overall unidimensional structure. The item response theory analyses indicate acceptable item characteristic curves and overall test information. The internal consistency reliability was satisfactory (r2022 = 0.97 and r2023 = 0.96). Test-retest reliability showed good temporal stability (r = 0.79, n = 96). The content validity index was 1.0, indicating that all the items were relevant. However, the scale’s discriminant validity was unsatisfactory, with 18.0

BACKGROUND: Catheter-associated urinary tract infections and bladder distension are common and preventable adverse events. This study presents a process evaluation of a bladder bundle, designed to change healthcare professionals’ way of thinking and acting to prevent these adverse events, using theories of organizational culture, leadership, and an integrated knowledge translation approach. AIM: To enhance understanding of barriers and enablers when implementing recommendations to prevent catheter-associated urinary tract infections and bladder distension. We examined the implementation concepts of feasibility, acceptability and fidelity, guided by the following research questions: (1) To what extent was the intervention delivered as planned? (2) What factors influenced the implementation process, and how did these factors influence implementation outcomes? METHODS: A qualitative and quantitative process evaluation was conducted, guided by the Medical Research Council framework. The intervention was implemented between 2016 and 2020, in a Swedish university hospital, across six units involved in hip fracture care. Data was collected through field notes, implementation logs, emails, presentations, and attendance records. Qualitative data were analyzed using deductive and inductive content analysis. Quantitative data, including attendance and adherence rates, were descriptively summarized under the categories of fidelity, dose, reach, context, and mechanisms of impact. FINDINGS: The implementation of the intervention was successful regarding feasibility, acceptability and fidelity, which is important for adoption and ownership of interventions. Factors that triggered change were feedback on patient outcomes and ensuring time for learning and re-learning in a safe milieu. Barriers to the intervention were shortages in the workforce, production pressures and lack of experience in collaboration in change projects involving different organizational units. The implementation program enabled ways to work around barriers on macro, meso and micro levels in the organization. CONCLUSION: Implementing practices to prevent both UC-UTIs and bladder distension is feasible but complex and time-intensive. Using theories of organizational culture and leadership, along with a collaborative approach, can support adoption and sustainability of best practices in complex healthcare settings. Findings offer insights for healthcare decision-makers aiming to improve catheter care. TRAIL REGISTRATION: Clinical Trial Registry ISRCTN 17,022,695, retrospectively registered on 23 December 2021, after data collection was completed.

A theory-driven knowledge translation program was established to co-create and implement evidence-based practices to prevent urinary catheter-associated urinary tract infections (UC-UTIs) and bladder distension (BD). This study investigates the cost-effectiveness of implementing the Safe Hands and Safe Bladder bundle intervention compared to standard care for patients undergoing hip fracture surgery in Sweden. The study included outcomes from a quality register of patients who underwent hip fracture surgery at a Swedish hospital from 2015 to 2020. Adopting a healthcare perspective, estimates for the implementation cost were derived using activity-based costing, while the bundle’s cost-effectiveness was estimated using a decision tree model. Health outcomes were evaluated based on adverse events, specifically UC-UTI and BD. Analyses included calculating the incremental cost-effectiveness ratio (ICER), which denotes the incremental cost per added infection rate expressed as a percentage. Additionally, sensitivity analyses were conducted to test the robustness of the results under alternative cost assumptions. The likelihood of avoiding BD or UC-UTI increased from 50 to 87

BACKGROUND:Integrating art in residential care settings aims to create meaningful experiences and enhance the facility's aesthetic as a home. However, the literature shows a gap, as the voices of older persons are largely absent. This study aimed to explore the views of older persons in residential care facilities specialised in dementia care regarding art and expressions of home. Older persons with cognitive impairments are frequently depicted as lacking meaningful contributions, limiting their opportunities to voice their opinions and influence their environment. METHODS:This study used a qualitative explorative design with focus group method, allowing older persons with dementia to discuss their views of art in relation to expressions of home. Eleven older persons participated in four focus groups. This method encourages interaction between participants, shedding light on a collective understanding. RESULTS:The study found that the residential care facility was perceived as a home by the participants, based on their descriptions of how both private and shared collective spaces in the facility fostered a dynamic sense of belonging. Art owned by the older persons often held personal value and they valued art for its intrinsic qualities, such as beauty, meaning, and expression. The perception of art differed between the private and collective spaces, and the discussions centered on aligning the artistic design with the participants' notions of home to foster a socially engaging environment. CONCLUSION:Clearly defined private and collective spaces seem to be crucial for fostering self-determination and a sense of belonging for older persons living in residential care facilities specialised in dementia care. A balance between private and collective spaces boosted social engagement, with art playing a key role in reflecting older persons' previous lives, shared interests and experiences, with co-creation of artistic design ensuring a dynamic environment.

