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Reconstructing Care Professionalism in Finland

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Professionalism, Managerialism and Reform in Higher Education and the Health Services

Part of the book series: Issues in Higher Education ((IHIGHER))

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Abstract

The public sector plays a special role in the Nordic welfare states through its commitment to the principle of universalism, and in relation to social security and publicly funded services in education, health and care (Rostgaard 2002). In the 21st century, the impact of economic austerity on public resources and a rapid aging of the population have forced welfare states to undergo an extreme reform. In Finland, the reform has meant streamlining the state, restraining public expenditure and recalibrating the universalistic ideals behind the Nordic welfare state model, as well as introducing new management models (Pollitt & Bouckaert 2011). The managerial reforms implemented in Finland have followed the ideology of new public management (NPM), altering the roles of the state and the clients, and influencing care work cultures, and health and social care workers’ professional agency (Henriksson & Wrede 2008).

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References

  • Adkins, L. 2001. ‘Cultural feminization: “Money, Sex and Power” for women’, Signs, Vol. 26, No. 3, pp. 669–695.

    Article  Google Scholar 

  • Anttonen, A. & Häikiö, L. 2011. ‘Care “going market”: Finnish elderly-care policies in transition’, Nordic Journal of Social Research, Vol. 2, No. 2, pp. 1–21.

    Google Scholar 

  • Bakker, I. 2007. ‘Social reproduction and the constitution of a gendered political economy’, New Political Economy, Vol. 12, No. 4, pp. 541–556.

    Article  Google Scholar 

  • Balka, E., Green, E. & Henwood, F. (eds.) 2009. Gender, Health and Information Technology in Context, Palgrave, Basingstoke.

    Google Scholar 

  • Banks, S. 2004. Ethics, Accountability, and the Social Professions, Palgrave Macmillan, Basingstoke.

    Google Scholar 

  • Barry, A. 2001. Political Machines: Governing a Technological Society, The Athlone Press, London.

    Google Scholar 

  • Berg, E., Barry, J. & Chandler, J. 2012. ‘Changing leadership and gender in public sector organizations’, British Journal of Management, Vol. 23, No. 3, pp. 402–414.

    Google Scholar 

  • Brown, P. R. & Calnan, M. 2011. ‘The civilizing process of trust: Developing quality mechanisms which are local, professional-led and thus legitimate’, Social Policy & Administration, Vol. 45, No. 1, pp. 19–34.

    Article  Google Scholar 

  • Calnan, M. & Rowe, R. 2008. ‘Trust relations in a changing health service’, Journal of Health Service Research & Policy, Vol. 13, No. 3, pp. 97–103.

    Article  Google Scholar 

  • Carvalho, T. 2012. ‘Managerialism and professional strategies: A case from nurses in Portugal’, Journal of Health Organization and Management, Vol. 26, No. 4, pp. 524–541.

    Article  Google Scholar 

  • Carvalho, T. 2014. ‘Changing connections between professionalism and managerialism: A case study of nursing in Portugal’, Journal of Professions and Organization, Vol. 1, No. 2, pp. 176–190.

    Article  Google Scholar 

  • Corbin, J. & Morse, J. 2003. ‘The unstructured interactive interview: Issues of reciprocity and risks when dealing with sensitive topics’, Qualitative Inquiry, Vol. 9, No. 3, pp. 335–354.

    Article  Google Scholar 

  • Dahl, H. & Rask, E. 2005. ‘Introduction: Dilemmas of care in the Nordic welfare state’, in H. Dahl & T. Rask (eds.), Dilemmas of Care in the Nordic Welfare State: Continuity and Change, Ashgate, Aldershot.

    Google Scholar 

  • Davies, C. 1995. Gender and the Professional Predicament in Nursing, Open University Press, Buckingham.

    Google Scholar 

  • Dent, M., Chandler, J. & Barry, J. 2004. ‘Introduction: Questioning the new public management’, in M. Dent, J. Chandler & J. Barry (eds.), Questioning the New Public Management, Ashgate, Aldershot.

    Google Scholar 

  • Di Luzio, G. 2006. ‘A sociological concept of client trust’, Current Sociology, Vol. 54, No. 4, pp. 549–564.

    Article  Google Scholar 

  • Doupi, P., Hämäläinen, P. & Ruotsalainen, P. 2007. eHealth strategy and implementation activities in Finland, Report in the framework of the eHealth ERA project, STAKES, Helsinki.

    Google Scholar 

  • Heichlinger, A. 2011. ‘Introduction’, in A. Heichlinger (ed.), EPSA Trends in Practice: Driving Public Sector Excellence to Shape Europe for 2020, EIPA, Maastricht.

    Google Scholar 

  • Evans, J. 2006. ‘Men nurses and women physicians: Exploring masculinities and gendered and sexed relations in nursing and medicine’, in L. Andrist, P. Nicholas & K. Wolf (eds.), A History of Nursing Ideas, Jones and Bartlett, Sudbury, MA.

