The study has been carried out at the hospital, Akademiska's development unit, in Uppsala,Sweden. From the feasibility study, conducted in the same unit, an area of improvements was found, control and management. The study has therefore focused on that area of managementand control. The study aimed to identify improvements to the development unit's work, related to their purpose and goals. In order to achieve the purpose of the study, the following questions wave been used:
1. What is the purpose of the Development unit in Akademiska's hospital?
2. How do the unit's coworkers work?
3. How can the unit's work be improved?
To answer the following questions, different methods were used, observation, interviews withthe employees, a group interview with the management group and a survey were used. In the analysis, tools like the relationship diagram, a tree diagram and a "five why"-method were used. The results of the data collection found that the purpose of the unit was defined unclearly and not properly communicated to the coworkers. The employees work tended to be patient-focused, which is also described as one of the two parts of the purpose of the unit.
Theories related to leadership and management has been used for the analysis. The theoriesalso refer to goals, group development, procrastination and resistance to development. From the analysis, it has been found that the employees are in the first stage of the group development stages. The uncleared defined purpose tended to be the reason to why employeesworked patient-focused.
The conclusion of the study resulted in the three following steps:
1. Clarify the purpose (why the unit exist)
2. Set goals that contribute to the fulfillment of the purpose. Communicate the goals throughthe entire organization and use SMART goals
3. Slightly change the leadership to more controlling leadership, follow up and confirm thecoworkers work. Plan the work towards the goals and clarify what should be done and when it should be done.
Key words: change, development, group development, leadership, opposition, safety