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1.
  • Agevall, Ola, 1970-, et al. (author)
  • The Emergence of the Professional Field of Higher Education in Sweden
  • 2013
  • In: Professions & Professionalism. - : Høgskolen i Oslo og Akershus. - 1893-1049. ; 3:2, s. 1-22
  • Journal article (peer-reviewed)abstract
    • The changing structure of the Swedish university system has shaped its corps of university teachers. The analytical device used to demonstrate this connection is the changing social functions of Swedish universities which serve as the lens through which we understand this change. We argue for five successive and historically added layers of functions: the training of church officials, state functionaries, experts of the industrial society, the welfare professions, and, finally, the mass of employees of the “knowledge society.” Each new function is superimposed on the existing ones, adding to the complexity of tasks, areas of knowledge, and teacher categories in the universities. The position of the university as the arbiter of the highest form of knowledge, the internal differentiation of the field of higher education, and the growth and stratification of its teaching corps are three main building blocks for this history of the Swedish system of higher education.
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2.
  • Ahn, Song-Ee, et al. (author)
  • Learning in Technology-Enhanced Medical Simulation:Locations and Knowings
  • 2015
  • In: Professions & Professionalism. - Oslo : Oslo and Akershus University College of Applied Sciences. - 1893-1049. ; 5:2, s. 1-12
  • Journal article (peer-reviewed)abstract
    • This qualitative study focuses on how knowings and learning take place in full-scale simulation training of medical and nursing students, by drawing upon actor-network theory (ANT). ANT situates materiality as a part of the social practic-es. Knowing and learning, according to ANT, are not simply cognitive or social phenomena, but are seen as emerging as effects of the relation between material assemblages and human actors being performed into being in particular locations. Data consists of observations of simulations performed by ten groups of students. The analysis focuses on the emerging knowings in the socio-material—arrangements of three locations involved in the simulation—the simulation room, the observation room and the reflection room. The findings indicate that medical knowing, affective knowing and communicative knowing are produced in different ways in the different locations and material arrangements of the simulation cycle.
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3.
  • Bejerot, Eva, 1951-, et al. (author)
  • Occupational Control on Drift : National and Local Intervention in Clinical Work at Emergency Departments
  • 2017
  • In: Professions & Professionalism. - : Høgskolen i Oslo og Akershus. - 1893-1049. ; 7:2, s. 1-15
  • Journal article (peer-reviewed)abstract
    • In Swedish emergency departments, various initiatives have been introduced in order to reduce long waiting times for patients: lean methods, targets for waiting times related to revenues, interprofessional teams, and different forms of triage systems. This study focuses on the physicians’ views on dilemmas related to these interventions. The study is based on the interviews with 14 physicians in four emergency departments. The interviews have been analysed thematically and presented in the form of brief narratives. The study follows changes from clinical practice to the national policy level. The changes appear to be ineffective or counterproductive—waiting times are rather getting longer, but the measures have a number of other effects. Decisions are taken at a central level and are carried out by means of rules, incentives, and projects and end in the medical profession being displaced from the central position they have held in the working processes of health care.
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4.
  • Bergman Blix, Stina, 1971- (author)
  • Professional emotion management as a rehearsal process
  • 2015
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 5:2, s. 1-15
  • Journal article (peer-reviewed)abstract
    • The work of stage actors has long been used as a simile for every day role playing, generating theoretical concepts to describe how people work to pre-sent themselves in general and how they manage their emotions in particular. Building on this tradition, this article analyses professional stage actors’ deliberate emotion management as an embodied professionalisation process, focusing the relation between emotional experience and expression through the concepts of decoupling, double agency and habituation. Observations and interviews with thea-tre actors rehearsing for a role revealed how they gradually develop a capacity for double agency, decoupling the experience from the expression of emotions, which are eventually habituated in a form adapted to the role character. This process of professionalising emotion management is beneficial to the presentation of role-appropriate emotions and furthers the ability to cope with the endeavour of manag-ing emotions at work. Implications for professions outside the artistic domain are discussed.
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5.
  • Bivall, Ann-Charlotte, Universitetslektor, 1977-, et al. (author)
  • Students’ interprofessional workplace learning in clinical placement
  • 2021
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 11:3
  • Journal article (peer-reviewed)abstract
    • Students’ learning in the workplace during their clinical placements is an important part of their education to become healthcare professionals. Despite the number of studies of student interprofessional learning in clinical placements, little is still known about the significance of interprofessional learning and how it is facilitated and arranged for to occur. This article aims to investigate interprofessional learning between students collaborating in a workplace-driven arrangement integrated into a clinical placement. A focused ethnographic research approach was applied, comprising observations of ten students participating in the arrangement organised by clinical supervisors on a medical emergency ward at a Swedish university hospital, followed by group interviews. Using a boundary-crossing lens, the article analyses the workplace arrangement, in which students’ learning across professional boundaries and their negotiations around a boundary object were prerequisites to coordinate their interprofessional knowledge and manage emerging challenges while being in charge of care on the ward.
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6.
  • Brante, Thomas (author)
  • Professions as Science-Based Occupations
  • 2011
  • In: Professions and Professionalism. - 1893-1049. ; 1:1, s. 4-20
  • Journal article (peer-reviewed)abstract
    • How professions should be defined and separated from other occupations has constituted an enduring theoretical and empirical problem in studies of the professions. In this article, the definitions of the so-called list approaches, involving enumerations of social attributes, are scrutinized. Weak-nesses are highlighted and analysed. It is argued that an alternative approach to the issue of definition, commencing from the epistemic or cognitive dimensions of professions, may be more fruitful. One such possibility is presented by setting out from realist philosophy of science. The links between science and profession are explored by addressing, primarily, the relation between the concepts of mechanism and intervention. A new, ‘invariant’ definition is proposed. In conclusion, a few consequences for future empirical studies of the professions are outlined.
