Jörg Werner Kirchhoff

• Karlsson, Jan Christer & Kirchhoff, Jörg W. (2026). Shifting alliances – a Simmelian perspective on social service work in Norway. Employee Relations. ISSN 0142-5455. 48(2), p. 322–331. doi: 10.1108/er-06-2025-0455. Full text in Research Archive Show summary

  Purpose We explore theoretical resources from the classic sociologist Georg Simmel in service analyses. Thereby, we concentrate on the theory of alliances in order to apply it to relations between management, home aid workers and clients in a Norwegian case. Design/methodology/approach Questions of possibilities of alliances between two parts against a third in the triad provide significant analytical lines. The data are derived from participant observation, individual interviews and focus group interviews, and collected shortly after the organizational change in four organizations, that is between January and June 2006, and are now re-analysed. Findings In the service triad, there are three logical possibilities of alliances that we explore: (1) worker and client against management, (2) worker and management against client and (3) management and client against worker. Further, in empirical cases over time, alliances can change, and more than one alliance can exist at the same time within the same service triad. Originality/value We apply Simmel’s underused theory in social service research to a qualitatively based study of organizational changes in home care work in Norway. Thereby new social science knowledge is generated.

• Ismail, Naima & Kirchhoff, Jörg W. (2024). Intensivsykepleieres utfordringer under samarbeidet med ikke-vestlige pårørende på intensivavdelingen. Nordisk sygeplejeforskning. ISSN 1892-2678. 14(2). doi: 10.18261/nsf.14.2.4. Full text in Research Archive Show summary

  Bakgrunn: Eksisterende forskning har vist at samarbeidet mellom intensivsykepleiere og ikke-vestlige pårørende byr på en rekke utfordringer. Det eksisterer imidlertid lite forskning om fenomenet i Norge. Hensikt: Hensikten med denne studien er å utforske utfordringene. Metode: Et eksplorerende kvalitativt design med semi-strukturerte dybdeintervjuer, samt COREQ sjekklisten er benyttet. Resultat: Intervjuene avdekket tre hovedutfordringer. For det første, et stort antall besøkende, der flere oppfattet seg som nærmeste pårørende, ble opplevd som et krevende kollektiv. I tillegg var det en rekke ventede og uventede språkbarrierer. Manglende kunnskap om helsetjenesten i Norge krevde et kontinuerlig arbeid for å balansere behovene til de pårørende og de andre pasientene på avdelingen. Konklusjon: Intensivsykepleiere opplever en rekke utfordringer under samarbeidet med ikke-vestlige pårørende, og der språkbarrierer var med å skape de største utfordringene. Det er behov for bedre tolketjenester for å redusere språkbarrierene.

• Kirchhoff, Jörg W. (2024). Betydningen av teori og praksis for studenters sykepleiefaglige kompetanse. Sykepleien Forskning. ISSN 1890-2936. 19. doi: 10.4220/Sykepleienf.2024.94772. Full text in Research Archive Show summary

  Bakgrunn: Teoretisk kunnskap og klinisk praksis er hovedkomponentene i utdanningen av sykepleiere. Det er en rekke studier som har sett på studenters vurdering av teori og praksis under utdanningen. Få studier har sett på hvilken betydning teori- og praksisemnene har på sykepleierstudentenes sykepleiefaglige kompetanse ved endt utdanning. Hensikt: Hensikten var å kartlegge sykepleierstudenters vurdering av teori- og praksisemnene og deres egenvurderte sykepleiefaglige kompetanse. Jeg ville også se nærmere på hvilken betydning teoretisk kunnskap og klinisk praksis har for studentenes sykepleiefaglige kompetanse. Metode: En tverrsnittsstudie blant sykepleierstudenter på en utdanningsinstitusjon i Norge, som avsluttet utdanningen i 2019. Dataene ble samlet inn ved hjelp av et nettbasert spørreskjema. Sykepleiefaglig kompetanse ble målt ved å bruke The Nurse Professional Competence Scale – short form. Svarresponsen ble 63 prosent. Resultat: Sykepleierstudentene tillegger praksisemnene i utdanningen statistisk signifikant større vekt enn teoriemnene for å være forberedt til jobben som sykepleier. Studentene har høy skår på alle kompetanseområder. Studentene har høyest skår på kompetanseområdet «Verdibasert sykepleie» og lavest skår på kompetanseområdet «Fagutvikling, faglig ledelse og organisering av sykepleie». Analysen viser sammenhenger mellom studenters vurdering av teori- og praksisemnene og flere av kompetanseområdene innen sykepleiefaglig kompetanse. Teoriemnene har noe større betydning for sykepleiefaglig kompetanse enn praksisemnene. Konklusjon: Studien viser at studenter vurderer praksisemnene som mest betydningsfulle for deres fremtidige jobb som sykepleier. Studien viser også at teoriemnene har noe større betydning for studenters sykepleiefaglige kompetanse enn praksisemnene.

