Problem: Då omvärlden är under ständig förändring behöver organisationer anpassa sig med nya strategier, mål och styrningsmetoder för att överleva. FranklinCovey har nyligen tagit fram ett, enligt dem, nytt och revolutionerande styrningsverktyg som kommer styra team och organisationer framåt. Kan detta vara nästa stora teori inom ekonomistyrning? Syfte: Uppsatsen syfte är att kritiskt och empiriskt redogöra för samt analysera ”The 4 Disciplines of Execution” som styrningsverktyg i organisationer. Vidare ämnar studien undersöka om metoden är ett värdeskapande instrument eller enbart ett likvärdigt substitut till existerande och mer etablerade styrningsteorier. Metod: Studien är en kvalitativ enfallsstudie av deskriptiv och explorativ karaktär. Undersökningen har präglats av en induktiv ansats där semi-strukturerade intervjuer på Atea AB stått till grund för studiens resultat. Vidare analyserades resultatet med hjälp av Otleys ramverk för utvärdering av management control systems. Resultat: Studien visar att ”The 4 Discplines of Execution inte är något revolutionerande men likväl ett värdefullt komplement till ekonomistyrning. Då verktyget fokuserar på förändringsprocessen i beteendet hos medarbetare och involverar hela organisationen från företagsledning till individnivå, är det användbart i dagens miljö som ständigt förändras.

This study investigated the performance of health workers in the decentralised services in Uganda in order to develop a management framework that may be used to improve performance. The study followed a mixed research methodology and was descriptive. The survey design was used to collect quantitative data by means of a structured questionnaire. Qualitative data was collected using a semi-structured interview guide. The study population for the quantitative strand comprised 276 health workers including doctors, clinical officers, and professional nurses working in four districts: Kumi, Mbale, Sironko and Tororo. The health workers were selected using stratified random sampling. The population for qualitative strand was health services managers (N=21) from the same districts. The managers were selected purposively. Quantitative data was analysed using SPSS version 18.0, while qualitative data was coded and analysed manually. The findings revealed that the performance of health workers is generally affected by health systems and work environment related factors. The findings indicated that health workers are skilled, competent, and generally have positive attitudes and behaviours towards their clients. The study uncovered loop holes in performance management in the district health sectors. In most cases there is no target setting, no performance management planning, performance indicators are not clearly defined, and the schedules for performance measurement are not always followed. There is limited career progression and lack of functional performance feedback and rewarding mechanisms. Although health workers are committed, there is widespread political interference and nepotism in the district health sector management. Overall, the researcher is optimistic that if the proposed performance management framework is implemented, the performance of health workers might improve. / Health Studies / D. Litt. et Phil. (Health Studies)

This study investigated the performance of health workers in the decentralised services in Uganda in order to develop a management framework that may be used to improve performance. The study followed a mixed research methodology and was descriptive. The survey design was used to collect quantitative data by means of a structured questionnaire. Qualitative data was collected using a semi-structured interview guide. The study population for the quantitative strand comprised 276 health workers including doctors, clinical officers, and professional nurses working in four districts: Kumi, Mbale, Sironko and Tororo. The health workers were selected using stratified random sampling. The population for qualitative strand was health services managers (N=21) from the same districts. The managers were selected purposively. Quantitative data was analysed using SPSS version 18.0, while qualitative data was coded and analysed manually. The findings revealed that the performance of health workers is generally affected by health systems and work environment related factors. The findings indicated that health workers are skilled, competent, and generally have positive attitudes and behaviours towards their clients. The study uncovered loop holes in performance management in the district health sectors. In most cases there is no target setting, no performance management planning, performance indicators are not clearly defined, and the schedules for performance measurement are not always followed. There is limited career progression and lack of functional performance feedback and rewarding mechanisms. Although health workers are committed, there is widespread political interference and nepotism in the district health sector management. Overall, the researcher is optimistic that if the proposed performance management framework is implemented, the performance of health workers might improve. / Health Studies / D. Litt. et Phil. (Health Studies)