Syftet med denna studie är att undersöka LSS-handläggares upplevelser och erfarenheter av utredning och bedömning av rätten till personlig assistans för vuxna med funktionsnedsättning i Sverige. Genomförandet av studien är en semistrukturerad intervjumetod tillsammans med två vinjetter. Studiens resultat baseras på semistrukturerade intervjuer med sex kommunala LSS-handläggare. I studien är de teoretiska utgångspunkterna från ett organisationsteoretiskt perspektiv där vi analyserat vårt material utifrån begreppen handlingsutrymme och gräsrotsbyråkrati.   Resultatet av vår studie visar att LSS-handläggare upplever sitt handlingsutrymme vid bedömning och utredning av rätten till personlig assistans i Sverige som skiftande. Beroende på vilken situation handläggarna är i så har de i vissa situationer möjlighet att vidga sitt handlingsutrymme medan de i andra situationer upplever handlingsutrymmet som begränsat. De situationer där handläggarna har möjlighet att vidga sitt handlingsutrymme är exempelvis i bedömningar där det uppstår ett gränsfall om den enskilde har rätt till personlig assistans. Handläggarna påpekar att de i sådana situationer kan skapa möjligheter i beslutet till både bifall och avslag. Någonting som också påverkar att handlingsutrymmet kan vidgas är handläggarnas tillgång till bra handledning på arbetsplatsen. Det som stramar åt LSS-handläggarnas handlingsutrymme vid bedömning och utredning av personlig assistans är exempelvis att LSS-lagstiftningen ofta upplevs som fyrkantig. Tillgång till praxis påverkar även vidden av handlingsutrymmet då handläggarna inte anser att de kan ta rättssäkra beslut när praxis är otillräckliga. LSS-handläggarnas upplevda dilemman skapas när handlingsutrymmet upplevs som litet och de hamnar i situationer som försvårar deras beslut. / The purpose of this study is to examine LSS-officers' experiences of investigation and assessment of the right to personal assistance for adults with disabilities in Sweden. The implementation of the study is a semi-structured interview along with two vignettes. The results of the study are based on semi-structured interviews with six municipal LSS-officers. The theoretical framework of the study is from an organizational theory perspective where we analyzed our material using the concepts of discretion and street-level bureaucracy. The results of our study show that LSS-officers experience their discretion in the assessment and investigation of the right to personal assistance in Sweden as variable. Depending on the situation, LSS-officers have the opportunity to expand their discretion in some cases, while in other cases they find their discretion limited. Situations where the LSS-officers can expand their discretion arise, for example, in assessments where there is uncertainty about whether the individual has the right to personal assistance. In such cases, LSS-officers note that they can create possibilities in the decision for both approval and rejection. Access to good mentoring at the workplace also affects the ability to expand their discretion. Factors that limit LSS-officers discretion in the assessment and investigation of personal assistance include the perception that the LSS-law is often rigid. Access to case law also affects the extent of discretion, as LSS-officers do not believe they can make legally correct decisions when case law is insufficient. The dilemmas faced by LSS-officers arise when they perceive their discretion as limited and encounter situations that complicate their decision-making.

The tone of this dissertation is in the first person as allowed by the lens of constructivism used in it. Being constantly self-reflective, the author takes the reader through his personal journey to be a therapist, and the ethical dimensions encountered in the process, to indicate that one cannot do therapy \\'ithout considering ethics in the fusion of the professional and personal selves of the therapist.- What is lost in the delineated field of observation is hoped to be gained, in the richness of its personal material. Not aiming at drawing any generalisable arguments, the purpose of the dissertation is to provoke a dialogue about our ethical conduct with clients, indicating that our therapeutic conduct is enriched by constantly involving ourselves in the ethical dilemmas that emerge in the therapeutic process. / Psychology / M.A. (Clinical Psychology)

