University training influences students' moral orientation through selection, including the self-selection by the student's entry and exit, and through education, i.e., they are influenced by what they are taught and by the people they interact with. By applying a cross-sectional design, including first, second and third year students, we surveyed the moral orientation of 296 Swedish university students enrolled in different business programs, one being a program of accounting and auditing. We found a university effect, most strongly in selection, but also a slight education effect, whereby students in the accounting and auditing program increased significantly more in idealism compared to the other business students. We believe this indicates that the university contributes to developing the moral standards of students.

Co-supervision of doctoral theses is on the rise worldwide, but we know little of the relational dynamics of the co-supervisory team and doctoral student. These teams often must work together for several years, during which supervisors may come and go. We interviewed 19 doctoral students about their experiences of co-supervision and found a complex team climate characterised by prior relations, merit- and network-gaining activities, and 'cushioning' adopted by supervisors to support the student during stressful periods. Doctoral students viewed themselves as passive and dependent - as pawns in a bigger game - suggesting that co-supervision might uphold the traditionally strong hierarchical structure of academia. We therefore suggest that all co-supervision teams discuss the roles and structure of supervision before commencing a research project.

BACKGROUND: Disordered eating refers to unhealthy, sometimes excessive eating including so-called compensatory behaviours such as extreme dieting or voluntary vomiting. Between 24% and 30% of adolescent boys are suggested to engage in disordered eating, making it a significant public health issue. However, current instruments for assessing disordered eating among adolescents have been primarily developed and validated for girls and women, which may make for flawed assessment of boys. The aim of this study is to shed light on adolescent boys' perceptions of eating, weight, and food intake to better understand their perspectives in service of disordered eating research.

METHODS: This exploratory study was conducted from May to November 2022 using focus groups with a total of 39 adolescent boys (aged 12-19 years) who attended 7th to 12th grade in one of four schools in Southern Sweden. In addition, participants completed a form with questions on background demographics and eating habits. The transcripts of the focus group discussions were analysed using thematic analysis.

RESULTS: The quantitative data showed that around one third of the adolescent boys were overweight or obese. They ate at least one meal per day with the family and ate healthy food about five days per week and unhealthy food about three. Analysis of the qualitative data yielded six themes: The intertwined relationship between food and one's health, "Don't worry, food makes you happy," "To be hungry or not. That is the question," Boys DO care about appearances, Dieting and weight gain, and Disordered eating is a tricky matter.

CONCLUSION: Adolescent boys appeared to have a good understanding of food and healthy eating. They also experienced body positivity and seemed to have only minor issues regarding their weight. The primarily pathological perspective used to measure disordered eating among girls seems in need of revision to adhere to boys' thoughts and ideas regarding eating and weight.

An increasing number of older people with severe mental illness (SMI) poses additional challenges to healthcare and social services. This scoping review aimed to investigate the life situation of older people living with severe mental illness and identify the research gaps in the existing literature. The current review followed the methodological framework for conducting scoping reviews by Arksey and O'Malley, consisting of five main stages: (1) identifying the research question (2) identifying relevant studies, (3) selecting the studies, (4) charting the data, and (5) collating, summarising, and reporting the results. An optional sixth stage, a consultation exercise, has also been used in this study: The scoping review was conducted in accordance with the PRISMA extension for scoping reviews PRISMA-ScR, and the databases PsychINFO Scopus, Cinahl, Web of Science and PubMed were used. A total of 24 studies were included in the review. The thematic analysis focused on: (1) the perspective of older people with SMI, (2) the perspective of healthcare professionals supporting older people with SMI, and (3) the perspective of informal carers supporting older people with SMI. The results describe the life situation of older people living with SMI, especially in relation to the older peoples' experiences of suffering and well-being. The staff and the informal carers need adequate knowledge to provide support to the older people with SMI. To gain greater knowledge about the life situation and support needed by older people with SMI, we strongly advocate additional research focusing on their own experiences.

The focus of this workshop is to employ a more systematic approach to leadership development and design a maturity model that is supported by validated and practical applicable theories, methods and practices to fit the organization’s needs and resources.  