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7.
  • Brante, Thomas (author)
  • The Professional Landscape: The Historical Development of Professions in Sweden
  • 2013
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 3:2, s. 1-18
  • Journal article (peer-reviewed)abstract
    • This special issue of Professions & Professionalism seeks to explain the transition of occupations from non-professions to professions and the conditions and causes that generate professions (i.e., the bases of professionalization). Empirically, we use the histories of the Swedish professions, positing that these histories have several close similarities (and, of course, differences) with those of other nations, thus making this project of international interest. Theoretically, we define a number of general concepts that are employed to explain the processes of professionalization. The most general concept, which covers the professional layer, is called the professional landscape. It is divided into a number of professional fields and generations, creating a typology of professions. The fields that are presented, together with the professions assuming key positions in the fields, are technology, health, social integration, social regulation, education, and academia. The historical emergence of the fields and the transition from occupation and pre-profession to full profession are outlined.
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8.
  • Carlhed, Carina, 1967- (author)
  • The Rise of the Professional Field of Medicine in Sweden
  • 2013
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 3:2, s. 562-577
  • Journal article (peer-reviewed)abstract
    • This article is an analysis of conditions enabling the rise of the professional field of medicine in Sweden. The analysis is based mainly on second- ary data, while the use of primary data is restricted to official statistics. Primarily, it aims to study the conditions promoting professionalization in medicine. Important exogenous conditions were derived from early emerging nation state administration structures concerning policy and governance of public health, as well as a delegated supervision of professional health activities to the medical profession and the organization of a public national health care system. Professionalization strategies such as social organization of the medical profession and their use of a variety of legitimizing resources as tools for jurisdictional claims are considered as endogenous conditions. Broadly, the analysis shows a close relationship between the growth of professionalization in the field of medicine and the development of state prosperity in the Swedish welfare state. 
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9.
  • Eklund, Sanna, 1985 (author)
  • To co-opt or to be co-opted? The role of professional elites in strengthening professional control vis-à-vis clients
  • 2021
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 11:1
  • Journal article (peer-reviewed)abstract
    • This article studies how professional elites, as exemplified by first teachers (FTs)—a new prominent position for teachers in Sweden—respond to clashes between market and professional logics, and how this affects professional control vis-à-vis clients. Based on a collaborative ethnography, findings suggest that the professional elites use different responses to the clashes between the logics. Professional control can be strengthened by FTs co-opting the market logic strategically in the interest of the profession. However, FTs sometimes also succumb to cliental influence, becoming co-opted themselves by the market logic, which weakens professional control. Tentatively, context needs to be highlighted in order to understand why different responses are used, and in this identity work and relationships to managers seem essential to create a foundation for FTs to respond in ways that increase professional control vis-à-vis clients. © 2021 the authors.
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10.
  • Flisbäck, Marita, 1973-, et al. (author)
  • Artists' Autonomy and Professionalization in a New Cultural Policy Landscape
  • 2015
  • In: Professions & Professionalism. - : Oslo and Akershus University College of Applied Sciences. - 1893-1049. ; 5:2, s. 1-16
  • Journal article (peer-reviewed)abstract
    • Using literature on the professions, the article explores how a new political model for funding and steering may affect professional autonomy. Professional groups’ efforts to independently practice their profession during times of political change are elaborated. The professional group in questions is artists, the context is Sweden, and the new model is called the Collaborative Cultural Model. This model entails a shift in the funding and realization of cultural policy from the national to the regional level. From a situation in which civil servants with specific culture knowledge were involved, politicians, representatives of civil society, civil servants and artists are now to work together to create a regional culture plan. In the article, two different outcomes of the new model are discussed as possible. It can lead to de-professionalization process, particularly if the policy on keeping outside influences at “arm’s length” weakens. On the other hand, negotiations between different actors could result in artists’ knowledge becoming more prominent and receiving more recognition than previously. This, in turn, could promote professional artists’ status.
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11.
  • Flisbäck, Marita, et al. (author)
  • Editorial : Artists and Professionalism
  • 2015
  • In: Professions & Professionalism. - : Oslo and Akershus University College of Applied Sciences. - 1893-1049. ; 5:2, s. 1-3
  • Journal article (other academic/artistic)abstract
    • Artists and professionalism is a special issue with the overall aim to bring artistic professions into the field of professions and professionalism. The issue consists of four contributions that all highlight artistic professions from different perspectives, such as artists’ educational possibilities, professional careers, strategies for inclusion and exclusion, professional logics and boundary-makings, how professional autonomy is affected by welfare states policies and so forth.
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12.
  • Flisbäck, Marita, 1973, et al. (author)
  • Guest Editors' Introduction
  • 2015
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 5:2, s. 1-3
  • Journal article (peer-reviewed)abstract
    • Artists and professionalism is a special issue with the overall aim to bring artistic professions into the field of professions and professionalism. The issue consists of four contributions that all highlight artistic professions from different perspectives, such as artists’ educational possibilities, professional careers, strategies for inclusion and exclusion, professional logics and boundary-makings, how professional autonomy is affected by welfare states policies and so forth. 
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13.
