Utbildningsplaner och reformimplementering : Sjuksköterskeutbildningen i fokus

Sammanfattning: This study describes the course of events within the area of health care with regard to two educational reforms in Sweden: the 1982 reform of certain middle length health care education called the Health Care 77 reform and the 1993 University and College reform. As a result of the first of these reforms, the nursing education was transformed from an education on the secondary school level to a university college level.The present study which has its underpinnings within the implementation process has twoaims: first to clarify the governmental intentions and to illustrate how these intentions wereinterpreted and formulated by those in charge of executing the reforms and secondly toinvestigate to what degree other factors than those directly connected to the actual reformshave influenced the content and form of the operative activities.The frame of reference describes the problems of political governing of education as twofold: the process of making political decisions and the process of executing those decisions.The reality where the goals are formulated and reality where goals are realized are governedby different contingencies, which may be difficult to bridge between. In the present study, thepolitical governing of a reform is seen in a curriculum theoretical perspective and theexecution of the reform is seen in an organization theoretical perspective.The empirical material in this study entails primarily government and local documentssupplemented by interview studies along with studies of correspondence studies with thoseinvolved in the units of interest.There are two main results of this study. The first result was that the formal politicalgoverning of an education has a certain impact but that the informal execution of a reformwill be dependent upon the values and culture of those in the local organization. The secondresult showed that the implementation process entails two phases: a transformation phasewhere government directives are reformulated into local documents and an implementationphase where the local documents are executed in an activity. Commonly, researchers includethe transformation phase within the implementation process but the results of this studysuggest that it may be of greater value to view the transformation phase as phenomena, whichcan be both defined and studied on its own.