Background: Mental illness, such as depression, anxiety disorders, attention deficit hyperactivity disorder and different addictive diseases, has increased among young adults over the last decade. Mental illness is associated with distress and problems functioning in social activities. Healthcare centres, that is, primary care, serve as the first point of contact with healthcare professionals for those young adults and provide outpatient medical and nursing care covering both physical and mental illness.

Objective: To explore experiences of primary care among young adults with mental illness.

Methods: A systematic literature review was conducted that followed the method of Bettany–Saltikov and McSherry. A keyword search was performed in various databases, and after a quality assessment 23 articles were included in the review.

Results: Young adults' experiences from primary care are described in four categories  – Facing difficulties to accept help, relational preconditions, structural and organisational hindrances  and  satisfaction  with  youth-focused  mental  health  interventions. Young adults  with  mental  illness  experience  many  difficulties  in  accessing  and  receiving proper help from primary care. Further, they did not believe in recovery from mental illness, and they also expressed a lack of mental health literacy.

Conclusion: While  being  the  first  contact  with  healthcare  professionals,  primary  care needs to adjust its services to address the growing group of young adults suffering from mental illness. It is necessary to provide tailored guidelines and interventions in primary care for young adults with mental illness, and the Tidal Model may improve the contacts with young adults in primary care.

Organizations, communities and societies are faced with ever more complex challenges such as public health problems. Attempts to address such challenges require involvement of various actors ranging from state and regional authorities to non-governmental organizations and individuals. Additionally, many of those that are delivering social care services are with different professional backgrounds and belong to different departments. Such partnerships create ground for complex relationships between the actors involved in each project. As a result, such actors find themselves in complex and volatile contexts where the questions of who, when and where to take the lead are, often, ambiguous. Leadership is an integral part of any organization’s practices (Schedlitzki et al.,2023). However, theories of leadership have primarily focused on boosting individual leaders’ successes within systems, thus curtaining the relational aspects of leadership. Like Uhl-Bien(2021a), we understand leadership as a co-creation. Yet, the knowledge on the necessary competence to manage such projects and what enables cooperation and adaptability is limited. Thus, our overall aim is to further the understanding of how co-creative leadership can enable interconnectivity and adaptability in complex systems.

The context for this presentation is a new project on competency supply in social care services. A general shortage of different kinds of professionals has urged the municipality in a medium sized town in Sweden to create cross departmental projects which seek to explore new ways of managing staff shortage issues. Through follow-up research in the form of process evaluations, our focus is on how the project affects the larger system in which it is part of. Our research will be exploratory, and informed by complex system perspectives, such as complexity leadership theory (Uhl-Bien etal., 2007; Uhl-Bien, 2021b), generative emergence (Lichtenstein, 2014; 2021) and complex systems perspective (McGill, 2021), on the one hand, and co-creative leadership perspectives (Denis et al., 2012; Kjellström et al., 2020), on the other.

Our ambition is to address the following research questions:

1. How a cross department project evolves over time and how what happens can be illustrated and explained based on theories of complexity?
2. If and how a co-creative leadership is used, and why and how certain approaches to leadership allow adaptive responses, while others hinder them?
3. How continuous improvement is integrated in the management of the project?
4. How is leadership developed in daily practice throughout the project?

We will utilize a mixed methods approach, and, as a first step, use shadowing of project meetings (Czarniawska, 2007). Through shadowing, we aim to “be there” when the practices occur, and to see first-hand what, and how it, happens. This would allow us to notice things that our study objects do not necessarily think of sharing during a regular interview. The shadowing process will start in September 2023, and we plan to have a learning seminar with all parties involved in November 2023, where our initial observations are shared with researchers and municipality professionals. Our goal for the conference is to present our early findings and discuss future avenues of this project which is under way.

This systematic review aims to synthesise the research on children’s perceptions and experiences of their involvement in a parent’s mental health care. After an extensive search and quality appraisal, 22 articles remained and were included in the review. The results show that children—although resourceful and with good intentions—frequently felt excluded. They hungered for information and felt their questions were abandoned. They also felt caught in a tumultuous life situation and struggled for support. Finally, they expressed the need to be seen and ultimately did not feel involved in their parent’s mental health care.