  • Franzén, Cecilia (author)
  • Balancing costs and patients' health : dental students' perception of economics in dentistry
  • 2015
  • In: Professions & Professionalism. - : Høgskolen i Oslo og Akerhus, Senter for profesjonsstudier. - 1893-1049. ; 5:3, s. 1-12
  • Journal article (peer-reviewed)abstract
    • One aim of higher education is to develop professional identities in students to equip them for future working life. Health professional students will work under financial pressures in a market-based environment, which can lead to conflicts with professional ethical values. This study explores how Swedish dental students perceive economic aspects of dentistry. The article is based on a study of undergraduate research projects. In the analysis of the projects, two themes were identified: (1) cost-effective organizing of dentistry and (2) costs and benefits of interventions. The students displayed socially responsible values by emphasizing the need for dentists to utilize resources effectively, which implies that professional education can support the development of the perception that economic values can be compatible with professional ethical values.
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14.
  • Franzén, Cecilia (author)
  • The Complexities of Boundaries, Task Claims, and Professional Identity in Teamwork : from Dentists’ Perspective
  • 2020
  • In: Professions & Professionalism. - : Oslo and Akershus University College of Applied Sciences. - 1893-1049. ; 10:1
  • Journal article (peer-reviewed)abstract
    • This article concerns how dentists in a Swedish dental care organisation conceptualized work division when teamwork was requested by the senior manager and their boundary work in relation to dental auxiliaries. Data were drawn from semi-structured interviews with the dentists. The dentists’ made claims to tasks based on legislation and their wanting to focus on tasks that required their expertise. Dental auxiliaries may be reluctant to take on new tasks and become more involved in patient care, which indicates that they have some influence in the work division. Nevertheless, the dentists retained control as their invitation for dental auxiliaries in patient care was based on certain conditions. The dentists’ claim to certain tasks may have strengthened their identity as experts and reinforced boundaries between themselves and dental auxiliaries.
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15.
  • Funck, Elin K., 1979- (author)
  • Professional archetype change : The effects of restricted professional autonomy
  • 2012
  • In: Professions & Professionalism. - : Hoegskolen i Oslo og Akershus. - 1893-1049. ; 2:2, s. 1-18
  • Journal article (peer-reviewed)abstract
    • One of the points on which researchers agree is the centrality of autonomy to professionalism. Moreover, a common conclusion in the studies of professions is that the profound changes in society over the last fifty years have threatened the autonomy and changed the archetype of professionalism. This paper contributes to the research on changes and continuities, challenges and opportunities for professionalism by discussing advantages and disadvantages of restricted professional autonomy. By describing the historical development in the Swedish and Canadian healthcare context, two major findings are discussed. First, although medical professionals have been subjected to certain constraints, they still appear to maintain a relatively high level of autonomy concerning the technical content of the work. Second, restricting professional autonomy is not negative merely due to the preservation of the professional archetype; rather, a «reasonable» limitation can be positive if professional autonomy is understood as a contract based on public trust.
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16.
  • Gäddman Johansson, Richard, et al. (author)
  • Developing Care Professionals : Changing Disability Services in Sweden
  • 2018
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 8:2
  • Journal article (peer-reviewed)abstract
    • In Sweden, professionalization projects in disability care services are currently being undertaken in order to differentiate and establish a professional identity for professionals within care work. The aim of this paper was to analyse the experiences of care workers’ meaning of the professionalization process concerning their occupation and their occupational identity in relation to tasks they perform in front-line contacts with persons with intellectual and developmental disabilities at respite care service homes. Semi-structured interviews were conducted with ten care workers. The meaning of the professionalization projects is an ongoing process of a connected mission, meaning that the care work is performed in close contact with care receivers and that it takes place within an informal and free framework, predicated on a logic of possessing a particular kind of “care-feeling.”
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17.
  • Hallqvist, Johan, 1984- (author)
  • Digital Health and the Embodying of Professionalism : Avatars as Health Professionals in Sweden
  • 2019
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 9:1
  • Journal article (peer-reviewed)abstract
    • This paper explores virtual health professionals (VHPs), digital health technology software, in Swedish health care. The aim is to analyze how health professionalismis (re)negotiated through avatar embodiments of VHPs and to explore the informants’ notions of what a health professional is, behaves and looks like. The paper builds on ethnographic fieldwork with informants working directly or indirectly with questions of digital health technology and professionalism. Discourse theory is used to analyze the material. Subjectification, authenticity, and diversity were found to be crucial for informants to articulate health professionalism when discussing human avatars, professional attire, gendered and ethnified embodiments. The informants attempted to make the VHPs credibly professional but inauthentcally human. A discursive struggle over health professionalism between patient choice and diversity within health care was identified where the patient’s choice of avatars—if based on prejudices—might threaten healthcare professionalism and healthcare professionals by (re)producing racism and sexism.
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18.
  • Jacobsson, Katarina (author)
  • Categories by Heart: Shortcut Reasoning in a Cardiology Clinic
  • 2014
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 4:3, s. 1-15
  • Journal article (peer-reviewed)abstract
    • This article examines the practice of doctors and nurses to invoke the categories of age, sex, class, ethnicity, and/or lifestyle factors when discussing individual patients and patient groups. In what situations are such references explicitly made, and what does this practice accomplish? The material consists of field notes from a cardiology clinic in Sweden, and a theory of descriptive practice guided the analysis. When professionals describe patients, discuss decisions, or explain why a patient is ill, age, sex, class, ethnicity, and/or lifestyle serve as contextualization cues, often including widespread results from epidemiological research about groups of patients at higher or lower risk for cardiac disease. These categories work as shortcut reasoning to nudge interpretations in a certain direction, legitimize decisions, and strengthen arguments. In general, studying the descriptions of patients/clients/students provides an entrance to professional methods of reasoning, including their implicit moral assumptions.
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19.