• Kirchhoff, Jörg W; Marks, Abigail; Helgesen, Ann Karin; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie & Grøndahl, Vigdis Abrahamsen (2021). The Impact of Information and Communication Technology on Doctors’ and Registered Nurses’ Working Conditions and Clinical Work – A Cross-Sectional Study in a Norwegian Hospital. Journal of Multidisciplinary Healthcare. 2021(14), p. 2941–2949. doi: 10.2147/JMDH.S327669. Full text in Research Archive
• Skaug, Eli-Anne; Ekman, Gerd Anna-Stina & Kirchhoff, Jörg W (2020). Oversetting, tilpasning og testing av The Nurse Professional Competence Scale. Nordisk sygeplejeforskning. ISSN 1892-2678. 10(3), p. 164–175. doi: 10.18261/issn.1892-2686-2020-03-03. Full text in Research Archive
• Nilsson, Jan; Mischo-Kelling, Maria; Thiekoetter, Andrea; Deufert, Daniela; Mendes, Aida Cruz & Fernandes, Ananda [Show all 8 contributors for this article] (2019). Nurse professional competence (NPC) assessed among newly graduated nurses in higher educational institutions in Europe. The Nordic Journal of Nursing Research (NJNR). ISSN 2057-1585. 39(3), p. 159–167. doi: 10.1177/2057158519845321. Full text in Research Archive
• Kirchhoff, Jörg W & Karlsson, Jan Christer (2019). Alternative careers at the first level of management: First-line nurse managers’ responses to role conflict. Leadership in Health Services. ISSN 1751-1879. 32(3), p. 405–418. doi: 10.1108/LHS-11-2017-0067. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Sørby, Lise Aagaard; Andreassen, Hilde Marie & Skaug, Eli-Anne [Show all 9 contributors for this article] (2018). Health care quality from the patients' perspective: a comparative study between an old and a new, high-tech hospital. Journal of Multidisciplinary Healthcare. 11. doi: 10.2147/JMDH.S176630. Full text in Research Archive
• Løken, Therese Dwyer & Kirchhoff, Jörg W (2018). Samarbeidets vilkår etter Samhandlingsreformen - en enkeltcase-studie. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 14(2). doi: 10.7557/14.4570. Full text in Research Archive
• Kirchhoff, Jörg W; Grøndahl, Vigdis Abrahamsen & Andersen, Kirsti Lauvli (2015). Betydningen av sosiale nettverk og kvalitet på pleien for opplevelse av ensomhet blant brukere av hjemmesykepleie. Nordisk sygeplejeforskning. ISSN 1892-2678. 5(3), p. 266–282. Full text in Research Archive
• Kirchhoff, Jörg W & Andersen, Kirsti Lauvli (2015). Uformell omsorg til pasienter i hjemmesykepleien. Sykepleien Forskning. ISSN 1890-2936. 10(4), p. 362–370. doi: 10.4220/sykepleienf.2015.56001. Full text in Research Archive
• Kirchhoff, Jörg W; Gjellebæk, Camilla & Tangen, Merete (2014). Personlige relasjoner har betydning for pasienters tilfredshet på sykehjem. Sykepleien Forskning. ISSN 1890-2936. 9(3), p. 226–233. doi: 10.4220/sykepleienf.2014.0130. Full text in Research Archive
• Kirchhoff, Jörg W. & Karlsson, Jan Christer (2013). Expansion of output: Organizational misbehaviour in public enterprises. Economic and Industrial Democracy: an international journal. ISSN 0143-831X. 34(1), p. 107–122. doi: 10.1177/0143831X12439113. Full text in Research Archive
• Kirchhoff, Jörg W. (2011). Yrkesrelatert stress i hjemmebaserte tjenester :. Sykepleien Forskning. ISSN 1890-2936. p. 144–150. doi: 10.4220/sykepleienf.2011.0100. Full text in Research Archive
• Kirchhoff, Jörg W. & Karlsson, Jan Christer (2009). Rationales for Breaking Management Rules-The Case of Health Care Workers. Journal of Workplace Rights (JWR). ISSN 1938-4998. 14(4), p. 457–479. Full text in Research Archive
• Kirchhoff, Jörg W.; Hansen, Gunnar Vold & Ramsdal, Helge (2009). Bestiller/utfører-modellen - økt fleksibilitet i den kommunale helse- og sosialtjenesten? In Claussen, Tor & Karlsson, Jan Christer (Ed.), Den sköra balansen : arbetslivet mellan flexibilitet och stabilitet. Växjö universitet. ISSN 9789189317567. p. 147–162. Full text in Research Archive