Frequent visitors at the psychiatric emergency room (PER) constitute a small subgroup of patients, yet they are responsible for a disproportionate number of visits and thus claim considerable resources. Their needs are often left unmet and their repetitive visits reflect their dissatisfaction as well as that of PERs' staff. Motivated by these dilemmas, this study systematically reviews the literature about frequent visitors at PER and seeks to answer two questions: What characterizes frequent visitors at PER in the literature? and What characterizes PER in the literature? Based on 29 studies, this paper offers answers to the two questions based on a strength weakness opportunities and threats (SWOT) analysis. The results of the review and subsequent analysis of the literature revealed the multiplicity and complexity of frequent visitors' characteristics and how they appear to converge. Commonalities were more difficult to identify in PER characteristics. In some cases, this happened because the characteristics were poorly described or were context specific. As a result, it was not easy to compare the studies on PER. Based on SWOT and the findings of the analysis, the paper proposes new venues of research and suggests how the field of mental health might develop by taking into account its opportunities and threats.

The overall objective of the thesis was to describe who persons that frequently use psychiatric emergency services (PES) in Sweden are, to explore what needs they experience as well as how healthcare professionals working at PES view the needs of those persons and experience encounters with them.

This thesis includes both quantitative (I, II) and qualitative (II, III, IV) research designs and applies a broad range of data collection methods, such as use of register data (I), use of survey data (II), individual interviews and focus group interviews (III, IV). Data were analysed with statistical tests (I, II) and with qualitative content analysis (II, III, IV).

Study I is based on visits to PES during 2013–2015. A total of 27,282 persons made 67,031 visits. Of those 27,282 persons, 8.1% could be identified as frequent PES users, accounting for nearly two fifths of all visits. In Study II, 81 persons who frequently visited PES participated. The participants in Studies III and IV were healthcare professionals working at PES, such as assistant nurses, nurses with specialised education in psychiatry, and physicians. Nineteen healthcare professionals participated in individual interviews in both Study III and Study IV, and each of the studies was complemented with a focus group interview involving five and six professionals respectively.

The findings of this thesis were as follows: persons who frequently use PES in Sweden are a small, yet highly heterogeneous group who make a disproportionately high number of visits and differ significantly from other PES visitors; persons who frequently use PES and healthcare professionals at PES are in agreement about the complex and intertwined need patterns of the patients that originate from problems in everyday living, acute psychiatric suffering, and insufficient care possibilities, and thus were found to suffer from illness, unfavourable life circumstances and inadequate care; healthcare professionals at PES experienced the encounter as consisting of caring, professional, and humane processes where persons who frequently use PES were seen as fellow human beings and as unique, and were treated with as much respect, kindness, humility, confirmation, and empowerment as possible; and that in order to have caring encounters with persons who frequently use PES, the healthcare professionals also needed to nurture the relationship with oneself and with colleagues. Those results were interpreted by means of person-centredness and in light of a recovery-oriented care approach. Even though the latter has received more acknowledgement and acceptance within psychiatric care in the last decade, it needs to be developed and implemented further in the Swedish psychiatric care context. 

Persons who frequently visit psychiatric emergency rooms (PERs) account for a disproportionately high number of total visits to PERs. They have needs just as any other human beings do. Yet in addition, they also have specific daily function needs, service needs, and needs for professional healthcare.

The overall aim of this thesis was to investigate who persons frequently visiting PERs in Sweden are and what needs they have. Both studies I and II were conducted in southern Sweden. Study I is a quantitative mapping study describing who persons who frequently visit PERs are, what characterizes them, and what characterizes their visits, while study II investigates their self-expressed and selfassessed needs using a mixed-methods design.

For data collection, a large-scale registry was used in study I, while in study II an interviewer-administered manual was applied consisting of open-ended questions and validated instruments covering the person-in-care’s needs assessment, alcohol and drug use, exposure to violence, and social network. Quantitative data were analysed using descriptive statistics and non-parametric tests (I, II) and qualitative data were analysed using qualitative content analysis (II).