  • Jansson, Per, 1966- (author)
  • School counsellors’ professional practice in health promotion, prevention and remedial work in Swedish schools
  • 2024
  • In: Professions & Professionalism. - Oslo : Oslo Metropolitan University. - 1893-1049. ; 14:1
  • Journal article (peer-reviewed)abstract
    • According to the Swedish Education Act, schools in Sweden must provide comprehensive student health services to foster an inclusive and conducive learning environment, promoting students’ well-being and knowledge development. As part of a multi-professional team, school counsellors are essential in achieving these goals. However, national guidance lacks details on the role of school counsellors in health promotion, prevention and remedial efforts. This study addresses this knowledge gap by examining aspects of school counsellors’ professional work using theories of professions. Open-ended answers in a survey distributed to school counsellors in Sweden were analysed through content analysis. Findings show that remedial work primarily focuses on individual students’ social issues through conversation-based interventions. Preventive work targets groups and the broader school environment, often involving tasks like policy development. Health promotion work stands out with its educational component, where school counsellors are involved in Life Competence Education, often in collaboration with other school professionals.
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20.
  • Kallberg, Maria (author)
  • Archivists : A Profession in Transition?
  • 2012
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 2:1
  • Journal article (peer-reviewed)abstract
    • E-government development has put pressure on public organizations to work with electronic information. Records from complex e-government services have to be captured and managed in order to be accessible both in the present and in the long term. The data and analysis presented is based on a multiple case study of nine Swedish local governments (municipalities) identified as good ex-amples of best practice of e-government. An analytical model for recordkeeping awareness in three arenas: the legal, the political and the workplace has been created in order to identify how political decisions and new technology impact on professional archivists’ practice and status. The research findings demonstrate a gap between the legal and workplace arenas in both directions caused by lack of recordkeeping awareness primarily within the political arena. Archivists´ profes-sional status seems to be limited, which opens up possibilities for other profes-sional groups to replace them.
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21.
  • Kallio, Tomi J., et al. (author)
  • Nurses' organizational roles : stakeholders’ expectations
  • 2018
  • In: Professions & Professionalism. - : NORDPRO. - 1893-1049. ; 8:2, s. 1-17
  • Journal article (peer-reviewed)abstract
    • In this study, we analysed stakeholders’ organizational role expectations for nurses. We defined organizational role expectations as a set of informal expectations in behavioural patterns and formal expectations in work tasks related to a certain position in the organization. A qualitative study was conducted, and content analysis was applied to 150 articles published in a Finnish nursing trade journal. We identified five general organizational role expectations of patients and their relatives, physicians and other healthcare professionals, the work community, the nursing association, and legislators in our analysis: “the alongside stroller,” “the patients’ advocate,” “the reliable colleague and team member,” “the expert and skills developer,” and “the organizational underdog.” This study explores these nursing roles and links stakeholder perspective to the organizational role expectations in professional services.
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22.
  • Krantz, Joakim, 1967-, et al. (author)
  • From Expert to Novice? : The Influence of Management by Documents on Teachers Knowledge Base and Norms.
  • 2017
  • In: Professions & Professionalism. - : OsloMet – storbyuniversitetet. - 1893-1049. ; 7:3
  • Journal article (peer-reviewed)abstract
    • The aim of this study is to reveal how teachers experience the effects of management by documents in their professional practice. Approximately one hundred primary school teachers were asked to describe their daily teaching work with special focus on the demands in terms of the production of documentation. The reports were analysed using a “profession theoretical” model which focuses on the following aspects of professional knowledge: recognition, emotional engagement, and evaluation of and responsibility for one’s own work. The results show that the teachers have experienced that the teaching profession has changed because of fixation on results, and fragmentation has resulted in a decrease in the levels of trust and a feeling that the work is boring. The internal pedagogic discourse is weakened because of the presence of an external legal discourse. Management by documents can thus be a factor that causes a professional regression.
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23.
  • Larsson, Bengt, 1966, et al. (author)
  • Discretion in the “Backyard of Law”: Case Handling of Debt Relief in Sweden
  • 2013
  • In: Professions and Professionalism. - Oslo : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 3:1
  • Journal article (peer-reviewed)abstract
    • This article explores discretion in welfare professional work. The aim is to analyse what room for discretionary decision-making that exist in case handling of debt relief at the Swedish Enforcement Authority (SEA). The analysis is guided by a conceptual distinction between structural and epistemic aspects of discretion, as well as between substantive and procedural aspects. The data comprises official and internal SEA documents, interviews with management and staff and field notes from observations. The analysis points to a change in the balance between standards and discretion in relation to the on-going formalization of case handling at the SEA, though not in the simplistic sense that discretion is diminished through formalization. When taking into account the different analytical aspects of discretion, it is concluded that discretion is narrowed only in some respects. There is still space for case officers in selecting and interpreting information and assess-ing the conditions regarding subject matter.
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24.
  • Lindh Falk, Annika, et al. (author)
  • Unfolding Practices: A Sociomaterial View of Interprofessional Collaboration in Health Care
  • 2017
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 7:1
  • Journal article (peer-reviewed)abstract
    • Abstract: Knowledge sharing is an essential part of interprofessional practice and will be even more important in the future in regard to the opportunities and chal-lenges in practices for delivering safe and effective healthcare. The aim of this ethnographic study was to explore how professional knowledge can be shared in an interprofessional team at a spinal cord injury rehabilitation unit. A sociomaterial per-spective on practice was used to analyse the data, and by theorizing upon this, we captured different aspects of interprofessional collaboration in health care. The find-ings illuminate how knowledge emerges and is shared between professionals, and how it passes along as chain of actions between professionals, in various ways. The findings offer a novel perspective on how interprofessional collaboration as a prac-tice, involving ongoing learning, unfolds. This reveals the mechanisms by which different forms of expertise are mobilized between professions as health care work.
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25.
