The purpose of this master's degree thesis was to develop an understanding of how hospital management, in the case studied, worked to achieve changes in an organization influenced by differing professional cultures. To gain insight into the conditions that may have contributed to nurses and physicians developing appropriate attitudes and behaviours, which may have affected the organization's ability to achieve the Swedish Quality Award 2012.  A qualitative single case study was conducted at Karlskoga Hospital, with focus groups as well as individual depth interviews.   The results of the case study showed the following conditions provided nurses and physicians the potential to develop appropriate attitudes and behaviours, which may have influenced the hospitals ability to achieve the Swedish Quality Award:   Responsibility and influence over the development processes. Participation in management teams and quality development groups as well as individual fields of responsibility. Training programs that have given insights and skills in quality management related to clinical practice. Nurses and physicians as key individuals gave legitimacy to development process, and served as management advisors. Collaboration between all kind of employees and responsibilities. Committed management.

Utgångspunkten för studien var att forskning om deltagande i kvalitetsutmärkelser och utmärkelsemodeller inom privat sektor, har visat på potentiella fördelar för deltagande organisationer. Forskning har samtidigt pekat på utmaningar och viktiga förutsättningar för att deltagandet ska bli fruktsamt och positivt. I en svensk kontext är effekterna för organisationer i offentlig sektor av att delta i en utmärkelseprocess, relativt outforskade. Studien ämnade fylla en del av den kunskapsluckan. Syftet med denna studie var därför att förstå vilken betydelse utmärkelsen Sveriges Kvalitetskommun har haft för kommuner som har tilldelats den. Frågeställningarna fokuserade på vilka motiv de fyra senaste vinnarna av Sveriges Kvalitetskommun har haft med sitt deltagande, hur arbetet inom ramen för utmärkelsen har organiserats, vilken betydelse granskningsverktyget Kommunkompassen har haft för kommunerna samt vilka effekter utmärkelseprocess och vinst har genererat.   Studien genomfördes genom en kvalitativ enfallsstudie med flera analysenheter. Datainsamlingen skedde genom dokumentstudier och fokuserade intervjuer av öppen karaktär med kommunrepresentanter samt representanter rörande själva utmärkelsen. Intervjudatan analyserades med Creswell och Creswells (2018) fem steg för analys av kvalitativ data samt mönsterjämförelser utifrån Yin (2018).   Studien visar att utmärkelsen Sveriges Kvalitetskommun har haft betydelse för kommunerna ur fem  aspekter. Den har haft en enande påverkan, en pådrivande påverkan, en bekräftande påverkan, en lärande påverkan och en mättnadspåverkan. / The starting point for this study was that studies on participation in quality awards and award models  within the private sector have shown potential benefits for participating organisations. At the same time, research has pointed to challenges and important conditions for participation to be fruitful and positive. In a Swedish context, the effects of participating in an award process within the public sector is an area that is relatively unexplored. The study intended to fill part of that knowledge gap. The purpose of this study was therefore to understand what Sveriges Kvalitetskommun has meant for municipalities that have won the award. The research questions focused on the last four winners and their motives for participation, how the work within the framework of the award has been organized, the role that the measurement tool Kommunkompassen has played for the municipalities and what effects the award process and the win itself have generated.   The study was conducted through a qualitative single-case study with several analysis units. The data  collection was carried out through document studies and focused interviews of an open nature with municipal representatives and representatives regarding the award itself. The interview data were analyzed using Creswell and Creswell's (2018) five steps for analyzing qualitative data as well as pattern matching according to Yin (2018).   Based on the results the conclusion shows that the award Sveriges Kvalitetskommun has had an impact on municipalities that have won in five aspects. It has had a unifying impact, a propulsive  impact, a confirmatory impact, a learning impact and finally a saturative impact. / <p>2021-06-06</p>