The results indicate that persons who frequently visit PERs represented 8.1% of the total number of PER visitors but accounted for 38.3% of the total number of PER visits (I). They differed significantly from the rest of the PER visitors in terms of gender, diagnoses, hospital admissions, and temporal patterns of visits. Differences were also found in the distance between the PERs and the home municipalities of the visitors (I). In addition, they reported problems in many need areas in life, involving physical and psychiatric health problems as well as financial, emotional, and social problems (II). Results also indicate that they are often subject to violence and have limited social networks (II).

The results may be used for planning, developing, and evaluating interventions targeting the needs of persons who frequently visit PERs, which is in line with a person-centred approach. Such an approach might eventually address their needs better, reduce their suffering, and consequently result in fewer PER visits.  

Background: Lifestyle behaviours are usually formed during youth or young adulthood which makes college students a particularly vulnerable group that easily can adopt unhealthy lifestyle behaviour.

Aim: The aim of this cross-sectional study was to explore the influence of socio-demographic factors on Swedish university students’ lifestyle behaviours and self-rated health.

Method: Data were collected from a convenience sample of 152 students using questionnaires consisting of a socio-demographic section followed by previously well-validated instruments. Data were analysed using descriptive statistics: t-tests, analysis of variance (ANOVA) and regression tests.

Findings: The results of this study show that the lifestyle behaviours under study (physical activity, perceived stress and eating behaviours) as well as self-rated health can be predicted to a certain extent by socio-demographic factors such as gender, mother tongue and parents’ educational level. Male university students were shown to be physically more active than female students; the male students were less stressed and rated their overall health, fitness level and mental health higher. Female students were more prone to adopt unhealthy eating behaviours.

Discussion: This study addresses gender differences and their influences on lifestyle behaviours; it provides both theoretical explanations for these differences as well as presents some practical implications of the findings.

Aims: Through the review of relevant literature this study illuminates the concepts of social marketing and breastfeeding. It specifically discusses the positioning of the link between social marketing and breastfeeding within different fields of study and develops a theoretical framework that tries to bridge the gap between those disciplines.

Method: Various electronic databases were used and through systematic selection 11 scientific articles were identified that this literature review is based on.

Results: The review indicates that the relationship between social marketing and breastfeeding is complex. There are indications that this relationship is being investigated within three distinct fields of research: psychology/education, public health and marketing. Depending on the research field the emphasis is put on either breastfeeding or social marketing as well as on the other concepts that were discovered to be of importance within this relationship. Namely, group and individual demography as well as behaviour were revealed to be important elements of the link between social marketing and breastfeeding.

Conclusions: Based on the results this study concludes that a more multidimensional view on the relationship between the concepts under study is needed since the focus of previous studies is very one-sided and limited to just one element when all elements should be integrated equally.

Background

The aim of the study was to explore health care professionals’ experiences of participating in simulation-based training (SBT).

Methods

Individual semistructured interviews were conducted at two in-house training centres with 23 health care professionals representing different occupations, such as midwives, assistant nurses, registered nurses, and physicians among others. The data were analysed by thematic analysis.

Results

Five main themes emerged: Being able to grow in one's professional role, Coming together is fun, isn't it?, Being helped with a structured approach, Learning from feedback, and Creating the best out of (sur)realism. Overall, the health care professionals experienced SBT as positive, valuable, and as providing learning opportunities. Conversely, they expressed difficulties in communication and providing/receiving feedback, in particular when they were not known to the group or were less experienced in SBT.

Conclusions

SBT allows health care professionals to improve not only in the SBT process but also prepares them for clinical practice and to develop their communication and teamwork skills.

