Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Developing Eldercare in Ageing Societies: A Qualitative Study on Misaligned Visions and Caged Change Agents
RISE Research Institutes of Sweden, Digitala system, Prototypande samhälle. KTH Royal Institute of Technology, Sweden.ORCID-id: 0000-0001-5879-2280
University of Gothenburg, Sweden.ORCID-id: 0000-0003-0480-1895
2023 (engelsk)Inngår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, artikkel-id 2798463Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Eldercare is facing current demands to develop due to changing demographics with increasing populations of elderly over the ageof 85 combined with smaller populations of young people able to provide care and contribute to care via their taxes. The need for development of quality and safety was highlighted during the COVID-19 pandemic. Swedish government subsidies aimed at developing municipalities responsible for publicly managed eldercare have only been evaluated to a limited extent and the realisation of visions of future eldercare is shrouded in mystery. The study aims to explore the development work and strategies in Swedish municipal eldercare organisations, specifically in terms of alignment between democratic visions at political and strategic levels and operationalisation at operational levels. 28 interviews with development leaders were conducted in 14 Swedish municipality organisations between March and October 2021. The interviews focused on supporting roles and functions, responsibilities and collaborations, visions and operationalisations, and the follow-up and evaluation of eldercare development. A thematic analysis resulted in the main theme “top-down handling of unmanageable alignment” and the subthemes “shaping a highroad for change;” “sticking to visions, hopes, and respect for practice;” and “self-serving focus on politics.” The quality of alignment strategies and putting the strategic vision into practice were related to organisation size and resources. A gap between strategic and operational levels was accentuated in terms of inconsistent responsibilities in following through with development projects and development being characterised by top-down initiatives and resources at the strategic level but strained implementation abilities at operational levels. Peripherally located change agents with legitimacy at multiple organisational levels are suggested to ease top-down as well as bottom-up drive, which could increase a vertical alignment of visions and practice.

sted, utgiver, år, opplag, sider
2023. artikkel-id 2798463
HSV kategori
Identifikatorer
URN: urn:nbn:se:ri:diva-64379DOI: 10.1155/2023/2798463OAI: oai:DiVA.org:ri-64379DiVA, id: diva2:1753410
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr 2020-01579
Merknad

The authors thank the Swedish Research Council for Health, Working-Life and Welfare for funding the present study (Forte Grant no. Dnr 2020-01579)

Tilgjengelig fra: 2023-04-27 Laget: 2023-04-27 Sist oppdatert: 2023-05-04bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekst

Person

Williamsson, Anna

Søk i DiVA

Av forfatter/redaktør
Williamsson, AnnaDellve, Lotta
Av organisasjonen
I samme tidsskrift
Health & Social Care in the Community

Søk utenfor DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 15 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
v. 2.43.0