Äldreomsorgen har står inför ökade utmaningar att rekrytera omvårdnadspersonal och deras chefer. Studien syftade till att undersöka hur äldreomsorgschefer och deras arbete framställs i platsannonser för sagda tjänst. Frågeställningarna berörde framställningen av den lämpliga kandidaten, den kommande tjänsten samt vilka faktorer som användes för att locka och rekrytera äldreomsorgschefer. Studien är en kvalitativ dokumentstudie inom vilken en summativ innehållsanalys gjorts av det empiriska materialet. Motivationsteori och självbestämmandeteori utgjorde studiens teoretiska utgångspunkt. Resultatet visade att arbetsgivarna uppvisar en god förståelse för motivationsfrämjande insatser för äldreomsorgschefer men även att de förmåner och fördelar som erbjuds, inte är utformade för de kandidater som eftersöks. Arbetsgivarna tenderade även att betona chefens autonomi samtidigt som arbetet beskrivs som reglerat och med höga krav på måluppfyllelse. / Elderly care is facing increased challenges in recruiting nursing staff and their managers. The study aimed to investigate how managers in elderly care and their work are portrayed in job advertisements for such positions. The research questions addressed the portrayal of the suitable candidate, the upcoming position, and the factors used to attract and recruit managers in elderly care. The study is a qualitative document analysis in which a summative content analysis was conducted on the empirical material. Motivation theory and self-determination theory constituted the theoretical framework of the study. The results showed that employers demonstrate a good understanding of motivation-promoting efforts for managers in elderly care, but also that the benefits and advantages offered are not tailored to the sought-after candidates. Employers also tended to emphasize the autonomy of the manager while describing the work as regulated and with high demands for goal achievement.

Enhetschefer är benämningen på den yrkesverksamma grupp som ansvarar för verksamheter som drivs enligt socialtjänstlagen och lagen om stöd och service till vissa funktionshindrade. De befinner sig i en politiskt styrd organisation med socialnämnden som uppdragsgivare. Enhetschefer är identifierade som en yrkesverksam grupp med hög arbetsbelastning och högre risk att utsättas för stress, i jämförelse med andra yrkesgrupper i ledande position. Syftet med studien är att undersöka hur olika stressfaktorer bidrar till upplevelsen av arbetsrelaterad stress hos enhetschefer inom kommunal äldre- och funktionshinderomsorg. Metodvalet är en kvantitativ enkätundersökning med syfte i att nå ut till fler personer och på så sätt få en bred överblick av enhetschefernas arbetssituation. Studien har genomförts i en medelstor svensk kommun där samtliga enhetschefer inom kommunal äldre- och funktionshinderomsorg valts ut. Av resultatet framkommer att de faktorer som i störst utsträckning bidrar till upplevd arbetsrelaterad stress, är för hög arbetsbelastning i förhållande till arbetstiden samt  bristande möjlighet att uppfylla önskemål från brukare. / Middle managers is the name of the professional group who is responsible for institutions that are run by the Social Service Act and Act concerning Support and Service for Persons with Certain Functional impairments. They work in a politically controlled organization with the municipal social welfare committee as the outsourcer. Middle managers are identified as a profession with a high workload and a higher risk of being exposed to stress, in comparison with other occupational groups with a leading position. The aim of the study is to examine how various stressors contribute to work-related stress. The method is a quantitative survey with the aim of reaching out to more people and to get a larger overview of the middle managers work situation. The study has been carried out in a medium-sized Swedish municipality, where all middle managers in municipal elderly and disability care were selected. The result shows that the stressors that contribute most to work-related stress are the high workload in relation to working time and a lack of opportunity to fulfill the client’s wishes.

