In this paper, we explore what may happen when people who are ostensibly “well” bring data from digital self-tracking technologies to medical consultations. On the basis of a fictional case narrative, we explore how multiple “voices”, in a Bakhtinian sense of the term, inscribed in the selftracking devices are activated, negotiated, evaluated and re-imagined in the context of care. The digital metrics “speak” precision, objectivity and urgency in ways that challenge conventional, normative understandings of doctors’ professional role and the patient-doctor relationship. Our theorizing is firmly grounded in our professional experience and informed by recent research on self-tracking, Mol’s research on the ways in which technology has become integral to medical care, Bakhtinian theory and medical professionalism, and it contributes to current professional debates regarding medical overuse and its potential to harm patients. Further research is needed to illuminate the consequences of digital self-tracking technologies for patient-professional consultations in practice. Digital consumer health 2
{"title":"Digital Consumer Health: Negotiating Multiple Voices in the Clinical Consultation","authors":"Kjersti Lea, S. Hjörleifsson, D. Swinglehurst","doi":"10.7577/PP.3820","DOIUrl":"https://doi.org/10.7577/PP.3820","url":null,"abstract":"In this paper, we explore what may happen when people who are ostensibly “well” bring data from digital self-tracking technologies to medical consultations. On the basis of a fictional case narrative, we explore how multiple “voices”, in a Bakhtinian sense of the term, inscribed in the selftracking devices are activated, negotiated, evaluated and re-imagined in the context of care. The digital metrics “speak” precision, objectivity and urgency in ways that challenge conventional, normative understandings of doctors’ professional role and the patient-doctor relationship. Our theorizing is firmly grounded in our professional experience and informed by recent research on self-tracking, Mol’s research on the ways in which technology has become integral to medical care, Bakhtinian theory and medical professionalism, and it contributes to current professional debates regarding medical overuse and its potential to harm patients. Further research is needed to illuminate the consequences of digital self-tracking technologies for patient-professional consultations in practice. Digital consumer health 2","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41954293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brilliance has been overlooked in studies of professional work. This study aimed to understand how brilliant practices are made possible and enacted in a multidisciplinary paediatric feeding clinic, where professionals from different disciplines work together and with parents and carers of children. The existing literature has thematically described brilliance but not theorised how it is accomplished and enabled. Using video reflexive ethnographic methods, the study involved the video-recording of 17 appointments and two reflexive discussions with the participating professionals, who selected and reviewed five episodes exemplifying brilliant care. These were analysed through three themes: carer-friendly and carer-oriented practice; ways of working together; and problem-solving in actu (in the very act of doing). Using the theory of practice architectures, we explored brilliant practices as complexes of sayings, doings, and relatings, identifying the arrangements that enabled those practices and the forms of praxis involved.
{"title":"How is Brilliance Enacted in Professional Practices? Insights from the Theory of Practice Architectures","authors":"N. Hopwood, A. Dadich, Chris Elliot, Kady Moraby","doi":"10.7577/PP.4022","DOIUrl":"https://doi.org/10.7577/PP.4022","url":null,"abstract":"Brilliance has been overlooked in studies of professional work. This study aimed to understand how brilliant practices are made possible and enacted in a multidisciplinary paediatric feeding clinic, where professionals from different disciplines work together and with parents and carers of children. The existing literature has thematically described brilliance but not theorised how it is accomplished and enabled. Using video reflexive ethnographic methods, the study involved the video-recording of 17 appointments and two reflexive discussions with the participating professionals, who selected and reviewed five episodes exemplifying brilliant care. These were analysed through three themes: carer-friendly and carer-oriented practice; ways of working together; and problem-solving in actu (in the very act of doing). Using the theory of practice architectures, we explored brilliant practices as complexes of sayings, doings, and relatings, identifying the arrangements that enabled those practices and the forms of praxis involved.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47823004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper critically discusses the relationship between new workspaces, such as Coworking Spaces (CSs), professionals using such spaces, and the related work patterns, looking at the Italian context in particular. There appears to be a mismatch between the educational level of such workers, their expertise and expected professional status on the one hand, and their reality in terms of employment precariousness and low income, on the other. It appears that CSs and, more in general, new shared workspaces act more as shelters from a difficult and exclusionary job market than as mainly ‘serendipity accelerators’. The hypothesis of this article is that, through a careful interpretation of the emerging dimensions and spatial effects of CSs, it is possible to more clearly identify some dynamics of inclusion and exclusion on the one hand, and of sharing and competition on the other, that characterize the job path of new knowledge-based occupational groups.
