<p>The group of elderly people in Sweden will increase significantly in the future and science point out that the future elderly people will not accept today’s standards and offers of assistance in today’s public elderly care. Therefore public elderly care stands before a significant challenge in terms of development that has to be sustainable. New research also points out that middle managers can be a great strategic resource, and a founder of success, in the challenge of sustainable development. The aim of the report was to increase the knowledge about what middle managers in public elderly care think sustainable development has to embrace, when it comes to quality and personnel administration, in order to meet the needs of the future elderly people. The aim was also to deepen the knowledge of how formal and informal organizational factors facilitate or limit middle managers possibilities to work with development in general and sustainable development in specific in their units. Interviews, as a qualitative method, were used to gather empirical data and the result was analyzed with theories as Domain theory, New Public Management and Situational leadership. Our findings showed that middle managers have little possibilities to work with sustainable development in their units and that formal factors as budget had a great impact of the middle managers overall possibilities in their work. According to the result it seemed that development and long term planning in this particular organization were tasks mainly for the management and political domain. According to our findings it seemed as if the introduction of New Public Management increased the underlying initial problems of human service organizations. According to Domain theory these problems consists of disjunction, discordance and conflicts due to the differences between the three domains when it comes to principles, success measures, structure and work modes.</p>

Culture, resource, and regulatory concerns are elevating the importance of business expansion inthe contemporary world. Everyone, including service providers, must overcome the obstacles.Change readiness assists individuals and organizations in accepting and embracing obstacles. This study seeks to evaluate the different types of services offered to the elderly as well as the obstacles that arise when attempting to expand them, taking into account the diverse cultural backgrounds of the country's population, the dearth of available resources, and regulatory hurdles. In this research, a qualitative method was undertaken, followed by an exploratory analysis. This thesis investigates the service offerings and problems of eleven Bangladeshi service providers using primary data gathered from semi-structured interview. This also utilizes previous scholarly articles and published data from other academic sources.The study's findings highlight service provider challenges and offer a research paradigm for theservice business, notably elderly care. The results indicate that the majority of aged care services provided by different institutions are identical. Healthcare, along with other services like social and recreational programs, and educational and training courses, are all part of this category. Italso demonstrates that cultural, resource, and regulatory constraints are major roadblocks to this industry's development. Furthermore, research finding shows, currently providers are not ready tomeet the incremental demand and subsequent changes will take place in the near future.This thesis contributes to the literature on business development by examining organizational readiness to change (ORC) and the challenges faced by business. Despite focusing on a singlenation, this research provides a comprehensive evaluation of the importance of organizational change preparedness for service growth. This study suggested a conceptual model that relates institutional care obstacles from the provider's perspective.

Under början av 1990-talet infördes reformer som än idag påverkar svensk äldreomsorg. Dessa reformer föranledde till stora förändringar i den offentliga sektorn, där privatiseringen av offentliga tjänster är en del av resultatet. I nästan tre decennier har resultatet av dessa reformer varit väl omdiskuterade i både politiska sammanhang och samhället, där äldreomsorgen är en av de stora reformerna som diskuteras. Föreliggande studie jämför och analyserar tillförlitlig kvalitet på given vård i äldreomsorgen mellan den offentliga och privata sektorn eftersom den privata sektorn ibland har ett vinstintresse, vilket den offentliga sektorn saknar. Syftet med studien var att jämföra och analysera hur chefer uppfattar möjligheten att ge tillförlitlig kvalitet i verksamheten. Arbetet i den dagliga verksamheten utförs av chefer och medarbetare tillsammans, vilket föranledde att det i studien intervjuades åtta chefer på äldreboenden i Sverige, där fyra chefer från respektive offentlig eller privat given äldrevård utgjorde studiens empiriska material. Intervjufrågorna var konstruerade utifrån studiens analysmodell som bygger på karaktäristiska egenskaper för organisationer med hög tillförlitlighet. Föreliggande studie visar att cheferna i både den offentliga och privata sektorn uppfattar, utifrån de förutsättningar som finns i äldreomsorgen, möjlighet till tillförlitlig kvalitet. Dock visar resultatet av studien att det finns brister i den tillförlitliga kvaliteten. Studiens vetenskapliga bidrag visar på kvaliteten utifrån de förutsättningar som chefer har att ge en tillförlitlig kvalitet i äldreomsorgen. / During the start of the 1990´s reforms were introduced that to this day affect Swedish elderly care. These reforms brought forth large alterations in the public sector where in multiple, previously public services were privatized. In the following three decades have these reforms been regularly discussed in both political contexts and society, where the reforms of the elderly care have been prominent. This study compares and analyze reliable quality of administrated care of elderly between the public and private sectors, because of the private sector´s common profit orientation, which the public sector does not have. The purpose of this study was to compare and analyze how management perceive the opportunity to give reliable quality within the organization. Operational labor is performed by both management and coworkers together which resulted in eight managers within the Swedish elderly care being interviewed wherein four worked in the public sector and private, respectively. These interviews became the empirical basis for the study. The interview questions were constructed using the studies analytical model which is based on characteristic properties within organization with high reliability. The result of this study shows that managers in both the public and private sectors perceive the possibility of reliable quality based on the conditions that exist in elderly care. However, the results of the study show that there are shortcomings in the reliable quality. The study´s scientific contribution indicates the quality based on the conditions that managers have to provide a reliable quality in elderly care.