  • Lindström, Sofia, 1981- (author)
  • Constructions of Professional Subjectivity at the Fine Arts College
  • 2015
  • In: Professions & Professionalism. - Oslo : Hoegskolen i Oslo og Akershus. - 1893-1049. ; 5:2
  • Journal article (peer-reviewed)abstract
    • Higher education can function as an important marker of seriousness in fields characterized by diffuse professional standards. Using the case of a fine arts institute, the article outlines the role of higher education in promoting the interconnection of a professional and individual subjectivity; being an artist is not merely something one does but something one is. By primarily examining interview material, it explores how an ideal position of individual self-reliance relates to the alumni of the institute. Some respondents were not “in sync” with this position and needed to seek out other resources in order to construct themselves as professional artists. However, they seldom rejected the kind of subjectivity promoted by their education, but rather renegotiated it as part of the uncertainty of their chosen field.
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26.
  • Lundvall, Lise-Lott Christina, 1959-, et al. (author)
  • Professional Challenges in Medical Imaging for Providing Safe Medical Service
  • 2021
  • In: Professions & Professionalism. - Oslo, Norway : Oslo Metropolitan University - Storbyuniversitetet. - 1893-1049. ; 11:2
  • Journal article (peer-reviewed)abstract
    • This study explores the organization of medical physicists’, radiologists’, and radiographers’ professional work and the challenges they encounter ensuring quality and safe medical service within medical imaging. A practice theory perspective was used for data collection, which consisted of 14 open interviews, and data analysis. The concept of tension was used for the interpretation of findings. Three tensions are presented in the findings: 1) between diverse general and practical understandings about the activities in practice; 2) between material-economic conditions and activity in practice, and 3) between discursive-culture conditions and activity in practice. This study found that new technology, economical rationality, and the organisation of work processes lead to fewer face-to-face meetings between different professions. Therefore, medical imaging as dispersed practices misses opportunities for learning across practices, which can lead to patient safety risks. To ensure patient safety, new forms for learning across practices are needed.
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27.
  • Löfdahl, Annica, 1960-, et al. (author)
  • Narratives of Teachers and Teacher Unions in Swedish Facebook Rebellion Groups
  • 2023
  • In: Professions & Professionalism. - : Nordic network of researchers in the study of professions (NORDPRO). - 1893-1049. ; 12:3
  • Journal article (peer-reviewed)abstract
    • This study examines narratives about the teaching profession and teacher unions that Swedish teachers jointly produce in two teachers’ rebellion groups on Facebook, which is followed by a total of around 20,000 teachers. A sample of 33 posts and 2,445 comments were analysed using a narrative approach. The findings highlight narratives in which teachers wish to return to “the good old days”, struggle with everyday frustrations, call for a strike as an immediate solution, and describe hypothetical futures presenting the opportunity for proactive action and call teacher unions to dialogue rather than wait for them to satisfy the teachers’ demands.
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28.
  • Löfgren, Håkan, 1957-, et al. (author)
  • A Cross-Professional Analysis of Collegiality Among Teachers and Police Officers
  • 2020
  • In: Professions & Professionalism. - Oslo, Norway : Oslo Metropolitan University - Storbyuniversitetet. - 1893-1049. ; 10:2
  • Journal article (peer-reviewed)abstract
    • This article compares collegiality between two professional groups—teachers and police officers. The purpose is to add an open, “cross-professional dimension”to the discussion about collegiality in the teaching and police professions. By investigating collegial relations within the two professions, we provide a unique comparison. Using positioning theory, we analysed variations in stories about colleagues and found that the functions of collegiality share similar norms of trust, loyalty and professionalism. Moreover, what seems to be a case of collegial resource can paradoxically be a challenge to clients when different practices of and responses to professional behaviour are outlined. We suggest that the reason forthis paradox might be found in the exposure of individualised responsibility and accountability within the two professions,which drives a perceived need for collegial community-building processes.
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29.
  • Nilsson-Lindström, Margareta (author)
  • Swedish School Reforms and Teacher Professionalism
  • 2020
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 10:3, s. 38-78
  • Journal article (peer-reviewed)abstract
    • The education policy of the last few decades has significantly changed the Swedish school system. Municipalization and deregulation reforms were implemented in parallel with an internationally prescribed professionalization of teachers. This seemingly contradictory combination has reshaped not only teachers’ attitudes and actions but also those of principals and students as managers and consumers. In light of these changes, the professionalization of teachers and the strategic importance of a teacher-specific knowledge base, multi-year academic training, certification and career steps are analysed. Based on Freidson's three competing work organization and control logics, this article focuses on how the mix of logics has changed at the expense of professionalism in favour of bureaucracy and the market. The professionalization reforms have in some respects benefited teachers, especially with regard to their positions in the labour market. In other respects, the actions of managers and consumers have resulted in restrictions on teachers' autonomy as professionals.
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30.
  • Nilsson-Lindström, Margareta, et al. (author)
  • The professionalization of the field of education in Sweden: A historical analysis
  • 2013
  • In: Professions and Professionalism. - 1893-1049. ; 3:2, s. 1-17
  • Journal article (peer-reviewed)abstract
    • This article analyses the professionalization of the education field in Sweden from a historical perspective by tracing efforts towards professionalization of teaching from a clerically consecrated to a scientifically grounded praxis. Some of these efforts seem to be fairly typical for welfare states like Sweden. However, others are more unique, such as the state ambition to create a unified teacher profession based on a scientific knowledge base across elementary and grammar school teacher categories. This ambition failed. Some reasons are speculatively discussed primarily from a Bourdieuan perspective in terms of different teacher habitus, education capital and professionalization strategies among teachers in different positions in the field of education. Primary and secondary data sources are used but National Policy Documents have formed the main data source.