PURPOSE:This study aims to contribute with knowledge on the characteristics of the process of co-existence of value conflicts between managers, markets/businesses, patients, professionals and digital technology in primary care practices, to be able to nuance the array of descriptions of the consequences of introducing a digitalised care practice, such as telemedicine, into an already existing primary care organisation. Due to its organisational structure and dynamic environment with a multitude of professions and patients as well as influenced by managerial and market drivers, the primary care setting provides fertile ground for studying value conflicts from an institutional logic perspective. DESIGN/METHODOLOGY/APPROACH:This multi-source study utilises qualitative thematic content analysis on empirical data collected through interviews, a survey and documents, followed by an iterative analysis in regard to institutional logics based on the themes developed from empirical data. FINDINGS:Coexistence and Adaptation: Different logics coexist and transform through adjustmentalisation rather than competing or dominating each other. Digital Technology's Influence: Digital technology influences and interacts with all established logics, potentially acting as a separate, evolving logic. Changing Healthcare Conditions: New conditions and digital solutions in healthcare may shift the balance of logics, potentially normalising managerial and market logics. Patient Empowerment and Data Ownership: Increasing emphasis on patient empowerment and transparent data processing under regulations like General Data Protection Regulation (GDPR) and Medical Devices Regulation (MDR). RESEARCH LIMITATIONS/IMPLICATIONS:With its qualitative design there is not an emphasis on generalisability. The study is performed in a Swedish primary care setting. PRACTICAL IMPLICATIONS:Regarding its practical implications, this study examines digitalisation and the introduction of eHealth solutions in primary care in Sweden. The adjustmentalisation of diverse institutional logics described in this study was used to try to facilitate the implementation of eHealth and telemedicine in primary care. This practical contribution could be used in other primary care organisation that plans to introduce eHealth solutions as part of their practices. This study may also have practical implications for other healthcare organisations since the presence of diverse institutional logics is not unique to primary care. ORIGINALITY/VALUE:Firstly, this study confirms earlier studies that argue that co-existence of diverse logics is possible in everyday practice. However, we show that adjustmentalisation of the diverse logics rather than the balance of strengths between them, facilitates the transformation, regulation and coordination of the new eHealth practice in relation to established practices. Secondly, this study shows that the adjustmentalisation derives from societal challenges such as an ageing population, accessibility problems and the COVID pandemic that are used to legitimise the adjustmentalisation of diverse logics. Digital technology influences and interacts with all established logics, potentially acting as a separate, evolving logic. KEY FINDINGS:Coexistence and adaptation: Different logics coexist and transform through adjustmentalisation rather than competing or dominating each other.Digital technology's influence: Digital technology influences and interacts with all established logics, potentially acting as a separate, evolving logic.Changing healthcare conditions: New conditions and digital solutions in healthcare may shift the balance of logics, potentially normalising managerial and market logics.Patient empowerment and data ownership: Increasing emphasis on patient empowerment and transparent data processing under regulations like GDPR and MDR.Future research directions: Need for further research on digital technology's impact on shift and balance between logics, business development, patient participation and its potential to become a dominant logic.

The COVID-19 pandemic exposed critical weaknesses within the healthcare sector in many countries, and intensifying pressure on managers and healthcare workers was immediate. Managers were faced with increased pressure during the pandemic related to difficult prioritizations and severely disrupted daily operations. Therefore, a deeper understanding of managers’ similar and different experiences during pandemics is necessary. Our aim of this study was to explore the experiences of managers’ in leading HCWs at two major Swedish hospitals during the COVID-19 pandemic. Further, to describe their applied managerial approaches and strategies, and comparing the experiences of managers overseeing units caring for COVID-19 patients with those managing units not involved in COVID-19 patient care, to identify both differences and similarities in their crisis management practices. A qualitative research design involving thematic analysis was applied during the COVID-19 pandemic. Data used in this study were from the open-ended questions in a web-based survey; 376 managers were included. Managers´ experiences in leading HCWs resulted in four themes: (1) centralised crisis management, (2) managing daily operative work, (3) dynamics of managerial support, and (4) new insights into learning and development, accompanied by 13 subthemes. Their experiences in leading HCWs caring for COVID-19 patients or not varied, and managers need to recognize these variations in strategies to provide effective and crucial support to HCWs during challenging times. Managers also appreciated certain hospital operations during the pandemic, while identifying areas for improvement within the organisation. Acknowledging diverse needs among managers is important, especially given the diverse conditions in departments caring for COVID-19 patients versus others. Managers play a critical role in centralised crisis management, ensuring daily operative work, providing managerial support to healthcare workers, and fostering a culture of continuous learning and development. These insights highlight the importance of effective management and the dynamics of managerial support during pandemic crises, which directly impact patient safety. These results contribute to the ongoing improvement of healthcare organisations in addressing unforeseen challenges, such as pandemics and broader existential crises, by emphasizing the managerial perspective on crisis response.