This study is based on interviews with four managers in public elderly care and four managers in private elderly care. The aim of this paper is to examine how these managers are experiencing their leadership in relation to conflict management, and if the managers leadership differs depending on private or public elderly care. Leadership and conflict management are theories that have been used in order to analyze the empirical findings. Previous research that has been used in the study concerns “leadership/leadership styles”, “conflict management”, “to be active in the private/public elderly care”. Social workers often choose to work as a manager in private and public elderly care. The work as a manager is demanding with pressure from several/different parties and the manager faces new challenges. Conflicts are one challenge that mangers faces, and conflicts can be a sensitive topic. The study deals with the complexity that managers in the private and public elderly care faces, mainly based on the leadership role in conflict management. The results show that the interviewees leadership in this study, for the most part can be linked to the situational leadership style, which means that managers believe that leadership adapts to any situation that arises. They also experienced that the private elderly care has higher demands and that there is a bigger responsibility on the individual manger than it is in the public elderly care. There are many different support functions in the public elderly care that managers have the opportunity to take help from daily, that opportunity does not exist in private elderly care.

The diploma thesis deals with mixed forms of elderly care in the Czech Republic. The aim is to identify the advantages and potential disadvantages of mixed forms of elderly care in connection with informal carers' mental health and social life. There are 2 groups of informal carers distinguished within the research - those, who get professional care help and those, who care alone or get just a little professional care help. Mixed methods design, which combines quantitative and qualitative research, was used to study the world of informal carers. The quantitative part is based on data from a research Podpora neformálních pečovatelů, which were selected by STEM/MARK agency in 2014. Qualitative research is based on 10 in-depth interviews with informal carers. Both pieces of research are integrated in a phase of data analysis by the explanation method. Informal carers' mental health problems and social problems and its intensity in connection to mixed forms of elderly care are formulated in the results. The thesis also presents factors, which influence mental health problems and social problems. The results showed that using professional care help simultaneously with informal elderly care has a positive impact on informal carers' mental health and social life. Nevertheless, the influence of mixed forms...

The objective of this study is to examine the perspectives and preferred actions by managers at elderly care home facilities regarding ethical dilemmas that may emerge when elderly people fall in love. Previous research is mainly focused on ageism and the sex-life of elderly people at care homes. Less attention is paid to their love-life and the view of the managers is often overlooked. Researchers tend to interview and observe the staff, such as nurses and assistant nurses, rather than the managers. In order to provide information to reduce this knowledge gap, this study is based on interviews with managers at elderly care homes in Sweden using the vignette-method.The analysis of this study is based on ethical theory, which is divided into two main orientations called duty-based ethics and consequentialist ethics. Ethical theory is used as a tool for analyzing the data in order to discover which ethical orientation the managers prefer to base their arguments on. The conclusion of this study shows that neither duty-based ethics, nor consequentialist ethics is more often used than the other. The managers motivate their arguments and actions on both ethical orientations without being solely reliant on neither one. Furthermore, the conclusions of this study state that the managers value autonomy and the well-being of the elderly as well as their spouses. However, they all pointed out that ethical dilemmas derived from love in elderly care homes are complex to deal with and more knowledge is needed.

