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Author: search.filters.author.Vesa PuhakkaSubject: search.filters.subject.Nurses

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    When Grand Societal Challenges Stimulate the Creation of Public Value: A Study of Nurses in a Non-Western Public Healthcare Sector
    (Wiley, 2025-05-01)
    This study aims to explore the extent to which grand societal challenges motivate street‐level bureaucrats to actively create public value and why. The empirical sample comprises semi‐structured interviews with 36 nurses working in four public hospitals in Egypt. Thematic analysis was subsequently applied to the transcripts from the semi‐structured interviews to highlight the main themes linked to this topic. The findings show that the respondents (nurses in this case) have accepted the idea of creating public value through working extra unpaid hours, engaging actively in night shifts, and treating incoming refugees. This is a result of the following three categories of motives: Humanitarian (religious considerations, appreciation and praise from refugees, desire to emigrate), Job‐related (greater sense of discretionary power, implementing the orientation or directions of the hospital administration, exploiting recent developments in medical instruments) and Patriotic motives (understanding that refugees are a source of foreign currency, creating a culturally diverse climate which Egypt lacks, ensuring partnership between hospitals and the private sector). This study contributes to emerging literature on grand societal challenges and the creation of public value by street‐level bureaucrats on which empirical studies are rare, particularly in the context of developing nations.
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    Street-level bureaucracy and extreme work: understanding career shock perceptions among nurses in public hospitals
    (Emerald Publishing Limited, 2025-11-10)
    PURPOSE: The aim of this study is to explore how extreme work conditions influence nurses' experiences of career shock in public hospitals. DESIGN/METHODOLOGY/APPROACH: This study employed a phenomenon-based approach to gain a deeper and more nuanced understanding of real-world phenomena. Semi-structured interviews were conducted with 33 nurses working in public hospitals in Egypt. Thematic analysis was applied to analyze the interview data. FINDINGS: The study identified three key factors contributing to nurses' perceptions of career shock under extreme work conditions: (1) Refugee-related factors (e.g. differential treatment of refugees compared to nationals, refugees as opportunities to supplement income); (2) Contextual factors (e.g. increased courtesy from nationals, rising patient numbers and demands for wage increases) and (3) workplace factors (e.g. extended work hours, heavy job responsibilities and perceived treatment by managers). These factors were found to significantly influence nurses' perceptions of positive or negative career shocks. ORIGINALITY/VALUE: This research fills a gap in the literature on human resources, public administration and healthcare by addressing the limited empirical studies on how extreme job duties shape street-level bureaucrats' (nurses, in this case) perceptions of career shock, particularly in developing and non-Western contexts.
    Scopus© Citations 4  1
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    Public Value Creation Amid Geopolitical Challenges: the Necessity of Robotizing Nurses' Administrative Tasks in the Public Healthcare Context
    (Springer Science+Business Media, 2025-09-01)
    This qualitative study explores the extent to which the integration of robots in Egyptian public hospitals might alleviate nurses' administrative tasks and contribute to the creation of public value, as well as the reasons behind these potential effects. Analysis of interviews reveals that nurses do not believe replacing them with robots for administrative tasks would significantly reduce their workload or enhance public value. The nurses identify three primary challenges contributing to this belief: patient-focused, nurse-focused, and contextual challenges.
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