Hagerman Heidi, Ekstedt Mirjam, von Knorring Mia, Fagerström Cecilia, Tolf Sara, Smeds Alenius Lisa
Faculty of Health and Life Sciences, Linnaeus University, Sweden.
Department of Learning, Informatics, Management and Ethics, LIME, Karolinska Institute, Sweden.
Int J Integr Care. 2025 Aug 19;25(3):20. doi: 10.5334/ijic.8916. eCollection 2025 Jul-Sep.
Top-level managers in municipal social care administration play a central role in ensuring high-quality care through coordination within and between organisations. However, there is limited understanding of the specific tasks and responsibilities they undertake in this regard. Therefore, this study aimed to explore municipal top-level managers' perspectives on fostering safe and integrated care for older adults with complex care needs living at home.
Thirteen top-level managers in municipal social care administration were interviewed. Interview data were analysed thematically.
One theme 'Leading through trust and empowerment, and encouraging collaborations within and between organisations to foster safe and integrated care' and five subthemes were identified: 'Creating conditions for seamless care by minimising cross-organisational barriers', 'Using the mandated role when navigating the bigger picture', 'Empowering middle managers and nursing staff', 'Fostering trust in working towards a common goal' and 'Leveraging successful partnerships across organisations'.
Top-level managers see themselves as parts of a larger system that requires them to collaborate with others. Empowering middle managers and nursing staff to thrive in their roles, through leadership based on trust, promotes a unified effort toward the common goal of safe and integrated care for older adults with complex care needs.
市政社会护理管理中的高层管理人员在通过组织内部及组织之间的协调来确保高质量护理方面发挥着核心作用。然而，对于他们在这方面承担的具体任务和职责，人们了解有限。因此，本研究旨在探讨市政高层管理人员对于为居家的有复杂护理需求的老年人提供安全和综合护理的看法。
对市政社会护理管理中的13名高层管理人员进行了访谈。对访谈数据进行了主题分析。
确定了一个主题“通过信任和授权进行领导，并鼓励组织内部及组织之间的合作以促进安全和综合护理”以及五个子主题：“通过减少跨组织障碍为无缝护理创造条件”、“在把握大局时发挥法定作用”、“赋予中层管理人员和护理人员权力”、“在朝着共同目标努力时培养信任”以及“利用跨组织的成功伙伴关系”。
高层管理人员将自己视为一个更大系统的一部分，这要求他们与他人合作。通过基于信任的领导赋予中层管理人员和护理人员充分发挥其作用的权力，有助于为实现为有复杂护理需求的老年人提供安全和综合护理这一共同目标而齐心协力。