Team-based work is considered key to improving the quality of national health systems, yet adverse events in relation to teamwork account for up to a third of all incidents. Teams in healthcare are typically multi-professional and diverse in many dimensions, with cultural diversity being one of the biggest challenges. The objective of this systematic integrative literature review is to analyse the literature to better understand the impact of cultural diversity in healthcare teams on team processes and team and patient outcomes. The study also explores the conditions that enable or hinder team functioning. The results of the review based on 43 articles suggest that cultural diversity threatens to have a negative effect on team processes, team performance, team climate, and patient safety, both directly and indirectly. Culturally sensitive leadership, cultural training, open and transparent procedures appear to mitigate issues associated with cultural differences in healthcare teams. Based on these findings and utilizing SWOT, we identify strengths and weaknesses as well as future research opportunities and threats to the field’s future development.

AIM: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs).

DESIGN: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data were analysed using content analysis, whereas quantitative data were analysed using descriptive, non-parametric statistical tests.

RESULTS: Persons who frequently visit PERs self-reported unmet needs for care, support and treatment in life domains such as health, socialisation, daytime activities, and emotional and financial security.

CONCLUSION: To meet the needs of persons who frequently visit PERs, close cooperation between concerned welfare actors should be implemented.

AIMS: To describe persons visiting the psychiatric emergency room (PER) in Sweden and to compare persons who frequently (PFV) and infrequently (PIFV) visit PERs in terms of group size, age, gender, PER location inside versus outside the home municipality, diagnosis (ICD 10), temporal patterns of visits and hospital admissions.

METHODS: This register study included all visits to PERs in one Swedish county over 3 years, 2013-2015 (N = 67,031 visits). The study employed descriptive statistics as well as Chi-square tests combined with Bonferroni correction to compare PFV with PIFV.

RESULTS: Of the total of 27,282 visitors, 2201 (8.1%) were identified as PFV (five or more visits within 12 months) and they accounted for 38.1% of the total visits. The study found differences between PFV and PIFV in gender, diagnostic profile, hospital admissions and temporal patterns. Differences were also detected with regard to distance between PERs and home municipalities. However, no age-related differences were found between the two groups.

CONCLUSIONS: PFV and PIFV have different clinical profiles and temporal patterns. These results may be important when planning, developing and evaluating interventions targeting the needs of each group, which is in accordance with a person-centred approach. Such an approach might eventually result in fewer visits to PERs.

This study explores how professionals experience persons who frequently use psychiatric emergency services (PES) in terms of their needs in Sweden. The data comprise 19 semi-structured individual interviews and one focus group interview with healthcare professionals (i.e., assistant nurses, psychiatric nurses, intern physicians, and resident physicians), which are analyzed using qualitative content analysis. The overall findings suggest that persons who frequently use PES suffer from illness, unfavorable life circumstances, and inadequate care, which together emphasize the need for more sustainable support. The findings indicate that the professionals saw beyond illness-related needs and could also acknowledge patients' needs originating from social, existential, and care- and support-related aspects of life.

Purpose: During the lengthy process of PhD studies, supervisory changes commonly occur for several different reasons, but their most frequent trigger is a poor supervisory relationship. Even though a change in supervisors is a formal bureaucratic process and not least the students’ rights, in practice it can be experienced as challenging. Therefore, the purpose of this study is to explore how doctoral students experience a change in supervisory arrangements.

Design/methodology/approach: This study highlights the voices of 19 doctoral students who experienced at least one supervisory change during their doctoral studies.

Findings: The findings were structured chronologically, revealing the students’ experiences prior, during and after the changes. In total, 12 main themes were identified. Most of the interviewed students experienced the long decision-making processes as stressful, difficult and exhausting, sometimes causing a lack of mental well-being. However, once the change was complete, they felt renewed, energized and capable of continuing with their studies. It was common to go through more than one change in supervisory arrangements. Further, the students described both the advantages of making a change yet also the long-lasting consequences of this change that could affect them long after they had completed their PhD programs.

Originality/value: The study fulfills an identified need to investigate the understudied perspective of doctoral students in the context of change in supervisory arrangements. A change in the academic culture is needed to make any changes in supervisory arrangements more acceptable thus making PhD studies more sustainable.

Purpose: Doctoral student well-being is an important matter that shapes the well-being of academics throughout their careers. Given that well-being has been found to be closely related to employee productivity and efficiency, strategies associated with maintaining well-being during PhD studies might be crucial for higher education, its outcomes and—just as importantly—for a balanced life of PhD students.