Le but de la recherche est d’étudier les tensions éthiques que peuvent vivre les médecins militaires, qui doivent agir à la fois comme soignants, militaires (même s’ils sont non combattants) et parfois comme acteurs humanitaires. Parmi la littérature sur l’éthique de la médecine militaire, les dilemmes la concernant sont souvent présentés comme le fruit de pressions réelles ou perçues provenant de l’institution militaire, des règles, codes, lois ou de politiques, ceci afin de détourner le médecin de son but premier, soit l’intérêt du patient. Pour mieux comprendre les défis éthiques auxquels sont confrontés les médecins militaires canadiens et comment ceux-ci les traitent, la recherche utilise une approche de bioéthique empirique. À partir d’une analyse de la littérature, nous examinons les dilemmes éthiques des médecins militaires, le concept de profession, ainsi que les codes d’éthique (médicaux et militaires) canadiens. L’expérience éthique est ensuite explorée à partir d’entrevues semi-directives effectuées auprès de quatorze médecins militaires ayant participé à des missions opérationnelles, notamment à Kandahar en Afghanistan, entre 2006 et 2010. Les résultats, tant conceptuels qu’empiriques, nous indiquent que plusieurs nuances s’imposent. Tout d’abord, les médecins militaires canadiens ne vivent pas les dilemmes tels qu’ils sont présentés dans la littérature, ni en nombre ni en fréquence. Ils sont conscients qu’ils doivent à la fois tenir compte de l’intérêt du patient et du bien commun, mais n’en ressentent pas pour autant un sentiment de double loyauté professionnelle. De plus, ils ont l’impression de partager l’objectif de la mission qui est de maintenir la force de combat. Des distinctions s’imposent aussi entre les médecins eux-mêmes, dans la conception qu’ils se font de leur profession, ainsi que dans les contextes (opération ou garnison), selon le type de travail qu’ils exercent (généraliste ou spécialiste). Les principaux défis éthiques rapportés portent sur les inégalités de soins entre les soldats de la coalition et les victimes locales (soldats et civils), ainsi que sur le manque de ressources, engendrant des décisions cliniques éprouvantes. Un résultat étonnant des entrevues est la présence de deux groupes distincts au plan de l’identification professionnelle. Huit médecins militaires se considèrent avant tout comme médecin, alors que les six autres ne sont pas arrivés à accorder une priorité à l’une ou l’autre des professions. Ces deux groupes se différencient également sur d’autres plans, comme le nombre et le type de défis éthiques identifiés, ainsi que les mécanismes de résolution des dilemmes utilisés. Malgré les formations éthiques offertes par l’institution, des lacunes subsistent dans la capacité d’identification des expériences éthiques et des valeurs impliquées, de même que des mécanismes de résolution utilisés. Compte tenu du faible échantillonnage, ces résultats sont difficilement généralisables. Néanmoins, ils peuvent nous inspirer au niveau théorique en faisant ressortir le caractère multidimensionnel de la médecine militaire, ainsi qu’au niveau pratique en nous permettant de suggérer des éléments de formation facilitant la réflexion éthique des médecins militaires. / The aim of this project is to study the ethical tensions that can be experienced by military physicians who must be, at the same time, healers, soldiers (even if they are non-combatants) and sometimes humanitarian actors. In the literature on the ethics of military medicine, potential ethical dilemmas are often presented as the result of pressures, real or perceived, from the military institution, rules, codes, laws or policies that divert physicians from their primary goal, i.e., the interest of the patient. To better understand the ethical challenges faced by Canadian military physicians and how these are dealt with, this project uses an empirical bioethics approach. Based on a literature review, I examine the ethical dilemmas of military physicians, the concept of profession, and Canadian codes of ethics (medical and military). The ethical experience is then explored through semi-structured interviews with 14 military physicians who participated in operational missions, particularly in Kandahar, Afghanistan between 2006 and 2010. Both the conceptual and empirical results indicate that nuance is required. First, Canadian military physicians do not experience dilemmas as presented in the literature, in number or in frequency. They are aware that they must take into account both the patient’s interest and the common good but do not experience this as a sense of dual professional loyalty. In addition, they feel that they share the mission objective, which is to maintain the fighting force. Distinctions are also needed between physicians themselves, in the conception they have of their profession, and in the context (training or garrison) and the type of work they do (general practitioner or specialist). The main dilemmas reported concern inequalities in the provision of care between coalition soldiers and locals (soldiers and civilians) as well as the lack of resources that generate challenging clinical decisions. A surprising result of the interviews is the presence of two distinct groups in terms of professional identity. Eight military physicians saw themselves primarily as physicians, while the other six did not give priority to one or the other professions (military or medicine). These two groups differ in other dimensions, such as the number and type of identified ethical challenges and dilemma resolution mechanisms. Despite the ethical training courses offered by the military institution, gaps persist in the ability to identify ethical experiences, the values involved and the appropriate resolution mechanisms. Given the small sample size, these results are difficult to generalize. Nevertheless, these findings provide theoretical insights, highlighting the multidimensional nature of military medicine, and practical considerations, by enabling the identification of aspects to improve training and so facilitate ethical reflection on the part of military physicians.