Syfte Denna studie syftar till att bringa mer kunskap kring hur managementkonceptanvänds inom privat äldreomsorg för att hantera de aspekter av sektornsregelmiljö som berör kvalitetsarbete. Teori: Analys och tolkningar vilar på grunderna inom nyinstitutionell teori samt vidaredess skandinaviska inriktning, särskilt vad avser översättning avmanagementkoncept. Vidare tar studien hänsyn till tidigare forskning kringimplementering av Total Quality Management, såväl som konceptetshuvudsakliga egenskaper. Empiri: Kvalitetsbokslut publicerade av Vardaga respektive Attendo tre år i följd, samtSocialstyrelsens föreskrifter och allmänna råd SOSFS 2011: 9 Ledningssystemför systematiskt kvalitetsarbete, utgör undersökningens empiriska material. Slutsats: Regelmiljöns utformning gör tillämpning av Total Quality Managementpraktikerofrånkomligt inom äldreomsorgen. Det är vidare uppseendeväckandehur observerade företag utöver att enbart implementera TQM, även använderretorisk kommunikation som syftar till att legitimera praktikerna, sannolikt förbåde interna och externa ändamål. Vid sidan av TQM-retoriken, uttryckerföretagen även en annan inställning gentemot kvalitet, som snarare betonarvikten av professionell kunskap samt till viss del även problematiserarkvalitetsmätning. Detta indikerar möjlig översättning av kvalitetsbegreppet ochdess innebörd, ej helt osannolikt med syfte att hantera den problematik somframförts av TQM-kritiker. / Purpose: The study aims at bringing about more knowledge regarding the role played by management concepts within private elderly care, in handling the aspect of its regulatory environment concerning quality work. Theory: The analysis and interpretations rest upon the basis of neo institutional theory and furthermore its Scandinavian branch, mainly concerning the issue of translation of management concepts. Further, the study takes into account, previous research on implementation of Total Quality Management as well as main features of the concept. Data: Annual quality reports published by Vardaga and Attendo for three consecutive years were reviewed, as well as the regulations and guidelines SOSFS: 2011: 9 Management system for systematic quality work imposed by The National Board of Health and Welfare. Conclusion: The design of the regulatory environment makes application of Total Quality Management practices inevitable in the elderly care sector. Striking, is however how both companies more than just implementing the TQM, additionally are using rhetoric seeking to legitimize the practices, possibly in order to gain internal and/or external recognition. Alongside TQM rhetoric, the two companies also express a different approach towards quality, emphasising the importance of professional knowledge as well as suggesting quality can be hard to measure accurately. This indicates possible translation of the quality term and its meaning, possibly for solving issues presented by TQM critics.

Statistik visar att det saknas riktlinjer eller strategier inom många av Sveriges kommuner för hantering av ärenden gällande äldre personer med missbruks- eller beroendeproblem. Studier pekar på att det finns ett ökat behov av forskning, kunskap och utbildning för biståndshandläggare och vårdpersonal som arbetar med äldre personer med missbruks- eller beroendeproblem i Sverige. I syfte att belysa detta, genomfördes en enkätundersökning riktad till alla biståndshandläggare inom äldreomsorgen i Jönköpings läns 13 kommuner för att undersöka deras upplevelse av den eventuella bristen och behovet av riktlinjer och stöd samt eventuella skillnader i handläggning av ärenden gällande äldre personer med missbruks- eller beroendeproblem. Denna kvantitativa studie baseras på enkätsvar från 57 biståndshandläggare som deltog i studien. Data har analyserats genom rangkorrelationsanalys och jämförande analys för att undersöka eventuella samband och för att möjliggöra en kartläggning av biståndshandläggarnas upplevelser. Resultatet visar att övervägande delen av respondenterna upplever att det inte finns riktlinjer för hanterande av ärenden gällande äldre personer med missbruks- eller beroendeproblem och att biståndshandläggarna generellt vill ha mer utbildning och kunskap inom området från kommunerna. Resultatet synliggör även att biståndshandläggarna i stort sett hanterar dessa ärenden på ett liknande oavsett bakgrundsfaktorer. / Statistics shows that guidelines or strategies are missing within several municipalities in Sweden concerning handling cases with elderly people with abuse or addiction problem. Research points at an increased need of studies, knowledge and education for social workers and caregivers who’s working with elderly people with abuse or addiction problem in Sweden. In order to illustrate this, a survey was handed out to all the social workers working with elderly people in the 13 municipalities in Jönköping County to examine their experience and possible lack and need of guidelines and support concerning cases with elderly people with abuse or addiction problem. Possible differences were also examined regarding how the social workers handle cases concerning elderly people with abuse or addiction problem. This quantitative research is based on responses from 57 social workers, participating in the survey. Data has been analysed through correlation analysis and comparative analysis to examine possible connections and enable to create a map of the survey.The result shows that the majority of the respondents experience that there are no guidelines regarding how the social workers should handle cases concerning elderly people with abuse or addiction problem and that the social workers in general want more education and knowledge about the subject from the municipalities. The result also reveals that the social workers mostly handle this kind of cases in a similar way regardless of background factors.

