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Dignity: a prerequisite for attractive work in elderly care

机译:尊严:在老年护理领域开展有吸引力的工作的前提

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摘要

This article explores discourses of new public management (NPM) and dignity at work by considering how attractive work is represented by managers and professionals in Swedish elderly care. The analysis, guided by critical discursive psychology, uses qualitative interviews with 31 managers, nurses, physiotherapists, and occupational therapists at nine workplaces. Three storylines of how attractive work is represented were identified: salary and status, high-quality care, and working conditions and competence. These storylines revealed two strategies by which dignity is attained and defended: strategies of resistance and strategies of organizational citizenship. A conclusion is that identity, power, and position are key aspects for interpreting how managers and professionals navigate between discourses of dignity. Work in elderly care is under pressure from the major shift towards neoliberalism and the techniques of NPM. Discourses upholding NPM are present to only a limited extent, whilst discourses rejecting NPM principles and safeguarding dignity at work and dignity as care providers constitute the basis of the representations. Hence, another conclusion is that the consequences of NPM undermine prior conceptions of the importance of care work. Although dignity at work appears to be a prerequisite for attractive work, it may be an unattainable goal for organizations.
机译:本文通过考虑瑞典老年护理中的管理人员和专业人员如何代表有吸引力的工作来探讨新公共管理(NPM)和工作中的尊严的论述。该分析以批判性话语心理学为指导,对九个工作场所的31名经理,护士,物理治疗师和职业治疗师进行了定性访谈。确定了三个如何代表有吸引力的工作的故事情节:薪水和地位,高质量护理以及工作条件和能力。这些故事情节揭示了获得和捍卫尊严的两种策略:抵抗策略和组织公民策略。结论是,身份,权力和职位是解释经理和专业人员如何在尊严话语之间导航的关键方面。老年人护理工作正面临着向新自由主义和NPM技术的重大转变的压力。支持NPM的话语仅在有限的范围内出现,而拒绝NPM原则并维护工作中的尊严和作为护理提供者的尊严的话语构成了陈述的基础。因此,另一个结论是,NPM的后果破坏了先前对护理工作重要性的观念。尽管工作中的尊严似乎是开展吸引人的工作的前提,但对于组织而言,这可能是无法实现的目标。

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