... and places the articles in context. Findings The study, set in four Norwegian hospitals, finds that institutional stress is directly related to employee job performance, but not directly related to job performance in those with managerial responsibility. The relationship between institutional stress...

... and places the articles in context. Findings Patient safety and quality of care remain among the biggest challenges to health-care organizations. Past research has looked at how the safety culture within a hospital setting can be improved. This paper uses a multi-level model to look at how direct...