Street-level morality at the digital frontlines: An ethnographic study of moral mediation in welfare work

Author(s):  
Anja Pors ◽  
Jannick Schou
Author(s):  
Nanna Mik-Meyer

This chapter addresses the first of the three contexts (bureaucracy, market and psychology) which the book explores with regards to its influence on present day welfare encounters. The chapter thus presents the bureaucratic contexts and the primary literature hereon; especially centering Weber’s definition of the ideal type bureaucracy as well as the work of Lipsky on street level bureaucratic welfare work. In doing so, the chapter pays particular attention to the discretionary practices of welfare staff in bureaucratic organisations when discussing how values, norm and principles from this context affects the encounter between welfare workers (administrators) and citizens (clients). Lastly the chapter expands upon the discussion on discretionary practices by exploring the role of agency, the concepts of ‘state agents’ and ‘citizen agents’ as well as the notion of welfare staff as holding two bodies.


2010 ◽  
Vol 19 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Eva Hjörne ◽  
Kirsi Juhila ◽  
Carolus van Nijnatten
Keyword(s):  

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Roberta Perna

AbstractPublic organisations are fundamental actors in migrant incorporation processes, as they are in charge of assessing migrants’ entitlement and providing access to welfare services. While a lot has been written on the individual determinants of street-level decisions, the role of organisational and institutional factors in shaping implementation practices has received little attention so far. By linking the street-level bureaucracy approach and the neo-institutionalist perspective in organisational analysis, this article investigates how public organisations mediate migrant incorporation processes in the field of healthcare. Drawing on a comparative ethnographic study of three public health organisations in an Italian region, the paper suggests that, in times of institutional tensions, managers’ priorities and framings of the issue, the ways they respond to decision-makers’ goals and allocate resources for implementing them, orient - and lead to variation in - street-level healthcare practices of in/exclusion for migrants with irregular status.


BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023676 ◽  
Author(s):  
Elizabeth Taylor ◽  
Fiona Jones ◽  
Christopher McKevitt

ObjectivesOccupational therapy, physiotherapy and speech and language therapy are central to rehabilitation after a stroke. The UK has introduced an audited performance target: that 45 min of each therapy should be provided to patients deemed appropriate. We sought to understand how this has influenced delivery of stroke unit therapy.DesignEthnographic study, including observation and interviews. The theoretical framework drew on the work of Lipsky and Power, framing therapists as ‘street level bureaucrats’ in an ‘audit society’.SettingStroke units in three English hospitals.ParticipantsForty-three participants were interviewed, including patients, therapists and other staff.ResultsThere was wide variation in how therapy time was recorded and in decision-making regarding which patients were ‘appropriate for therapy’ or auditable. Therapists interpreted their roles differently in each stroke unit. Therapists doubted the validity of the audit results and did not believe their results reflected the quality of services they provided. Some assumed their audit results would inform commissioning decisions. Senior therapy leaders shaped priorities and practices in each therapy team. Patients were inactive outside therapy sessions. Patients differed regarding the quantity of therapy they felt they needed but consistently wanted to be more involved in decisions and treated as individuals.Conclusions and implicationsStroke unit therapy has different meanings in different hospitals. Measuring therapy time is problematic due to varied interpretations of ‘what counts’ and variation in reporting practices. Although stroke policy, guidelines and audit are potential tools of improvement, their benefits are not automatic. Their actual effects depend largely on the attitudes and values of local influential ‘street level leaders’. More work is needed to promote an integrated whole team approach to rehabilitation. Further research into contextual and human factors, including the roles and views of therapy leaders, would enable a better understanding of implementation of guidelines and service improvement.


2015 ◽  
Vol 4 (2) ◽  
pp. 177-192 ◽  
Author(s):  
Anja Svejgaard Pors

Purpose – The purpose of this paper is to examine the impact of e-government reforms on street-level bureaucrats’ professionalism and relation to citizens, thus demonstrating how the bureaucratic encounter unfolds in the digital era. Design/methodology/approach – The paper is based on an ethnographic study of frontline work at a citizen service centre in a Danish municipality, and draws on empirical material generated through observations, field notes, interviews and policy documents. Findings – The paper shows that e-government changes the mode of professionalism in citizen service from service to support. An ethnographic account of how digital reforms are implemented in practice shows how street-level bureaucrat’s classic tasks such as specialized casework are being reconfigured into educational tasks that promote the idea of “becoming digital”. In the paper, the author argues that the work of “becoming digital” in client processing entails two interconnected changes in frontline agents’ practice: de-specialization of the task and intensified informality in relation to citizens. As a result, the frontline agent works as an explorative generalist whose professional skills and personal competencies are blurred. Originality/value – The study contributes to ethnographic research in public administration by combining two separate subfields, e-government and street-level bureaucracy, to discern recent transformations in public service delivery. In the digital era, tasks, control and equality are distributed in ways that call for symmetrical and relational approaches to studying street-level bureaucracy. The argument goes beyond technological or social determinism to find a fruitful intermediary position pointing at technological change as having both constraining and enabling effects.


2008 ◽  
Author(s):  
Vadim Moldovan ◽  
Alexandru Ciobanu ◽  
William Divale ◽  
Anatol Nacu

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