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• Kirchhoff, Jörg W. (2026). The Management of Professions in Healthcare: Challenges and Opportunities in the Digital Age. Full text in Research Archive Show summary

  Research-focused Seminar on HRM in Healthcare

• Kirchhoff, Jörg W.; Ihlebæk, Hanna Marie & Bjørkquist, Catharina (2026). Perspectives on Quality in Norwegian Community Care – An Ethnographic Study. Full text in Research Archive
• Kirchhoff, Jörg W.; Apicella, John & Rosland, Ingrun (2025). Yrkesrelatert stress blant norske anestesisykepleiere – en tverrsnittstudie. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 20(2), p. 148–148. doi: 10.23865/inspira.v20.7651. Full text in Research Archive Show summary

  Bakgrunn: Anestesisykepleiere arbeider under krevende forhold med høyt tempo, stort ansvar og teknisk kompleksitet, noe som kan føre til yrkesrelatert stress. Internasjonale studier viser at faktorer som arbeidsmengde, tidspress, sosial støtte og lederstil påvirker stressnivået, men det finnes få studier om yrkesrelatert stress blant norske anestesisykepleiere. Hensikt: Studien har som mål å kartlegge norske anestesisykepleieres opplevelse av yrkesrelatert stress, samt undersøke hvordan kollegafellesskap, ledelse og arbeidsforhold påvirker denne opplevelsen. Metode: Studien benyttet et deskriptivt tverrsnittdesign med spørreskjema distribuert via et nasjonalt fagnettverk. 115 anestesisykepleiere fra ulike helseforetak deltok. Stressnivå ble målt på en skala fra 1 til 10, og øvrige faktorer ble vurdert på en fempunkts Likert-skala. Data ble analysert med bivariate metoder og Kendalls tau. Resultater: Gjennomsnittlig stressnivå var 4,8. 14 prosent rapporterte høyt stress (skår 8–10), mens 36 prosent rapporterte lavt stress (1–3). Det var ingen signifikante sammenhenger mellom stress og bakgrunnsvariabler som kjønn, alder eller erfaring. Arbeidsmengde og tidspress var imidlertid sterkt korrelert med stress. Sosial støtte fra kolleger og opplevelsen av at ledelsen lyttet og forsto arbeidssituasjonen hadde signifikant sammenheng med lavere stressnivå. Konklusjon: Yrkesrelatert stress er utbredt blant norske anestesisykepleiere. Arbeidsmengde og tidspress er de mest belastende faktorene, mens god ledelse og kollegial støtte virker beskyttende. Ledelsen har et særskilt ansvar for å tilrettelegge arbeidsforholdene og forebygge stress, mens anestesisykepleiere selv bør bidra til et støttende kollegafellesskap. 

