Suchergebnisse

Although there have been many studies of low skilled call centre operators, research on professional workers in call centres is less common and cross-national research on such operations even rarer. This article compares the labour process experiences of tele-nurses – registered nurses in call centre settings – across three countries: the UK, Australia and Sweden. Using cross-national, comparative ethnographies, through a system, society and dominance (SSD) approach, the article explores the common problems tele-nurses face as well as distinctive societal differences in the ways in which this branch of e-health care is being established. The outcomes reveal both societal diversity and mounting pressures towards a globalizing conformity between the three countries with regard to the working practices of tele-nursing. The findings have important implications for whether or not a professional project can be developed around tele-health care.

PurposeThis paper aims to explore the introduction of teamwork in two health call centres, NHS Direct and NHS24, and intervenes in the emergent debate over teamwork in call centres. Although within the call centre work environment there is no obvious functional rationale for teamwork, teams can be "accounted for" with reference to other purposes, including performance management, normative control, governmentality and institutional isomorphism/management fads. This research provides additional explanations for the use of teamwork in such an adverse work environment.Design/methodology/approachThe paper is based on qualitative data (interviews and non‐participant observations) from NHS Direct and NHS24, the English and Scottish tele‐nursing organisations in the UK.FindingsIn the two tele‐nursing case studies analysed, teamwork was introduced as an expression of managers' aspirations to emulate private sector practices and to reinforce new public management ideals. However, informal teamwork, which cut across organisationally prescribed forms, provided both emotional support and spontaneous knowledge sharing among nurses.Originality/valueThis is an innovative study because teamwork has not been thoroughly explored in a health call centre environment.

This paper will compare tele-nursing in the UK and Sweden and explore how the formation of the same practice at different times and within different institutional and political contexts, shaped the work organisation outcomes for tele-nurses. It will examine whether a 'dominant recipe' is emerging on how to produce health care through the call centre format; or alternatively, whether institutional diversity between the two societies continues to produce national models of tele-nursing. The two cases are critical, because in England a central plan for access to health care through a call centre format has been centrally driven by the state within an environment where the call centre industry is an established and powerful sector. Sweden has a regional organisation for health care and the development of tele-nursing has been heterogeneous. However to some degree the case of NHS Direct has been a background model for Swedish planners. Therefore the paper will address the question of diffusion or continued institutional diversity, with a strong focus on the effects of different systems on the work organisation of tele-nurses.

PurposeThe purpose of this article is to assess whether tele‐nursing in Scotland (NHS24), when compared with traditional face‐to‐face nursing, facilitates greater employee control over working time and therefore a potentially better work‐life balance.Design/methodology/approachThe article draws on evidence from two independent research projects; a survey of 64 ward nurses and midwives, which involved face‐to‐face interviews; and a field study of tele‐nursing in a large site in Scotland, using interviews and observations of 15 nurse advisors or tele‐nurses.FindingsThree elements of work organisation are central in shaping nurses' working hours and their control over the balance between their work and their home life: the management of working hours; the degree of mutual dependency of nurses within teams; and the nature of patient care.Research limitations/implicationsThe two pieces of research reported offer a strong basis for comparative study. However, the two projects were designed independently, though research questions overlapped and one researcher conducted the field work in both settings; there is an imbalance in the number of interviews conducted in each setting; and the nurse advisor interviewees are of the same clinical grade, whereas a variety of grades and clinical areas are represented among the hospital nurse interviewees.Originality/valueThis is the first study of work‐life balance amongst tele‐nurses. The research demonstrates that call centre work has rationalised, depersonalised and yet enabled more "control" by nurses over their work‐life balance, while paradoxically offering less autonomy in their task environment. In conventional work settings professional values make it difficult for nurses to disengage from the workplace.