Organizing Principles and Management Climate in High-Performing Municipal Elderly Care
2016 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 29, no 1, 82-94 p.Article in journal (Refereed) Published
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 present study set out to investigate the organizing principles and management climate characterizing successful elderly care organizations.
Design – The care organization in one highly ranked municipality was selected and compared with a more average municipality. On-site semi-structured in-depth interviews with managers as well as participatory observations at managers’ meetings were conducted in both municipalities.
Findings – The results revealed three key principles for successful elderly care: 1) organizing care from the viewpoint of the older service user, 2) recruiting and training competent and autonomous employees, 3) instilling a vision for the mission which guides operations at all levels in the organization. Furthermore, using climate theory to interpret the 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 things right characterizing the more average municipality.
Value – We suggest that guiding organizing principles are intertwined with management climate and that there are multiple perspectives that must be considered by the upper management, i.e., the views of the older persons, the co-workers, and the mission. The results can guide future care quality developments and increase the understanding of the importance of organizational climate at the senior management level.
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016. Vol. 29, no 1, 82-94 p.
Elderly care, Leadership, Management, Older people, Organizational climate, User-oriented care
IdentifiersURN: urn:nbn:se:his:diva-11679DOI: 10.1108/LHS-06-2015-0018ISI: 000379697000006PubMedID: 26764962ScopusID: 2-s2.0-84954416079OAI: oai:DiVA.org:his-11679DiVA: diva2:869046