Sammanfattning
The recognition and assessment of organizational social context (culture, climate and morale) is
particularly valuable in primary health care. Both culture and climate have been shown to be
associated with work morale and to predict job satisfaction, organizational commitment and voluntary
turnover of employees in nursing. This study aims to describe the social contexts of primary health
care centers from the viewpoint of health care professionals. A descriptive study using an
organizational social context instrument for data collection was undertaken. From 29 teams in 18
public primary care centers of one Lithuanian county, 344 health care professionals participated. The
results of the study show that different organizational cultures, climates and levels of morale existed
in primary health care centers, at both team and organizational levels. The differences between
teams were significant in terms of culture rigidity and resistance. Climate differences were found at
both team and organization levels in regard to stress and functionality. A variance of about 7% in
work morale was seen in teams and organizations. Managers should recognize the different kinds of
social contexts in which teams work, in order to enable them to co-work efficiently in evidence-based
primary care settings.