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Charlotta Levay . Photo

Charlotta Levay

Senior lecturer

Charlotta Levay . Photo

Lofty ideals and lowly troubles among nursing home managers

Author

  • Monica Andersson Bäck
  • Charlotta Levay

Summary, in English

This chapter explores how nursing home managers grapple with local manifestations of the wicked problems that plague elderly care. It shows the tension between managers' lofty ideals of high-quality, individualized care and their continuous struggle to handle very basic troubles that ultimately appear to be grounded in a lack of resources, such as high personnel turnover and staff complaints about inconvenient work times. The chapter explains and illustrates the gap between lofty ideals and lowly troubles among managers which it found at most investigated nursing homes but which was more or less absent from one of them, a private non-profit home with relatively ample resources and a strong focus on concrete quality work. In the nursing homes, wicked problems take the form of constant pressures to keep costs down and at the same time improve care for increasingly vulnerable residents.

Department/s

  • Department of Business Administration
  • VBE

Publishing year

2018-09-06

Language

English

Pages

62-74

Publication/Series

The Management of Wicked Problems in Health and Social Care

Document type

Book chapter

Publisher

Taylor & Francis

Topic

  • Health Care Service and Management, Health Policy and Services and Health Economy

Status

Published

Research group

  • VBE

ISBN/ISSN/Other

  • ISBN: 9781351592536
  • ISBN: 9781138103627