title: Political experiences of changing the focus in elderly care in one municipality.
abstract: OBJECTIVE
  To describe local politicians' experiences of an ongoing planning process for elderly care for the future in a medium-sized municipality in western Sweden.
  
  
  BACKGROUND
  Elderly care is facing challenges because of an ageing population.
  
  
  METHODS
  The study comprised a total of eight semi-structured interviews with politicians. The interviews were analysed using manifest qualitative content analysis.
  
  
  RESULTS
  One category (political consensus) and three subcategories (involvement generates security, trust in change management and confidence to create visions) were identified.
  
  
  CONCLUSIONS
  Political consensus across elderly care organisations could establish a sense of security for old people, their relatives and the staff in particular. Continuous information and support from different managerial levels is one way of implementing changes within large organisations. However, further research is needed to describe how to develop future elderly care.
  
  
  CONCLUSIONS
  An ageing population requires cooperation across provider boundaries to further develop high-quality elderly care services. Nursing leadership during a change process is crucial to implement political decisions in care organisations. Furthermore, active marketing of the health care profession for elderly care is needed as well as new knowledge regarding old people.
authors: Health and Social Care, Municipality of Lidköping, Lidköping, Sweden.
authors: Paula
authors: P
authors: Evertsson
authors: Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Göteborg, Sweden.
authors: Kristina
authors: K
authors: Rosengren
mesh_terms: D005260:Female; D005853:Geriatrics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D008297:Male; D009718:Nurse Administrators / Q000458:organization & administration*; D011057:Politics; D011785:Quality Assurance, Health Care; D011787:Quality of Health Care; D013548:Sweden
keywords: consensus; cooperation; elderly care; leadership skills; nursing; politicians’ experiences