This thesis holds how to reach a new target group through market mix. The purpose of the thesis is to study how the organization can reach a new target group which is new potential employees in the care of the elderly by working on the market mix. The theory that was used are offensive quality development by which continuous improvements can be achieved. Theory about communication was used and the importance of rhetorical skills while presenting the information to the target group. When it comes to transformation theory the digitized change, employees are often determined that it is important to start marketing themselves digitally and get the equipment needed. A major role played also the theory about marketing mix which was a major part of this study. Examination methods used were written interviews and the letter method. The written interviews was done by contacting the municipalities in Sweden to know how they do the marketing to the potential employees. On the other hand the letter method was done by contacting the studied organizations employees to know their ideas about how to encounter the new employees. The results of this study was that the organization’s employee mentioned that marketing should be done by digital channels because the time we are living in requires it. Lastly, the conclusions was that market mix can be a great strategy to reach the new target group and to always improve the marketing by doing a plan and then also realize the plan by doing the events and campaigns. / Examensarbetet handlar om att nå en ny målgrupp genom marknadsmix. Syftet med examensarbetet är att studera hur organisationen kan attrahera en ny grupp av medarbetare genom att arbeta med marknadsmixen. Teorin som användes är offensiv kvalitetsutveckling genom vilken kontinuerliga förbättringar kan uppnås. Därefter användes teori om kommunikation och betydelsen av retoriska färdigheter samtidigt som informationen presenterades för målgruppen. Teorin om förändring tar upp den digitala förändringen som avgörande då det är viktigt att börja marknadsföra sig digitalt och få nödvändig utrustning. Teorin om marknadsmix var en viktig del av denna studie. De använda undersökningsmetoderna var skriftliga intervjuer och brevmetoden. De skriftliga intervjuerna gjordes genom att kontakta kommunerna i Sverige för att veta hur de marknads för sig mot de potentiella medarbetarna. Brevmetoden gjordes genom att kontakta den studerade organisationen för att samla in deras idéer om hur man skulle möta de nya medarbetarna. Resultaten av denna studie var att organisationens anställda nämnde att marknadsföring bör ske genom digitala kanaler på grund av att den tid vi lever i kräver det. Slutligen var slutsatserna att marknadsmixen kan vara en bra strategi för att nå den nya målgruppen och att alltid förbättra marknadsföringen genom att göra en plan och sedan genomföra planen genom att göra kampanjerna.

<p>This study proposes that poor understanding of the structures, processes and outcomes of organisations seriously hampers collaboration between professional groups in care organisations. Three care settings were investigated: follow-up of patients with heart disease, an intensive care unit and care services for older people.</p><p>The overall aim was to investigate how people understand structures, processes and outcomes in care organisations. The participants were patients, patient representatives, healthcare professionals, managers and politicians.</p><p>A qualitative approach was used. Thematic analysis and grounded theory were employed in analysing the data.</p><p>Despite considerable efforts, no major changes took place over a 7-year period as to how cardiac follow-up services were understood. The system of cardiac follow-up services was found fragmented in its organisation and in the way individuals understood it. The results indicate that care professionals, patients and leaders have dissimilar understandings. The data suggest that care is organised from a professional-centred perspective rather than from a holistic worldview of the patients’ total context. Leaders in intensive care perceive their organisation as a learning organisation. However, in daily work healthcare tends to function to what can be described as a mass production approach to care. This state of conflict caused confusion and chaos among the leaders. The municipal elderly care services and the county council’s geriatric organisation had difficulties in co-ordination. Older people were perceived as passive recipients of healthcare, rather than as consumers whose well being and outcome were a reflection to the quality of the service.</p><p>The study concludes that despite the major changes that have taken place in the Swedish health and elderly care organisations over the past years, healthcare professionals’ understanding of their work has gone largely unchanged. Their understanding of care structures and processes did not change despite outside pressures. Lack of understanding of what others understand hampers development with the result that care organisations risk stagnation.</p>