{"title":"Shared Spaces or Shelters for Precarious Workers? Coworking Spaces in Italy","authors":"C. Pacchi, I. Mariotti","doi":"10.7577/PP.3911","DOIUrl":"https://doi.org/10.7577/PP.3911","url":null,"abstract":"This paper critically discusses the relationship between new workspaces, such as Coworking Spaces (CSs), professionals using such spaces, and the related work patterns, looking at the Italian context in particular. There appears to be a mismatch between the educational level of such workers, their expertise and expected professional status on the one hand, and their reality in terms of employment precariousness and low income, on the other. It appears that CSs and, more in general, new shared workspaces act more as shelters from a difficult and exclusionary job market than as mainly ‘serendipity accelerators’. The hypothesis of this article is that, through a careful interpretation of the emerging dimensions and spatial effects of CSs, it is possible to more clearly identify some dynamics of inclusion and exclusion on the one hand, and of sharing and competition on the other, that characterize the job path of new knowledge-based occupational groups.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47926866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While witnessing a feminization of its workforce, the academic profession has experienced a process of market-based regulation that has contributed to the precarization of early career phases and introduced a managerial culture based on competition, hyper-productivity, and entrepreneurship. This paper aims to investigate the implications of these changes for female academics. A mixed model research design was used based on administrative data on the Italian academic population and qualitative interviews with life scientists within a specific academic institution. Results show that the implications of university transformations in terms of gender heterogeneity are complex. On the one hand, the increased precarization of early career stages has increased gender inequalities by reducing female access to tenured positions. On the other, the adoption of performance-based practices has mixed consequences for women, entailing both risks and opportunities, including spaces of agency which may even disrupt male-dominated hierarchies.
{"title":"The Academic Profession in Neoliberal Times: A Gendered View","authors":"C. Gaiaschi","doi":"10.7577/PP.3901","DOIUrl":"https://doi.org/10.7577/PP.3901","url":null,"abstract":"While witnessing a feminization of its workforce, the academic profession has experienced a process of market-based regulation that has contributed to the precarization of early career phases and introduced a managerial culture based on competition, hyper-productivity, and entrepreneurship. This paper aims to investigate the implications of these changes for female academics. A mixed model research design was used based on administrative data on the Italian academic population and qualitative interviews with life scientists within a specific academic institution. Results show that the implications of university transformations in terms of gender heterogeneity are complex. On the one hand, the increased precarization of early career stages has increased gender inequalities by reducing female access to tenured positions. On the other, the adoption of performance-based practices has mixed consequences for women, entailing both risks and opportunities, including spaces of agency which may even disrupt male-dominated hierarchies.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44841894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The ideological tenets of the journalistic professions, historically grounded in the development of modern Western democracies, are increasingly shaken by the changes brought about by a series of technological, economic, and ideological processes challenging the foundations of professionalism. This article considers how these changes influence the way work is performed and experienced in Italy by local journalists, providing professional news coverage and programs to communities at the grassroots level, through both private and public outlets. The findings of qualitative research adopting a neo-institutional approach are presented and discussed following the analytical frame of the special issue, distinguishing three dimensions (within, between, beyond) related to the increased differentiation and the changing role of professionals in post-industrial societies. Conclusions point to the fact that the resulting heterogeneity if accepted without granting the necessary conditions to maintain professional standards, may bring into question the feasibility of a professional community.
{"title":"Local Broadcast Journalists and the Trap of Professional Heterogeneity","authors":"Clementina Casula","doi":"10.7577/PP.3912","DOIUrl":"https://doi.org/10.7577/PP.3912","url":null,"abstract":"The ideological tenets of the journalistic professions, historically grounded in the development of modern Western democracies, are increasingly shaken by the changes brought about by a series of technological, economic, and ideological processes challenging the foundations of professionalism. This article considers how these changes influence the way work is performed and experienced in Italy by local journalists, providing professional news coverage and programs to communities at the grassroots level, through both private and public outlets. The findings of qualitative research adopting a neo-institutional approach are presented and discussed following the analytical frame of the special issue, distinguishing three dimensions (within, between, beyond) related to the increased differentiation and the changing role of professionals in post-industrial societies. Conclusions point to the fact that the resulting heterogeneity if accepted without granting the necessary conditions to maintain professional standards, may bring into question the feasibility of a professional community.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42840870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Heterogeneity Among Professions and Professionals","authors":"Karolina Parding, A. Bellini, Lara Maestripieri","doi":"10.7577/PP.4398","DOIUrl":"https://doi.org/10.7577/PP.4398","url":null,"abstract":"","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44518408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines the role of institutional factors in shaping the integration paths of migrant health professionals. For this purpose, it draws on two studies focusing on Filipino and Indian nurses working in the UK, which rely on quantitative and qualitative methods, including a web survey and semi-structured interviews. The analysis shows that inequalities have arisen from differentiation processes induced by changes in the institutional settings. Furthermore, inequalities are often reflected in poor working conditions. The authors have identified restrictive rules on immigration and access to the profession as a source of uncertainty and reveal the differentiation of entry paths, with those arriving through an international recruitment agency more frequently disappointed with their working conditions.
