一线社会工作中的政策异化——芬兰社会工作者对重大预期社会和医疗改革的反应研究

IF 0.7 Q4 SOCIAL WORK Ethics and Social Welfare Pub Date : 2021-09-15 DOI:10.1080/17496535.2021.1977836
Mia Väisänen, Maija Mänttäri-van der Kuip
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引用次数: 1

摘要

摘要在西方福利国家,包括芬兰,社会和医疗保健政策和意识形态的变化一直备受争议。在紧缩的气候下,芬兰的公共部门向市场和管理意识形态转变。这些变化影响到组织和员工个人。社会工作者在日常工作中执行社会政策,因此处于政策和客户之间。这可能使他们在执行某些政策时感到不安。在这项研究中,我们应用了Tummers及其同事(2009)的政策异化框架。“公共专业人员的政策异化:在新的公共管理背景下的应用”,《公共管理评论》11(5):685–706),分析社会工作者对芬兰2015-2019年制定的重大社会和医疗改革的反应。通过将问题驱动的内容分析应用于访谈数据,我们研究了社会工作者如何回应改革建议,以及政策异化的两个维度,即无意义和无力的体验,是如何表现的。研究结果表明,政策异化在社会工作者中普遍存在,无能为力和无意义的经历也很常见。社会工作者在具体政策和做法方面感到无能为力。他们还认为改革毫无意义,因为它缺乏与社会相关的目标。
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Policy Alienation in Frontline Social Work – A Study of Social Workers’ Responses to a Major Anticipated Social and Health Care Reform in Finland
ABSTRACT Change in the policy and ideology governing social and health care has been much debated in the Western welfare states, including in Finland, where the public sector has witnessed a shift towards a market and managerial ideology in a climate of austerity. These changes affect organisations as well as individual workers. Social workers implement social policies in their daily work, and are thus positioned in between policies and clients. This may expose them to feelings of unease in the implementation of certain policies. In this study, we apply the policy alienation framework of Tummers and colleagues (2009. “Policy Alienation of Public Professionals: Application in a new Public Management Context.” Public Management Review 11 (5): 685–706) in analysing the responses of social workers to a major social and health care reform prepared in Finland in 2015–2019. By applying problem-driven content analysis to interview data, we study how social workers responded to the proposals for reform, and how the two dimensions of policy alienation, i.e. experiences of meaninglessness and powerlessness, were manifested. The findings suggest that policy alienation is widespread among social workers and that experiences of powerlessness and meaninglessness are common. The social workers experienced powerlessness in relation to specific policies and practices. They also viewed the reform as meaningless, as it lacked socially relevant goals.
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来源期刊
CiteScore
1.60
自引率
20.00%
发文量
36
期刊介绍: Ethics and Social Welfare publishes articles of a critical and reflective nature concerned with the ethical issues surrounding social welfare practice and policy. It has a particular focus on social work (including practice with individuals, families and small groups), social care, youth and community work and related professions. The aim of the journal is to encourage dialogue and debate across social, intercultural and international boundaries on the serious ethical issues relating to professional interventions into social life. Through this we hope to contribute towards deepening understandings and further ethical practice in the field of social welfare. The journal welcomes material in a variety of formats, including high quality peer-reviewed academic papers, reflections, debates and commentaries on policy and practice, book reviews and review articles. We actively encourage a diverse range of contributions from academic and field practitioners, voluntary workers, service users, carers and people bringing the perspectives of oppressed groups. Contributions might include reports on research studies on the influence of values and ethics in social welfare practice, education and organisational structures, theoretical papers discussing the evolution of social welfare values and ethics, linked to contemporary philosophical, social and ethical thought, accounts of ethical issues, problems and dilemmas in practice, and reflections on the ethics and values of policy and organisational development. The journal aims for the highest standards in its published material. All material submitted to the journal is subject to a process of assessment and evaluation through the Editors and through peer review.
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