Purpose There are few studies on alcohol preventive actions by managers although they are responsible for the quality and efficiency of workplace activities, employee safety, and the work environment. Based on the Theory of Planned Behavior, the aim of the study was to explore the managerial factors (personal attitudes, prevailing norms, and knowledge and awareness of the issue) that are associated with an increased likelihood of engaging in alcohol prevention activities in the workplace. Design/methodology/approach Participants ( N = 9,072) from a Swedish panel were invited to participate in a web survey in 2023 raising questions about personal attitudes, prevailing norms, and knowledge and awareness of the issue, in relation to alcohol preventive actions. Of these, 4,723 managers were selected for the analytical sample. Logistic regression was used to examine if personal attitudes, prevailing norms, and knowledge and awareness of the issue was associated with an increased likelihood of engaging in alcohol preventive actions (having arranged lectures about alcohol consumption, informed about the organization’s alcohol policy, raising questions about alcohol in connection with staff parties or other social activities) controlling for background variables such as age, gender, education, and managerial position. Findings Gender, age, education, and managerial position had limited significance in explaining the use of alcohol preventive actions. The results indicated that knowledge and awareness of the issue such as managerial responsibility for alcohol prevention, experience with alcohol preventive training programs, and personal experience in supporting someone with alcohol-related problems in private life were the variables most strongly associated with managerial alcohol preventive actions. Attitudes and norms also contributed to some extent, but not as significantly as knowledge and awareness of the issue. Research limitations/implications This was a cross-sectional study. Practical implications The findings highlight the importance of a clear mandate to address these issues in the workplace and the need for training and knowledge in this area. Originality/value Few studies have investigated managerial alcohol preventive actions.

Abstract This chapter presents an overview of organizational studies that the authors interpret being connected to the root metaphors of “life” and the related metaphor of “sustainability.” The chapter offers an inventory of the following areas of organizational research and theoretical perspectives making use of the metaphor of life: as part of the image of evolution, as related to images of death and the end of life, aging life, images of a political arena, and images of a life course. Research on retirement and closures is used as recurring empirical examples. The chapter also includes a discussion of limitations associated with the metaphor, including predestined views of a life course and a bias toward survival and youthfulness in organizations.

Purpose Value-based health care (VBHC) argues that health-care needs to re-focus to maximise value creation, defining value as the quota when dividing the outcomes important for the patient, by the cost for health care to deliver such outcomes. This study aims to explore the perception of value among different stakeholders involved in the process of implementing VBHC at a Swedish hospital to support leaders to be more efficient and effective when developing health care. Design/methodology/approach Participants comprised 19 clinicians and non-clinicians involved in the implementation of VBHC. Semi-structured interviews were conducted and content analysis was performed. Findings The clinicians described value as a dynamic concept, dependent on the patient and the clinical setting, stating that improving outcomes was more important than containing costs. The value for non-clinicians appeared more driven by the interplay between the outcome and the cost. Non-clinicians related VBHC to a strategic framework for governance or for monitoring different continuous improvement processes, while clinicians appreciated VBHC, as they perceived its introduction as an opportunity to focus more on outcomes for patients and less on cost containment. Originality/value There is variation in how clinicians and non-clinicians perceive the key concept of value when implementing VBHC. Clinicians focus on increasing treatment efficacy and improving medical outcomes but have a limited focus on cost and what patients consider most valuable. If the concept of value is defined primarily by clinicians’ own assumptions, there is a clear risk that the foundational premise of VBHC, to understand what outcomes patients value in their specific situation in relation to the cost to produce such outcome, will fail. Health-care leaders need to ensure that patients and the non-clinicians’ perception of value, is integrated with the clinical perception, if VBHC is to deliver on its promise.

