Abstract
In Norway, long-term care needs are rising rapidly. Due to the dual-earner family model and the fact that many people live far away from frail parents and other dependent family members, the growing care needs may not be met through informal care. Through the Nordic welfare system, formal care services are provided to all citizens in need of care, regardless of their age, income or family relations. Since the 1990s, however, Norway has experienced a shortage of healthcare personnel. In this ‘care deficit’ situation, skilled immigrants play an increasingly important role. To date, the international literature has examined the experiences of the professional migrant care workers in a limited way. In particular, there is a lack of knowledge of this issue in rural contexts where recruitment challenges may be even more pronounced than in urban areas. This article addresses this knowledge gap by examining the spatial and relational experiences of skilled migrants working in the healthcare sector in Finnmark, northernmost Norway. In this study, the informants share largely positive experiences, stating that their care services are highly valued and that caring provides them with a sense of joy and mastery. Moreover, they talk about the importance of establishing trust in the relationship with their users and note that some patients end up becoming almost like family members. The migrants’ relationships with colleagues and management at the workplace are also defined by mainly positive feelings, trust and respect. Caring is hence perceived by the migrants as an inherently sense-making practice.
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Notes
Towards the end of World War II in the autumn of 1944, the Germans used the scorched earth tactic in Finnmark to halt Russia’s Red Army (Finnmark borders Russia in the east). As a consequence of this, few houses survived the war, and a large part of the population was forcefully evacuated further south. Several of the elderly patients in residential care and nursing homes remember this experience from their childhood, recalling that they had to flee southwards with their family before being able to move back north some months later to rebuild their home region.
This healthcare worker certificate requires two years of schooling at high school level and at least two years of mentored work-experience.
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Acknowledgments
Warm thanks to Stefan Holander for having translated an earlier version of this article from Norwegian to English. This study is part of a research project financed by the Norwegian Research Council entitled “Mobile Lifestyles” led by professor Siri Gerrard at UiT the Arctic University of Norway, grant number 214265 (2012–2016). Thanks for stimulation discussions throughout the project period. Thanks also to three anonymous reviewers and to the editor for fruitful comments to an earlier version of this article.
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A shorter version of this article has been published in Norwegian. Reference: Munkejord, M.C. (2016): Jeg jobber med hjertet. Innvandreres erfaringer med å arbeide i helse- og omsorgssektoren, Norsk tidsskrift for omsorgsforskning, 3/2016.
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Munkejord, M.C. ‘I Work With my Heart’: Experiences of Migrant Care Workers in a Northern, Rural Context. Population Ageing 10, 229–246 (2017). https://doi.org/10.1007/s12062-016-9157-z
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DOI: https://doi.org/10.1007/s12062-016-9157-z