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31.
  • Parding, Karolina, et al. (author)
  • Differentiation as a Consequence of Choice and Decentralization Reforms : Conditions for Teachers' Competence Development
  • 2017
  • In: Professions & Professionalism. - : Oslo and Akershus University College of Applied Sciences. - 1893-1049. ; 7:2
  • Journal article (peer-reviewed)abstract
    • This paper examines the conditions for teacher competence development as they relate to the current restructured governance of the education sector in Sweden. In reviewing the literature, contextual factors in the workplace are often pointed out as central to conditions for competence development. However, we argue that a sector-level approach is useful in examining and explaining competence development conditions, especially in times of governance change. We describe how a workplace’s geographical location and budgetary situation, along with its size and age, relate to how teachers experience their working conditions. The findings indicate that the organization of work at a local workplace level impacts the conditions for competence development. Moreover, various regional and local characteristics seem to affect the conditions for competence development in that the organization and governance of the education sector create different conditions for competence development
  •  
32.
  •  
33.
  • Parding, Karolina, et al. (author)
  • Teachers’ Working Conditions amid Swedish School Choice Reform : Avenues for Further Research
  • 2016
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 6:1
  • Journal article (peer-reviewed)abstract
    • Since the 1990s, governance changes, including customer choice agen-das, have permeated the public sector and, consequently, welfare sector profession-als’ work. One example is the education sector. The aim of this paper is to identify and discuss avenues for further research when it comes to teachers’ working condi-tions in the light of current choice agendas. This is accomplished by presenting an overview of previous studies on implications of the reforms for teachers’ working conditions. How are these conditions described in relation to the current school choice agenda in Sweden? What directions should be applied to increase knowledge of these conditions? We conclude by identifying some avenues for further research: the issues of organization of work, temporal and spatial dimensions of working con-ditions, and finally comparative studies of various forms, are suggested as warrant-ing further investigation to highlight the diversified labor market in which teachers find themselves today.
  •  
34.
  • Pedersen, Inge Kryger, et al. (author)
  • Prescribing antibiotics : General practitioners dealing with “non-medical issues”?
  • 2018
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 8:1
  • Journal article (peer-reviewed)abstract
    • The medical professions will lose an indispensable tool in clinical practice if even simple infections cannot be cured because antibiotics have lost effectiveness. This article presents results from an exploratory enquiry into “good doctoring” in the case of antibiotic prescribing at a time when the knowledge base in the healthcare field is shifting. Drawing on in-depth interviews about diagnosing and prescribing, the article demonstrates how the problem of antimicrobial resistance is understood and engaged with by Danish general practitioners. When general practitioners speak of managing “non-medical issues,” they refer to routines, clinical expertise, experiences with their patients, and decision-making based more on contextual circumstances than molecular conditions—and on the fact that such conditions can be hard to assess. This article’s contribution to knowledge about how new and global health problems challenge professional actors affirms the importance of such a research agenda and the need for further exploration of the core problems posed by transnational sociology of professions.
  •  
35.
  • Persson, Sofia, 1972, et al. (author)
  • Dilemmas and Discretion in Complex Organizations: Professionals in Collaboration with Spontaneous Volunteers During Disasters
  • 2021
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 11:2
  • Journal article (peer-reviewed)abstract
    • Discretion is of major interest in research on professions. This article focuses on professionals’ discretionary reasoning about collaboration with spontaneous volunteers. By applying theories on discretion and institutional logics and drawing on disaster management research, we analyse interviews with fire and rescue service professionals involved in managing a large-scale forest fire in Sweden. We identify five major dilemmas concerning the involvement of spontaneous volunteers in the official disaster response and analyse the influence on professional reasoning of multiple institutional logics (professional, citizen, bureaucratic and market) embedded in the emergency organization. The analytical framework connects structure and agency by linking institutional logics to discretional reasoning, and the findings clarify professional emergency responders’ perspectives on the opportunities and challenges of involving spontaneous volunteers in an operation.
  •  
36.
  • Rantatalo, Oscar, et al. (author)
  • The enactment of professional boundary work : a case study of crime investigation
  • 2023
  • In: Professions & Professionalism. - Oslo : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 13:2
  • Journal article (peer-reviewed)abstract
    • Professional boundary takes place as actors negotiate occupational boundaries and division of labour. In this article, we examine the conditions of defensive, accommodating, and configurational boundary work in the context of crime investigation. We analyse how professional boundaries are negotiated as civilian investigators become involved with policing. The article is based on 71 interviews with civilian and police crime investigators from a variety of investigation units in Sweden. Findings show how policing as a professional field is shifted as civilians from a wide variety of backgrounds and with varying motivations enter the occupation. Defensive boundary work that devalued civilians was widely occurring. However, boundary work that focused on learning, collaboration, and training was also occurring in high-status units. The discussion focuses on how power asymmetries impact boundary work when professions are undergoing change. This study exemplifies how organizational actors navigate, defend, and challenge their positions as professional boundaries are negotiated.
  •  
37.
  • Reichenpfader, Ursula, 1969-, et al. (author)
  • Medi(c)ation work in the emergency department : Making standardized practice work
  • 2018
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 8:2
  • Journal article (peer-reviewed)abstract
    • Medication review, the systematic examination of an individual patient’s medicines in order to improve medication therapy, has been advocated as an important patient safety measure. Despite widespread use, little is known about how medication review is conducted when implemented in routine health care. Drawing from an ethnographic case study in a Swedish emergency department and using a practice-based approach, we examine how medication review is practically accomplished and how knowledge is mobilized in everyday practice. We show how physicians construct and negotiate medication safety through situated practices and thereby generate knowledge through mundane activities. We illustrate the centrality of practitioners’ collective reflexive work when co-constructing meaning and argue here that practitioners’ local adaptations can serve as important prerequisites to make “standardized” practice function in everyday work. Organizations need to build a practical capacity to support practitioners’ work-based learning in messy and time-pressured  health care  settings.