Abstract Background This study aimed to contribute to a better understanding of the context, mechanisms and outcomes in the implementation process of an eHealth video consultation program in primary care. The study focused on how the program is normalized in the primary care setting. The primary research question for this study is “in what ways is the implementation of video consultation normalized in primary care?”. Methods The qualitative design and content analysis of primary data from the transcripts were based on in-depth interviews, complemented with free-text answers to open-ended survey questions and various documents. The study focuses on the large-scale implementation of the public eHealth program Närhälsan Online, which represents more than 100 health centers in Sweden’s largest region of Västra Götaland. Multiagent perspectives on how the program is normalized were drawn from expressed perceptions by professions directly linked to both strategic and functional implementation, as well as administration and clinical operation. Results This study both confirms and enhances the field with a theoretical contribution in six ways to the reviewed previous research, as well as showing practical implications. It also provides multi-agent perspectives on the rapid normalization of the implementation program studied. Conclusions In relation to the rapid progression of different initiatives in eHealth, this study contributes to perspectives on specific challenges as expressed by professions directly linked to both strategic and functional implementation as well as administration and clinical operation.

PurposeThis study aims to explore whether participation in employer-provided skills and learning programs can strengthen older workers' abilities to carry out their work in a meaningful way so that it increases work attractiveness and a willingness to remain in the current job position.Design/methodology/approachA survey was distributed to assistance nurses, nurses and teachers, aged 55 years and older in a Swedish City (n = 1,342), analyzed descriptively and with structural equation modeling.FindingsThis paper showed positive relationships between active participation in organizational learning programs (OLPs) and autonomy, relatedness, competence and also attractive work. Associations are observed between participation in learning programs, e.g. mentorship, through the strengthened basic needs at work with work attractiveness and lower intention to leave, but not prolonged retirement preference.Research limitations/implicationsThe cross-sectional quantitative design restricts drawing causal conclusions about associations.Practical implicationsOLPs at work may be seen as potential measures to strengthen work conditions, fulfilling basic psychological needs at work and increase work attractiveness in strained welfare sectors.Social implicationsThere are some welfare sectors that - more than others - are strained by challenges to maintain, sustain and develop quality, knowledge and staff due to poor economic and social resources with regard to sustainability, e.g. in the educational and caring sectors. Strengthening organizational measures is needed to support sustainable development.Originality/valueThis study applies advanced statistical methods, in a large empirical sample, and shows the importance of skills and learning programs for job attractiveness among older workers in female-dominated, strained welfare sectors.

Abstract Introduction Organizational-level workplace interventions are recommended to prevent work-related illness. Previous evaluations of such interventions have identified several enabling factors, but knowledge on difference-making factors is needed. The aim of this study is to identify key difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence. Methods An organizational-level intervention, aiming to decrease sickness absence by providing support from process facilitators, was implemented at eight workplaces in the public sector in Sweden between 2017–2018. Previous evaluations of the intervention identified several factors affecting the implementation process and an overall decrease in sickness absence. Differences in the intervention effect was seen when evaluating each workplace. By using coincidence analysis (CNA), 32 factors were analyzed to determine which factors that 1) was necessary to successfully implement tailored measures on an organizational level, and 2) affected the effect size. Results A high sense of urgency, or good anchoring and participation from the strategic management was found to be necessary to successfully implement tailored interventions on organizational level. Without any of these factors, no effect on sickness absence was seen. The presence of a high participation from employees during the implementation separated workplaces with higher and lower effects on sickness absence. Discussion This study managed to separate difference-making factors from enabling factors in the implementation process. A possible mechanism was seen where participation from different stakeholders was important in different phases. Conclusion When implementing organizational-level interventions, a high participation from the strategic management and the employees are needed for decreasing sickness absence.

Purpose Evaluations of organizational-level interventions to prevent work-related illness have identified enabling factors, but knowledge of necessary and sufficient conditions for intervention success is needed. The aim was to identify difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence. Methods An organizational-level intervention designed to decrease sickness absence by providing support from process facilitators was implemented at eight healthcare workplaces in Sweden between 2017 and 2018. We applied coincidence analysis (CNA) to analyze 34 factors and determine which factors were necessary and sufficient for a successful implementation of tailored interventional measures on an organizational level (dichotomous) and reduced sickness absence (trichotomous). Results Two factors perfectly explained both the presence and absence of a successful implementation: “a high sense of urgency” and “good anchoring and participation from the strategic management”. The presence of either of these factors alone was sufficient for successful implementation, whereas the joint absence of both conditions was necessary and sufficient for the absence of successful implementation and an intervention effect. In addition, high employee participation was both necessary and sufficient for a high intervention effect. For organizations without high employee participation, successful implementation led to a medium-effect size. Conclusions This study identified participation as a difference-maker in the implementation process. Participation from different stakeholders turned out to be important in different phases. When implementing organizational-level interventions, high participation from both strategic management and employees appears to be crucial in terms of the intervention’s effect on sickness absence.

