<p>The possibility to be able to better manage the Swedish public health care has been a focus from way back to the middle of the 20th century. This study focuses on a middle managerial position called Base-unit Executive Officer, which we feel is of great influence to the public health care. Because of the changes to the public health care organisations over a long period of time we find it important and interesting to research a managerial role in the midst of these changes. By going through information containing opinions, attitudes, and other information from employees within a CCDO we will try to enlighten what we feel are informational currents of opinions surrounding the notion of competence, leadership and management. The purpose of our study is to be able to help create an environment of open reflections and new ideas of what sort of competencies are required for the manager role.</p><p>The study is defined by our research problem which give use the following question:</p><p>What room is there for a broader comprehension of what kinds of competencies are desirable and useable in the role as a Base-unit Executive Officer?</p><p>To be able to interpret the primary data of the study a theoretic framework was created in the purpose to function as a tool for continuation of the study. The study was done with the use of hermeneutical paradigm together with a compromise between deductive and inductive approach.</p><p>The primary data of the study was collected with a qualitative method through semi-structured interviews with six employees of whom three were Base-unit Executive Officers. The reason for the use of a qualitative method was that it gives us conditions to gather the opinions, thoughts, values etc. of the respondents.</p><p>By merging the tools of our theoretic framework and the collected data we were able to establish an analysis. We concluded that the analysis consisted of both congruence and discrepancy related to our theoretical framework. The discrepancy showed that there exist a room for a broader comprehension of what kinds of competencies are desirable and useable in the role as a Base-unit Executive Officer. There is room to develop the comprehension of competence in areas such as management and leadership as defined by our theoretical framework.</p><p>Because of our path between deductive and inductive approach the reader should carefully evaluate the truth criteria in the study. Validation in the inductive sense is a tough task for a short and small study such as this one. We do however believe that give our preconditions have reached an acceptable level in the truth criteria. When taken into practical application we have hope that our initial thoughts of enlightment will enable a positive development of the managerial role of the Base-unit Executive Officers.</p>

The possibility to be able to better manage the Swedish public health care has been a focus from way back to the middle of the 20th century. This study focuses on a middle managerial position called Base-unit Executive Officer, which we feel is of great influence to the public health care. Because of the changes to the public health care organisations over a long period of time we find it important and interesting to research a managerial role in the midst of these changes. By going through information containing opinions, attitudes, and other information from employees within a CCDO we will try to enlighten what we feel are informational currents of opinions surrounding the notion of competence, leadership and management. The purpose of our study is to be able to help create an environment of open reflections and new ideas of what sort of competencies are required for the manager role. The study is defined by our research problem which give use the following question: What room is there for a broader comprehension of what kinds of competencies are desirable and useable in the role as a Base-unit Executive Officer? To be able to interpret the primary data of the study a theoretic framework was created in the purpose to function as a tool for continuation of the study. The study was done with the use of hermeneutical paradigm together with a compromise between deductive and inductive approach. The primary data of the study was collected with a qualitative method through semi-structured interviews with six employees of whom three were Base-unit Executive Officers. The reason for the use of a qualitative method was that it gives us conditions to gather the opinions, thoughts, values etc. of the respondents. By merging the tools of our theoretic framework and the collected data we were able to establish an analysis. We concluded that the analysis consisted of both congruence and discrepancy related to our theoretical framework. The discrepancy showed that there exist a room for a broader comprehension of what kinds of competencies are desirable and useable in the role as a Base-unit Executive Officer. There is room to develop the comprehension of competence in areas such as management and leadership as defined by our theoretical framework. Because of our path between deductive and inductive approach the reader should carefully evaluate the truth criteria in the study. Validation in the inductive sense is a tough task for a short and small study such as this one. We do however believe that give our preconditions have reached an acceptable level in the truth criteria. When taken into practical application we have hope that our initial thoughts of enlightment will enable a positive development of the managerial role of the Base-unit Executive Officers.

Bakgrund: Managementkoncept, som till exempel lean, behöver anpassas för att passa en viss organisations unika förutsättningar. Översättningsteori är ett medel för anpassning av managementkoncept mellan olika kontexter men i forskningen är det främst översättning till en kontext som har undersökts. Vad som händer om organisationen i fråga är diversifierad är i stort förbisett i forskningen. Det är därmed intressant att undersöka hur diversifiering påverkar översättningen och om det kan vara en anledning till att många implementationer, och översättningar, av managementkoncept misslyckas. Syfte: Syftet med studien är att öka förståelsen för översättning vid implementeringen av lean i en tjänsteorganisation med diversifierad verksamhet. För att uppnå studiens syfte har vi studerat vilken översättningskompetens som i organisationen upplevs vara av vikt vid implementeringen av lean i en diversifierad tjänsteorganisation och hur kompetensen anpassas till de olika enheternas kontexter. Vidare har vilka översättningtyper som används vid implementeringen av lean i en diversifierad tjänsteorganisation och hur de anpassas till enheternas olika kontexter studerats.  Metod: Studien är en kvalitativ fallstudie med ett fenomenologiskt perspektiv med hermeneutisk tyngdpunkt. Det empiriska materialet samlades in genom semistrukturerade intervjuer vilka kompletterades med dokumentstudier. Materialet presenteras tematiskt och narrativt. Slutsats: Diversifiering behöver inte nödvändigtvis innebära problem för översättningen om översättningstyp och översättningskompetens är behovsstyrt. Däremot behöver hänsyn tas till tvärgående processer, vilka behöver ett helhetsfokus och en samstämmighet i hur lean används för att fungera kunddrivet och optimalt. / Background: Management concepts, such as lean, need adjustment to fit the unique circumstances of a certain organisation. Translation is a method of adapting management concepts between different contexts but research on the subject has mainly focused on the translation to a single context. The implications that diversification has for the translation to a certain organisation are largely overlooked. It is therefore relevant to study how diversification affects translation and if it can be a reason for the large number of failures in the implementation, and translation, of management concepts. Purpose: The purpose of this study is to increase the understanding of the translation that takes place when a diversified service organisation implements lean. To fulfill the purpose we have studied what translation competence that is experienced to be important in the organisation when lean is implemented in a diversified service organisation and how the competence is adapted to the different contexts within the organisation. Furthermore, we have studied which translation types that are used when lean is implemented and how they are adapted to the different contexts of a diversified service organisation. Method: This is a qualitative case study with phenomenological perspective that puts emphasis on hermeneutic context. Semi-structured interviews and document studies provided the empirical material for the study. The empirical material is presented in themes in a narrative way. Conclusion: Diversification per se does not have to imply any difficulties if the translation, in terms of translation type and -competence, is controlled by demand. Transverse processes on the other hand needs to be focused and a holistic approach and a consistency in how lean is used and applied is necessary to make them work in an optimal and customer driven way.