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'Jag känner liksom igen den på något sätt...' - en studie om implementering av värdegrund i en vård- och omsorgsförvaltning

机译:“我在某种程度上认识到它......” - 关于在医疗保健和护理管理中实施价值基础的研究

摘要

The aim of our study was to increase the awareness of the importance of implementation when a policy document is widely introduced. We wanted to examine how a political decision was implemented on different levels in a social care administration. We also wanted to examine the discretion related to the decision on different levels in the organisation, and if the work is followed up. The theoretical frame of reference in our study is Vedung’s implementation model and Lipsky’s theory about street-level bureaucrats. In order to create a deeper understanding of the phenomenon we selected the qualitative research interview and interviewed politicians, officials and care personnel in the organisation. We have studied how the policy document ”The common value basis” has been implemented in the organisation and the discretion one experienced on different organisation levels to work with the policy document. We also have studied how one worked with follow-up of the policy document. The results show that if you will succeed with implementation of policy documents in the organization you need to have a conscious strategy from the management concerning the implementation and a strategy of follow-up. This becomes a control system. Without a strategy for implementation and follow-up the discretion becomes large and leaves it to each employee to act free on the basis of their own frame of references.
机译:我们研究的目的是在广泛采用政策文件时提高人们对实施重要性的认识。我们想研究一下社会护理管理部门在不同层面上如何执行政治决定。我们还想研究与组织中不同级别的决策有关的自由裁量权,以及工作是否得到跟进。我们研究的理论参照系是Vedung的实施模式和Lipsky的街头官员的理论。为了加深对这种现象的了解,我们选择了定性研究访谈,并采访了组织中的政客,官员和护理人员。我们研究了组织中如何实施政策文件“共同价值基础”,以及在组织不同级别上经验丰富的酌处权来处理政策文件。我们还研究了如何对政策文件进行后续跟踪。结果表明,如果您要在组织中成功实施策略文档,则需要管理层制定与实施有关的自觉策略以及后续策略。这成为控制系统。如果没有实施和跟进策略,那么自由裁量权就会变得很大,并留给每位员工根据自己的参考框架自由采取行动。

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