The aim of our study has been to examine the care managers’ attitude to in- service training. We also wanted to see which factors the care managers and a member of the administrative head think influences this. The question formulations in the study were; what does in- service training mean for care managers and the administrative head, what was their attitude against it and which assumptions does the administrative head give to care managers for in- service training. The study is based on qualitative interviews with care managers and with a member of the administrative head. To interpret the material we have been using earlier studies, Senges theory of learning organization and Marsick and Watkins theory about informal and incidental learning. A main result is that the care managers obtain a great deal of possibilities to in- service training, for example meetings, educations and courses. The study also shows that the organization priorities formal learning while the care managers emphasise learning through interaction with other people, for example cohorts, contributors and users. Both care managers and a member of the administrative head says that there is a weakness in terms of follow- up and assessment. One recurrent topic in these discussions is responsibility, but the informants is not united of who’s the responsibility actually is.

<p>The aim of our study has been to examine the care managers’ attitude to in- service training.<em> </em>We also wanted to see which factors the care managers and a member of the administrative head think influences this. The question formulations in the study were; what does in- service training mean for care managers and the administrative head, what was their attitude against it and which assumptions does the administrative head give to care managers for in- service training. The study is based on qualitative interviews with care managers and with a member of the administrative head. To interpret the material we have been using earlier studies, Senges theory of learning organization and Marsick and Watkins theory about informal and incidental learning. A main result is that the care managers obtain a great deal of possibilities to in- service training, for example meetings, educations and courses. The study also shows that the organization priorities formal learning while the care managers emphasise learning through interaction with other people, for example cohorts, contributors and users. Both care managers and a member of the administrative head says that there is a weakness in terms of follow- up and assessment. One recurrent topic in these discussions is responsibility, but the informants is not united of who’s the responsibility actually is.  </p><p> </p>

<p>This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space.</p><p> </p><p>The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space.</p><p>The study has a qualitative approach and is based on semistructured interviews with five different care managers.</p><p>To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea<em> empowerment.</em></p><p> </p><p>Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make.</p><p> </p><p>Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers.</p><p>The result in our research points out that the guidelines makes insecurity instead of comfort.</p><p>Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure.</p><p>It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments.</p><p> </p><p>Our result don´t distinguish from other studies made in this subject area.</p><p> </p>

No description available.

This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space.   The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space. The study has a qualitative approach and is based on semistructured interviews with five different care managers. To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea empowerment.   Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make.   Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers. The result in our research points out that the guidelines makes insecurity instead of comfort. Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure. It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments.   Our result don´t distinguish from other studies made in this subject area.

The occupational group who works in the care of older people in Sweden is an exposed group since the work is often defined as a strenuous profession, both physical and psychically, and this puts comparatively many workers on sick leave. To promote good health, as well as prevent bad health is the main purpose of the work environment development. The attitude of the care manager towards work environment development may have a significant impact on the co-workers health. The purpose of the study was to investigate the attitude of care managers towards work environment development and the co-workers work environment and in the same time get knowledge in what issues they have a salutary approach respectively a pathological approach. Empirics were gathered from semi-structured interviews with six care managers from the care of older people administration in municipality of Kalmar. Two different organisation theories, Human Resource and Scientific management were used to analyse the empirics from the interview. Theories concerning salutary and pathological attitudes towards health were also used. The organisation theories were selected to understand the care managers attitude in the work environment development and the co-workers work environment. Every care managers in the interviews had both a salutary and a pathological attitude regarding the co-workers work environment and the work environment development concerning their own unit. The care managers waried between these two attitudes and one conclusion was that one attitude doesn’t need to exclude the other, they can rather be a complement to each other in a successful work environment development.  All the care managers in the study used strategies based on the Human Resource theory. For example everyone expressed that they worked on behalf of co-workers own influence, they encouraged independence and participation and they wanted every co-worker to experience the feeling of teamwork. However there are results in the study that point at, from a management perspective, the Scientific management too. This emerged when the care manager talked about savings conditions, the established budget of the unit, demands of efficiency and specialisation within the care of elderly.

Studien syftar till att belysa hur omvårdnadspersonal och enhetschefer på tre korttidsboenden arbetar med frågor som rör självbestämmande, meningsfullhet, trygghet, integritet, välbefinnande, värdigt liv samt hur de arbetar med att utveckla individernas egna resurser. Dessa begrepp anges i socialtjänstlagens verksamhetsmål och värdegrund i 5 kap. 4§ och 1 kap. 1§ (SFS 2001:453). För att besvara studiens syfte intervjuades tre enhetschefer och ett frågeformulär användes för att inhämta omvårdnadspersonalens perspektiv på implementeringen av verksamhetsmålen och värdegrunden. Empirin analyserades utifrån Self-determination theory och begreppet institutionalisering. Resultatet visar att enhetschefernas främsta metod för implementering av värdegrunden är att diskutera denna med omvårdnadspersonalen på arbetsplatsen. En stor andel av personalen känner dock inte till värdegrundens innehåll. De boendes möjligheter att utöva självbestämmande är begränsade och deras behov av integritet inskränks vid överbeläggningar då de får dela rum och toalettutrymme. Personer med demenssjukdom och de som vistas på korttidsboendet för växelvård blir exkluderade och har minskade möjligheter att få sina behov tillgodosedda. / The study aims to illustrate how caregivers and care managers on three short-term accommodations implement values concerning self-determination, meaningfulness, safeness, integrity, well-being, dignity and how they work to develop the individual's own resources. These values are stated in the Social Services Act in the objectives in section 1 §1, and in section 5 §4 (SFS 2001:453). To answer the aim of the study three care managers were interviewed and a questionnaire were used to obtain the caregivers perspective on the short-term accommodations. The empirical data were analyzed on the basis of Self-determination theory and institutionalization. Result shows that the care managers main method of implementation of the basic values are to discuss it with the caregivers in the workplace. A large proportion of the staff however, do not know the content of the basic values. The residents’ ability to exercise self-determination are limited and their integrity is curtailed when overcrowding when they share a room and lavatories. People with dementia and those who dwelt in the short-term accommodation for respite are being excluded thus, they have less opportunity to get their needs met.

