Changes in Nursing Care Work in Slovenia and Characteristics of Late Modernity
Keywords:
post-Fordism, nursing care, flexibilisation, reflexivity, SloveniaAbstract
In the late modernity, work has changed radically. The article tries to answer the question, what changes in nursing care work have occurred in recent decades in the light of the concept of late modernity, such as post-Fordism, post-industrialism, and post-materialism. In the autumn of 2015, in-depth interviews with 12 nursing care providers were carried out. The results indicate that post-Fordism is manifested in nursing care as the flexibilisation of work and considering the needs of patients and their relatives. Despite the fact that interviewees had a permanent employment contracts, they reported about their precarious work which is primarily based on low payment and heavy workload. Post-industrialism is reflected in the use of various specialised knowledge and communication technologies to communicate with patients and members of the healthcare team, and to transfer the knowledge to other individuals in the context of health promotion. Post-materialism is evident in personal engagement, adjustments to situations, in self-maintenance, and in constant individual reflexivity. Post-materialistic trends are also reflected in the demands for quick and quality nursing care services.
References
Amin, A. (1994). Post Fordism: A reader. Oxford: Blackwell.
Baum, F. (2009). Community health services in Australia. V: Germov, J. (ur.). Second opinion: An introduction to health sociology. Oxford: Oxford University Press, str. 499–521.
Bauman, Z. (2005). Work, consumerisms and the new poor. Maidenhead: Open University Press.
Bell, D. (1973). The coming of post-industrial society. London: Heinemann.
Carayon, P. in Gurse, A. P. (2008). Nursing workload and patient safety - a human factors engineering perspective. V: Hughners, R. (ur.). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville: Agency for Healthcare Research and Quality, str. 736–749.
Čuk, V. in Klemen, J. (2010). Izgorevanje osebja v zdravstveni negi na psihiatričnem področju. Obzornik zdravstvene nege, 44, št. 3, str. 179–187.
Denzin, N. K. in Lincoln, Y. S. (ur.) (2005). The Sage Handbook of qualitative research. Thousand Oaks: Sage.
Dobnikar, B. (2005). Koncesijsko opravljanje zdravstvene dejavnosti: uspehi, težave in izzivi. Zdravniški vestnik, št. 7/8, str. 468–471.
Dollard, M., Winefield, A. in Winefield, H. (2003). Occupational stress in the service professions. London: Taylor & Francis.
Filc, D. (2005). The health business under neo-liberalism. Critical Social Policy, 25, št. 2, str. 180–197.
Giddens, A. (2001). Modernity and self-identity. Standford: Standford University Press.
Gillespie, M. in Melby, V. (2003). Burnout among nursing staff in accident and emergency and acute medicine: a comparative study. Journal of Clinical Nursing, 12, No. 6, pp. 842–851.
Huws, U. (2015). Online labour exchanges or “crowdsoursing”: Implication for occupational safety and health. Bilbao: European Agency for Safety and Health at Work.
Ilhan, M., Durukan, E., Aras, E. and Türcüoglu, S. (2008). Long working hours increase the risk of sharp and needlestick injury in nurses. Journal of Advanced Nursing, 56, No. 5, pp. 563–568.
Inglehart, R. (1977). The silent revolution: changing values and political styles among western publics. Princeton, NJ: Princeton University Press.
Kerridge, I., Lowe, M. and Stewart, C. (2009). Ethics and law for the health professions. Annandale: The Federation Press.
Kumar, K. (1995). From post-industrial to post-modern society. Oxford: Blackwell.
Leskovic, L. (2014). Vpliv delovnih in organizacijskih dejavnikov na nastanek sindroma izgorevanja v socialnozdravstvenih zavodih v Republiki Sloveniji. Doktorska disertacija. Fakulteta za organizacijske vede.
Ludwick, R., Zalon, M. L. and Patton, R. M. (2014). Nurses making policy. New York: Springer Publishing Company.
Medicinske sestre – moč za spremembe – učinkovita skrb za paciente z optimalnimi viri (2015). Zbornice zdravniške in babiške nege. Pridobljeno dne 3. 11. 2015 s svetovnega spleta: http://www.zbornica-zveza.si/sl/medicinske-sestre-moc-za-spremembe-ucinkovita-skrb-za-paciente-zoptimalnimi-viri.
