Organizing principles and management climate in high-performing municipal elderly care

Leadership in Health Services
Petri KajoniusStefan Tengblad

Abstract

Purpose - Previous research has shown that user-oriented care predicts older persons' satisfaction with care. What is yet to be researched is how senior management facilitates the implementation of user-oriented care. The purpose of this study is to investigate the organizing principles and management climate characterizing successful elderly care. Design/methodology/approach - The department in one highly ranked municipality was selected and compared with a more average municipality. On-site in-depth semi-structured interviews with department managers and participatory observations at managers' meetings were conducted in both municipalities. Findings - Results revealed three key principles for successful elderly care: organizing care from the viewpoint of the older person; recruiting and training competent and autonomous employees; instilling a vision for the mission that guides operations at all levels in the organization. Furthermore, using climate theory to interpret the empirical material, in the highly successful municipality the management climate was characterized by affective support and cognitive autonomy, in contrast to a more instrumental work climate primarily focusing on organizational structure and doing the righ...Continue Reading

References

Apr 5, 2003·The American Psychologist·James F Hemphill
Dec 6, 2005·Scandinavian Journal of Caring Sciences·J David EdvardssonBirgit Holriz Rasmussen
Oct 25, 2006·Journal of Occupational Health Psychology·Sharon Clarke
Mar 30, 2010·Journal of Clinical Nursing·Claire WelfordDympna Casey
Jun 16, 2010·Journal of Nursing Management·Ingrid Dackert
Sep 1, 2011·BMC Health Services Research·Nadine GenetWalter Devillé
Nov 23, 2012·Scandinavian Journal of Caring Sciences·Hanna FalkKristin Falk
Jan 30, 2015·The Gerontologist·Petri J Kajonius, Ali Kazemi
Mar 27, 2015·Health & Social Care in the Community·Petri J Kajonius, Ali Kazemi

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Citations

Oct 4, 2016·International Journal of Older People Nursing·Tinna Elfstrand CorlinAli Kazemi
Aug 24, 2017·Scandinavian Journal of Psychology·Tinna Elfstrand Corlin, Ali Kazemi

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