Fig. 1

Graphic summary of results and inferences. Note: At each of the three organizational levels, upper and lower bullet points represent priorities and beliefs, respectively (left side). Primary communication across organizational levels is illustrated by vertical arrows. Bold arrows indicate dominant processes. Organizational discrepancies in priorities and beliefs result in further discrepancies in perceived work situation for HCWs (middle) and bring along adverse consequences for the organization and the individual worker (right side), treated in separate publications [6, 11]