This study proposes that poor understanding of the structures, processes and outcomes of organisations seriously hampers collaboration between professional groups in care organisations. Three care settings were investigated: follow-up of patients with heart disease, an intensive care unit and care services for older people. The overall aim was to investigate how people understand structures, processes and outcomes in care organisations. The participants were patients, patient representatives, healthcare professionals, managers and politicians. A qualitative approach was used. Thematic analysis and grounded theory were employed in analysing the data. Despite considerable efforts, no major changes took place over a 7-year period as to how cardiac follow-up services were understood. The system of cardiac follow-up services was found fragmented in its organisation and in the way individuals understood it. The results indicate that care professionals, patients and leaders have dissimilar understandings. The data suggest that care is organised from a professional-centred perspective rather than from a holistic worldview of the patients’ total context. Leaders in intensive care perceive their organisation as a learning organisation. However, in daily work healthcare tends to function to what can be described as a mass production approach to care. This state of conflict caused confusion and chaos among the leaders. The municipal elderly care services and the county council’s geriatric organisation had difficulties in co-ordination. Older people were perceived as passive recipients of healthcare, rather than as consumers whose well being and outcome were a reflection to the quality of the service. The study concludes that despite the major changes that have taken place in the Swedish health and elderly care organisations over the past years, healthcare professionals’ understanding of their work has gone largely unchanged. Their understanding of care structures and processes did not change despite outside pressures. Lack of understanding of what others understand hampers development with the result that care organisations risk stagnation.

In Zusammenhang mit der Einführung des Pflegeversicherungsgesetzes stellt die Arbeit die stationäre Altenpflege in Deutschland besonders dar. Im analytischen Rahmen der Arbeit wird der klassischen sozialwissenschaftlichen Unterteilung: Makro-Meso-Mikro eine zusätzliche Meta-Ebene hinzugefügt, welche den epistemologischen Hintergrund umfasst. Mit Hilfe des Modells der narrierenden Organisation kann so gezeigt werden, wie - am Beispiel der stationären Altenpflege - narrative Sinnstiftung in Organisationen abläuft. Dabei liegt ein Fokus darauf, was vom Außerorganisationalen des analytischen Rahmens in den sechs verschiedenen Fällen zur Sinnstiftung beiträgt. Nach einer sehr umfassenden qualitativen Auseinandersetzung schließt die Arbeit mit einem allgemeinen Modell, welches als Vorschlag zur Erforschung von Organisationen gesehen werden kann.

Care of the elderly is frequently debated in the Swedish media. Pensioners, who are often ill and lonely, need help with social care, such as cleaning and cooking, and health care, such as taking medicine and treatment of injuries and wounds. They are aided by home helpers from the home helper unit and assistant nurses and nurses from the health centre. How does control operate in this intimate and private situation, and what influences the home helpers? What is the relation between control and the delivery of care to the pensioners? These are the questions explored in this dissertation, based on an empirical study of domestic elderly care in a large city in Sweden. The thesis explores the conflict between the productification of care, manifested in administrative controls, and the needs and desires of the pensioners in specific care giving situations, manifested in self controls. It is seen that even during periods of high financial pressure, the home helpers are influenced by the pensioners. The home helpers are flexible and do extra things not included in the pre-specified social care contract for some pensioners. Flexibility is shown to be important for the pensioners, but the increased financial pressure makes it harder and harder for the home helpers to be flexible. It is therefore suggested in the thesis for social care service purchasers to put in some unspecified time in the social care decisions and not just pre-specified operational activities. In this way some flexibility will be built into the administrative system. The importance of cooperation between the health centre and the home helper unit is also stressed in the thesis. There is a need to issue administrative controls for cooperation. A joint task group, with members from the health centres and the home helper units, meetings between the home helpers and the nurses and specified guidelines for cooperation tasks can act as controls which would sustain significant and positive effects on the cooperation. Finally, a problematic underlying financial process for the home helper units is identified. The home helper units are not often compensated for yearly salary increases. The problems of the moment receive significantly more attention, but this thesis points to the need for discussing the ongoing, underlying and problematic financial process in the elderly care. / <p>Diss. Stockholm : Handelshögskolan, 2007</p>

