This thesis firstly investigates the demands and expectations to the professionals in healthcare through the project ‘Faste hjælpere - kontinuitet i hjemmeplejen’ (Regular helpers - continuity in the domiciliary care) that runs in the Municipality of Copenhagen under the health and care administration, and secondly how it affects the sensemaking for the professional coworkers in the public domiciliary care service. The theoretical fundament is based on two central metatheories, Pierre Bourdieu and Karl E. Weick. Besides that, a literature review and research material of the professional field firstly sums up the discourses and central discussions of professionalism and modern healthcare in the Danish welfare state. Secondly it describes the rationale of the management and which consequences it brings for the professionals.
Methodically the paper is based on qualitative interviews and observations which gives insight in the negotiations and disagreements in the interaction between the projectgroup, and the professional groupleaders and coworkers.
The strategy for the analysis is separated into three parts. The first part discovers the competencies, and negotiations about which values there is possessed in the field through Pierre Bourdieu’s term ‘capital’. It shows two main competencies, that is based on requirements from the project group, and central political documents. The two competencies are ‘the interdisciplinary competence’ and ‘the empathy competence’. These two competencies are put on different meaning and values from two main capitals ‘the political capital’ and ‘the professional and practical capital’. These two capitals are founded upon the literature that describes the professional area and the empirical studies. ‘The political capital’ is characterized by the terms from the discourse of modernization, such as streamlining, economic savings, and quality for the citizens. ‘The professional and practical capital’ extracts arguments from the professional narratives, caring for the citizen, and the practical and logistic framework, that the modern professional works under.
The second part investigates if there are any negotiations about professionalism and disagreements about how the competencies is best supported by changes in the professional coworkers everyday practice. The third and last part examines how these conflicts affects the sensemaking for the professional coworkers, and a platform for a common understanding for the project from out Karl E. Weicks term ‘sensemaking’.
The thesis concludes that there are some contradictive ways between the two ways of perceiving and understanding ‘quality’ and ‘effectivity’ presented by the two capitals. The politically-adjusted goal is perceived as meaningless demands and expectations because the professionals do not feel able to meet these demands due to the frameworks that determines modern affective work, such as increased documentation requirements.
When there is made room for the professionals’ stories from their work life and experiences, and their contributions to the project, a space arises for sensemaking.
From a social intervention perspective, the professionals experience of ‘Faste hjælpere’ as a meaningful intervention, fails, when the negotiation of quality and professionalism occurs on ‘the political capital’.
|Uddannelser||Sociale Interventionsstudier, (Bachelor/kandidatuddannelse) Kandidat|
|Udgivelsesdato||2 jan. 2018|