• Ihlebæk, Hanna Marie; Kirchhoff, Jörg W. & Bjørkquist, Catharina (2024). Rhythms and Rooms – an ethnographic study of flow in Norwegian home nursing care. Full text in Research Archive
• Kirchhoff, Jörg W. (2024). Panelsamtale - Praktiske utfordringer ved implementering av digital hjemmeoppfølging på tvers av sykehus og kommune. Full text in Research Archive
• Bjørkquist, Catharina; Ihlebæk, Hanna Marie & Kirchhoff, Jörg W. (2024). Implementing Digital Interaction Boards in Home Care: A Study of Leaders' and Quality Advisors' Actions and Inactions. Full text in Research Archive
• Anker-Hansen, Camilla & Kirchhoff, Jörg W. (2024). Selv om kvaliteten på behandling er generelt høy i Norge, tas det sjelden høyde for at sykdomsbilder kan være mer komplekse. Full text in Research Archive
• Kirchhoff, Jörg W. (2024). Evaluerte sykepleierutdanningen: – Studiens mest interessante funn er et paradoks. [Internet]. Sykepleien.no. Full text in Research Archive
• Kirchhoff, Jörg W.; Bjørkquist, Catharina & Ihlebæk, Hanna Marie (2024). Ulike perspektiver på kvalitet i helsetjenesten. Full text in Research Archive
• Kirchhoff, Jörg W.; Gjevjon, Edith Lillian Roth & Stabu, Daniel T. (2024). Egenrapportert sykepleierkompetanse etter endt bachelorutdanning - en nasjonal tverrsnittsstudie. Full text in Research Archive
• Kirchhoff, Jörg W. (2024). Helsepersonell – glemmer vi de viktigste? Full text in Research Archive
• Kirchhoff, Jörg W. & Gjevjon, Edith Root (2023). Sykepleiefaglig kompetanse etter endt utdanning – En nasjonal studie. Full text in Research Archive
• Faugstad, Sebastian & Kirchhoff, Jörg W (2023). Så lenge er det til neste langhelg. [Internet]. TV2. Full text in Research Archive
• Kirchhoff, Jörg W; Bjørkquist, Catharina & Anker-Hansen, Camilla (2023). Digitaliseringen av helsetjenestene. Full text in Research Archive
• Kirchhoff, Jörg W. (2023). Kan mastergradsoppgaver møte kommunenes behov for innovasjon og faglig utvikling? Full text in Research Archive
• Kirchhoff, Jörg W.; Bjørkquist, Catharina & Ihlebæk, Hanna Marie (2023). Digitalisering av helsetjenesten - Presentasjon av resultater fra et samarbeidsprosjekt. Full text in Research Archive
• Kirchhoff, Jörg W.; Bjørkquist, Catharina & Ihlebæk, Hanna Marie (2023). Digitale tavler i kommunehelsetjenesten. Full text in Research Archive
• Kirchhoff, Jörg W & Bjerge, Martin (2022). Hjemmesykepleien har stadig flere medisinsk-tekniske oppgaver. Sykepleien. ISSN 0039-7628. doi: 10.4220/Sykepleiens.2022.88097. Full text in Research Archive
• Kirchhoff, Jörg W & Bjørkquist, Catharina (2022). Digitalisering av informasjon i kommunale helse- og velferdstjenester. Full text in Research Archive
• Kirchhoff, Jörg W; Jensen, Øystein & Grøndahl, Vigdis Abrahamsen (2019). Tiden er inne. La sykepleiere overta oppgaver fra fastleger. Full text in Research Archive
• Kirchhoff, Jörg W; Jensen, Øystein & Grøndahl, Vigdis Abrahamsen (2019). Tiden er inne: La sykepleiere med avansert breddekompetanse slippe til. Full text in Research Archive
• Kirchhoff, Jörg W; Jensen, Øystein & Grøndahl, Vigdis Abrahamsen (2019). Sykepleiere og breddekompetanse. Full text in Research Archive
• Kirchhoff, Jörg W (2019). Disse fridagene blir du «snytt» for i 2020. [Internet]. https://www.nrk.no/. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Skaug, Eli-Anne & Tvete, Liv Solveig [Show all 7 contributors for this article] (2018). The influence of technology and standards on healthcare staff’s job satisfaction. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin & Skaug, Eli-Anne [Show all 7 contributors for this article] (2018). Digitalisering og dens konsekvenser for profesjoners arbeid i sykehus. Full text in Research Archive
• Kirchhoff, Jörg W (2018). Kompetanseutvikling i organisasjoner. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin & Roos, Anne Karine Østbye [Show all 8 contributors for this article] (2018). Social support at work. Full text in Research Archive
• Andersen, Kirsti Lauvli; Grøndahl, Vigdis Abrahamsen; Andreassen, Hilde Marie; Helgesen, Ann Karin; Kirchhoff, Jörg W & Roos, Anne Karine Østbye [Show all 9 contributors for this article] (2018). Helsetjenestekvalitet i sykehus: En sammenligning av pasienters og sykepleiestudenters erfaringer. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Kirchhoff, Jörg W; Roos, Anne Karine Østbye & Skaug, Eli-Anne [Show all 9 contributors for this article] (2017). MEDARBEIDERNES OPPLEVELSE AV JOBBTILFREDSHET, PASIENTER OG STUDENTERS SYN PÅ HELSETJENESTEKVALITET I ET HØYTEKNOLOGISK SYKEHUS. Full text in Research Archive
• Andreassen, Hilde Marie; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Kirchhoff, Jörg W; Skaug, Eli-Anne & Andersen, Kirsti Lauvli (2017). Perception of quality of care in hospital: comparison of the views of patients and nurse students. Full text in Research Archive
• Andreassen, Hilde Marie; Andersen, Kirsti Lauvli; Helgesen, Ann Karin; Kirchhoff, Jörg W; Skaug, Eli-Anne & Sørby, Lise Aagaard [Show all 7 contributors for this article] (2017). Perceived reality versus subjective importance – Care quality in hospital from the patients’ perspective. Full text in Research Archive
• Thorvaldsen, Ida R. & Kirchhoff, Jörg W (2017). Se tegnene på omsorgssvikt! Tidsskriftet sykepleien. ISSN 0806-7511. 105(1), p. 50–53. doi: 10.4220/Sykepleiens.2017.59740. Full text in Research Archive
• Kirchhoff, Jörg W (2017). God Morgen Ostfold. [Radio]. Radio Øst. Full text in Research Archive
• Kirchhoff, Jörg W (2017). Pål igjen! - Hvor mye trenger vi egentlig å være på jobb? [Radio]. NRK P1. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Kirchhoff, Jörg W; Skaug, Eli-Anne & Tvete, Liv Solveig [Show all 9 contributors for this article] (2017). Ansattes jobbtilfredshet og pasienters erfaringer med helsetjenestekvalitet. Full text in Research Archive
• Kirchhoff, Jörg W (2017). Her er fridagene du kan glede deg til i år. [Internet]. NRK.no. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin & Skaug, Eli-Anne [Show all 7 contributors for this article] (2017). The influence of technology and standards on professionals’ work. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Kirchhoff, Jörg W & Skaug, Eli-Anne [Show all 9 contributors for this article] (2017). Patients' experiences with person centered care in a new high-tech hospital. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Kirchhoff, Jörg W; Roos, Anne Karine Østbye & Skaug, Eli-Anne [Show all 9 contributors for this article] (2017). Helsetjenestekvalitet i sykehus – hva er viktig for pasientene? Full text in Research Archive
• Ålesve, Cathrine; Løkkevik, Nina; Storhaug, Lise Wangberg & Kirchhoff, Jörg W (2016). OBSKommmune - En modell for kliniske vurderinger i hjemmesykepleienmune -. Full text in Research Archive
• Andersen, Kirsti Lauvli; Grøndahl, Vigdis Abrahamsen; Andreassen, Hilde Marie; Helgesen, Ann Karin; Kirchhoff, Jörg W & Skaug, Eli-Anne (2016). Perception of quality of care in hospital: comparison of the views of patients and nurse students. Full text in Research Archive
• Kirchhoff, Jörg W (2016). OBSKommune - Kompetanseutvikling blant ansatte i hjemmebaserte tjenester. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin & Skaug, Eli-Anne [Show all 7 contributors for this article] (2016). Organisational Preconditions for Professional Practice: On Registered Nurses Possibility to Act in Accordance with Professional Standards in a Hospital. Full text in Research Archive
• Kirchhoff, Jörg W; Ålesve, Cathrine; Løkkevik, Nina & Storhaug, Lise Wangberg (2016). Kompetanseutvikling i hjemmesykepleien. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Helgesen, Ann Karin; Kirchhoff, Jörg W & Bjørkquist, Catharina [Show all 10 contributors for this article] (2016). Fra gammelt til nytt sykehus.Pasienter, ansatte, ledere og studenters perspektiver 2015 – 2016. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Helgesen, Ann Karin; Kirchhoff, Jörg W & Skaug, Eli-Anne [Show all 7 contributors for this article] (2016). Perceived reality versus subjective importance – Care quality in hospital from the patients’ perspective. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Helgesen, Ann Karin; Skaug, Eli-Anne & Grøndahl, Vigdis Abrahamsen [Show all 7 contributors for this article] (2016). Organisational Premises for Professionals’ Work. Full text in Research Archive
• Kirchhoff, Jörg W (2016). Helsepolitikk og omstillinger i kunnskapsbedrifter. Full text in Research Archive
• Kirchhoff, Jörg W (2016). Hjemmesykepleien som arbeidsfelt. Full text in Research Archive
• Kirchhoff, Jörg W (2016). Lederes og ansattes respons på organisatoriske endringer. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Andreassen, Hilde Marie; Bjørkquist, Catharina; Helgesen, Ann Karin & Kirchhoff, Jörg W [Show all 8 contributors for this article] (2016). Fra gammelt til nytt sykehus. Full text in Research Archive
• Kirchhoff, Jörg W (2015). Loneliness among Patients in Homecare Nursing. Full text in Research Archive
• Kirchhoff, Jörg W (2015). Den tause motstanden i offentlige organisasjoner. In Bergmann, Ann; Gillberg, Gunnar & Ivarsson, Lars (Ed.), Tankar om arbete : 17 texter om arbete, arbetsliv och samhällsförändring. Premiss förlag. ISSN 9789186743468. p. 320–331. Full text in Research Archive
• Kirchhoff, Jörg W; Grøndahl, Vigdis Abrahamsen & Andersen, Kirsti Lauvli (2015). Den ensomme pasient. Full text in Research Archive
• Kirchhoff, Jörg W & Karlsson, Jan Christer (2015). The relative power in the service triad. Full text in Research Archive
• Kirchhoff, Jörg W. (2014). Fra vedtak til tjeneste. Full text in Research Archive
• Kirchhoff, Jörg W (2014). The 'Hole' in Holistic Nursing: Contradictions in the Application of Holistic Nursing in Home Care Nursing. Full text in Research Archive Show summary

