| Summary: | Purpose: the aim with this study was to examine how managers in healthcare services, focusing on people with functional variants, work with threats and violence that users exercise against caretakers. Method: Study was conducted through qualitative interviews based on the theoretical framework; hermeneutics. To collect empirical data seven managers in personal assistance and LSS housing in southern Sweden were interviewed. Theory: The results shows that the managers need discretion to handle threat and violence that occur within their operations. The discretion is partly controlled by the conditions that exist in the organization and the managers therefore deem that they need to look at all aspects of the situation. Results: The result shows that there are different variants of threats and violence in the managers operations and that the severity level differs. Further emerges that the managers perception of the incidents is for example based on their knowledge of the functional variant that the users have or on the caretakers treatment towards them. The result also shows that the managers are responsible for creating routines, guidelines, action plans and investigating incidents. Furthermore, they are responsible for ensuring that employees can handle situations that arise. It appears in the result that the caretakers are responsible for following routines, guidelines and action plans that have been established and for reporting incidents that occur to their manager. However, reporting is not always done for various reasons. When incidents have been reported to the managers the result shows that the managers assessments differ. This means that the statistics on reports could be misleading. Circumstances that the respondents believe can make preventative work more difficult are, among other things, lack of time, finances, knowledge, unclear directives from the work environment authority and large staff turnover.
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