Att leda i kommunal äldreomsorg : Om arbetsledares handlingsutrymme, handlingsfrihet och skilda lojaliteter - exemplet Halland

Sammanfattning: The middle management position in the care of the elderly is the focus of this licentiate dissertation. The aim was to develop knowledge about the constraints within which the middle manager is able to act and which freedom of action he/she has. The empirical data consisted of 17 interviews and a vignette study completed by 47 middle managers in social care in the county of Halland. The managers' perceptions of what exerts a control on their work and of the type of control that is exercised was investigated into in the interviews. In the vignette study, using three specific cases, the focus was on the research issue, i.e. how they thought they could act, mainly in terms of their apprehensions of constraints (the formal framework) within which to act and the freedom of action. Further, aspects of loyalty were analysed. It comes down to a view of what can be done and how it can be carried out. The middle managers' freedom was violated by control mechanisms that had a disciplinary cognitive orientation as well as mechanisms that constituted a normative control, such as budget issues and legislation. They described, mainly in the interviews, their experiences of being in a vulnerable position and of being trapped between interested parties. On the other hand the vignette study revealed an emphasis on being a manager and conveyed an administrative approach. By adopting this approach the middle managers relinquish to some extent their moral responsibility. A moral indignation is apparent, however, when the consequences for the workplace and the staff become serious as it does in one of the vignettes. Then the indignation in many cases passed on into a deliberation about quitting. The administrative concentration of middle management can, in its extension, lead to the need for an old group to re-enter into the field of the elderly care, namely, the assistant manager. In other words, a new intermediate level emerges that takes care of this dilemma of being trapped between the interested parties from a bottom up perspective. It is possible here to make a comparison with what in modern terms is called shared leadership.