  Objective: The concept of holistic nursing has a strong position in nursing education and practice, and contributes as a transcendent value to nurses’ ideology. Furthermore, there is a common understanding that a holistic approach encompasses a multi-dimensional perspective including physical, social and spiritual needs to patients. The aim of this paper is to explore how holistic nursing is utilized and applied in home care nursing. Method: Findings are based on an ethnographic study of home care nursing in two municipalities in Norway, including participant observation and focus-group interviews of eleven registered nurses (RN). Data are analysed with a content analysis approach. Result: All RN’s shared a multi-dimensional understanding of ‘holism’ while assessing patients’ need for health care services. Nevertheless, among RN’s radically different comprehensions of whether a holistic approach is suitable while accomplishing health care services to patients was revealed. Differences became foremost evident in a dissimilar understanding of home care nurses responsibility to indulge patients’ social needs. In addition, differences on how to apply the concept of ‘holism’ resulted in dissimilar health care services across municipalities and gave basis for conflict between RN’s within the same municipality. Conclusion: There is a common understanding of holistic nursing as multi-dimensional perspective among RN’s. However, there are differences on whether holistic nursing should result in health care services that are ‘holistic’, ie accomplish all patients’ needs. These differences should be explored further since they gave basis for dissimilar health care services across municipalities and conflict among colleagues in home care nursing.

