Sundhedpersonalets håndtering af strukturelle forandringer - med særligt fokus på udvikling af copingstrategier: Med særligt fokus på udvikling af copingstrategier

The health care professionals managing structural changes - with a main focus on developing copingstrategies: With a main focus on developing copingstrategies

Persson, Mille Frederikke ; Pedersen, Sigrid Julie Højrup

4. semester

Socialt Arbejde, Kandidat

2019

2019-09-16

92

Dette speciale undersøger, hvordan sundhedspersonale oplever at arbejde i organisationer, der gennemgår strukturelle forandringer, og hvordan de håndterer disse forandringer. For at belyse, hvad der driver forandringerne, inddrages to styringsperspektiver: den neoliberalistiske diskurs og New Public Management (NPM). Kort fortalt betoner disse tilgange markedstænkning, effektivitet og styring efter mål og resultater, hvilket kan påvirke, hvordan sundhedsorganisationer organiseres og prioriterer. Specialet bygger på tre kvalitative interviews, hvor sundhedspersonale beskriver deres erfaringer i dybden. Fundene viser, at de udvikler strategier til at håndtere det arbejdspres, som strukturelle forandringer kan medføre. Samtidig peger resultaterne på, at disse strategier kan have konsekvenser for patienterne og kan være med til at skabe ulighed mellem patienter. Specialet belyser dermed både medarbejdernes håndtering af forandringer og mulige afledte effekter for patienter.

This thesis examines how healthcare staff experience working in organizations undergoing structural changes and how they manage these changes. To understand what drives such changes, it draws on two governance perspectives: the neoliberal discourse and New Public Management (NPM). In brief, these approaches emphasize market-oriented thinking, efficiency, and management by targets and results, which can influence how healthcare organizations are structured and prioritized. The study is based on three qualitative interviews in which healthcare staff describe their experiences in depth. The findings show that staff develop strategies to cope with the work pressures that structural changes can create. At the same time, the results indicate that these strategies can have consequences for patients and may contribute to inequality between patients. The thesis thus highlights both how staff handle change and the possible knock-on effects for patients.

[Dette resumé er omskrevet med hjælp fra AI baseret på projektets originale resumé]

Sundhedspersonale ; coingstrategier ; strukturelle forandringer ; sundhedsvæsen ; forandringer i organisation ; New Public Management ; Michael Lipsky

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Persson, Mille Frederikke:

• The health care professionals managing structural changes - with a main focus on developing copingstrategies: With a main focus on developing copingstrategies (2019)

Pedersen, Sigrid Julie Højrup:

• The health care professionals managing structural changes - with a main focus on developing copingstrategies: With a main focus on developing copingstrategies (2019)