{"title":"The Challenging Integration Paths of Migrant Health Professionals: The Case of Filipino and Indian Nurses in the UK","authors":"D. Calenda, A. Bellini","doi":"10.7577/PP.3898","DOIUrl":"https://doi.org/10.7577/PP.3898","url":null,"abstract":"This article examines the role of institutional factors in shaping the integration paths of migrant health professionals. For this purpose, it draws on two studies focusing on Filipino and Indian nurses working in the UK, which rely on quantitative and qualitative methods, including a web survey and semi-structured interviews. The analysis shows that inequalities have arisen from differentiation processes induced by changes in the institutional settings. Furthermore, inequalities are often reflected in poor working conditions. The authors have identified restrictive rules on immigration and access to the profession as a source of uncertainty and reveal the differentiation of entry paths, with those arriving through an international recruitment agency more frequently disappointed with their working conditions.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46149643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Drawing on the corporate professionalization model, the notion of client professionalization denotes new, client-oriented strategies of legitimization and claims relating to expertise, differentiation, regulation and dissemination. Based on the case of executive coaching in France and its professionalization process, the paper shows how these strategies enable heterogeneous categories of actors to become recognized as professionals. These strategies act as resources because they are grounded on principles other than exclusion and monopoly, such as extension and co-production, which give new value to heterogeneous socialization experiences and multiple activities. The emphasis on client-relationship skills affords atypical professionals’ access to rewarding positions that would otherwise have been unattainable for them. These strategies are important for occupations such as coaching that are practiced by self-employed individuals, who have been overlooked in the literature. They also tend to constitute an appealing access to professionalization, in a context where the power of the market is increasing. Client Professionalization, a Resource for Heterogeneous Professionals 2
{"title":"Client Professionalization, a Resource for Heterogeneous Professionals: For a Pluralistic Account of Corporate Professions","authors":"Scarlett Salman","doi":"10.7577/PP.3904","DOIUrl":"https://doi.org/10.7577/PP.3904","url":null,"abstract":"Drawing on the corporate professionalization model, the notion of client professionalization denotes new, client-oriented strategies of legitimization and claims relating to expertise, differentiation, regulation and dissemination. Based on the case of executive coaching in France and its professionalization process, the paper shows how these strategies enable heterogeneous categories of actors to become recognized as professionals. These strategies act as resources because they are grounded on principles other than exclusion and monopoly, such as extension and co-production, which give new value to heterogeneous socialization experiences and multiple activities. The emphasis on client-relationship skills affords atypical professionals’ access to rewarding positions that would otherwise have been unattainable for them. These strategies are important for occupations such as coaching that are practiced by self-employed individuals, who have been overlooked in the literature. They also tend to constitute an appealing access to professionalization, in a context where the power of the market is increasing. Client Professionalization, a Resource for Heterogeneous Professionals 2","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42362456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper presents the first results of a case study of Italian professionals’ mobility to the city of Valencia (Spain), highlighting the heterogeneity of the labor insertion paths within and between groups of emerging and traditional professionals. A qualitative method was used: 25 in-depth interviews and a two-year observation in virtual and real communities were carried out. According to our analysis, the heterogeneity of the labor insertion itineraries, revealed by the migrants’ narratives, can be understood by taking account of the various combinations of social, economic, and cultural capital with which the Italian professionals were endowed.
{"title":"Labor Insertion of Italian Professionals in Valencia: Between Emerging and Traditional Professions","authors":"Anna Giulia Ingellis, F. Esteban","doi":"10.7577/PP.3890","DOIUrl":"https://doi.org/10.7577/PP.3890","url":null,"abstract":"This paper presents the first results of a case study of Italian professionals’ mobility to the city of Valencia (Spain), highlighting the heterogeneity of the labor insertion paths within and between groups of emerging and traditional professionals. A qualitative method was used: 25 in-depth interviews and a two-year observation in virtual and real communities were carried out. According to our analysis, the heterogeneity of the labor insertion itineraries, revealed by the migrants’ narratives, can be understood by taking account of the various combinations of social, economic, and cultural capital with which the Italian professionals were endowed.","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42872522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Special Issue: Heterogeneity Among Professions and Professionals","authors":"A. Leseth","doi":"10.7577/PP.4399","DOIUrl":"https://doi.org/10.7577/PP.4399","url":null,"abstract":"","PeriodicalId":53464,"journal":{"name":"Professions and Professionalism","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46834986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：