• Kirchhoff, Jörg W (2014). "Helhetlige tjenester" – Ideal, Innhold og Organisering. Full text in Research Archive
• Kirchhoff, Jörg W (2014). Motstand eller tilslutning – Ledelsens og ansattes respons på NPM inspirerte reformer i de hjemmebaserte tjenester. Full text in Research Archive
• Kirchhoff, Jörg W (2014). Tjenestekvalitet i hjemmesykepleien. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli & Bjørnstad, Eivind (2014). Kvalitet i hjemmesykepleien ut fra pasientens perspektiv. Full text in Research Archive
• Kirchhoff, Jörg W. (2014). Fordel ansvaret for eldre på flere. [Radio]. NRK.NO. Full text in Research Archive
• Kirchhoff, Jörg W. (2014). Professional Ideology at Work. Full text in Research Archive
• Kirchhoff, Jörg W & Andersen, Kirsti Lauvli (2014). Ensomhet blant mottakere av hjemmesykepleie. Full text in Research Archive
• Kirchhoff, Jörg W. (2013). Sterke pårørende presser ansatte - NRK.no. [Internet]. http://www.nrk.no/nyheter/distrikt/ostfold/1.11041604. Full text in Research Archive
• Kirchhoff, Jörg W; Andersen, Kirsti Lauvli; Bastøe, Liv Karin Halvorsen & Grøndahl, Vigdis Abrahamsen (2013). Helsetjenestekvalitet i hjemmebaserte tjenester – et brukerperspektiv. Full text in Research Archive
• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli & Kirchhoff, Jörg W (2013). Ensomhet blant brukere av hjemmesykepleien. Full text in Research Archive
• Kirchhoff, Jörg W. (2013). Betydningen av nære relasjoner på sykehjem. Full text in Research Archive
• Kirchhoff, Jörg W. (2013). Arbeidsvilkår i hjemmesykepleien. Full text in Research Archive
• Kirchhoff, Jörg W. & Leonardsen, Ann-Chatrin (2013). Employee voice in professional bureaucracies. Full text in Research Archive
• Kirchhoff, Jörg W. (2013). Ansattes motstand mot omorganiseringer i offentlige organisasjoner. Full text in Research Archive
• Kirchhoff, Jörg W. (2012). Fra vedtak til tjeneste – Nødvendig helsehjelp i hjemmebaserte tjenester. Full text in Research Archive
• Kirchhoff, Jörg W. & Karlsson, Jan Christer (2012). Nurse Managers – Nurses or Managers? Full text in Research Archive Show summary

