Hvordan skaber lederne rammer for en oversættelse af strategi med ideer om faglig selvledelse og borgernes selvhjulpenhed til ny praksis blandt medarbejderne?

Susanne Grass

Student thesis: Master executive thesis


The Danish health service is facing a challenge. Demographic trends show that the number of elderly will increase in Copenhagen 2017 (Copenhagen municipality Ældrepolitik 2015-2017). At the same time the "new" older come with different expectations to the public than before. According to "Recommendations from Homecare Commission" (2013), the number of people over 80 will double over the next 30 years, and notwithstanding that a large part will be able to get by with little or no help, an increase is expected of elderly with extensive and complex care needs. This is due to an expectation of a large increase in the number of people with dementia and chronic diseases. Particularly in the field of home care there is a significant change in the approach to citizens and the way the tasks are solved. Copenhagen municipality has, since 2011, been focusing on moving the way we think home care. The services that were offered citizens who need them, changed slowly in nature: the introduction of a voucher model, where citizens were given much more autonomy and greater freedom of choice. Subsequently Trust reform (2011) was introduced and home care "minute tyranny" was abolished and the previously detailed described services was replaced by blocks. Employees were now free to unfold their professional and human skills so that they could adjust the services to what the citizen might need. In this paper I am investigating how managers in the home care of Copenhagen interpret a strategy that focuses on employee’s ability to be strategic self – managing in order to help citizens to be more self- reliant. The empirical data is produced by anonymous surveys and two qualitative group interviews with four employees and four managers. I have analyzed the data using theory of Line of Sight by Boswell, theory on strategic selfmanagement by Kristensen and Pedersen. I also use Røvik´s theory on interpretation competences to examine how the managers interpret the strategy. In the project I find that employees are relatively self- managing in order to help citizens to be more self-reliant. I also find the managers, with individual differences, capable of translating strategies. Though there are signs that indicate lack of abilities according to top – down introduced strategies.

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
Publication date2016
Number of pages122