This thesis deals with the risks in residential social services. In particular, it focuses on the attitudes of residential care workers to hazardous situations First, attention is paid to attitudes and dilemmas of social workers, trends in the current definition of mental disability, self-perception of risk in the lives of people with intellectual disabilities, residency services and documentation of risks, the methods used in the work with risk. In the research section are presented and discussed results of a survey in the Czech Republic, which was attended by 40 people from five social service facilities (particularly in the Central Czech Republic). Respondents facility had the opportunity not only to respond to the items, but also to express its attitude on the issue. On the basis of this survey are designed to further methodological procedures for research in this area, and use the work in special education practice. Keywords: intellectual/learning disability, work with risk, residential care, documentation, work with risk attitudes and dilemmas workers

Since 2006 Swedish compulsory school teachers are required to use individual developmentplans (IDPs) as part of their assessment practices. The IDP has developed through two major reforms and is currently about to undergo a third in which requirements for documentation are to be reduced. The original purpose of IDP was formative: a document containing targets and strategies for the student's future learning was to be drawn up at the parent-pupil-teacher meetingeach semester. The 2008 reform added requirements for written summative assessments/grade-like symbols to be used in the plan. This thesis aims to generate knowledge of the IDP as a tool in terms of what characterizes IDP documents as well as teachers' descriptions of continuous IDP work. It contains four articles. The first two are based on 379 collected IDP documents from all stages of compulsoryschool, and the last two build on interviews with 15 teachers. Throughout, qualitative content analysis has been used for processing data. The analytical framework comprises Latour's conceptual pair inscription – translation, Wartofsky's notions of primary/secondary/tertiary artifacts, and Wertsch's distinction between mastery and appropriation, which together provide an overall framework for understanding how the IDP becomes a contextually shaped tool that mediates teachers' actions in practice. Moreover, the activity theoretical concept of contradictionis used to understand and discuss dilemmas teachers experience in relation to IDP. In article 1, targets and strategies for future learning given to students are investigated and discussed in relation to definitions of formative assessment. Concepts were derived from the data and used for creating a typology of target and strategy types related either to being aspects (students' behavior/attitudes/personalities) or to subject matter learning. In article 2, the distribution of being and learning targets to boys and girls, respectively, is investigated. The results point to a significant gendered difference in the distribution of being targets. Possible reasons for the gendered distribution are discussed from a doing-gender perspective, and the proportion of being targets in IDPs is discussed from an assessment validity point of view. In article 3, teachers' continuous work with IDPs is explored, and it is suggested that IDP work develops in relation to perceived purposes and the contextual conditions framing teachers' work. Three qualitatively different ways of perceiving and working with IDP are described in a typology. Article 4 elaborates on dilemmas that teachers experience in relation to IDP, concerning time, communication, and assessment. A tentative categorization of dilemma management strategies is also presented. Results are synthesized in the final part of the thesis, where the ways in which documents are written and IDP work is carried out are discussed as being shaped in the intersection between rules and guidelines at national, municipal and local school level, and companies creating solutions for IDP documentation. Various purposes are to be achieved with the help of the IDP, which makes it a potential field of tension that is not always easy for teachers to navigate. Several IDP-related difficulties, but also opportunities and affordances, are visualized in the studies of this thesis. / <p>Svensk sammanfattning: s. 111-126.</p>

