The Paradox of Collaborative Value: Creation Without Ownership
DOI:
https://doi.org/10.7557/14.8146Keywords:
communication, interorganizational collaboration, leadership, nurse education, relational capacity, role clarificationAbstract
Collaboration between universities and the field of practice is crucial to quality in nursing education. This study investigates middle-managers, practice-supervisors, and project participants experience participation in a collaborative project between hospitals and universities. The study has qualitative and exploratory design. Data was collected through focus groups and reflection notes. Analysis was conducted as a practical thematic analysis and five themes were identified: project involvement, communication, equality, leadership, and organisation/system. Results indicate motivation and value in the implementation phase, challenges related to lack of management support, unclear roles, and weak communication. Collaboration is perceived as meaningful but characterized by differences in understanding and goals between the actors. Early involvement and clear role clarification are emphasized as crucial for ownership and implementation. Relational capacity varies in and between organizations. Participation is perceived as valuable, sustainable implementation requires stronger ownership, management involvement, better communication, and a clearer structure in the start-up phase.
References
Ahlgren, P. C. & Lind, J. (2022). Økonomistyring i interorganisatoriske relasjoner – et nordisk perspektiv. Praktisk økonomi og finans, 38(1), 120–133. https://doi.org/10.18261/pof.38.1.9
Albrecht, S. L. & Roughsedge, I. (2023). Organizational-Change Capability: Validation of a Practice-Research Measure. Consulting psychology journal, 75(4), 391–415. https://doi.org/10.1037/cpb0000235
Andrus, P., Morrison, P. & Biggins, A. (2012). Academia and hospital perspectives on collaborative research approaches to achieving quality in Practice. https://www.researchgate.net/publication/236878378_Academia_and_hospital_perspectives_on_collaborative_research_approaches_to_achieving_quality_in_practice
Borg, S. (2001). The research journal: a tool for promoting and understanding researcher development. Language teaching research : LTR, 5(2), 156–177. https://doi.org/10.1177/136216880100500204
Buick, F., Blackman, D. & Johnson, S. (2018). Enabling middle managers as change agents: Why organisational support needs to change. Australian journal of public administration, 77(2), 222–235. https://doi.org/10.1111/1467-8500.12293
Capra, F. & Luisi, P. L. (2014). The systems view of life : a unifying vision. Cambridge University Press.
Coughlan, P. & Coghlan, D. (2024). Action learning: towards a framework in interorganizational settings revisited - twenty years of network action learning. Action learning, 21(3), 244–253. https://doi.org/10.1080/14767333.2024.2406753
Dirik, H. F., Yildirim, M., Ozmen, S. & Seren Intepeler, S. (2025). Academic-clinical collaborative partnerships: A qualitative exploration of facilitators and barriers from the perspectives of nurse academics, clinicians, and students. Nurse Educ Today, 149, 106674. https://doi.org/10.1016/j.nedt.2025.106674
Fløvik, L., Knardahl, S. & Christensen, J. O. (2019). The Effect of Organizational Changes on the Psychosocial Work Environment: Changes in Psychological and Social Working Conditions Following Organizational Changes. Front Psychol, 10, 2845–2845. https://doi.org/10.3389/fpsyg.2019.02845
Forskrift om nasjonal retningslinje for sykepleierutdanning. (2019). Forskrift om nasjonal retningslinje for sykepleierutdanning ( FOR-2019-03-15-412). https://lovdata.no/dokument/LTI/forskrift/2019-03-15-412
Greek, M. (2014). Tenk kritisk og reflekter. Gyldendal akademisk.
Heimburg, D. v. & Ness, O. (2021). Aksjonsforskning : samskapt kunnskap som endrer liv og samfunn (1. utgave. utg.). Fagbokforlaget.
Helse Midt-Norge. (2024, 07.11.2024). Helse Midt-Norge. https://www.helse-midt.no/samarbeidsorganet
Hornstrup, C., Loehr-Petersen, J., Johansen, T., Gjengedal, J. M., Specht, T., Ringen, E. & Hornstrup, C. (2023). Systemisk ledelse : dialog og relasjoner i organisasjoner (1. utgave. utg.). Gyldendal.
Hornstrup, C. & Storch, J. (2021). Sammenhengende ledelse, tjenester og løsninger : relasjonell kapasitet i arbeidet med komplekse velferdsutfordringer (1. utgave. utg.). Kommuneforlaget AS.
Hornstrup, C. & Storch, J. (2025). Ledelse på tværs. At opbygge kapacitet til kompleksitet (1. utg., Bd. 1). Dansk Psykologisk Forlag.
Huynh, T. (2025). Collaborative research in healthcare: uncovering the impact of industry collaboration on the service innovativeness of university hospitals. The Journal of technology transfer, 50(1), 1–28. https://doi.org/10.1007/s10961-024-10083-9
Joyce, P. (2022). Quality improvement in healthcare: an action learning approach. Action learning, 19(3), 275–282. https://doi.org/10.1080/14767333.2022.2091515
Kotter, J. P. & Schlesinger, L. A. (2008). Choosing Strategies for Change. Harvard business review, 86(7-8), 130–162. https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=2&sid=d5935693-4508-4222-98eb-e2b37a831ef5%40redis
Kvale, S. & Brinkmann, S. (2009). Det kvalitative forskningsintervju (2 utg.). Gyldendal akademisk.
