Meningsskabelse for lægesekretærerne i Region Hovedstaden efter Sundhedsplatformen

Lise Læbel

Student thesis: Master executive thesis


The aim of this thesis is to investigate sensemaking and motivation when employees at hospitals in the Capital Region of Denmark is exposed to major changes in their jobs. More specifically the research investigates how the medical secretaries of four hospitals in the Capital Region are experiencing the changes after the hospitals introduced Sundhedsplatformen in a period from 2016-2017. The method used for this investigation was interviews with four medical secretaries from four different hospitals. I designed semi structural questionnaires with themes around sensemaking. I taped all the interviews and I later analysed them. The purpose of the interviews was to have a more in-depth understanding of the responses. To gain a deeper insight into the secretaries understanding of the changes taking place in a phenomenologically inspired approach, I apply Karl E. Weick’s theory on Sensemaking (Weick, 1995), which can be used to develop an understanding of how employees attempt to make sense of changes with which they are faced. Weick presents seven characteristics that are central to Sensemaking: 1) grounded in identity construction, 2) retrospective, 3) enactive of sensible environments, 4) social, 5) ongoing, 6) focused on and by extracted cues and 7) driven by plausibility rather than accuracy. These seven characteristics are used as inspiration for the creation of the question guide and analysis of the collected data. Helle Hein’s theory (2009) on archetypes and motivation profiles, and Herzberg’s two-factor theory of motivation is used to examine the question of motivation in major changes. Hein categorises people according to archetypes. There are four archetypes, each of which has its own motivation profile from which different factors motivate in relation to work. The main conclusions of the work were the following: • There is a big difference on how the medical secretaries seek sensemaking in their new position depending on the time since Sundhedsplatformen was introduced at their workplace. • The medical secretaries find it difficult to seek sensemaking in the jobs they are performing now in contrary to earlier. • The medical secretaries are motivated by different things but generally they all find job satisfaction according to Herzberg’s motivation profiles with contents and the wish to make a different as the most important elements. It seems that this motivation is disappeared for a while but slowly comes back to some of them. • They want a visible and listening leadership, who listens to the secretaries and create enactment together

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
Publication date2017
Number of pages64
SupervisorsSøren Obed Madsen