Bureaucratic, Professional and Managerial Power in University Tenure Track Recruitment

In this chapter, our interest lies in analysing the different powers in recruitment and, particularly, how they are manifested in the new tenure track model in technical fields in Finland. Traditionally, recruitment in higher education has mostly relied on the bureaucratic application of processes and on academics, representing professional power, evaluating academic merit. The new university legislation, granting universities more autonomy in recruiting, has allowed the development of increasingly strategic recruitment models. The novel tenure track recruitment criteria exceed traditional notions of individual merits to include assessments of the strategic visions of universities and departments. We see the use of the tenure track model as a shift both in the recruitment for identity building related to the technical university’s strategy and as a shift in using more managerial power in recruitment. We use a case study approach where we look at recruitment in a similar field in two different kinds of universities utilising tenure track, and we examine how bureaucratic, managerial and professional powers are manifested in the processes. The comparisons are used to highlight the powers in the tenure track process in a technical university.

Dealing with the Machine: Strategies of Pilots and Doctors Towards Technological Integration

As a global and profuse fact, all professions are more or less affected by the rapid penetration of technology in their domain of practice. As the technological capacity progresses, we observe a gradual replacement of human skills by machine-guided procedures. Although such a gradual passage undeniably reduces the human presence in the practice of a profession, the transfer seems not to be a linear process. It has rather a pivoting character, comprising a series of ambivalences and contradictions. Consequently, professionals tend to keep their already acquired knowledge and ability through education and practice, and instead submissively abandon their place to technological tools. From such a perspective, we discuss in this article the strategies of resistance adopted and developed by professionals for keeping their professional power. Among a variety of professions, we choose to focus on medicine and aviation, due to their two fundamental distinctive characteristics: Both have (1) a high degree of technological determination, and (2) accomplishing vital functions. For this purpose, we discuss the strategies of resistance towards technology by professionals, throughout data we gathered from some field research conducted with doctors and pilots.

Validating a model for indicating the professionalisation of social work in China

Summary The social work profession has developed at an unprecedented rate in the past decade in China. This article addresses the much-debated question of whether the international standards of social work can be applied in the Chinese context. Employing Weiss-Gal and Welbourne’s conceptual framework of the professionalisation of social work, this study aimed to identify validated indicators to define social work professionalisation in China. A questionnaire with 11 indicators was designed, and responses were received from 748 social workers in Guangzhou. Formative measurement was adopted as an analytic strategy. Findings Five of the 11 indicators were validated: perception of public recognition, perceived adequacy of the knowledge base, involvement in professional organisations, congruence with ethical standards, and perception of professional autonomy. Contrarily, six indicators had no significant impact on social work professionalisation in China: public recognition in terms of qualification levels, professional education, satisfaction with professional organisations, monopoly (self-perception and entrance criteria) and prestige and remuneration. Applications This study extends the application of Weiss-Gal and Welbourne’s conceptual framework to China. Utilisation of this framework suggests that social work professionalisation in China may diverge from international standards in social work, while the professionalisation measures for social work implemented by the Chinese governments may be ineffective. In particular, this study highlights the continuing challenges for the development of social work in China and provides evidence of the need to strengthen the professional power of Chinese social work.

Explaining health system responses to public reporting of cardiac surgery mortality in England and the USA

Public reporting of clinical performance is increasingly used in many countries to improve quality and enhance accountability of the health system. The assumption is that greater transparency will stimulate improvements by clinicians in response to peer pressure, patient choice or competition. The international diffusion of public reporting might suggest greater similarity between health systems. Alternatively, national and local contexts (including health system imperatives, professional power and organisational culture) might continue to shape its form and impact, implying continued divergence. The paper considers public reporting in the USA and England through the lens of Scott's ‘pillars’ institutional framework. The USA was arguably the first country to adopt public reporting systematically in the late 1980s. England is a more recent adopter; it is now being widely adopted through the National Health Service (NHS). Drawing on qualitative data from California and England, this paper compares the behavioural and policy responses to public reporting by health system stakeholders at micro, meso and macro levels and through the intersection of ideas, interests, institutions and individuals through. The interplay between the regulative, normative and cultural-cognitive pillars helps explain the observed patterns of on-going divergence.

Core Values that Influence the Patient—Healthcare Professional Power Dynamic: Steering Interaction towards Partnership

Healthcare has long been marked by the authoritative-physician–passive-patient interaction, with patients seeking help and physicians seeking to restore patients back to health. However, globalisation, social movements, and technological advancements are transforming the nature of this relationship. We aim to identify core values that influence the power dynamic between patients and healthcare professionals, and determine how to steer these interactions towards partnership, a more suitable approach to current healthcare needs. Patients with chronic diseases (10 men, 18 women) and healthcare professionals (11 men, 12 women) were interviewed, sessions transcribed, and the framework method used to thematically analyse the data. Validation was done through analyst triangulation and member check recheck. Core values identified as influencing the patient-healthcare professional power dynamic include: (A) values that empower patients (acceptance of diagnosis and autonomy); (B) values unique to healthcare professionals (HCPs) (acknowledging patients experiential knowledge and including patients in the therapeutic process); and (C) shared capitals related to their interactions (communication, information sharing and exchange, collaboration, and mutual commitment). These interdependent core values can be considered prerequisites to the implementation of the patient-as-partner approach in healthcare. Partnership would imply a paradigm shift such that stakeholders systematically examine each other’s perspective, motivations, capabilities, and goals, and then adapt their interactions in this accord, for optimal outcome.

Professional power, job security, and decision making in project funding: The assessors' perspective

We examined the influence of assessors' professional power and social connections on their decision making regarding evaluation for funding of new business projects, as well as the moderating effect of the assessors' own job security. Using 1,517 observations from 2017 Beijing Innofund data, we found that the assessors' professional power and social connections were both positively related to their evaluation scores. The job security of the assessors significantly positively moderated the effect of their social connections, but the moderating effect of job security on their professional power was nonsignificant. Theoretical and practical implications are discussed.