Literature DB >> 24326776

Professional Talk: How Middle Managers Frame Care Workers as Professionals.

Lieke Oldenhof1, Annemiek Stoopendaal2, Kim Putters2.   

Abstract

This paper examines how middle managers in the long term care sector use the discourse of professionalism to create 'appropriate' work conduct of care workers. Using Watson's concept of professional talk, we study how managers in their daily work talk about professionalism of vocationally skilled care workers. Based on observations and recordings of mundane conversations by middle managers, we found four different professional talks that co-exist: (1) appropriate looks and conduct, (2) reflectivity about personal values and 'good' care, (3) methodical work methods, (4) competencies. Jointly, these professional talks constitute an important discursive resource for middle managers to facilitate change on the work floor. Change involves the reconfiguration of care work and different managerial-worker relations. Middle managers use professional talks in both enabling and disenabling ways vis-à-vis care workers. Based on these findings, we suggest a more nuanced portrayal of the relationship between managers and professionals. Rather than being based on an intrinsic opposition, i.e. 'managers versus professionals', this relationship is flexibly reconstructed via professional talk.

Keywords:  Long term care; Middle managers; Professional talk; Professionalism; Vocational care workers

Mesh:

Year:  2016        PMID: 24326776     DOI: 10.1007/s10728-013-0269-9

Source DB:  PubMed          Journal:  Health Care Anal        ISSN: 1065-3058


  10 in total

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3.  Health services management education: why and what?

Authors:  Stephen Davies
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4.  Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.

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Journal:  Sociol Health Illn       Date:  2007-03

5.  Improving the long-term care workforce serving older adults.

Authors:  Robyn Stone; Mary F Harahan
Journal:  Health Aff (Millwood)       Date:  2010 Jan-Feb       Impact factor: 6.301

6.  What health care managers do: applying Mintzberg's structured observation method.

Authors:  Rebecka Arman; Lotta Dellve; Ewa Wikström; Linda Törnström
Journal:  J Nurs Manag       Date:  2009-09       Impact factor: 3.325

7.  Tailor-made finance versus tailor-made care. Can the state strengthen consumer choice in healthcare by reforming the financial structure of long-term care?

Authors:  K Grit; A de Bont
Journal:  J Med Ethics       Date:  2010-02       Impact factor: 2.903

8.  Improving the effectiveness of health care innovation implementation: middle managers as change agents.

Authors:  Sarah A Birken; Shoou-Yih Daniel Lee; Bryan J Weiner; Marshall H Chin; Cynthia T Schaefer
Journal:  Med Care Res Rev       Date:  2012-08-28       Impact factor: 3.929

9.  Framing reflexivity in quality improvement devices in the care for older people.

Authors:  Esther van Loon; Teun Zuiderent-Jerak
Journal:  Health Care Anal       Date:  2012-06

10.  Uncovering middle managers' role in healthcare innovation implementation.

Authors:  Sarah A Birken; Shoou-Yih Daniel Lee; Bryan J Weiner
Journal:  Implement Sci       Date:  2012-04-03       Impact factor: 7.327

  10 in total
  1 in total

1.  Leading by example: Nursing home staff experiences of what facilitates them to meaningfully engage with residents with advanced dementia.

Authors:  Kirsty Haunch; Murna Downs; Jan Oyebode
Journal:  Int J Geriatr Psychiatry       Date:  2022-09       Impact factor: 3.850

  1 in total

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