<p>The occupational group who works in the care of older people in Sweden is an exposed group since the work is often defined as a strenuous profession, both physical and psychically, and this puts comparatively many workers on sick leave. To promote good health, as well as prevent bad health is the main purpose of the work environment development. The attitude of the care manager<em> </em>towards work environment development may have a significant impact on the co-workers health. The purpose of the study was to investigate the attitude of care managers towards work environment development and the co-workers work environment and in the same time get knowledge in what issues they have a salutary approach respectively a pathological approach. Empirics were gathered from semi-structured interviews with six care managers from the care of older people administration in municipality of Kalmar. Two different organisation theories, Human Resource and Scientific management were used to analyse the empirics from the interview. Theories concerning salutary and pathological attitudes towards health were also used. The organisation theories were selected to understand the care managers attitude in the work environment development and the co-workers work environment. Every care managers in the interviews had both a salutary and a pathological attitude regarding the co-workers work environment and the work environment development concerning their own unit. The care managers waried between these two attitudes and one conclusion was that one attitude doesn’t need to exclude the other, they can rather be a complement to each other in a successful work environment development.  All the care managers in the study used strategies based on the Human Resource theory. For example everyone expressed that they worked on behalf of co-workers own influence, they encouraged independence and participation and they wanted every co-worker to experience the feeling of teamwork. However there are results in the study that point at, from a management perspective, the Scientific management too. This emerged when the care manager talked about savings conditions, the<strong> </strong>established budget of the unit, demands of efficiency<strong> </strong>and specialisation within the care of elderly.</p>

Syftet med studien är att undersöka biståndshandläggares handlingsutrymme i handläggningen av insatsen försöks- och träningslägenhet. Studien utgår från följande frågeställningar: Hur upplever biståndshandläggaren graden av frihet i sitt handlingsutrymme i bedömning av försöks- och träningslägenhet? Hur tillgodogör biståndshandläggaren klientens medverkan och önskemål i handläggningen av försöks- och träningslägenhet? Studien baseras på enskilda intervjuer som utgick ifrån en halvstrukturerad intervjuguide med sex stycken biståndshandläggare som arbetar inom socialpsykiatrins myndighetsutövandeverksamhet i Stockholms stad. Studiens resultat visade på att det inte finns någon motsättning mellan riktlinjerna och den individuella bedömning som alla klienter har rätt till, utan att handlingsutrymmet fyller ut riktlinjernas funktion. I alla fall när det gäller insatsen försöks- och träningslägenhet inom socialpsykiatrin i Stockholms stad. Studien kom också fram till att klientens kognitiva förmåga avgör hur mycket klienten medverkar i utredningen. Det outnyttjade handlingsutrymme hamnar hos biståndshandläggaren, som då får ett utökat handlingsutrymme. / The aim of this study was to investigate the freedom of action of the care managers in the handling of trial and training apartments. The study is based on the following questions: What level of freedom does the care managers experience in the assessment of trial and training apartments? How does the care manager create a good environment, taking into consideration the client's involvement and wishes, in the management of trial and training apartments? The study is based on individual interviews based on a semi-structured interview guide with six care managers working in the government-run social psychiatry organisation in the city of Stockholm. The results of the study showed that there is no contradiction between the guidelines and the individual assessment that all clients are entitled. In either case, when it comes to the trial and training apartments at the social psychiatry organisation in the city of Stockholm. The study also shows that the client's cognitive ability determines how much the client participates in the investigation. The unused space of action is given to the care manager, which then increases the scope of action.

Care manager are using different methods to investigate the needs of the elderly. There is a lot of challenges and opportunities with the work as a care manager during crises. This study has deepened into the process to managing eldery care and illuminates its challenges and opportunities during the covid-19 pandemic. The process to managing elderly care is based on meetings with the individual for investigate the needs of the elderly. The results show that the assessment process of the needs of the elderly has had to go through some challenges. The challenges has been about not being able to carry out physical visits at the meeting with the individual, which has led to difficulties in obtaining information for assessment. Furthermore, there were some challenges for many older people who was choosing to withdraw their help from various actors in order to minimize the risks of becoming infected of the virus. This entailed difficulties for the care manager to be able to motivate elderly to receive help, in order to meet the needs of the elderly. Despite its challenges, the covid-19 crisis has also brought opportunities to care managers. The Covid-19 pandemic has provided the opportunity to work home with digital tools and to conduct meetings with the indivdiual by telephone, which has leads to effectivity in their work with investigating the needs of the elderly.