Lofty ideals and lowly troubles among nursing home managers

Research output: Chapter in Book/Report/Conference proceedingBook chapter


This chapter explores how nursing home managers grapple with local manifestations of the wicked problems that plague elderly care. It shows the tension between managers' lofty ideals of high-quality, individualized care and their continuous struggle to handle very basic troubles that ultimately appear to be grounded in a lack of resources, such as high personnel turnover and staff complaints about inconvenient work times. The chapter explains and illustrates the gap between lofty ideals and lowly troubles among managers which it found at most investigated nursing homes but which was more or less absent from one of them, a private non-profit home with relatively ample resources and a strong focus on concrete quality work. In the nursing homes, wicked problems take the form of constant pressures to keep costs down and at the same time improve care for increasingly vulnerable residents.


External organisations
  • University of Gothenburg
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy
Original languageEnglish
Title of host publicationThe Management of Wicked Problems in Health and Social Care
PublisherTaylor & Francis
Number of pages13
ISBN (Electronic)9781351592536
ISBN (Print)9781138103627
Publication statusPublished - 2018 Sep 6
Publication categoryResearch