The shifting topography of contemporary Japanese society is engendering a significant reorientation of men’s family relations. However, exactly how Japanese men are adapting to these broad-based trends, including parent-child relations, demographics, marriage norms, care provision, residential choices, and gender roles, as well as in the decline of Confucian worldviews, remains relatively obscure. In this dissertation, I explore men’s everyday practices underpinning their family relations as husbands, fathers, sons-in-law, and grandfathers. I conducted ethnographic fieldwork in the summers of 2013 and 2014 in Hyogo, through narrative interviews and participant-observation. I find husbands’ view of their wives transitioning from having a culturally prescribed duty to perform domestic matters to simply having responsibility for domestic matters. This opens up space for negotiation within married couples, with my informants providing what I refer to as additional help, which offers new insight into charting the evolution of hegemonic masculinity. I evidence relatedness founded on exchange as an approach to understand relations across the extended family, which importantly involves additional help, financial resources, and intimacy. I underscore how men selectively seek intimacy in some family relations, notably as fathers and grandfathers. Provision of additional help and seeking of intimacy lead to men’s (re)construction of masculinities differing across family relations, with an important reason for men to select their practices so as to craft their family relations is to address their sense of well-being. Further, the pattern of men’s family relations reveals the emergence of substantially novel sons-in-law relations, as compared to that found in ie patriarchal norms. This evidence suggests a fundamental shift from a vertically-dominated set of family relations, as in the ie household, to a more horizontal, fluid set of relations across the extended family.

Title: The Principles of Funding of the Public and Voluntary Formalised Solidarity in the Social Care Services in the Czech Republic Abstract: The social care services are a specific system within the social protection system. Opposed to the public benefit systems they allow the coexistence of public and voluntary solidarity. There are many welfare state models and systems of cooperation of the public and NGOs in Europe. These models offer differently formed relationships of their entities. This thesis raises the question of finding a more convenient organisation of the whole system of the social care services in the Czech Republic where the problem is currently being discussed The objective of the thesis is to find possibilities of public and voluntary solidarity in the social care services settings and to suggest ways for their cooperation. The research is mainly based on qualitative methods. Firstly, the causal links of statistical nature from the fields of demography, social relations and economics are introduced. In the next step a combination of methods of in depth interviews and expert discussions is used. They focus on public solidarity and regulation in the system. The last research step brings 3 case studies with examples of the best practice in financing of NGOs in the social care services...

Os idosos já ocupam 11,3% da população brasileira e isto tem propiciado que a sociedade esteja, cada vez mais, lidando com as questões relacionadas ao envelhecimento. Saber que a população envelhece, mas não procurar entender como isso acontece não prepara a sociedade para este envelhecimento. Deste modo, o objetivo geral desta pesquisa foi investigar o conceito de saúde, na perspectiva de idosos. Especificamente pretendeu-se analisar: como percebem sua própria saúde, as estratégias para mantê-la e que fatores podem afetá-la. Foi realizada com 12 indivíduos, de ambos os sexos, na faixa etária entre 62 e 81 anos, de camadas média e alta. Eles responderam a uma entrevista composta de questões relacionadas aos objetivos da investigação e os dados sócio-demográficos. Depois de uma analise de conteúdo das entrevistas pode-se constatar que deram grande importância à saúde, ampliando o conceito tradicional deste termo como ausência de doença; e que adotam várias estratégias para mantê-la; as preocupações com familiares apareceram como os principais fatores que afetam sua saúde. Conclui-se que, de maneira geral, eles se perceberam como possuidores de boa saúde. / The elderly now occupies 11.3% of the brazilian population and it has afforded the society for being increasingly dealing with issues related to aging. Knowing that the population aging, but not try to understand how this happens does not prepare for this aging society The objective of this research was to investigate the concept of health from the perspective of the elderly. Specifically it sought to analyze: how they perceive their own health, the strategies to keep it and what factors can affect it. It was conducted with 12 individuals from both sexes, aged between 62 and 81 years of middle and upper social classes. After a content analysis can be seen that they answered to an interview consisting of questions related to the purposes of research and its socio-demographic data. Its possible to be see: the great importance given to health, expanding the traditional concept of this term as absence of disease; they adopt many strategies to keep it;. Concerns about family appeared as the main factors that affect their health. It can be concluded that, in general, they perceived themselves as having good health.