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Demarcation or assimilation?

Demarcation or assimilation?. Hospital social workers ( HSWers ) jurisdictional work in Sweden and Germany. HSW – conditions. Frequently uttered claims: Work tasks in health care are unclear Professional discretion often disregarded

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Demarcation or assimilation?

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  1. Demarcation or assimilation? Hospital social workers (HSWers) jurisdictional work in Sweden and Germany Manuela Sjöström, PhD student, Gothenburg university, Sweden

  2. HSW – conditions • Frequently uttered claims: • Work tasks in health care are unclear • Professional discretion often disregarded • Health care policy makers have unclear expectations on HSWers contributions • Limited research on HSW & its professionalization • Cross-national research on professionalization is unusual Manuela Sjöström, PhD student, Gothenburg university, Sweden

  3. Jurisdictional work • Professionalization = a context bound individually, but predominantly collectively pursued attempt to gain jurisdictional control over a professional sub-groups work tasks & fields. • Jurisdictional work = Use of specific internal and external activities & strategies in order to protect jurisdiction in a variety of arenas (work place, professional group, public & policy making. Manuela Sjöström, PhD student, Gothenburg university, Sweden

  4. Aim, Theory, Method • Aim: Describing, analysing, comparing HSWers performance of jurisdictional work during the period 1989-2008; predominantly on the associational level, but also on the work place level & state level • Theory: Predominantly Theory of professions (Abbott 1988 & 2005); Theory on social identity (Jenkins 2003), Theory on organisational compliance (Etzioni 1961), symbolic interactionism (Mead 1962) Argumentation analysis (Karlsen 2012) • Method: Case study including approx. 450 documents from HSWers’ professional bodies (predominantly 2 associations) in Sweden and Germany; 2 focus group interviews (associational boards); 11 interviews with HSWers in Germany (5) and Sweden (6) Manuela Sjöström, PhD student, Gothenburg university, Sweden

  5. Background1989-2008 • Different welfare state regimes (Esping-Andersen 1990): Sweden = Social democratic welfare state, Germany = corporative welfare state regime • Sweden, legislative reforms: • Abolishing overlap between counties’ and municipalities’ responsibilities concerning health care/social welfare services ( esp. elderly care/psychiatric care reforms) • Efforts to introduce private caregivers • Germany, legislative reforms: • Formal integration of legislation concerning social welfare/health care in one legislative framework (SGB) • Efforts to increase involvement of other than historically established corporative actors in policy making (esp. patients) (GMG) Manuela Sjöström, PhD student, Gothenburg university, Sweden

  6. Results:Internal jurisdictional work Manuela Sjöström, PhD student, Gothenburg university, Sweden

  7. Results:External jurisdictional work I Manuela Sjöström, PhD student, Gothenburg university, Sweden

  8. External jurisdictional work II Manuela Sjöström, PhD student, Gothenburg university, Sweden

  9. Collective claims-making Manuela Sjöström, PhD student, Gothenburg university, Sweden

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