Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Everyday Knowledge in Elder Care: An Ethnographic Study of Care Work
Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. Research Platform of Social Work.
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This dissertation is about how knowledge is constructed in interactions and what knowledge entails in practical social work. It is about how a collective can provide a foundation for the construction and development of knowledge through the interactions contextualized in this study on Swedish elder care, organized by the municipality. This study follows a research tradition that recognizes knowledge as socially constructed, and focuses on the practice of knowledge within an organizational context of care.

This is an ethnographic study. The empirical material consists primarily of field notes from participant observations at two elder care units in a midsized city in Sweden. Moreover, the collected materials include national and municipal policy documents, local policy documents and guidelines, and notes from observations in staff meetings and interviews with care workers and managers. This thesis uses Institutional Ethnography as a departure point for analyzing the contextual factors for workers in elder care, mainly women, and the situational factors for acquiring knowledge.

The overall aim of this dissertation was to explore knowledge in elder care practice by analyzing the construction and application of knowledge for and by staff in elder care. This sheds light to the Mystery of Knowledge in Elder Care Practice: Locally Enabled and Disabled.

In order to pursue this aim, two questions were addressed in the study:

1. How and what kind of knowledge is expressed and made visible in daily elder care practice?

2. How is knowledge shared interactively in the context of elder care?

The findings shed light to the situation for care workers in elder care and the conditions for using and gaining knowledge. This situation is problematic as the local conditions both enables and disables knowledge use and sharing of knowledge. Contributing challenging factors are lack of recognition and equal valuing of various forms of knowledge; the organizational cultures and a limiting reflective work to the individual.

The main findings in this thesis are presented in three areas:

- a way of understanding tacit knowledge, which refers to knowledge gained by care workers through working in elder care;

- the connection between an organizational culture and the knowledge shared within the organizational culture;

- reflective practice in elder care work and the imbalance between individual and collective reflectivity.

These findings have implications for specific knowledge in social work practice and the need for education linked to this knowledge. Formal knowledge alone is insufficient for effective elder care practice; however, informal knowledge is also insufficient alone. Both are needed, and they should be linked to create synergy between the two types of knowledge.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences , 2014. , 77 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 50
Keyword [en]
ethnography, knowledge, care work, elder care
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-23778ISBN: 978-91-85835-49-2 (print)OAI: oai:DiVA.org:hj-23778DiVA: diva2:716433
Public defence
2014-06-02, Forum Humanum, Hälsohögskolan i Jönköping, Jönköping, 13:00 (English)
Opponent
Supervisors
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2015-11-30Bibliographically approved
List of papers
1. From shadow to person: Exploring roles in participant observations in an eldercare context
Open this publication in new window or tab >>From shadow to person: Exploring roles in participant observations in an eldercare context
2014 (English)In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 13, no 3, 406-420 p.Article in journal (Refereed) Published
Abstract [en]

This article explores participant observation as a research method and more specifically addresses the intriguing situation of the researcher's role in interacting with participants in the setting. The materials used in the analysis are field notes from participant observations focused on staff at two eldercare units in a mid-sized city in Sweden. Because limitations when referring to Raymond Gold's roles of participant observations are known but sparsely described and discussed, this text attempts to provide that description and discussion. The specific question posed in the article is, (How) do roles for the researcher in participant observations change during the course of fieldwork? Randall Collins' theory on interaction ritual chains is used as an analytical tool to identify symbols in the two staff groups. The examples chosen from the field are symbols displayed at the units, which moreover illustrate that the researcher’s roles in participant observations not only change once or twice during the course of fieldwork but also change continuously. Consequently, fieldworkers shift roles in different situations when observing a variety of people and settings. Observations are developed in the interaction between the researcher and the participants; therefore, referring observations to a number of roles is restrictive and limiting.

Keyword
Ethnography, participant observation, knowledge, organization research
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-23773 (URN)10.1177/1473325013479136 (DOI)000339334100006 ()2-s2.0-84899425321 (Scopus ID)
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2017-12-05Bibliographically approved
2. “You have to have a certain feeling for this”: Exploring tacit knowledge in elder care
Open this publication in new window or tab >>“You have to have a certain feeling for this”: Exploring tacit knowledge in elder care
(English)Manuscript (preprint) (Other academic)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-23774 (URN)
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2015-11-30Bibliographically approved
3. A Free regulated work?: Organizational culture and shared knowledge in elder care
Open this publication in new window or tab >>A Free regulated work?: Organizational culture and shared knowledge in elder care
(English)Manuscript (preprint) (Other academic)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-23775 (URN)
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2015-11-30Bibliographically approved
4. Reflection in Action: A multi-layered approach. “Cause I am good at that, you are supposed to say what you are good at these days!”
Open this publication in new window or tab >>Reflection in Action: A multi-layered approach. “Cause I am good at that, you are supposed to say what you are good at these days!”
(English)Manuscript (preprint) (Other academic)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-23776 (URN)
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2015-11-30Bibliographically approved

Open Access in DiVA

fulltext(1741 kB)1939 downloads
File information
File name FULLTEXT01.pdfFile size 1741 kBChecksum SHA-512
a499b7b08e28a0cdaec5ace55d32b0344fedf9da2f3a358b0e81c3903777266e86fb7834f96979ff99649cdd8eb2ff8cd911064152381bfb9003f0ec9be904a4
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Börjesson, Ulrika
By organisation
HHJ, Dep. of Behavioural Science and Social WorkHHJ, Quality Improvement and Leadership in Health and WelfareHHJ. Research Platform of Social Work
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 1939 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 1494 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf