This process included eliminating repetitive value themes (e.g. caring and care for others), dividing the remaining into eight conceptual

groups, and recording them in the codebook. Following this the whole group met to refine the coding and added two more conceptual categories. This process resulted in a more fine-grained set of categories (e.g. unselfishness/ self, caring/care for others, and diligence) subsumed under larger conceptual themes (e.g. valuing patients’ well-being). Consistent with the narrative analysis framework, special attention was paid to different narrative elements in order to understand the meanings embedded in each.20,21 These elements were Inhibitors,research,lifescience,medical derived by asking: 1) What was the core value mentioned in each WLN? (Since many WLNs included multiple values a coding decision was made to include only the most salient value in each WLN.) 2) Who were the main characters (e.g. self, patient,

organization)? 3) How were the main characters positioned (i.e. employees connected to patient or organization)? Inhibitors,research,lifescience,medical RESULTS The WLNs were filled with complex and often competing values. Analysis of the value-affirming and value-challenging WLNs was conducted separately to identify specific values that were significant in each type. We illustrate the main values with representative examples. The final coding included 10 broad values, each containing between 1 and 16 subcategories (Table 3). Table 3 Themes and categories Inhibitors,research,lifescience,medical identified in appreciative and challenging narratives. Value-Affirming WLN Analysis The main Inhibitors,research,lifescience,medical characteristics that were mentioned in the 169 value-affirming WLNs involved the narrator (i.e. self) and the patient and/or patient’s family (80 WLNs), or self and/or patient with the team (61 WLNs), followed by self and the Imatinib CAS organization (21 WLNs). The remaining seven WLNs were about the self/family or team and the supervisor or physician. The core values most frequently mentioned were: Going above and beyond (being of Imatinib Mesylate IC50 service, creativity and flexibility, getting Inhibitors,research,lifescience,medical things done, and advocating for patients) (24.2%) Valuing patients’ well-being (caring, generosity, and facilitating relationships) (20.7%)

AV-951 Helping and healing (creating a connection with others and helpfulness) (20.1%) Feeling part of the organization and team (belonging, teamwork, and teaching others) (17.2%) All others (gratitude and appreciation, believing in a higher power, expressing passion emotion, doing the right thing, treating others with respect, and growing and developing) (17.8%) Going Above and Beyond Going above and beyond focused on personal commitment and enthusiasm, with passionate interest and eagerness to do things to help the patient or family, more than expected. This included sensitivity and awareness of others’ motives and feelings, focusing and understanding the other person’s point of view, and being of service. Within this theme employees were creative in finding ways to help patients.