Lorås, L. & Ness, O. (Red.). (2024). Håndbok i kvalitativ forskning : for psykologi, helsefag og sosialfag [Handbook of qualitative research : for psychology, health and social sciences] (1. utg.). Fagbokforlaget.
Macedo, A. P. & Taveira, A. (2024). Inter-collaborative nursing supervision process between hospital organizational management models and academia; A qualitative approach. New trends in qualitative research, 20(3), e1023. https://doi.org/10.36367/ntqr.20.3.2024.e1023
Madrid Miranda, R., Glas, K. & Chapman, C. (2024). Building agency in school–university partnerships: lessons from collaborative research during the pandemic. Journal of educational administration, 62(6), 609–622. https://doi.org/10.1108/JEA-11-2023-0281
Malterud, K. (2012). Fokusgrupper som forskningsmetode for medisin og helsefag. Universitetsforlaget.
Meld. St. 13 (2011–2012). Bedre helse og velferd – et spørsmål om kompetanse. Kunnskapsdepartementet. https://www.regjeringen.no/no/dokumenter/meld-st-13-20112012/id672836/?ch=1
Mısırlıoğlu, A. & Murt, E. (2024). Project management approach in healthcare services. 12(7). https://doi.org/10.55908/sdgs.v12i7.3798
Peček, T. B. & Ovsenik, M. (2018). Organization, Autopoiesis and Human Potential as Paradigm of the Future Organization. Organizacija, 51(3), 208–218. https://doi.org/10.2478/orga-2018-0015
Saunders, C. H., Sierpe, A., von Plessen, C., Kennedy, A. M., Leviton, L. C., Bernstein, S. L., Goldwag, J., King, J. R., Marx, C. M., Pogue, J. A., Saunders, R. K., Van Citters, A., Yen, R. W., Elwyn, G., Leyenaar, J. K., Acquilano, S. C., Doherty, J., Forcino, R. C., Foster, T., Holthoff, M., Jacobs, C. R., Johnson, L. C., Kiriakopoulos, E. T., Kirkland, K., MacMartin, M. A., Morgan, E. A., Nelson, E., O’Donnell, E., Oliver, B., Schubbe, D., Stevens, G. & Thomeer, R. P. (2023). Practical thematic analysis: a guide for multidisciplinary health services research teams engaging in qualitative analysis. BMJ, 381, e074256–e074256. https://doi.org/10.1136/bmj-2022-074256
Simonsson, S. F. (2024). Samskaping på avveie – et samskapingsprosjekts reise i en streben etter endring. Nordisk välfärdsforskning, 9(3), 210–223. https://doi.org/10.18261/nwr.9.3.1
Stewart, J.-A. (2024). Facilitating action learning & virtual action learning for leadership development: experiences and insights from a UK Masters programme. Action learning, 21(1), 43–62. https://doi.org/10.1080/14767333.2024.2310289
Storch, J. & Hornstrup, C. (2018). Relationel kapacitet. Sammenheng i offentlige organisationer (Bd. 1). Mindspace.
Sætertrø, O. & Solum Myren, G. E. (2022). Kvalitet i praksisstudier gjennom systematisert samarbeid mellom universitet og praksisfelt: Erfaringer fra et utviklingsarbeid ved vernepleier-utdanningen i Nord universitet. Nordisk tidsskrift for helseforskning, 18(2). https://doi.org/10.7557/14.6307
Tanggaard, P. & Nordland, D. (2016). Prosesslederboka : lær å lede gode prosesser og møter. Kommuneforlaget.
Thomas, C., Hodson-Carlton, K. & Ryan, M. (2011). Preparing Nursing Students in a Leadership/Management Course for the Workplace Through Simulations. Clinical simulation in nursing, 7(3), e99–e104. https://doi.org/10.1016/j.ecns.2010.06.005
Universitets- og høyskoleloven. (2024). Lov om universiteter og høyskoler (universitets- og høyskoleloven). LOV-2024-03-08-9. https://lovdata.no/dokument/LTI/lov/2024-03-08-9
Wangen, M. G., Eilertsen, M.-E. B., Askim, T., Thingnes, E. R., Solberg, H. S. & Granbo, R. (2021). Samarbeidet mellom utdanning og praksis i helseprofesjonsstudiene kan styrkes: erfaringer fra utprøving av samarbeidsstillinger. Nordisk tidsskrift for helseforskning, 17(2). https://doi.org/10.7557/14.5264
Özdil, B. M. & Debreli, E. (2025). Exploring language teacher roles at a higher education context through the lens of critical pedagogy: Transmission or transformation? System (Linköping), 130, 103613. https://doi.org/10.1016/j.system.2025.103613
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