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100 _aTangsgaard, Emily Rose
_932322
245 _aHow do public service professionals behave in risky situations: The importance of organizational culture
260 _aAmerican Review of Public Administration
300 _a51(7), Oct, 2021: p.492-508
520 _aMany situations in public service delivery are characterized by uncertainty about the potential negative consequences following decisions. These risky situations make the behavior of frontline professionals particularly important. But what shapes the risk perception and subsequent behavior of frontline professionals in risky situations? This article explores the idea that organizational culture provides part of the answer. To examine this, a comprehensive qualitative study with participant observations and interviews at five public hospital wards was conducted. The findings demonstrate the importance of organizational culture on risk perception and behavior in risky situations. Basic cultural assumptions related to professional discussion, administering medicine, grading of adverse events, and prioritizing follow-up activities matter to behavior in risky situations. In organizational cultures with high levels of trust and dialogue about decision-making, the health professionals rely on each other and ask for second opinions, when making decisions in risky situations. Conversely, in organizational cultures with little trust and professional discussion, the health professionals are less likely to ask for second opinions and follow up on risky situations, which increases the possibility of unintended, negative consequences. In this way, organizational culture can be a driver of risk-reducing and risk-seeking behavior among frontline professionals. – Reproduced
650 _aOrganizational culture, Behavior, Risky situations, Risk perception, Rrontline professionals, Interviews, Participant observations
_930352
773 _aAmerican Review of Public Administration
906 _aPUBLIC ADMINISTRATION
942 _cAR