    Google Scholar 

  • Evetts, J. 2009. ‘New professionalism and new public management: Changes, continuities and consequences’, Comparative Sociology, Vol. 8, No. 2, pp. 247–266.

    Article  Google Scholar 

  • European Commission. 2009. Smarter, Faster, Better Egovernment: 8th Benchmark Measurement, European Commission, Brussels.

    Google Scholar 

  • Ferraris, M. & Davies, R. 2013. Documentality: Why It Is Necessary to Leave Traces, Fordham University Press, New York.

    Google Scholar 

  • Gherardi, S. 2012. How to Conduct a Practice-Based Study: Problems and Methods, Edward Elgar, Cheltenham.

    Book  Google Scholar 

  • Grosz, E. A. 1994. Volatile Bodies: Toward a Corporeal Feminism, Indiana University Press, Bloomington, IN.

    Google Scholar 

  • Henriksson, L. 2008. ‘Reconfiguring Finnish welfare service workforce: Inequalities and identity’, Equal Opportunities International, Vol. 27, No. 1, pp. 49–63.

    Article  Google Scholar 

  • Henriksson, L. 2011. ‘Lähihoitaja — joustavaa työvoimaa sosiaali- ja terveysalalle’, in A. Laiho & T. Ruoholinna (eds.), Terveysalan ammatit ja koulutus, Gaudeamus, Helsinki.

    Google Scholar 

  • Henriksson, L. & Wrede, S. 2008. ‘Care work in a context of a transforming welfare state’, in S. Wrede, L. Henriksson, H. Host, S. Johansson & B. Dybbroe (eds.), Care Work in Crisis: Reclaiming the Nordic Ethos of Care, Studentlitteratur, Lund.

    Google Scholar 

  • Hirvonen, H. 2014a. ‘Habitus and care: Investigating welfare service workers’ agency’, PhD thesis, Jyväskylä Studies in Education, Psychology and Social Research, 497, University of Jyväskylä.

    Google Scholar 

  • Hirvonen, H. 2014b. ‘Doing gendered and (dis)embodied work: Care work in the context of medico-managerial welfare state’, Nordic Social Work Research, Vol. 4, No. 2, pp. 113–128.

    Article  Google Scholar 

  • Hirvonen, H. & Husso, M. 2012. ‘Living on a knife’s edge: Temporal conflicts in welfare service work’, Time & Society, Vol. 21, No. 3, pp. 351–370.

    Article  Google Scholar 

  • Hupe, P. & Hill, M. 2007. ‘Street-level bureaucracy and public accountability’, Public Administration, Vol. 85, No. 2, pp. 279–299.

    Article  Google Scholar 

  • Husso, M. & Hirvonen, H. 2012. ‘Gendered agency and emotions in the field of care work’, Gender, Work & Organization, Vol. 19, No. 1, pp. 29–51.

    Article  Google Scholar 

  • Kallio, J. 2008. ‘Kansalaisten asennoituminen hyvinvointivaltion uudelleenmuotoiluun’, Sosiologia, Vol. 45, No. 1, pp. 3–20.

    Google Scholar 

  • Kirkpatrick, I., Ackroyd, S. & Walker, R. 2005. The New Managerialism and Public Service Professions, Palgrave Macmillan, Basingstoke.

    Google Scholar 

  • Koivunen, M., Välimäki, M., Koskinen, A., Staggers, N. & Katajisto, J. 2008. ‘The impact of individual factors on health care staff’s computer use in psychiatric hospitals’, Journal of Clinical Nursing, Vol. 18, No. 8, pp. 1141–1150.

    Article  Google Scholar 

  • Korvajärvi, P. 2004. ‘Gender and work-related inequalities in Finland’, in F. Devine & MC. Waters (eds.), Social Inequalities in Comparative Perspective, Blackwell, Malden, MA.

    Google Scholar 

  • Kröger, T. 2011. ‘Retuning the Nordic welfare municipality: Central regulation of social care under change in Finland’, International Journal of Sociology and Social Policy, Vol. 31, No. 3, pp. 148–159.

    Google Scholar 

  • Kuhlmann, E. 2006. ‘Traces of doubt and sources of trust: Health professions in an uncertain society’, Current Sociology, Vol. 54, No. 4, pp. 607–620.

    Article  Google Scholar 

  • Kurunmäki, L. 2000. ‘Power relations in the health care field: Accounting, accountants and economic reasoning in the new public management reforms in Finland’, PhD thesis, University of Jyväskylä.

    Google Scholar 

  • Leppo, A. and Perälä, R. 2009. ‘User involvement in Finland: The hybrid of control and emancipation’, Journal of Health, Organization & Management, Vol. 23, No. 3, pp. 359–371.