Method: Based on 17 studies, this literature review critically assesses the literature on doctoral student well-being.

Results: Theoretical models, concepts of well-being, and methods applied are discussed, as are the results of the articles. The reviewed studies are then discussed based on a SWOT analysis addressing the strengths and weaknesses of the reviewed research as well as the identified opportunities and threats, which can be used as a basis for future research. Based on the review findings and the SWOT analysis, a multidimensional view of the well-being of doctoral students is proposed.

Conclusions: The study proposes a more student-centred approach to meeting doctoral students’ needs, and the enhancement of doctoral student well-being in order, as a long-term goal, to improve academics’ well-being and productivity.

The following chapter is based on a SWOT analysis (strength, weakness, threat, opportunities) made in the literature review “Doctoral students’ well-being” (Schmidt & Hansson, 2018). Despite attempts to focus on a holistic and inclusive view of the well-being of doctoral researchers – investigating both how doctoral researchers can enhance their well-being and which factors lead to lack of well-being – the results of the review suggested a rather pathological depiction of the doctoral researchers’ ill-being. An update of the review is presented for 2017–2020. Based on the findings, recommendations for maintaining a sustainable approach to the well-being of doctoral researchers are presented.

BACKGROUND: Although team-based work is deemed key to improving the quality of national health care systems, adverse events related to teamwork account for up to one third of all incidents. Health care teams are typically multiprofessional and diverse in many aspects, but cultural diversity is one of the most challenging.

PURPOSES: The objective of this review is to systematically analyze the literature to better understand the impact of cultural diversity in health care teams on team processes as well as team and patient outcomes. This study also explores the conditions that enable or hinder team functioning.

METHODOLOGY: Through a systematic integrative literature review, this study builds on the input-process-output-context framework. Multiple searches of the main databases led to identifying 43 relevant articles.

FINDINGS: The results suggest that, when not proactively managed, cultural diversity may have a negative effect on team communication and integration, increasing team conflict and thereby negatively influencing team performance, team climate, and patient safety, both directly and indirectly. Yet, when managed properly and in the presence of engaged and culturally sensitive leadership, cultural training, and open and transparent procedures, cultural diversity in health care teams can be an asset to health care organizations. Analyzing and aggregating these findings into an integrative framework, our study identifies several themes and a research agenda for future studies on culturally diverse health care teams.

PRACTICE IMPLICATIONS: Our findings suggest that culturally diverse health care teams experience a number of challenges, pointing to the need for action or structures that enable these teams to perform better, such as emphasizing learning and allowing team members time to get to know each other outside work.

Encounters and interactions between healthcare professionals and patients are central in healthcare services and delivery. Encountering persons who frequently use psychiatric emergency services (PES), a complex patient group in a complex context, may be particularly challenging for healthcare professionals. The aim of the study was to explore healthcare professionals' experiences of such encounters. Data were collected via individual interviews (N = 19) and a focus group interview with healthcare professionals consisting of psychiatric nurses, assistant nurses, and physicians. The data were analyzed with qualitative content analysis. This study focused on the latent content of the interview data to gain a rich understanding of the professionals' experiences of the encounters. Two themes were identified: "Nurturing the encounter with oneself and colleagues for continuous, professional improvement" and "Striving for a meaningful connection with the patient". The professionals experienced their encounters with persons who frequently use PES as caring, professional, and humane processes. Prerequisites to those encounters were knowing and understanding oneself, having self-acceptance and self-compassion, and working within person-centered cultures and care environments.

Aim

The provision of acute care to persons with mental health problems is challenging due to difficulties in encountering this group and the vulnerability of these persons. Understanding this group's experiences with acute care is thus an important endeavour. The purpose of this review was to critically and systematically identify and assess previous research on experiences of acute care by persons with mental health problems, guided by Donabedian's structure-process-outcome framework (Prospero ID: CRD42019116652).

Method and results

An integrative literature review was performed, resulting in the identification of 43 studies. The search was conducted using five electronic databases: Web of Science Core, PubMed, MEDLINE, CINAHL and PsycINFO.