  •  
38.
  • Rexvid, Devin, 1975-, et al. (author)
  • Non-problematic Situations in Social Workers’ and GPs’ Practice
  • 2016
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 6:3
  • Journal article (peer-reviewed)abstract
    • This study aims to describe and analyze written accounts of non-problem- atic situations by 28 social workers and 24 general practitioners (GPs). The results show that non-problematic situations were connected to professionals’ control of the intervention process. Non-problematic situations were described by social workers as situations where they had control of the relationship with the client either by the use of coercive means or by the client’s active cooperation. GPs referred to non- problematic situations as situations where they had control of the intervention pro- cess mainly by the use of professional knowledge. One main conclusion is that the ability to control the intervention process through control of the relationship with the client may be of significance to those professions where a central part of the profes- sional jurisdiction involves changing clients’ behaviors. This conclusion means that professional knowledge is not the only way to control the professional intervention process. 
  •  
39.
  • Rexvid, Devin, 1975-, et al. (author)
  • Risk reduction technologies in general practice and social work
  • 2012
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 2:2
  • Journal article (peer-reviewed)abstract
    • General practitioners (GPs) and social workers (SWs) are professions whose professional autonomy and discretion have changed in the so-called risk and audit society. The aim of this article is to compare GPs’ and SWs’ responses to Evidence-Based and Organizational Risk Reduction Technologies (ERRT and ORRT). It is based on a content analysis of 54 peer-reviewed empirical articles. The results show that both professions held ambivalent positions towards ERRT. The response towards ORRT differed in that GPs were sceptical whilst SWs took a more pragmatic view. Furthermore the results suggest that SWs might experience professional benefits by adopting an adherent approach to the increased dis-semination of risk reduction technologies (RRT). GPs, however, did not seem to experience such benefits.
  •  
40.
  • Samuelsson, Katarina, 1972 (author)
  • Teacher Collegiality in Context of Institutional Logics: A Conceptual Literature Review
  • 2018
  • In: Professions and Professionalism. - 1893-1049. ; 8:3
  • Journal article (peer-reviewed)abstract
    • This article presents an analysis and discussion of the conceptions of teacher collegiality in times of restructuring, where a shift in the governance of teachers’ work from bureaucratic to market principles can be identified. In addition, several actors from different cultural and social worlds want to contribute to education policy and school success, often through collegiality. Through a conceptual research review, a selection of articles on how teacher collegiality is assigned meaning in the context of different institutional logics is analysed. Different kinds of collegiality are presented, all of which have something to contribute to the understanding of teachers’ work; however, they imply different things. Such differences need to be clarified in order to improve the exchange of ideas, cooperation, and mutual understanding between actors in different cultural and social worlds. Researchers, actors, and experts in market-driven societies will thereby have a better chance to exchange ideas and actually understand each other.
  •  
41.
  • Singh, Nina, et al. (author)
  • Strategic compliance : A study of professionals' responses to sales management control
  • 2022
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 12:1
  • Journal article (peer-reviewed)abstract
    • This study responds to the call for research on how different and often conflicting discourses co-exist in professionals’ everyday work experiences. The paper explores how professionals respond to sales management in the context of two professional service firms (PSFs). Based on a qualitative study of employees’ experiences of sales, our findings suggest that the professionals respond to sales management by engaging in strategic compliance, i.e., adhering to rules and expectations to achieve goals of professional advancement (financial, status, autonomy), which, in turn, reinforces their membership of the profession. We identified three modes of strategic compliance: career-, integration-, and survival-mode. This conceptual framework contributes with a deepened understanding of the complex relationship between professional work and sales management. Specifically, our study suggests that while strategic compliance may help professionals navigate the tensions between professional- and sales-ideals, it is also associated with struggle and normalizes sales as a part of professional work.
  •  
42.
  • Sjöstrand, Glenn, 1966- (author)
  • The Field of Technology in Sweden:  The Historical Take-off of the Engineering Professions
  • 2013
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 3:2, s. 1-18
  • Journal article (peer-reviewed)abstract
    • Although the engineering profession has been called “the failed profession” owing to its lack of social closure, engineers have been successful in claiming their area of expertise and specialized knowledge as legitimate areas of research, knowledge, and intervention. In this article, the historical development of engineering professions in Sweden is used as a case of professional development. With the use of primary statistical sources and secondary historical sources, I endeavor to explain engineers’ professional development via coinciding factors such as the expansion and scientific content of lower and higher engineering education, the struggle for power in interest groups and unions, and engineers’ position in what seems to be an ever-increasingly diversified labor market. I argue that the professionalization process for Swedish engineers has fluctuated and that more than one professional take-off (two or even three) has occurred.
  •  
43.
  • Svensson, Kerstin, et al. (author)
  • The Field of Social Regulation: How the State Creates a Profession
  • 2013
  • In: Professions and Professionalism. - : Oslo and Akershus University College. - 1893-1049. ; 3:2, s. 1-16
  • Journal article (peer-reviewed)abstract
    • This article describes the process of professionalisation in the field of social control in Sweden. The aim is to analyse how the state by legislation created the profession of social workers for local social services and thus for social control by public administration. We show how organisations for social work have developed and played an important role since the 19th century and that social investigation should be seen as a hub for the practice. The work now mediated though professional organisations was initially performed by volunteers. In the early 20th century, volunteers and employed social workers cooperated, where social investigation was a central task for social workers. In the 1960s and ‘70s, more social workers were educated, the importance of social investigation was highlighted, and volunteers became subordinated to paid social workers. The legal professions have throughout the process had a role in making decisions, but not in the performance of investigating or executing procedures.