  Nurse Managers – Nurses or Managers? Jörg W. Kirchhoff and Jan Ch. Karlsson In result of reforms, inspired by concepts related to New Public Management (Rasmussen, 2004; Vabø, 2005), public enterprises in Norway were reorganized in order to enhance cost-control and efficiency in their organisations. Furthermore, these reforms were accompanied by a reinforcement of management control over the labour process in public enterprises. Hence, a major concept of New Public management was the introduction of a ‘new man-agement’ in public enterprises. However, the introduction of ‘new management’ in the public sector did not entail the recruiting of a new type of managers to public enterprises. It rather resulted in ‘old’ managers having to respond to and to manage their enterprises in accordance with the ‘new’ requests. Many of these ‘old’ managers were nurse managers, since these reforms encompassed more than thirty per cent of all public health care enterprises in Norway. And, since employees in these enterprises provided services which cost a third of the public budget in a Norwegian municipality, new management was a mean to regain control of constantly increasing health care budgets. The aim of this paper is to analyse and discuss whether the reorganisation of public health care enterprises resulted in any ‘new’ conditions for nurse mangers or not, and to discuss different outcomes in nurse managers’ responses to organisational change. The analysis of nurse managers’ conditions for management and responses to organisational change builds on data from case studies of four Norwegian nurse managers and their management assistants – utilising focus groups and individual interviews to provide data about their work and their understanding of managing public health care enterprises. We found that all nurse managers reported ‘new’ working conditions in result of organisational change, whereas an increased responsibility as manager was pointed out as most important. Hence, all nurse managers had appointed employees to become manager assistants in order to cope with this responsibility, through delegation of managerial tasks. Further, all nurse managers reported that organisational change, in contrast to the former organisational structures, resulted in an increased opportunity to restructure and control employees’ work within their enterprises. However, not all managers used this opportunity, which can be regarded as a result of different outcomes in their interpretation of their role as managers, and thereby in their way of managing the public enterprise. Two types of role interpretation were identified, each emphasising different aspects of being a nurse manager. First, nurse managers shared an understanding of managing public enter-prises as ‘business managers’, emphasising cost and control of employees, a perception that coincide with NPM‘s management concept. Second, at the same time there is a contradictive aspect in that the nurse managers regarded themselves as organisers of professional ser-vices, following professional standards and promoting clients’ needs. The latter view builds on their role as registered nurses and refers to professional norms opposing the NPM concept. In our concluding discussion we provide a theoretical framework of how to explain the exist-ence of contradicting aspects within nurse management, and the mechanisms that result in different outcomes of these aspects.

• Kirchhoff, Jörg W. (2012). Motstand i offentlige organisasjoner. Full text in Research Archive
• Kirchhoff, Jörg W. (2011). Når ordrenekt gjør "råtne jobber" bedre. Full text in Research Archive
• Kirchhoff, Jörg W. (2011). Den brysomme mannen: Om menn i omsorgsyrker. Full text in Research Archive
• Kirchhoff, Jörg W. (2011). Til årets "Sykepleierspirer". 99(11), p. 75–75. Full text in Research Archive
• Gimmestad, Johnny & Kirchhoff, Jörg W. (2011). Sykepleierne er for snille. [Journal]. Aftenposten Søndag. Full text in Research Archive
• Kirchhoff, Jörg W. (2011). Organisational Misbehaviour can make 'Bad Jobs' better. Full text in Research Archive
• Kirchhoff, Jörg W. & Karlsson, Jan Christer (2011). Expansion of output as organisational misbehaviour. Full text in Research Archive
• Kirchhoff, Jörg W. & Karlsson, Jan Christer (2010). The Rationale of Breaking Management Rules. Full text in Research Archive Show summary