Discussion

The review revealed that patients experienced structure components such as setting, staff and resources in a predominantly negative way. A predominately negative picture also emerged of the process components, where, for example, communication and interpersonal relations were represented by negative experiences, with limited positive experiences reported. The outcome components, related to patients' satisfaction and their well-being after discharge, were also predominantly experienced negatively.

Implications for practice

Using Donabedian's framework of structure, process and outcome allowed us to systematize the literature reviewed, to identify the research gaps and to suggest ways forward for the field's development.

Healthcare is often delivered by teams made up of culturally and demographically diverse members. Group diversity, for example, in terms of age, gender and/or culture, can bring a range of benefits, but also complex challenges for the functioning of healthcare teams. The literature suggests that cultural diversity is the most difficult issue for these teams to manage. Therefore, the aim of this study is to explore the perceived needs of healthcare professionals when working in culturally diverse teams. Data were collected through individual interviews with 23 healthcare professionals working in two hospitals in one municipality in southern Sweden. The data were analysed using an inductive content analysis approach. In the process of the analysis, two main categories of needs emerged: Favourable working conditions and guidance, and Commonalities. The findings highlight the need for the right work and team climate, as well as leadership, for culturally diverse teams to function well. In addition, the implementation and communication of rules and regulations, clarity of roles, and a shared understanding of cultural diversity, language, and the culture of care are important for these teams. By uncovering the needs expressed by healthcare professionals in relation to working in culturally diverse teams, our research provides important insights into the key enablers of the benefits of team diversity in the healthcare context.

The aim of this study was to explore how female PhD students experience and perceive their well-being. Focus groups were conducted with female PhD students employed at a Swedish university. The study was performed using a phenomenological hermeneutic approach based on the concept of the lifeworld, used as both a philosophical perspective and a methodology. Three main themes emerged from the analysis: being true to oneself, being in the sphere of influence, and performing a balancing act. By unfolding these themes, the study shows that perceptions and experiences of well-being in female PhD students are a multifaceted phenomenon and materialize through interaction of different aspects of ‘‘self ’’ (agent) and ‘‘others’’ (structure). As well as illustrating these perceptions and experiences, the study also presents female PhD students’ conceptualization of their well-being, expressed in terms of a white-water rafting metaphor.

Background: As guardians of the public interest, auditors represent a unique occupational group. The group that has shown to experience high level of stress and overload often being associated with environmentally imposed responsibility as well as organizationally imposed performance demands. It is the later aspects, represented by the concept of organizational culture, that is being highlighted in this papers and its relationship to auditors well-beingOBJECTIVES:The paper aims to explore organizational culture as an antecedent of auditors' well-being, which is assumed to have important consequences for the quality of auditors' work.Methods: This study is based on a survey of 207 Swedish auditors. Using established and validated instruments measuring aspects of organizational culture and personal well-being, the study employed correlations and multiple regression analysis in testing the relationship between the two.Results: The results of the study suggest that increasing the degree of collectivistic organizational culture has a positive relationship with three aspects of well-being: Job satisfaction, life balance and life satisfaction.Conclusions: This study is the first attempt to explore well-being of auditors and its antecedents represented by organizational culture. Contrary to the expectation that auditors take an individualistic approach to their work, this study establishes that auditors feel best in a work environment characterized by a collectivist organizational culture.

As guardians of the public interest, auditors represent a unique occupational group. The paper explores organizational culture as an antecedent of auditors’ well-being, which is assumed to have important consequences for the quality of auditors’ work.This study is based on a survey of 207 Swedish auditors. Using established and validated instruments measuring aspects of organizational culture and personal well-being, the study employed correlations and multiple regression analysis in testing the relationship between the two.The results of the study suggest that increasing the degree of collectivistic organizational culture has a positive effect on three aspects of well-being: job satisfaction, life balance and life satisfaction.This study is the first attempt to explore well-being of auditors and its antecedents represented by organizational culture. Contrary to the expectation that auditors take an individualistic approach to their work, this study establishes that auditors feel best in a work environment characterized by a collectivist organizational culture.