Ulla-Maija Koivula and Sirkka-Liisa Karttunen
Finland represents one of the Nordic welfare states where the role of the public sector as the organiser and provider of health and social care is strong. However, the amount of…
Abstract
Purpose
Finland represents one of the Nordic welfare states where the role of the public sector as the organiser and provider of health and social care is strong. However, the amount of voluntary work in social and health care services is surprisingly big. The strongest advocates for keeping the volunteers outside are hospitals and health centres while at the same time they are suffering from shortages of staff and staff is reporting lack of time to provide needed care for their patients. The purpose of this paper is to report the results of a study of the attitudes of professionals towards voluntary work in hospitals.
Design/methodology/approach
The paper is based on an exploratory study done in three hospitals, two from an urban area and one in a rural area. The interviewees represent nursing and care staff (n=21). The main questions were how staff members see options, constraints and drawbacks of volunteering regarding professional roles, work division, coordination and management.
Findings
Attitudes of staff varied from positive to conditional. The approaches towards voluntary work varied from holistic to task-centred or patient-centred and were linked with organisational approach, professional approach or considerations of patients’ well-being. Critical views were expressed related to managerial issues, patients’ safety and quality of care. Increasing the amount of voluntary work done in hospitals would require a considered strategy and a specifically designed process for coordination, management and rules on the division of labour.
Research limitations/implications
The research raised themes for further quantitative studies to elaborate the findings on the similarities and differences of the opinions of different staff categories and to be able to develop further the heuristic model of volunteer management triangle suggested in the paper.
Social implications
The study raises questions of the need and promotion of volunteers in general and especially in health care services. It also raises critical views related to voluntary work in hospitals.
Originality/value
The study is a new initiative to discuss voluntary work and how to manage volunteers in hospitals. It provides valuable knowledge for practitioners in health care involved in volunteer management and coordination.
Details
Keywords
Virpi Sillanpää, Antti Lönnqvist, Niina Koskela, Ulla‐Maija Koivula, Matti Koivuaho and Harri Laihonen
The starting‐point of this paper is the observation that, while intellectual capital (IC) management seems to be a potential approach for non‐profit elderly care organizations…
Abstract
Purpose
The starting‐point of this paper is the observation that, while intellectual capital (IC) management seems to be a potential approach for non‐profit elderly care organizations, there is a lack of empirical evidence on how it could actually be applied. This paper aims to add to knowledge of this issue.
Design/methodology/approach
This is an exploratory, qualitative case study including three case organizations. The case descriptions and analysis are based on interviews with managers of the case organizations.
Findings
The study describes which intangible resources are highlighted in the operations of non‐profit elderly care organizations, the existing practices regarding the management of IC factors and the IC needs of management in these organizations.
Research limitations/implications
The study focuses on Finnish non‐profits. The operations of the third sector may vary across countries.
Practical implications
The elderly care sector is facing big challenges due to the changing age structure in many Western countries and due to the pressure to produce cost‐effective but still high‐quality services. The IC approach seems well‐suited as a managerial framework that can capture the intangible aspects of operations. However, more research and practical application experience are needed at this stage.
Originality/value
IC research on non‐profit organizations is rare and has so far been rather generic and conceptual. The paper makes a contribution by presenting empirical and industry‐specific findings.
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Anneli Hujala, Sanna Laulainen and Kajsa Lindberg
– The purpose of this paper is to provide background to this special issue and consider how critically oriented research can be applied to health and social care management.
Abstract
Purpose
The purpose of this paper is to provide background to this special issue and consider how critically oriented research can be applied to health and social care management.
Design/methodology/approach
Basic principles of critical management studies are introduced briefly to frame subsequent papers in this issue.
Findings
In order to identify the wicked problems and darker sides of the care field, there is a need to study things in alternative ways through critical lenses. Giving a voice to those in less powerful positions may result in redefinition and redesign of conventional roles and agency of patients, volunteers and professionals and call into question the taken-for-granted understanding of health and social care management.
Originality/value
The special issue as a whole was designed to enhance critical approaches to the discussion in the field of health and social care. This editorial hopefully raises awareness of CMS and serves as an opening for further discussion on critical views in the research on management and organization in this field.