Inledning: Sveriges befolkning blir alltmer äldre och det gör att behovet av en välfungerad hälso- och sjukvård blir större. För att vi ska behålla hälsan längre upp i åldrarna behövs åtgärder som är hälsofrämjande, vilket kan vara i form av kulturella aktiviteter. Syfte: Syftet med studien var att undersöka äldre personers beskrivningar av hur kultur kan främja upplevelse av hälsa. Metod: Kvalitativ metod användes i studien med semi-strukturerade intervjuer. Deltagarna valdes ut genom ett strategiskt urval med fokus på givna kriterier, där deltagarna inte skulle ha någon form av demenssjukdom. Kvalitativ innehållsanalys genomfördes för att få fram kategorier med tillhörande subkategorier. Resultat: Utifrån resultatet har tre kategorier tagits fram som var Ett liv med kultur, Kultur som påverkansfaktor för hälsa och Kulturaktiviteter som hälsoarbete. Det övergripande temat Äldreperspektiv på kultur har två underliggande subteman Äldres individperspektiv och Äldres grupperspektiv. Konklusion: Kulturella aktiviteter ökar välbefinnandet och livskvaliteten för äldre, vilket ingår för upplevelse av hälsan. Kulturella aktiviteter ökar även gemenskap och tillhörighet. Det har framkommit att hälsoarbete inom kultur är väsentligt ur både ett individ- och grupperspektiv för upplevelsen av hälsa för äldre. Resultatet i studien kan bidra med förståelse för hur kultur kan främja äldres upplevelser av hälsa. / Introduction: Sweden's population is becoming increasingly older and that makes the need for a well-functioning healthcare more important. If we are going to maintain health in later age it is essential that health promotion is in focus, for example cultural activities. Aim: The aim of the study was to examine descriptions of elderly on how culture can promote their health experience. Method: Qualitative method was used in the study with semi-structured interviews. The participants were selected through a strategic selection with focus on given criteria, were the participants wouldn´t have any form of dementia. Qualitative content analysis was conducted to obtain the categories and related subcategories. Results: Based on the results three categories have been developed which were: A life of culture, Culture as an influence factor for health and Culture activities as health work. The overall theme Elderly perspective on culture has two underlying subthemes: Elderly individual perspective and Elderly group perspective. Conclusion: Cultural activities will improve the wellbeing and quality of life for elderly, which is part of the experience of health. Cultural activities will also increase fellowship and belonging. It has been found that cultural health work is essential from both an individual and group perspective for the experience of health for the elderly. The results of the study may contribute to the understanding of how culture can promote older people's experiences of health.

Le système de santé est traversé aujourd’hui par une tension forte entre deux logiques : l’une privilégie, dans la tradition humaniste, le soin inconditionnel à la personne, l’autre privilégie, au nom d’impératifs de gestion, le management au service de l’efficacité productive hospitalière. Placé au cœur d’une organisation complexe, le cadre de santé semble ainsi condamné à un mouvement de balancier entre une « culture-santé » et une « culture-entreprise », ce qui lui confère un positionnement professionnel délicat au sein de l’institution. Comment se positionne-t-il et vers quoi évolue-t-il ? Nous montrerons que ces acteurs sont en tension et fortement clivés entre une idéologie humaniste et une idéologie gestionnaire, à la recherche de leur identité qui semble désormais problématique. Héritier d’une histoire et positionné dans un entre-deux, il se cherche. Comment concilie-t-il concrètement ces deux logiques dans son quotidien ? En quête d’un modèle lui permettant de résister aux pressions gestionnaires, il adopte une « posture d’accompagnement », se reconstruit ainsi à partir de compétences pédagogiques dans un espace informel, pour créer un antidote au management technicien et réintroduire ainsi un équilibre identitaire. Leurs capacités réflexives renforcent leur posture d’accompagnement et constituent alors un moyen efficace pour dépasser les tensions institutionnelles entre soin et management. Une formation en Sciences Humaines et Sociales, au service de leur développement personnel et professionnel, stabilise leur système de valeurs et leur permet de reconquérir une possible identité. / The French health-care system is currently faced with tensions arising from two different visions of health-care: the first one focuses on the unconditional care given to the patient in accordance with the humanistic tradition. The second one focuses on management priorities aiming for an efficient and productive management of hospitals. At the heart of a complex organizational structure lie the health managers, whose roles inevitably shift back and forth between a ‘company culture’ vision and that of ‘health-care culture’, thereby jeopardizing their professional position. Where do health managers stand and what is their future role? The aim of this study is to show the difficulties of juggling the humanistic tradition with the management-based approach and defining their identity. Health managers often find themselves in overlapping positions and strive to combine and apply the two visions in their work on a daily basis. In need of a model to resist management pressures, they act as a ‘support function’. This support stance helps them redefine their position and balances out the negative effects of technical management in health-care. The ability to look back on their own experience reinforces this support function and allows them to overcome the tensions arising from the cleavage between health-care and management. Providing health managers with a specific training in social and human sciences for their personal and professional development would strengthen their ethical values and allow them to regain control of their identity.