  •  
44.
  • Svensson, Lennart G., 1944, et al. (author)
  • Social integration as professional field. Psychotherapy in Sweden
  • 2013
  • In: Professions and Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 3:2, s. 1-18
  • Journal article (peer-reviewed)abstract
    • The present article describes and analyses the emergence and development of a professional field called social integration. Ideas, theories, and occupational practices forming this field are explored, particularly those related to the development of a new discipline, that of psychotherapy. The development of three occupations (psychiatry, psychology and social work) and their professionalisation is described through their qualitative and quantitative take‑offs in particular historical periods. Three periods are identified: formation, 1850-1920, when psychiatry was defined as a medical sub-discipline; consolidation, 1920-1945, with the institutionalisation of psychiatric care, and with psychoanalysis and mental hygiene as qualitatively new cognitive bases for practitioners; and professionalisation, 1945-1980, with the deinstitutionalisation of psychiatric care and the professionalisation of psychologists and social workers. New ideas on subjectivity and individualism, new welfare state institutions, as well as collaborative professionalism all favoured the creation of psychotherapy as professional knowledge, and a possible new profession of psychotherapists.
  •  
45.
  • Thörne, Karin, et al. (author)
  • The dynamics of physicians’ learning and support of others’ learning
  • 2014
  • In: Professions & Professionalism. - : Universitetsbiblioteket OsloMet. - 1893-1049. ; 4:1, s. 1-15
  • Journal article (peer-reviewed)abstract
    • Learning has been defined as a condition for improving the quality of healthcare practice. The focus of this paper is on physicians’ learning and their support of others’ learning in the context of Swedish healthcare. Data were generated through individual and focus group interviews and analyzed from a socio-material practice theory perspective. During their workday, physicians dynamically alternated between their own learning and their support of others’ learning in individual patient processes. Learning and learning support were interconnected with the versatile mobility of physicians across different contexts and their participation in multiple communities of collaboration and through tensions between responsibilities in healthcare. The findings illustrate how learning enactments are framed by the existing “practice architectures.” We argue that productive reflection on dimensions of learning enactments in practice can enhance physicians’ professional learning and improve professional practice.
  •  
46.
  • Törnqvist, Tove, 1985-, et al. (author)
  • Students’ Interprofessional Collaboration in Clinical Practice : Ways of Organizing the Patient Encounter
  • 2022
  • In: Professions & Professionalism. - Oslo, Norway : Oslo Metropolitan University - Storbyuniversitetet. - 1893-1049. ; 11:3
  • Journal article (peer-reviewed)abstract
    • As health care increases its focus on collaborative practice, universities must provide students with opportunities to learn how to collaborate with different professions and translate this knowledge into practice, known as interprofessional education. Simultaneously, researchers struggle to understand the full complexity of interprofessional education and must therefore conduct multiple-site studies, employ observational work, and apply theory throughout the research process.This paper draws on focused ethnographic fieldwork at two different sites focusing on how students organize collaboration during interprofessional clinical placements. Findings indicate that the way students organize their collaboration is intertwined with how patients were introduced during handovers and involved mobilizing knowledge as “betwixt and between” familiar student practices and unfamiliar clinical practices. Findings also show how authentic situations, artifacts and spatial features supported students to mobilize collaboration.
  •  
47.
  • Wallander, Lisa, et al. (author)
  • Disentangling Professional Discretion : A Conceptual and Methodological Approach
  • 2014
  • In: Professions & Professionalism. - : The Nordic Publisher for Humanities and Social Sciences. - 1893-1049. ; 3:4, s. 1-19
  • Journal article (peer-reviewed)abstract
    • With the aim of furthering the investigation of professional discretion, this article builds on a combination of a conceptual framework for understanding discretion and an advanced method for collecting data on human judgments. Discretion is described as consisting of two dimensions—a structural dimension (discretionary space) and an epistemic dimension (discretionary reasoning). Discretionary reasoning is defined as the cognitive activity that may take place within the discretionary space of professional judgment, and it is illustrated by means of Toulmin’s model of argumentation. The factorial survey, a quasi-experimental vignette approach, is proposed and illustrated as a method with substantial potential for studying agreement and disagreement in discretionary reasoning. While the combined framework presented in this article could form the basis for case studies and/or comparative studies of discretionary reasoning across professions and contexts, the results of such studies could be used for improving practice within a specific professional field.
  •  
48.
  • Wolanik Boström, Katarzyna, 1967- (author)
  • Complex Professional Learning : Physicians Working for Aid Organisations
  • 2018
  • In: Professions & Professionalism. - : OsloMet - Oslo Metropolitan University. - 1893-1049. ; 8:1
  • Journal article (peer-reviewed)abstract
    • This article addresses the issue of professional learning of Swedish physicians returning from their work for international aid organisations in the global South. It is a qualitative case study based on 16 in-depth interviews,whichuses a thematic narrative analysis, a typology of knowledge, and the concept of symbolic capital. The doctors’ assignments in settings radically different from the welfare state context meant professional challenges, including an initial feeling of de-skilling, but also enhanced reflexivity andintensiveand complex learning. The doctors acquired new medical and organisational knowledge, improved diagnostic skills, new perspectives on different health care systems, cultural contexts, global power relations, and postcolonial hierarchies. Since their return to Sweden, they have encountered a friendly but rather shallow interest in their experiences. Their new insights and ideas for change have not been easy to validate assymbolic capital, and their intensive individual learning is seldom utilised for organisational learning.
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