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Upplevelser av att främja en hållbar arbetsmiljö: Att verka som chef på en vårdcentral
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Sustainable development
Sustainable Development/Sustainability is used as a subject keyword for the thesis
Alternative title
Experiences of promoting a sustainable work environment : To be the manager of a health care center (English)
Abstract [sv]

Vårdcentraler är en grundpelare i dagens vård, med privata och regiondrivna aktörer. Det är chefens ansvar att främja hälsa hos medarbetare och befolkning och samtidigt balansera den egna hållbarheten. Hur påverkar dagens krav och utmaningar arbetet som chef på vårdcentralen? Då kunskapen om detta är bristfällig fanns ett behov av att söka en djupare förståelse för chefernas upplevelser i vårdcentralens kontext. Syftet med studien var att undersöka vårdcentralchefers upplevelse av att främja en hållbar arbetsmiljö. Totalt genomfördes sju semistrukturerade intervjuer av chefer, med emellan tre till 30 års erfarenhet, inom Region Stockholm och Region Västra Götaland. Samtliga informanter hade grundprofessionen sjuksköterska. För att tolka intervjuerna genomfördes en innehållsanalys. Analysen resulterade i 13 underkategorier som sammanställdes i fem huvudkategorier: krav, främja delaktighet, utveckling, stöd och balans.

Resultatet visade dedikerade chefer som kunde uppleva sig ensamma i sitt ansvar med komplexa krav. Genom ett närvarande och stödjande ledarskap önskade de skapa en hållbar arbetsmiljö. Stor vikt hade lagts på att bygga välfungerande team. Flera av informanterna hade tagit över vårdcentraler i en tid av transformation. Utmaningarna utgjordes av krav från ledning, medarbetare och medborgare. Hållbarheten var i sin tur samhörighet och samspel i arbetsgruppen, förmågan att ta och ge stöd samt rimliga ekonomiska förutsättningar. Resultatet av denna studie kan ge en ökad förståelse för hur chefens vardag på vårdcentralen ter sig och vilka utmaningar hen ställs inför. Att bygga bort upplevelsen av gränslöshet i chefsrollen skulle vara av stort värde.

Abstract [en]

Health centers are a cornerstone of today's health care, with private and regionally run actors. It is the manager's responsibility to promote the health of employees and the population while balancing their own sustainability. The results of this study can give an increased understanding of how the manager's everyday life at the health center is and what challenges they face. How do today's demands and challenges affect the work of the health center? Since the knowledge of this is lacking, there was a need to seek a deeper understanding of the managers' experiences in the health center's context. The aim of the study was to investigate the experience of health center managers in promoting a sustainable working environment. In total, seven semi-structured interviews were conducted by managers, with between three to 30 years of experience, within Region Stockholm and Region Västra Götaland. All informants had the basic profession nurse. To interpret the interviews, a content analysis was carried out. The analysis resulted in 13 subcategories compiled into five main categories: requirements, promoting participation, development, support and balance.

The results showed dedicated managers who could feel alone in their responsibilities with complex requirements. Through present and supportive leadership, they wanted to create a sustainable working environment. Great emphasis had been placed on building well-functioning teams. Several of the informants had taken over health centers at a time of transformation. The challenges were demands from management, employees and citizens. Sustainability, in turn, was the affinity and interaction of the working group, the ability to take and provide support and reasonable financial conditions. Building away the experience of limitlessness in the managerial role would be of great value.

Place, publisher, year, edition, pages
2020.
Keywords [en]
manager, health center, primary care, sustainable, work environment
Keywords [sv]
chef, vårdcentral, primärvård, hållbarhet, arbetsmiljö, förutsättningar
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hb:diva-23598OAI: oai:DiVA.org:hb-23598DiVA, id: diva2:1453337
Subject / course
Vård- och omsorgsadministration
Supervisors
Examiners
Available from: 2020-07-09 Created: 2020-07-09 Last updated: 2020-07-09Bibliographically approved

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