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Middle managers in long-term care use "professional talk" to shape care worker conduct. This discourse, covering conduct, values, methods, and competencies, influences managerial-worker relationships and workplace change.

Keywords:
Long term careMiddle managersProfessional talkProfessionalismVocational care workers

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Area of Science:

  • Healthcare Management
  • Organizational Communication
  • Sociology of Work

Background:

  • Middle managers in long-term care play a crucial role in shaping the work environment.
  • Professionalism is a key concept influencing healthcare worker conduct and quality of care.
  • Understanding managerial discourse is essential for effective organizational change.

Purpose of the Study:

  • To examine how middle managers in long-term care utilize the discourse of professionalism.
  • To analyze the concept of "professional talk" in shaping care worker conduct.
  • To explore the implications of this discourse for managerial-worker relations and organizational change.

Main Methods:

  • Qualitative study based on observations and recordings of everyday conversations among middle managers.
  • Analysis of mundane conversations to identify patterns in "professional talk" related to care worker professionalism.
  • Application of Watson's concept of professional talk.

Main Results:

  • Identified four co-existing types of professional talk: appropriate looks/conduct, reflectivity on values/good care, methodical work methods, and competencies.
  • Professional talks serve as a discursive resource for middle managers to facilitate workplace change.
  • Managerial use of professional talk can enable or disable care workers.

Conclusions:

  • The relationship between managers and professionals is not inherently oppositional but flexibly reconstructed through professional talk.
  • Professional discourse is a key tool for middle managers to navigate and implement changes in care work.
  • A nuanced understanding of managerial-worker dynamics in long-term care is needed.