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Working with trauma. An Exploration of organisational culture in a regional trauma network, in Northern Ireland Paige Quirke (24170055) PUREID: 649253988 Organisational Culture Reflexive Thematic Analysis Northern Ireland Healthcare Extended Literature Review<br>The term organisational culture has been increasingly visible in health services literature for several years. However, researching organisational culture within healthcare appears to be a challenge. This scoping review explored the research question: How are intangible dimensions of organisational culture investigated and conceptualised within research investigating healthcare teams directly involved in patient care? Thematic Synthesis was used to interpret the intangible themes in organisational culture, identified as ‘Psychological safety’, ‘Open Communication’, and ‘Power’. Findings indicate an absence of research exploring intangible dimensions of organisational culture, and there is significant overlap in the intangible dimensions that have been explored. Further research is needed to investigate and understand the intangible dimensions of organisational culture.<br><br>Large Scale Research Project<br>The population of Northern Ireland has a history of socio-political conflict, and trauma services may be uniquely impacted due to the dual personal and professional exposure to trauma. This research explores the organisational culture of a trauma service in Northern Ireland, investigating ‘What are the tangible and intangible elements of organisational culture of the Regional Trauma Network?’ Reflexive Thematic Analysis was used to analyse semi-structured interviews with 10 MDT staff members. Theme one: ‘Vision vs Reality’ with two sub-themes: ‘Vision of Excellence’ and ‘Absent Strategic Direction’. Theme two: ‘Together We Stand’ with two sub-themes: ‘Psychological safety’ and ‘You’re more than just a number’. Theme three: ‘Them and Us’ with three sub-themes: ‘Mirroring the Historical Context’, ‘Fragmented Services’ and ‘Fear of Consequences’. Findings suggest the organisational culture of the Regional Trauma Network is significantly impacted by the socio-political conflict of Northern Ireland. The cohesion and collaboration within the HSC Trust teams may help to inform regional service development going forward.<br><br><i>Thesis is embargoed until 31 December 2027.</i> 2026-10-01T16:22:28Z Text Thesis 10.17034/32641542.v1 https://figshare.com/articles/thesis/Working_with_trauma_An_Exploration_of_organisational_culture_in_a_regional_trauma_network_in_Northern_Ireland/32641542 All Rights Reserved Open Access after 2027-12-31