Innovations on a shoestring: Consequences for job quality of public service innovations in health and social care

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Innovations on a shoestring: Consequences for job quality of public service innovations in health and social care. / Mathieu, Christopher; Wright, Sally; Boethius, Susanne; Green, Anne.

I: European Journal of Workplace Innovation, Vol. 5, Nr. 2, 22.06.2020, s. 4-30.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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TY - JOUR

T1 - Innovations on a shoestring: Consequences for job quality of public service innovations in health and social care

AU - Mathieu, Christopher

AU - Wright, Sally

AU - Boethius, Susanne

AU - Green, Anne

PY - 2020/6/22

Y1 - 2020/6/22

N2 - The article examines the innovation-job quality-employment nexus in social and health care in the United Kingdom and Sweden, respectively. Through seven case studies carried out with a common methodological and analytical framework in the two countries, it shows how the constraining factors of fiscal strictures derived from budgetary regimes and chronic labor shortages have two key consequences for innovation. The first is that in the absence of room for maneuver with regard to extrinsic job quality, intrinsic job quality becomes the primary innovation arena. Here the activation of feelings and ideologies of empathy towards patients and clients and occupational/professional pride are central. The second is that most of the innovations found aimed at addressing labor shortages are ameliorative rather than solutions, leading to the development of the concept of “coping innovations.”Both of these processes are symptomatic of “innovation on a shoestring” due to structural conditions. Certain, arguably beneficial, aspects of these constraints are identified, such as activities directed towards enhancing person-centered approaches to clients/patients and colleagues, less ‘technologization’ of care contact and opening up opportunities for non-traditional occupational and social groups in health and care work. Non-beneficial aspects of these constraints include heightened work intensity and employee turnover, an overtaxing of the Florence Nightingale ethos, and incomplete or unsatisfactory training and career development programs.

AB - The article examines the innovation-job quality-employment nexus in social and health care in the United Kingdom and Sweden, respectively. Through seven case studies carried out with a common methodological and analytical framework in the two countries, it shows how the constraining factors of fiscal strictures derived from budgetary regimes and chronic labor shortages have two key consequences for innovation. The first is that in the absence of room for maneuver with regard to extrinsic job quality, intrinsic job quality becomes the primary innovation arena. Here the activation of feelings and ideologies of empathy towards patients and clients and occupational/professional pride are central. The second is that most of the innovations found aimed at addressing labor shortages are ameliorative rather than solutions, leading to the development of the concept of “coping innovations.”Both of these processes are symptomatic of “innovation on a shoestring” due to structural conditions. Certain, arguably beneficial, aspects of these constraints are identified, such as activities directed towards enhancing person-centered approaches to clients/patients and colleagues, less ‘technologization’ of care contact and opening up opportunities for non-traditional occupational and social groups in health and care work. Non-beneficial aspects of these constraints include heightened work intensity and employee turnover, an overtaxing of the Florence Nightingale ethos, and incomplete or unsatisfactory training and career development programs.

KW - occupational choice

KW - intrinsic motivation

KW - financial constraints

KW - health care

KW - social care

KW - job quality

KW - innovation

KW - public services

KW - skills

KW - human capital

KW - labour productivity

KW - human resources

KW - human development

KW - Innovation and Invention

KW - labour markets

KW - working conditions

KW - firm organisation and market structure

U2 - 10.46364/ejwi.v5i2.603

DO - 10.46364/ejwi.v5i2.603

M3 - Article

VL - 5

SP - 4

EP - 30

JO - European Journal of Workplace Innovation

JF - European Journal of Workplace Innovation

SN - 2387-4570

IS - 2

ER -