Samtidigt som antalet äldre med stora omsorgsbehov ökar, har äldreomsorgen rekryteringsproblem och hög personalomsättning, vilket är en utmaning för samhället. Att uppleva tillfredsställelse i arbetet har visat sig kunna minska personalomsättningen. Uppsatsens syfte är att undersöka hur undersköterskor upplever sitt arbete i äldreomsorgen samt vad som ger tillfredsställelse respektive skapar otillfredsställelse i arbetet. Uppsatsen bygger på kvalitativa intervjuer med undersköterskor (n=6). Resultaten analyserades hermeneutiskt och utifrån Herzbergs tvåfaktorsteori samt Antonovskys teori om KASAM. Undersköterskorna i vår studie upplevde sig generellt tillfredsställda med sitt arbete. Resultatet visar att en viktig faktor som gav förutsättningar till arbetstillfredsställelse var goda mellanmänskliga relationer. Otillfredsställelse i arbetet skapades framförallt av bristande tid att utföra arbetsuppgifter på ett tillfredställande sätt. Vi argumenterar för att vårt resultat kan ge en vägledning till vad som ger tillfredställelse respektive skapar otillfredsställelse för undersköterskor i äldreomsorgen och därigenom bidra med kunskap till äldreomsorgen. / The number of older people with major care-needs increase, at the same time as elder care has problems with recruitment and high staff turnover. This is a challenge for society. Satisfaction at work has been shown to reduce staff turnover. The purpose of this study is to examine how nurse assistants perceive their work in elder care, and what creates satisfaction and dissatisfaction at work. The results, based on interviews with nurse assistants (n=6) analyzed hermeneutically using Herzberg’s two-factor theory and Antonovsky’s sense of coherence theory showed that most nurse assistants felt generally satisfied with their work. The result shows that an important factor giving the conditions for work satisfaction was good human interpersonal relationships. Dissatisfaction at work was mainly due to the lack of time to fulfill work tasks to a satisfactory level. We argue that our results can provide guidance to reasons for satisfaction and dissatisfaction for nurse assistants in elderly care and contribute to important knowledge to elder care.

Syftet med denna uppsats var att genom ett salutogent perspektiv få en ökad förståelse för, inom äldreomsorgen verksamma, biståndshandläggares arbetssituation samt att undersöka vad som kan bidra till att biståndshandläggares arbetssituation upplevs som lättare och mindre påfrestande. Metoden som använts är kvalitativa intervjuer där sex biståndshandläggare verksamma i Värmland har intervjuats. Intervjuerna analyserades genom teman ur KASAM och resulterade i kategorier under varje tema. Under temat begriplighet framkom att biståndshandläggare får stöd från sina kollegor men att de också önskar att det fanns mer resurser för handledning. Biståndshandläggare utför mer än vad som ingår i arbetsbeskrivningen. Under temat hanterbarhet framgår att hög arbetsbelastning hanteras genom att biståndshandläggarna måste planera, strukturera och prioritera. Kollegornas stöd gör arbetet lättare att hantera då de genom att prata med varandra bearbetar känslomässigt påfrestande delar av arbetet. De uttryckte olika behov av att reflektera över sitt arbete. Biståndshandläggare har en stor frihet att planera sin egen arbetsdag och de samverkar med andra professioner. Under temat meningsfullhet framgår att biståndshandläggare finner mening i att göra skillnad för den enskilde. Vårt resultat visar att biståndshandläggarna är utsatta för stress i sitt arbete och att de också har förmåga att möta stressen, men förmågan att möta stressen minskar när arbetsbelastningen blir för hög. / The purpose of this paper was to, by using a salutogenic perspective, achieve a better understanding of eldercare, care managers’ work situation and to explore which factors contribute to the administrator's job situation being experienced as easier and less stressful. The method used were qualitative interviews where six care managers active in Värmland were interviewed. The interviews were analyzed by themes from the Sence Of Coherense and led to categories under each theme. Under the theme comprehensibility was found that care managers receive support from their colleagues but they wish for more resources for professional guidance counselling. Care managers perform more duties than what is included in their job description. Under the theme manageability it shows how administrators have to manage their, high workloads by planning, structurizing and prioritizing. The work is easier to handle when they recieve support from colleagues by talking to each other about strenuous parts of the work. They expressed different needs to reflect on their work. Care managers have a freedom to plan their own and they do collaborate and interact with other professionals. Under the theme meaningfulness the results show that care managers find meaning when they make a difference for their clients. Our results show that care managers are exposed to stress in their work and that they have their own resources cope with. The ability to handle stress is reduced when they feel that the work load is too high.