Objectives The study aimed to describe the experiences of physicians, nurses and psychologists employed in primary care in using digital video consultations. The second objective was to study the association between the predictors of behaviour and behavioural intentions to use digital consultations and to relate underlying behavioural beliefs to experiences of digital consultations in primary care. Overall, the research questions focused on the association between previous training, profession or theory-based behavioural predictors and behavioural intentions to use digital video consultations.Design A web survey based on the theory of planned behaviour was sent to primary care professionals in western Sweden who had implemented digital video consultations. The questionnaire contained both closed and open-ended questions focusing on theory-based predictors of behavioural intentions, such as as attitudes, subjective norms and perceived behavioural control. Data were analysed with a mixed-methods approach using quantitative and qualitative analyses.Participants The questionnaire was distributed between June and October 2022 to 140 primary healthcare centres in western Sweden, of which 47 agreed to participate. Overall, the questionnaire was sent out to 969 clinicians, representing physicians, nurses and psychologists.Results Physicians and nurses had lower experience and less positive attitudes towards digital video consultations compared with psychologists. No statistically significant differences were seen among the groups in behavioural intentions to use digital video consultations. The regression analysis showed that attitude was the strongest predictor of behavioural intentions among primary care physicians, while attitude and perceived behavioural control were associated with behavioural intentions among nurses. No associations between predictors and intentions were found among psychologists.Conclusions The medical professionals reported high behavioural intentions to use digital video consultation despite different levels of experience. Attitude and perceived behavioural control were predictors of behavioural intentions among physicians and nurses, indicating that future implementation should consider the professions’ participation in the process.

BackgroundCo-creation and participation among different user groups have been highlighted as pivotal for improving residential care facilities for older persons. However, more knowledge is needed on methods aiming to overcome challenges in constructing inclusive co-creation and participation processes. In particular, there is a need for knowledge concerning how art and design workshops could contribute to co-creation and participation of social care professionals designing the physical environment in residential care facilities. Therefore, this study aimed to examine how art and design workshops can contribute to co-creation and participation in designing the physical environment with residential care facility professionals.MethodsA qualitative method was used to investigate social care professionals' experiences. Data were collected through semi-structured group interviews and analysed with inspiration from Corbin and Strauss's analysis method.ResultsThis study concludes that art and design workshops could serve as deliberating and developing practices. First, the art and design workshop as a deliberating practice involves conditions that create a communication arena and space supporting professionals in sharing experiences and voicing different perspectives. Second, the art and design workshop, as a developing practice, supports shared agency through dialogue focusing on designing the physical environment in residential care facilities, using photographs, materials, and fabrics.ConclusionsThis research contributes to the understanding of the relevance of art and design workshops and co-creation between artists and social care professionals in designing the physical environment in residential care facilities. The study can be valuable in identifying important mechanisms that facilitate co-creation and participation among social care professionals, as well as the development of art and design as a tool for improving environments in residential care facilities. The research focuses on how art and design workshops could influence co-creation and participation through art and design from the perspective of social care professionals.

Purpose The purpose of the paper is to contribute to an understanding of the relational work carried out in mentoring programmes and the implications for learning capabilities in future practices. Design/methodology/approach This study is based on field research of a mentoring programme bringing together senior and newly graduated workers in a large Swedish health care organisation. In total, 54 qualitative interviews with mentors, mentees, HR, managers and union representatives are included. Findings The findings point to the role of trust and a psychological sense of community in the socialisation work that goes on in relationships between the mentor and the mentee. This in turn leads to increased social capital in the form of learning and retaining workers. The conditions for being vulnerable and asking questions, as well as daring to be independent, are an essential and decisive part of constructing bonding within the professional group and bridging out to other professions and parts of the organisation. Practical implications The practical contribution from this study is the workplace conditions that are central to organising mentoring programmes, with implications for learning capabilities in future practices. Originality/value With its theoretical focus on social capital, the study shows the importance of relationships for learning and retaining both newly graduated and experienced employees in a context of high employee turnover. It is central to achieving strong and mutually beneficial relationships through continual and trustful interaction between actors. By using the concepts of social capital, socialisation agents and psychological sense of community, this study contributes to an understanding of mentoring and workplace learning.