Le supply chain management fait l'objet d'une attention particulière de la part des entreprises et des chercheurs notamment en sciences de gestion. Il s'articule autour de la mutualisation de ressources et des compétences de chaque membre de la supply chain et la synergie qui subsiste entre eux afin de créer collectivement une valeur supérieure à la somme des valeurs créées séparément par chacun. Cette alliance, qui nécessite la coopération collective dans la création et le partage équitable de la valeur, est caractérisée par des comportements opportunistes qui entraînent des défaillances comme l'effet Bullwhip. Ainsi, notre objectif est d'analyser ces comportements afin de comprendre leur dynamique au sein de la supply chain. A cet égard, nous nous appuyons sur la perspective des dilemmes sociaux pour proposer deux mécanismes : un mécanisme motivationnel (partage de l'identité de la supply chain) et un mécanisme structurel (investissement dans les ressources relationnelles) pour à la fois réduire et décourager l'opportunisme. Afin d'appuyer notre raisonnement, ces mécanismes sont articulés pour créer un capital social qui, en facilitant le supply chain management, permet d'améliorer la performance de la supply chain. Cela a donné lieu à la conception d'un modèle intégrateur de la dynamique sociale de la supply chain. Celui-ci a été validé auprès d'un échantillon de 130 répondants (Responsables supply chain, directeurs logistiques, etc.). Les données collectées ont été analysées tout d'abord par une analyse univariée, suivie d'une analyse en composantes principales afin d'épurer nos échelle de mesure. En second lieu, nous avons fait appel aux modèles d'équations structurelles PLS-PM (régressions aux moindres carrées partiels), pour estimer d'une part, la validité convergente ainsi que la validité discriminante des échelles de mesures, et d'autre part, valider nos hypothèses de recherche relatives aux antécédents et aux conséquences du capital social de la supply chain. Les résultats d'analyse nous ont permis de valider toutes les hypothèses selon lesquelles les deux mécanismes de résolution du dilemme social permettent de développer un capital social au sein de la supply chain qui, en agissant comme un lubrificateur des relations inter-organisationnelle, permet d'améliorer la performance de la supply chain. / Supply chain management is subject of particular interest to professionals and researchers especially in management science. It revolves around the sharing of resources and expertise between supply chain members, and the synergy that exists between them to collectively create value that is more than the sum of the values created separately by each member. This alliance, which requires collective cooperation in the creation and the equitable sharing of the value, is characterized by opportunistic behaviors that lead to failure, as illustrated by the Bullwhip effect. Thus, our objective is to analyze these behaviors in an attempt to understand their dynamics within the supply chain. In this regard, we rely on the perspective of social dilemmas to propose two mechanisms: a motivational mechanism (sharing the identity of the supply chain) and a structural mechanism (investment in relational resources) to discourage and reduce opportunism. To support our reasoning, these mechanisms are articulated to create social capital, facilitating supply chain management, in turn improving supply chain performance. This leads to the design of an integrative model of supply chain social dynamics. This was validated with a sample of 130 respondents (supply chain heads, logistics managers, etc.). The collected data were analyzed first by univariate analysis followed by principal component analysis to refine our scale. Second, we used PLS-PM (partial least squares regression) structural equation models to estimate, on one hand, the convergent and the discriminant validity of the measurement scales validity, and on the other hand, validate our research hypotheses on the antecedents and the consequences of social capital in the supply chain. The results of these analyses have allowed us to validate all the assumptions that the two mechanisms for resolving social dilemma help develop social capital within the supply chain, and act to lubricate inter-organizational relations, allowing improved supply chain performance.

