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Needs asessment practice within elder care: does length of work experience make a difference in how care managers percieve professional discretion?
Linköpings universitet.ORCID iD: 0000-0001-9293-4932
Uppsala universitet.
Ersta Sköndal Bräcke University College, Department of Social Sciences.
2018 (English)In: 8th European Conference for Social Work Research: Book of Abstracts, Edinburgh: University of Edinburgh , 2018, p. 151-151, article id Abstract ID: 444Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

This presentation departs from the ongoing debate about how care managers - who often function as ‘street level bureaucrats’ – perceive different aspects of professional discretion in needs assessment practice. Few studies within gerontological social work today have explored if length of work experience affect how care managers experience discretion in the decision-making process which is why this paper focuses on this. The presentation is based on a study that uses focus group interviews (n=12) with 60 care managers in Sweden. The findings show that care managers struggle with ambiguous expectations in balancing clients’ needs and requests against organizational systems, local guidelines and resources. Length of work experience seems to play a role in how they use their discretion and cope with the lack of clarity embedded in the needs assessment process. Experienced care managers describe how they deviate from the guidelines and in this way create an increased scope of action for themselves in decision making. Those with less time in the profession describe, greater difficulties in this respect. The results partially support the critical debate that professional discretion can be experienced in different ways by ‘street level bureaucrats’. The study also adds knew knowledge to this discussion by showing that length of work experience and other work experience-related aspects can play a role in the actual way in which care managers reason about and assess clients’ needs in the decision making process.

Place, publisher, year, edition, pages
Edinburgh: University of Edinburgh , 2018. p. 151-151, article id Abstract ID: 444
National Category
Social Work
Identifiers
URN: urn:nbn:se:esh:diva-6760ISBN: 978-1-9999205-7-9 (electronic)OAI: oai:DiVA.org:esh-6760DiVA, id: diva2:1203692
Conference
8th ECSWR, European Conference for Social Work Research, April 18-20, University of Edinburgh, Edinburgh, Scotland
Available from: 2018-04-23 Created: 2018-05-04 Last updated: 2018-05-04

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CiteExportLink to record
Permanent link

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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
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  • Other locale
More languages
Output format
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  • asciidoc
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