Medicinske sestre ob mednarodnem dnevu za odgovornost, varnost in kakovost zdravstvene obravnave (2016). Zbornice zdravniške in babiške nege. Pridobljeno dne 3. 11. 2015 s svetovnega spleta: http://www.zbornica-zveza.si/sl/izjava-za-javnost-12-maj-mednarodni-dan-medicinskihsester-medicinske-sestre-ob-mednarodnem-dnevu-za.
Močnik, R. (2004). Prolog: H koncu kapitalizma. V: Callinicos: Antikapitalistični manifest. Ljubljana: Sophia, str. I–XX.
Nacionalni inštitut za javno zdravje (2015). Pridobljeno 24. 10. 2016 s svetovnega spleta: http://www.nijz.si/.
OECD: Slovenija pri kazalnikih zdravja in zdravstvenega varstva (2015). Nacionalni inštitut za javno zdravje. Pridobljeno 10. 11. 2015 s svetovnega spleta: http://www.nijz.si/sl/oecd-slovenijapri-kazalnikih-zdravja-in-zdravstvenega-varstva-v-povprecju.
Poročilo o državi – Slovenija 2015 (2015). Pridobljeno dne 1. 11. 2015 s svetovnega spleta: http://ec.europa.eu/europe2020/pdf/csr2015/cr2015_slovenia_sl.pdf.
Požun, P. (2011). Pregled razvoja slovenskega zdravstva v zadnjih dvajsetih letih z vidika stroke in državnega sveta. V: Premislimo Slovenijo v dveh desetletjih. Ljubljana: Državni svet. Pridobljeno 10. 11. 2015 s svetovnega spleta: www.arhiv.ds-rs.si/sites/default/files/file/.../posveti/...posvet/Pozun.doc.
Privatizacija v zdravstvu (2006). Bilten 22, št. 3, str. 72-75. Pridobljeno 10. 11. 2015 s svetovnega spleta: http://temena.famnit.upr.si/files/files/Yazbeck%284%29.pdf.
Prosser, B. and Olson, R. (2013). Changes in professional human care work. Health Sociology Review, 22, No. 4, pp. 422–432.
Rešetič, J. (2015). Socialni transferji in zdravstvena nega. V: Zdravstvena nega v primežu nesoglasij in omejitev: zbornik prispevkov. Novo mesto: Fakulteta za zdravstvene vede, str. 115–113.
Rigolosi, E. (2013). Management and leadership in nursing and health-care. New York: Springer Publishing Company.
Rus, V. (2001). Podjetizacija in socializacija države. Ljubljana: FDV.
Rus, V. (2008). Novi javni menedžment. Ljubljana: FDV.
Sindikat delavcev v zdravstveni negi (2015). Pridobljeno 24. 10. 2016 s svetovnega spleta: http://www.sdzns.si/.
Skela Savič, B. (2014). Komu mar celostni pristop? Delo, 17. 4. 2014. Pridobljeno 10. 11. 2015 s svetovnega spleta: http://www.delo.si/mnenja/gostujoce-pero/komu-mar-celostni-pristop.html.
Statistični urad. (2011). Pridobljeno 24. 10. 2016 s svetovnega spleta: http://www.stat.si/statweb.
Ule M. (2013). Uvodnik. Zdravstveno varstvo, 52, št. 2, str. 69–71.
Virno, P. (2003). Slovnica mnoštva: K analizi oblik sodobnega življenja. Ljubljana: Krtina.
Wajcman, J., Bittman, M. in Brown, J. (2008). Families without borders: mobile phones, connectedness and work–home divisions. Sociology, 42, No. 4, pp. 635–652.
Warren, C. in Karner, T. (2005). Discovering qualitative methods. Los Angeles: Roxbury publishing company.
Zakon o zdravstveni dejavnosti (1992). Pridobljeno 10. 11. 2015 s svetovnega spleta: http://www.pisrs.si/Pis.web/pregledPredpisa?id=ZAKO214.
Zavrl Džananović, D. (2010). Patronažno varstvo Slovenije včeraj, danes, jutri. Obzornik zdravstvene nege, 44, št. 2, str. 117–125.