The diploma thesis deals with analysis of individual dilemmas of social workers in providing services in low-threshold facilities for children and youth. The aim of this thesis is to define and reflect individual dilemmas occurring at social workers who with youth at risk in low-threshold facilities for children and youth. Next task is to analyse my chosen dilemma by means of three ethical theories. Individual dilemmas were identified on the basis of a research probe namely questioning, technique of a semi-structures interview. The thesis is divided into four chapters. In the first chapter there is the characteristic of youth at risk and low-threshold facilities for children and youth. Social work with this specific target group is also included. The second chapter deals with interconnection of ethics and social work and general ethical dilemmas. In the third chapter specific dilemmas which social workers face on low-threshold facilities device for children and youth are described. In the last chapter of this diploma thesis is the analysis of the chosen dilemma by means of three ethical theories deontology, utilitarianism and ethics of care.

The diploma thesis deals with the elucidation of the importance of ethics in social work. It focuses on important theoretical knowledge in the field of ethics and ethical concepts and its aim is to point out the possibilities of using ethical values, theories or virtues in professional practice. The work is focused on the presentation of important ethical concepts and ethical values, the contemporary form of social work, the personality of the social worker, the level and importance of education, and various examples of possible ethical problems or ethical dilemmas that can occur in the practice of social work. This thesis is based on the assumption that current social work is in a crisis and its setting requires change.

The tone of this dissertation is in the first person as allowed by the lens of constructivism used in it. Being constantly self-reflective, the author takes the reader through his personal journey to be a therapist, and the ethical dimensions encountered in the process, to indicate that one cannot do therapy \\'ithout considering ethics in the fusion of the professional and personal selves of the therapist.- What is lost in the delineated field of observation is hoped to be gained, in the richness of its personal material. Not aiming at drawing any generalisable arguments, the purpose of the dissertation is to provoke a dialogue about our ethical conduct with clients, indicating that our therapeutic conduct is enriched by constantly involving ourselves in the ethical dilemmas that emerge in the therapeutic process. / Psychology / M.A. (Clinical Psychology)

Ethics was identified by the Ethiopian government as one of the areas requiring attention and was made an integral part of the ongoing Civil Service Reform Program since 1996. Despite the reform efforts that have been going on for about two decades, no rigorous academic and empirical research has been conducted to understand the nature and depth of the problems. Moreover, the theoretical discourses in the general literature and the national efforts made by the government and its development partners also emphasize on the structural and procedural issues of ethics, giving little focus to the behavioural components or dimensions of ethics of civil servants. The purpose of this study was to investigate and critically analyse the nature and dynamics of work ethics in the Ethiopian civil service; and to assess the ethical environment within which the public sector operates in the country. Mixed research method was applied. Questionnaires were used to collect primary quantitative data from two groups of research participants – civil servants and the service users; whereas primary qualitative data were collected employing in-depth interviews from managers and key experts in the field. Data from secondary sources were also used. The quantitative data were analysed using descriptive analysis. The qualitative ones were analysed using the qualitative data analysis technique with the emphasis on the phenomenological approach. The study showed that there is clearly growing awareness of ethical challenges within the civil service, though a fundamental change in the ethical conduct of the employees is not yet realized. It is also found out that there is no problem of legislation and policy frameworks; rather the problem lies in the weak implementation and enforcement of them. Leadership behaviour, absence of strong institutions, poor accountability system, poor remuneration and politicization of the civil service were identified as the biggest challenges to foster ethical conduct. Accordingly, it is suggested that the government play a key role in addressing the problems that hamper the effective implementation of the reform efforts. Other stakeholders such as the civic society organizations, religious institutions, the private sector, schools and the general public should also work closely with the government. Ensuring ethical conduct requires synergy of all actors, ranging from ordinary citizens to high-level decision-making bodies. / Business Management / D.B.L.