title: Impact of the organisational culture on primary care staff members' intention to engage in research and development.
abstract: OBJECTIVE
  The purpose of this paper is to understand how organisational culture influences the intentions of primary care staff members (PCSM) to engage in research and development (R&D).
  
  
  METHODS
  The participants (n=30) were PCSM employed in a care centre in south-western Sweden. The study had an observational design with an ethnographic approach. The data were collected by means of observations, interviews and analysis of documents.
  
  
  RESULTS
  The results revealed the perceptions of PCSM in two domains, research and clinical practice, both of which existed at three different cultural levels: visible (structures and policy), semi-visible (norms and values) and invisible (taken-for-granted attitudes).
  
  
  CONCLUSIONS
  It is difficult to conduct a purely objective ethnographic study because the investigation is controlled by its context. However, it is necessary to highlight and discuss the invisible level to improve understanding of negative attitudes and preconceptions related to the implementation of R&D in the clinical setting.
  
  
  CONCLUSIONS
  By highlighting the invisible level of culture, the management of an organisation has the opportunity to initiate discussion of issues related to concealed norms and values as well as attitudes towards new thinking and change in the primary health context.
  
  
  CONCLUSIONS
  This paper is one of the very few studies to investigate the influence of organisational culture on the intentions of PCSM to engage in R&D.
authors: Department of Research and Development, Region Halland, Halmstad, Sweden and Department of Primary Health Care, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors: Helena
authors: H
authors: Morténius
authors: Amir
authors: A
authors: Baigi
authors: Lars
authors: L
authors: Palm
authors: Bengt
authors: B
authors: Fridlund
authors: Cecilia
authors: C
authors: Björkelund
authors: Berith
authors: B
authors: Hedberg
mesh_terms: D001291:Attitude of Health Personnel; D035843:Biomedical Research; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D008503:Medical Staff / Q000523:psychology*; D015279:Organizational Culture; D011320:Primary Health Care; D036301:Qualitative Research; D013548:Sweden
keywords: Communication; Ethnography; Health care; Organizational change; Organizational culture; R&D