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Helsefremmende lederskap: en utforskende studie blant førstelinjeledere ved et norsk helseforetak
Nordic Council of Ministers, Nordic School of Public Health NHV.
2010 (Norwegian)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Health promoting leadership : an explorative study among first-line managers employed at a Norwegian health trust. (English)
Abstract [no]

Formål: Å få frem førstelinjelederes oppfatninger om hva som ligger til grunn for måten de utøver sitt lederskap på, og om det helsefremmende aspektet spiller inn i forhold til hvordan de utøver sin personalledelse.

Metode: Studien er gjennomført som en singel case studie. Data er innhentet fra et helseforetak med flere driftsenheter i Norge. Det er brukt data- og metodetriangulering. Spørreskjemaer ble sendt ut til 15 førstelinjeledere. Svarene fra disse dannet grunnlaget for intervju med tre førstelinjeledere. Dokumenter som handlingsplaner og funksjonsbeskrivelser ble hentet inn og gransket. Intervjuene ble analysert ved hjelp av innholdsanalyse.

Resultater: Tilretteleggelse for et helsefremmende lederskap hadde stor plass i arbeidet som leder. Lederne hadde stort fokus på å tilrettelegge for et godt både fysisk- og psykososialt arbeidsmiljø. De opplevde seg som rollemodeller, og mente at deres lederstil kunne ha betydning både for trivsel og i noen grad produktivitet og måloppnåelse. Valg av lederstil var basert på kunnskaper og erfaring, men krav til aktivitet og effektivitet var også styrende elementer i utøvelsen av lederskapet. I spørreskjemaundersøkelsen svarte nesten alle lederne at de hadde faste treffpunkter med de ansatte, alle svarte at de involverte dem i planlegging og målarbeid. Imidlertid kom det frem at det ikke var like enkelt for alle lederne å ta selvstendige avgjørelser. I dokumentgranskningen kom det frem at overordnede ledere forventet at førstelinjeledere skulle legge til rette for et godt arbeidsmiljø, dette for både å sikre de ansatte gode arbeidsforhold, og for å sikre god kompetanse og kvalitet i utøvelse av arbeidsoppgavene.  

Konklusjon: Funnene tyder på at førstelinjelederne var bevisste i forhold til å ha et helsefremmende perspektiv i sitt lederskap. Men det kom også frem at det å sitte som førstelinjeleder, kan sammenlignes med ”å sitte mellom barken og veden”.

Abstract [en]

Intention: This study aimed to explore the perceptions of first-line managers regarding the reasons they practice leadership, and to determine whether health-promoting aspects are essential to personnel management skills.

Method: The study was conducted as a single case study that triangulated both data and methods. Data were collected from a multi-site health trust in Norway. I sent questionnaires to 15 first-line managers, whose responses provided the basis for interviews with three first-line managers. I also collected and examined documents such as action plans and work instructions. I used content analysis to analyze interviews.

Results: Arrangements for health-supporting leadership were a major focus in the leaders’ daily work. They also focused on arrangements that could figure importantly in attaining good physical and psychosocial working environments. The leaders considered themselves role models, and they thought that their way of practicing leadership could influence the well-being of their employers as well as worker productivity and goal attainment. While their options for practicing leadership were based primarily on knowledge and experience, demands concerning activity and effectiveness were also important elements of their leadership. Results from the questionnaires showed that almost all first-line managers met regularly with their employers, and all respondents indicated that they involved their employers in the determination of plans and goals. However, making independent decisions did not come easily for all first-line managers.

Examination of work instructions showed that their superiors expected first-line managers to emphasize arrangements that would lead to good working environments, thus ensuring good working conditions, and securing professional competence and high quality service provision.

Conclusion: Findings indicate that first-line managers want to include a health-promoting aspect in their leadership skills. Interestingly first-line managers feel they -“sit between the devil and the deep sea”-.

Place, publisher, year, edition, pages
2010. , 43 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2010:4
Keyword [en]
First-Line Managers, Hospital, Leadership, Health Promotion
Keyword [no]
førstelinjeledere, sykehus, lederskap, helsefremmende
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3150OAI: oai:DiVA.org:norden-3150DiVA: diva2:721922
Presentation
2010-02-19, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 00:00 (Norwegian)
Supervisors
Note

ISBN 978-91-85721-83-2

Available from: 2014-06-05 Created: 2014-06-05 Last updated: 2014-07-07Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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