"Alla ska vara nöjda...helst" : En kvalitativ studie om hur enhetschefer inom hemtjänsten implementerar självbestämmande.
Sammanfattning: The aim of this study was to investigate how unit-managers implement home-care users right to self-determination within home-care services and witch conditions that indicated home-care users self-determination. The empirical material was analysed through qualitative content analysis, which generated two themes: 1) To be the center of the spider web and 2) To work with implementation plans. The empirical material was also analysed with previous research, implementation theory and street-level bureaucracy. The result show that unit-managers has a duty to implement and contribute to home-care users self-determination. Unit-managers shall ensure that home-care users has self-determination within the organisational framework, conditions and requirements and also based on home-care users preferences. Methods like IBIC (individual based care) and function preservation work method, are being used to preserve home-care users independency and self-determination throughout the work. Unit-managers implement self-determination using opinion-forms, implementation-plans, contact persons and through dialog with home-care personal creates normes, values and work methods. The conclusion is that self-determination is used by home-care users to influence their aid by leaving complains and opinions to home-care personal, on a opinion form or directly to the unit-manager. Home-care users can decline aid if they are unhappy or feel that they does not have the need for the specific aid. Self-determination has conditions and it exists many obstacles for home-care users desires and right to self-determination.
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