    Article  Google Scholar 

  • Mol, A. 2008. The Logic of Care: Health and the Problem of Patient Choice, Routledge, London.

    Google Scholar 

  • Nicolini, D. 2007. ‘Stretching out and expanding work practices in time and space: The case of telemedicine’, Human Relations, Vol. 60, No. 6, pp. 889–920.

    Article  Google Scholar 

  • Noordegraaf, M. 2007. ‘From “pure” to “hybrid” professionalism present-day professionalism in ambiguous public domains’, Administration & Society, Vol. 39, No. 6, pp. 761–785.

    Article  Google Scholar 

  • Noordegraaf, M. 2013. ‘Reconfiguring professional work: Changing forms of professionalism in public services’, Administration & Society, Vol. 20, No. 10, pp. 1–28.

    Google Scholar 

  • Pollitt, C. & Bouckaert, G. 2011. Public Management Reform (3rd edn), Oxford University Press, Oxford.

    Google Scholar 

  • Power, M. 1997. The Audit Society: Rituals of Verification, Oxford University Press, Oxford.

    Google Scholar 

  • Rostgaard, T. 2002. ‘Caring for children and older people in Europe: A comparison of European policies and practice’, Policy Studies, Vol. 23, No. 1, pp. 51–68.

    Article  Google Scholar 

  • Saario, S. 2014. ‘Audit techniques in mental health: Practitioners’ responses to electronic health records and service purchasing agreements’, PhD thesis, Acta Electronica Universitatis Tamperensis, 1391, University of Tampere.

    Google Scholar 

  • Schatzki, T. 2001. ‘Practice theory’, in T. Schatzki, K. Knorr-Cetina & E. Savigny (eds.), The Practice Turn in Contemporary Theory, Routledge, London.

    Google Scholar 

  • Suchman, L. 2002. ‘Located accountabilities in technology production’, Scandinavian Journal of Information Systems, Vol. 14, No. 2, pp. 91–105.

    Google Scholar 

  • Thomas, R. & Davies, A. 2002. ‘Gender and new public management: Reconstituting academic subjectivities’, Gender, Work & Organization, Vol. 9, No. 4, pp. 372–397.

    Article  Google Scholar 

  • Tronto, J. 2011. ‘Does managing professions affect professional ethics? Competence, autonomy and care’, in P. DesAutels & J. Waugh (eds.), Feminists Doing Ethics, Rowman & Littlefield, Lanham.

    Google Scholar 

  • Twigg, J. 2000. Bathing, the Body and Community Care, Routledge, London.

    Book  Google Scholar 

  • Twigg, J. 2006. The Body in Health and Social Care, Palgrave, Houndmills.

    Google Scholar 

  • Twigg, J., Wolkowitz, C., Cohen, R. & Nettleton, S. 2011. ‘Conceptualising body work in health and social care’, in J. Twigg, C. Wolkowitz, R. Cohen & S. Nettleton (eds.), Body Work in Health and Social Care: Critical Themes, New Agendas, Wiley-Blackwell, Malden, MA.

    Chapter  Google Scholar 

  • Van Loon, E. & Zuiderent-Jerak, T. 2011, ‘Framing reflexivity in quality improvement devices in the care for older people’, Health Care Analysis, Vol. 20, No. 2, pp. 119–138.

    Article  Google Scholar 

  • Van Wynsberghe, A. 2011. ‘Designing robots for care: Care centered value-sensitive design’, Science Engineering Ethics, Vol. 19, No. 2, pp. 407–433.

    Article  Google Scholar 

  • Virkki, T. 2008. ‘Habitual trust in encountering violence at work: Attitudes towards client violence among Finnish social workers and nurses’, Journal of Social Work, Vol. 8, No. 3, pp. 247–267.

    Article  Google Scholar 

  • Waerness, K. 2005, ‘Social research, political theory and the ethics of care in a global perspective’, in H. M. Dahl & T. Rask Eriksen (eds.), Dilemmas of Care in the Nordic Welfare State: Continuity and Change, Ashgate, Aldershot.

    Google Scholar 

  • Wrede, S. 2008. ‘Unpacking gendered professional power in the welfare state’, Equal Opportunities International, Vol. 27, No. 1, pp. 19–33.

    Article  Google Scholar 

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Authors
  1. Helena Hirvonen
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Editors and Affiliations

  1. University of Aveiro and CIPES, Portugal

    Teresa Carvalho  & Rui Santiago  & 

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© 2015 Helena Hirvonen

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Hirvonen, H. (2015). Reconstructing Care Professionalism in Finland. In: Carvalho, T., Santiago, R. (eds) Professionalism, Managerialism and Reform in Higher Education and the Health Services. Issues in Higher Education. Palgrave Macmillan, London. https://doi.org/10.1057/9781137487001_5

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