  In order to break a rule you follow another rule ? there is no such thing as rule-free rule-breaking. In research on employees? opposition to employers, Ackroyd and Thompson?s (1999) notion of organizational misbehaviour (OMB) ? ?self-conscious rule-breaking? ? has had an important impact in several ways. Most significant is perhaps their insistence that resistance and OMB is in fact a common phenomenon at workplaces; all is not quiet on the workplace front (Thompson & Ackroyd 1995) pace what several researchers had claimed. But the importance of other rules than those emanating from the organization itself has been insufficiently analyzed. The aim of this paper is therefore to describe mechanisms that legitimize organizational misbehavior, i.e. rules guiding the breaking of organizational rules. The identification and analysis of work relations and rules developed within these relations give us a better understanding of organizational behaviour and misbehaviour at the workplace. Deliberately breaking a rule involves that the rule-breaker draws on a rule that he or she thinks overrides the first rule. That is why we simply ask: What rules are active when employees consciously break employer rules? Further, we analyse the social structures ? work relations ? which harbour these mechanisms. The analysis of rules and work relations builds on data from a number of case studies of Norwegian health care workers in home-help service ? nurses, assistant nurses and home aid workers ? utilising participant observation, focus groups and individual interviews to provide data about their work and OMB. Although employees carried out the same types of OMB, the rationale for doing so diverged among them, since different occupations called upon dissimilar types of rules to legitimize their misbehaviour. Three types of rules legitimized the overriding of organisational rules, all based on distinctive work relations among employees, including employees? work relations to clients. Although these work relations established rules that legitimized OMB, all work relations depended on and were related to the formal work relationship between employers and employees. First, there were situational rules based on informal work relations with clients ? situational work relations. Although these rules were established across all occupations in the study, situated rules were most active in long-lasting work relations between employees and clients. Second, there were collective rules, developed in consequence of employees? social position at the workplace, bringing employees together in work teams and thereby establishing collective work relations. Collective rules included rules that modified organizational rules on how to provide service to clients, and rules that legitimized the breaking of administrative rules. Finally, professional rules, as a result of professionals? socialisation through formal education and work relations among professionals at the workplace, provided the last distinct type of rules to legitimize organisational misbehaviour. Altogether, situational, collective and professional rules provide distinct types of legitimacy to OMB and are active at the workplace, although there are differences between employees concerning what type of rules they call upon when breaking organizational rules.

• Kirchhoff, Jörg W. (2009). Norm Systems in Professional Work. Full text in Research Archive Show summary

  The paper, based on an empirical study, presents a theoretical framework of a normative structure in professional work. This normative structure consists of an administrative, a collective and a professional norm system, that are concepts encompassing formal, informal and professional norms. These norm systems are distinctive in their characteristics, but still interrelated, and hierarchically assessed by professionals at work. Although each norm system has an influence on professionals in work-related processes, the relative outcome of each norm system depends on the interrelationship of all systems.

• Kirchhoff, Jörg W. (2013). Fra vedtak til tjeneste - Om utformingen av nødvendig helsehjelp i hjemmebaserte tjenester. Høgskolen i Østfold. ISSN 9788278254059. Full text in Research Archive Show summary

  Denne rapporten retter fokuset på nødvendig helsehjelp og presenterer funn fra en studie der man har studert hvilke faktorer som påvirker omfanget og innholdet i nødvendig helsehjelp i to norske kommuner. Faktorene er knyttet til ulike arbeidsprosesser som omfatter både saksbehandlingen og sykepleiernes utøvelse av nødvendig helsehjelp. Av den grunn er både saksbehandlingen og utøvelsen av helsehjelpen studert ved hjelp av deltakende observasjoner, samt intervjuer av sykepleiere som deltar i de ulike arbeidsprosessene. I tillegg til å studere faktorene knyttet til arbeidsprosessene ønsket studien å gi svar på hvilken betydning brukeren og dens sosiale nettverk har på innholdet i nødvendig helsehjelp. Rapporten konkluderer med at kommunal kontekst, som etableres av politiske aktører, og sykepleierens tjenesteideologi synes å ha størst påvirkningskraft på innholdet og omfanget i nødvendig helsehjelp. Brukeren derimot antas å være den svakeste part og av den grunn avhengig av at andre aktører som er involvert i arbeidsprosessene ivaretar dens interesser. Det konkluderes dessuten med det at det ikke ser ut til å være noen direkte sammenheng mellom uformell omsorg gitt fra brukerens nettverk og formell helsehjelp.

• Kirchhoff, Jörg W. (2010). De skjulte tjenestene - om uønsket atferd i offentlige organisasjoner. Karlstad University Press. ISSN 9789170631801. Full text in Research Archive

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